VMC, Inc. Newsletter
Volume 3 - Issue 4 April 2007

In This Issue

Feature Article: by Mary Ann Vande Linde, DVM

April Tip
by Sheila Grosdidier, BS, RVT

April Practice Manager Tip
by Monica Dixon Perry, CVPM

April HR Tip
by Sheila Grosdidier, BS, RVT


 

Upcoming Seminars

It's What's Up Front That Counts... and More!
  • 5/9 - Memphis, TN
  • 6/3 - Harrisburg, PA
  • 6/10 - Las Vegas, NV
  • 7/15 - St Louis, MO
Smart Moves For Technicians
  • 5/6 - Minneapolis, MN
  • 6/10 - Atlanta, GA
HR Boot Camp
  • Nov 7-8 - Chicago, IL
  • Nov 28-29 - Dallas, TX


Level I VMC School of Veterinary Practice Management


If you have not yet attended our school, now may be the time. Enrollment is open for the October 2007 Level I school to be held from October 29-November 2. The VMC School of Veterinary Practice Management is a one-week, highly intensive training program for veterinary practice managers. We strive to teach practical practice management. You won't learn about Maslow's Hierarchy of Needs but you will learn how to motivate your team and effectively delegate. The school is taught by individuals who have been where you are. They have practiced what they teach. Your instructors are Mary Ann Vande Linde, DVM; Sheila Grosdidier, BS, RVT; Monica Dixon Perry, CVPM; Gary Glassman, CPA and Mark Opperman, CVPM. Experience five days of intensive training in all aspects of practical veterinary practice management in a room filled with motivated managers like yourself. Invest in your career and your practice. Registration is limited to 20 students per class to accommodate individual instruction. We hope to see you in October.

For More Information:
Online: www.vmc-inc.com
Email: ksmith@vmc-inc.com
Phone: 303-674-8169



The monthly Financial Tip and QuickBooks Tip are courtesy of Burzenski & Company, P.C., Certified Public Accountants and Financial Consultants.
Gary I. Glassman, CPA, is a Principal with the firm. Melody Mann Fox is the Director of Client Services, Specializing in Veterinary Medicine.

To Contact Us:
VMC, Inc.
30792 Southview Drive
Suite 200
Evergreen, CO 80439

Phone: 303-674-8169
Fax: 303-670-3899
email: vmc@vmc-inc.com

Website: www.vmc-inc.com


The Pet Food Recall

Well it's supposed to be springtime but here I am in Ithaca, New York teaching at Cornell University with the snow blowing outside-and guess who does not have an overcoat, boots or gloves? The joys of traveling!
In this month's newsletter I wanted to talk about the pet food recall. Just today I heard that additional pet foods are being recalled. There is the possibility that it's not just the wheat but something else that might be contaminating the food. My question is, "What are we, as a profession, doing about this?" Many practices are getting numerous phone calls but I think we need to be more proactive. I think we need to take the lead in keeping our clients informed and be the patients' advocate. To accomplish this, VMC has advised many of their clients to be more progressive and proactive in dealing with this unfortunate situation. To be honest, at first I thought it might be opportunistic to do what I am now recommending but when I read in the newspapers how many animals had been affected and have died, my thoughts have changed. Instead of being opportunistic, I now believe that if we do not educate our clients about this very serious problem and what to do about it, we are negligent. After all, we are supposed to be our patients' advocate and THE source for accurate health care information.

Therefore, what we have advised our clients to do is write a letter to their clients informing them about the pet food recall. In the letter we provide the client with web sites they can visit in order to get up-to-the-minute information about the foods being recalled. The letter will then go on to educate the client about symptoms to watch for in their pet if they suspect the food that they have been feeding has been contaminated. The last section of the letter suggests that if the client is concerned they can and should bring their pet to the practice for a comprehensive physical exam and, if the doctor believes it is appropriate, blood work and a urinalysis.

In many of our consulting practices this letter is being sent to every patient we have seen in the past twelve or eighteen months. Other practices have been able to identify specific patients who, according to their records, have been fed affected foods and they are not only sending them this letter but contacting them by phone as well. Another method of contacting the client about this problem would be to e-mail them a letter or post this information on your web site.

