Physician: Is it Possible....?
... to increase your medical presence in your practice?
- Absolutely! Your patients come to see YOU -- they like you and value your
expertise. Even when patients see your office staff, your nurses, your medical
assistants -- and even when you refer to outside specialists -- patients still feel the
link of their medical relationship with YOU.
- Expand your collaborative practice, and you increase your medical presence! As
your contract nurse practitioner, I'll be your representative and increase your
medical presence beyond the clinic into the community.
... to improve patient relationships?
- Patients want to be able to feel their provider cares about their issues -- even more
than they value your clinical skills, scholarly expertise, or your waiting room decor!
This one factor alone can account for the majority of your success (or failure) with
your patient satisfaction [The Lancet, March 10, 2001;357:757-762; JAMA 1994;
271:1609-14].
- Listening to your patients is critical -- but, so is the amount of time you and your
representatives spend with them. Patients who are efficiently bustled through your
practice may feel that they have not been heard, or that their problems were treated
uncaringly.
- As your contract nurse practitioner, I'll be able to spend that extra time with patients,
encourage them to discuss their concerns, and make sure they understand that you
will know about their situation, too. This one action, "I'll make sure Dr. _____
knows about your concerns," increases the patient's perception of relationship --
effectively adding a layer of caring to your practice since both physician and nurse
practitioner are both involved in care.
... to strengthen your patient care profile?
- Every physician has personal strengths, and personal weaknesses, in patient
care. Even something as "simple" as physician gender can affect your doctor-
patient relationship -- male physicians simply may not be able to communicate with
female patients (or discuss delicate issues) due to social behavioral constraints
[Mayo Clinic Proceedings (1998;73(2):109-117].
- Furthermore, there are procedures you probably just don't like to do -- pelvics, for
example, or lesion removal, or time-consuming low-return visits to patients in
nursing homes, or dealing with patients on psych issues. Yet, the more procedures
you do, the more types and levels of patients you can treat. And, when was the last
time you made a house-call?
- As your contract nurse practitioner, I can handle these situations for you, further
expanding your expertise into the community. This allows you to bring more
patients into the practice, and to handle higher-level care, without increasing your
workload!
... improve your bottom line?
- Definitely. There are two basic ways to improve that bottom line:
- increase your patient load
- see higher-level patients.
- As your contract nurse practitioner, I can handle the time-consuming procedures,
nursing home visits, and even house-calls, so that you can continue to see patients
in-office -- effectively increasing your clinic's patient load without adding more hours
to your day.
- As your contract nurse practitioner, I can schedule similar lower-level in-office
patients (for example, well-woman exams, or well child or sports physicals, or even
lesion removals) all on the same day each week or bi-weekly -- freeing you up to
see multi-symptom higher-level patients through that entire day. More higher-level
patients = better bottom line!
- Want proof? CLICK HERE.
... and NOT increase your workload ??
- Let's be frank: you can spend 15 minutes seeing a low level patient, or the same 15
minutes seeing a high level patient. The high level patient is better for your bottom
line. There are only so many hours in a day -- and every low-level patient you see
decreases your potential bottom line.
- For example, say a moderate level acute patient earns $78 for a 15- minute visit,
and a high-level 2 or 3-problem patient earns $128 in the same 15 minutes. If you
could make sure BOTH patients were given the same 15 minutes -- then you could
bring in $208. Would it be worth your while to spend $11.25 to do that? You'd still
clear $196.75....and only work 15 minutes. That's a 35% increase in your income,
without increasing your workload!
- Wouldn't it be nice to be able to finish the work day, without being exhausted -- and
still know that your clinic has earned a respectably profit?
- As your Contract Nurse Practitioner, I can care for that moderate level patient, and
free you to do the complex, interesting (and remunerative!) patient care.


A complete health care package: physician, office staff, clinic nurses, contract nurse practitioner.
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Doctor:
As an independent provider, you understand the financial realities of
keeping a practice going -- even when you need time off for illness, personal
issues, or out of sheer exhaustion.
Here is a way to extend your practice, maintain an office presence (even
when you're not "in"), and improve your bottom line -- without putting in more
office time. Read on....
Anita Evangelista, MSN, APRN-BC, FNP Family Nurse Practitioner
Contract Mid-Level Provider of Person-Centered Care
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CLICK HERE for information on SERVICES your Contract Nurse Practitioner can provide -- and, a NO-RISK, NO-COST OFFER!
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