Friday, November 20, 2009

HOW DO YOU MEASURE THE PRODUCTIVITY OF ALL AREAS OF AN OFFICE?

At Silkin Management Group, one part of our overall practice management program includes teaching our clients a very basic, but essential management system that we call, “management by statistics”. The idea here is to take opinion and guesswork out of how each area of a practice is doing by assigning a relevant production statistic to act as a guideline for the area as well as the staff member responsible for the area. Without these metrics, you are operating the business side of a practice blindly.

As an analogy, no doctor would decide on a treatment plan without properly examining a patient and performing whatever tests are necessary to determine the proper course of action. This is all very scientific and requires specific metrics as part of the examination process.

Running the business side of the practice is no different. You must have a means to measure and thereby “see” factually what is going on throughout the practice. Just as you could not drive your car without its various gauges operational, you cannot run a business without having proper productivity measurements to refer to. As a consultant at Silkin, I routinely teach my clients how to implement a system in which they can easily “see” what is going on in all areas of their practice.

Here are some questions you might ask yourself:

  • Do you have any idea if your treatment plan acceptances are getting better or worse or if it is even in a viable range? Do you have any idea what a viable range for this would be?


  • Do you have any idea if your receptionist is doing a better or worse job of keeping patients to their schedule, other than “it seems busier”?


  • Do you have any idea if your recall procedure is working as well this year as last year?


There are numerous other questions and areas that we look at with our clients at Silkin Management Group to help them implement the correct statistical management procedures. It is not difficult, but without it, you cannot properly run a practice.

I’ll expound more on this in the next blog article I write and/or ask one of my fellow Silkin Management Group consultants to write in their blog article more information about this subject.

In the meantime, you can find out more about Silkin Management Group by visiting our website at www.silkinmanagementgroup.com You can also contact us at info@silkinmanagementgroup.com

Browse our other blog: blog.silkinmanagmentgroup.com


Bill Hickey
Consultant
Silkin Management Group

Tuesday, November 17, 2009

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Thanks!

Larry

Friday, November 13, 2009

IS THERE FISCAL RESPONSIBILITY IN THE HEALTH CARE LEGISLATION?

There have been quite a few blog postings on our various Silkin Management Group’s blog sites concerning the health care legislation that passed in the House as well as the Senate version that is presently being worked on. As a Silkin consultant, I have been following the legislation, as well as reading and contributing to the blogs.

Today I came across a very good article by a Washington Post columnist that clearly explained some of the fiscal issues and benchmarks that this type of legislation should encompass. The author interviewed the former head of the GAO (the Government Accounting Office which is the non-partisan auditing and investigative arm of Congress). This person pointed out that the lawmakers are “punting on the tough choices, rather than making sure they can deliver on the promises they are making.”

He warned against simply adding programs onto a system that already isn’t working, which he feels this legislation is doing. He proposed some very sane and logical benchmarks or tests of fiscal responsibility for any health care reform plan. The four basic points he suggested were:
  1. The plan should pay for itself over ten years.
  2. The plan should not add to governmental deficits beyond ten years.
  3. The plan should significantly decrease the trillions and trillions of dollars of unfunded commitments that already exist in the system we have (Medicare, etc.)
  4. The plan should reduce the health care “cost curve” as a percentage of the Gross Domestic Product.

These points make a lot of fiscal sense to me, and is one of the few things I’ve heard that sounded fiscally responsible in all the various debates I’ve heard about this legislation. The author points out that recent studies show that the House bill only handles point 1 above and fails on the other three points, and the Senate version is not much better.

I invite you to read this article and I think you’ll find it as interesting as I did. You can find it here: Health reform bills fail to deliver on cost controls

I will certainly encourage my Silkin Management Group clients to read this article as well as the other blogs and articles the various Silkin consultants have posted recently. If we demand fiscal responsibility of ourselves and in the management of our businesses, we should also demand the same of our government. Or is that too much to ask?