It is really too early to tell the overall effectiveness of this educational program but early results have been very favorable. Clients appreciate that their veterinarian has taken a proactive approach to educate them about the problem and tell them what they can and should do to protect their pet. Some practices with whom we consult have opted not to send the letter to every client they have seen in the past twelve or eighteen months but are instead educating them when they visit the practice and suggesting their pet have blood work done at that time if there are any concerns on the owner's part. I personally do think that, as a profession, we need to step up and take the lead on this problem. We need to be proactive and educate our clients as well as inform them of what they can do to determine if their pet has been affected. If you would like a copy of this letter, click here to download it for your practice. It is a Word document, so you can modify it to suit your own practice situation. Let's be proactive and take the lead in educating and informing our clients. After all, is that not our responsibility?

Mark Opperman
President, VMC Inc.

Let us hear from you - tell us what you'd like to see in future issues. You can contact us at vmc@vmc-inc.com


  • Feature Article: by Mary Ann Vande Linde, DVM
  • Client Expectations For Veterinary Care In the Future

    Technology is changing all our lives at a breakneck pace. We are virtually connected to the world by the press of a button. We can email, converse and research anytime, anywhere. Every year, we have more sophisticated diagnostic tools and techniques and increasing efficient means to mange client and practice data. We are also faced with clients that are more highly educated than ever and have access to a scope of information that is unprecedented...

    Read on...
  • April Tip
    by Sheila Grosdidier, BS, RVT
  • Want to reduce the client’s wait time for refilling prescriptions? Have a sticker (or an electronic highlight) for your medical records that identifies the number of refills allowed before additional testing or an exam must occur. It will cut down on those times when the client is standing at the front desk and a team member is trying to determine if a refill can be issued. The team member knows when they see the sticker if the prescription can be easily refilled or the pet must be seen by the doctor.

  • April Practice Manager Tip
    by Monica Dixon Perry, CVPM
  • Prepare in advance – Schedule Doctors First, Then the Healthcare Team

    Last month I discussed knowing industry benchmarks and the importance of controlling payroll and inventory expenses. This month I want to provide you with an excellent resource for controlling your payroll expenses. Controlling payroll expenses can be an overwhelming challenge despite your efforts to staff appropriately, monitor overtime, and keep salaries competitive as well as numerous other factors that come into play. Often times when I am consulting with practices I see that the healthcare team is scheduled, but there is no alignment or rhyme or reason for how they are scheduled. It will remain a challenge for managers and those scheduling the team members to control payroll expenses if scheduling does not use the doctor’s schedule as the primary foundation for scheduling the team. Believe it or not, I see healthcare teams being scheduled more often than not without even looking at how the doctors are scheduled.

    Here are some quick and easy steps to get a better grasp on your team’s schedule:

    1. Prepare the doctor’s schedule first
      • Give the doctors a deadline each month in which they have to submit their requested days off. For example, if you are working on the June 2007 schedule, have the doctor’s submit their requested days off for the month of June by the 25th of April.
      • This deadline will give you ample time to complete the schedule, post it for the doctors to review and allow you to make any last minute modifications before distributing the final schedule by the 30th of each month or in this case, April 30, 2007.
      • The doctors and receptionists will have the doctor’s schedule available for the entire month of June and even better they can view the schedule at a glance for quick reference. This also gives the manager adequate time to enter the schedule into the computer system for those of you that are using computerized appointment schedulers. This allows clients to schedule follow up visits at least a month in advance which will increase your compliance rate with rechecks or more appropriately called medical progress exams.


