I recently wrote about the benefits to physicians and patients of a direct patient care practice. If you’re not familiar with that concept, it generally means opting out of all insurance, and charging a fixed monthly fee for “all you need” care from the practice.
The idea of setting up a direct patient care (“DPC”) practice is probably appealing to many physicians. But, as you can imagine, the administrative aspects of setting up a medical practice can be very daunting. For a physician thinking about taking the plunge, a great deal of angst is natural. Do you hire consultants to set up appropriate policies for HIPAA, OSHA, CLIA, etc. or do you rely solely on a physicians’ lawyer to handle these aspects? Where do you even start? How do you know if you’ve covered everything?
Plenty of physicians have done it, so you know it is possible. Still, wouldn’t it be nice if somebody came up with a road map, including samples of policies for employees and all the regulatory issues? As you may have guessed, that was a rhetorical question.
Kim Corba, D.O. has set up her own DPC practice in the Lehigh Valley, and has been an active contributor to many forums about DPC practices. She has (with a little help from yours truly) developed what she believes is a comprehensive manual containing all the policies and forms used in her DPC practice. She even has marketing materials included. I can’t imagine the time she spent pulling together all these materials!
Luckily for anybody who wants to set up a DPC practice (or is thinking about setting up a DPC practice), Dr. Corba has made this manual available to physicians. I would encourage anybody who thinks they might be interested in setting up a DPC practice to seriously consider purchasing the manual. It’s even possible to purchase individual chapters, if you have started down the road but don’t have everything complete yet (or would like some reassurance that your forms and policies are complete).
Please look at the manual of policies and procedures for direct patient care. It may be all you need to get away from being employed by the (not so friendly) local health conglomerate, and get back to practicing medicine through really connecting with your patients.