Dave McKevitt
Consultant Silkin Management Group

For more information about Silkin Management Group and how it helps its clients visit our website at silkinmanagementgroup.com.
You can also contact us at: info@silkinmanagementgroup.com

Visit our other blog at silkinmanagementgroup.blogspot.com

Tuesday, November 10, 2009

THE HEALTH CARE BILL AND SMALL BUSINESS – HOW DOES IT AFFECT YOU?

As President of Silkin Management Group, I’ve been following the various versions of Health Care Legislation that has been going through the House of Representatives. As I’m sure most readers know, a final version of the House bill barely passing on Saturday night.

My interest in following this legislative process is two fold: how will this affect our clients at Silkin and how will it effect the management of my company? The House bill is not an exciting prospect for either. The best summary of this I found in an article on November 9th in the Wall Street Journal. You can access that article here: Small Business Crunches Numbers.

According to the author of this article, “The House bill mandates that employers with payrolls above $500,000 must contribute -- for each full-time employee -- 72.5% of the premium cost for single coverage and 65% of the premium cost for family coverage. The penalty for failing to do so is a 2%-to-6% tax on employers with payrolls between $500,000 and $750,000 and an 8% tax for employers with payrolls above $750,000.”

Essentially then, if you aren’t already paying for health insurance for your employees, which a majority of small businesses aren’t doing because they can’t afford it, you will either have to pay the premiums or get taxed an additional 5% to 8%. I wonder, have any of our law makers stopped and asked the simple question: “If a small business can’t afford the payment now, how are they going to be able to afford this additional mandated cost?” Has anyone stopped and asked, “Where will the money come from?”

Since, in my opinion, most of our lawmakers have never run a business themselves, never had to make payroll week to week or month to month, never had to let employees go in order to cut costs and all the other tough decisions all businesses, very much including the clients of Silkin Management Group, have to make, they just don’t have much reality on what effect their mandate will cause with small business owners.

Let’s keep it simple: if a business cannot afford to pay health insurance premiums now, how will they afford it in the future? There are only two avenues to take to accomplish this: increase of net income to cover the cost, or decrease of overhead. And what is the primary overhead cost of Silkin clients and most small businesses? Payroll.

During the tough economic times we are in, most small businesses are not growing enough in net income to afford this additional cost. Although by the last survey we did, our average Silkin client’s production is growing even during this down economy, adding this significant cost to their overhead will not be easy. But the majority of small businesses are not growing enough to handle such an expense. What do they do?

Their primary choice may be to lower overhead by getting rid of one or more employee. I think that is a very, very real possibility for many small businesses. The end result of that scenario is more people out of work and more people on unemployment. This will add a greater financial burden for the government via higher unemployment payments. This is not a great result for anyone, if you ask me.

I am not against health care reform as a subject. There are many, many aspects of our health care system that need fixing. They have been discussed and debated ad infinitum and are certainly too long to list here. I have no argument with the concept of fixing the system and some key points have been addressed in the House bill. In fact our Senator from Oregon, Ron Wyden, has proposed some of the most logical fixes of anyone I’ve seen. Unfortunately many of his ideas have been shot down by his own party.

All I am trying to say here is that our legislators better wake up and realize that what has been proposed and passed in the House will very likely be detrimental to large numbers of small businesses and could very easily increase the number of people out of work.

As the House bill is not the final version that will be the ultimate law (the Senate has to pass its own version, then the two bills need to be merged), it is not too late to fix this aspect of the legislation. In fact, per this article, the Senate version seems much less onerous to small businesses.

This legislation will affect you in some way. It’s not too late to let your voice be heard. It is easy to send an email or fax to your Congressman or Congresswoman or Senator. I encourage all Silkin Management Group clients to be proactive and do so.

Larry Silver
President, Silkin Management Group

For more information about Silkin Management Group visit our website at:
www.silkinmanagementgroup.com
You can also email us at:
info@silkinmangementgroup.com
Visit our other blog at:
blog.silkinmanagementgroup.com