    2. Prepare the healthcare team’s schedule next
      • Give the healthcare team a deadline each month in which they have to submit their requested days off. For example if you are working on the June 2007 schedule, have the healthcare team submit their requested days off for the month of June by the 1st of May.
      • You will schedule the team in conjunction with the doctor’s schedule. Therefore if you are a three doctor practice and you have two doctors scheduled for a particular day, you will schedule for two doctors versus one or three. This deadline will also give you ample time to complete the schedule, post it for the healthcare team’s review and allow you to make any last minute modifications before distributing the final schedule by the 5th of each month or in this case, May 5, 2007.
      • The team will have their schedules at least three weeks in advance and will allow proper planning for the month of June for the entire team as well as management.
    As you can see, this approach brings structure to scheduling the doctors as well as the healthcare team. It is much easier to align the healthcare team’s schedule to that of the doctor’s schedule when you follow these simple and straightforward steps. You can make life even better by utilizing a staff scheduling software program. There are many out there, but in all honesty, it was not until I personally used the VMC Staff Scheduling Software in private practice many years ago that I was able to get payroll expenses under control.

    This software allows you to enter each doctor and each team member into a Microsoft Excel program and get a week by week account of scheduled hours including lunch/dinner breaks for your doctors and entire healthcare team. It also allows you to key in salary information so that you will be able to budget on a weekly or monthly basis and know your payroll expenses in advance. In addition, the software will let you know when you have too many or not enough staff scheduled. You can see with a quick glance who has been scheduled into overtime so that you can make adjustments before posting or distributing the final schedule. The software is also helpful when someone calls in sick or asks to change their schedule in that you can open the software and view the week in question and decide on how to most cost effectively shift and rearrange the team to maintain the desired coverage and support. In addition, if you see that Team Member A is scheduled for 35.5 hours the week in question and Team Member B is scheduled for 30 hours the same week, you will know to steer clear of Team Member A and approach Team Member B regarding covering the person’s shift that has called in sick or requested a change in their schedule. This simple step minimizes your chance of scheduling Team Member A into overtime. There are so many benefits to this software, but more importantly it allows you to manage and control your payroll expense which at some point in time becomes a challenge for every practice manager.

    For more information on this software or to order, you can visit www.vmc-inc.com.

  • April HR Tip
    by Sheila Grosdidier, BS, RVT


  • Q: How can you keep up to date on rules and regulations for employers and employees?

    A: There is help out there right on the web. Here is a list of the most helpful sites to answer your Human Resource questions:





     
    http://www.eeoc.gov/
    Equal Employment Opportunity Commission web site. Information on Sexual Harassment, Discrimination

    http://www.usdoj.gov/crt/ada/adahom1.htm
    US Department of Justice web site on Americans with Disabilities Act Home Page

    http://www.osha.gov/
    US Department of Labor Occupational Safety and Health Administration web site (remember that some states have additional guidelines)

    http://www.dol.gov/elaws/drugfree.htm
    US Department of Labor Drug Free Workplace Advisor - how to establish and maintain an alcohol- and drug-free workplace

    http://www.dol.gov/esa/whd/fmla/
    US Department of Labor Wage and Hour Compliance Assistance re: Family and Medical Leave Act

    http://smallbusiness.findlaw.com/employment-employer/
    Legal topics for small businesses. Good index of employment law and human resource issues with links to other web sites on the various topics

    http://www.dol.gov/esa/whd/
    US Department of Labor, Employment Standards, Wage and Hour Division (employers must remember that some states have regulations that are more restrictive then the federal standards and they should always check with their state regulations as well)

    http://www.paypershop.com/news-cat2/wcl.html
    US state workers compensation has link to each state to obtain information

    http://www.comp.state.nc.us/ncic/pages/all50.htm#ca
    Information on how to contact the division of WC in each state

    http://www.bls.gov/opub/mlr/2001/01/art1full.pdf
    Employment at will listing the states with exceptions

    http://www.osha-safety-training.net/SH/SH.html
    Offers videos for training on sexual harassment

    http://www.elinfonet.com/HR_RZ.php
    Employment Law information Network - examples of HR policies listed by alphabetic topics

    http://www.freeoshainfo.com/publications.html
    Link to free OSHA publications and information

    http://www.ewin.com/articles/faq.htm
    Frequently asked questions about employee relations


    For a downloadable, printable copy of these helpful HR links,
    Right-Click Here and select "Save Target As..."

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