Practice Management

How many warnings should I give, and when should I fire someone?

We're taking our practices to the next level by introducing quality control protocols. Better control means better results, which gives us the foundation we need to be more than just a good hospital; we want to be great.

What are the legal issues in hiring my 13-year-old daughter to work after school?

A form to help you determine the costs of employment, such as health insurance, continuing education, dues, license, retirement programs, and payroll taxes.

Just ask a client which part of the anesthetic monitoring or pain relieving medications you should leave out to save them money at the expense of their pet's health.

Physicians once said nurses would dilute their earning power and endanger patient safety.

Encinitas, Calif. — Communication with staff is the key to a hospital's success, Dr. Michele Drake says.

Like it or not, lay people can learn to competently perform many routine tasks.

Only about 80 percent of time slots will be accomplished despite the best plans, but it's better than 20 percent without a plan.

Sometimes these employees are simply in the wrong job. If so, just redeploy them.

Q I'm a recent graduate, and I find that the clients I see have no preference for which doctor examines their pet. How can I develop my own clientele?

A new campaign launched by the American Association of Equine Practitioners and Fort Dodge Animal Health aims to let owners know their horses should get exams twice a year—in the spring and fall.

Q What's the typical turnover rate for front-office team members? How do I know if my turnover's too high?

At one time, the mass market was every veterinarian's target population. Today's best strategy, however, is niche marketing, which targets a specific population of pet owners, identifying their needs, and then addressing those needs more competently than anyone else.

Starting this month, 401(k) plans can offer a Roth 401(k) provision—which could be a better option for your retirement savings.

My practice has a steady client base, but we'd like to increase our new clients. What's the most effective way to grow?

Most real issues are unspoken and well recognized at the staff level.

I have an employee who regularly stays for overtime that I haven't authorized. My attorney says I have to pay her for the time, even though I didn't schedule it. What can I do to keep team members from working unapproved overtime?

How important is it to buy telephone-directory advertising?

Metabolic profiling and its results have disappointed me several times during my career. Yet I recently had success using an approach promoted by University of Wisconsin (UW) associate professor Dr. Gary Oetzel, who believes two subclinical syndromes account for a large percentage of dairy farms problems.

Take these steps to document poor performance.

Practices whose staff are so well treated that they feel like family may be harder to compete with.

Starting this month, 401(k) plans can offer a Roth 401(k) provision—which could be a better option for your retirement savings.

Acres Animal Hospital in Dartmouth, Nova Scotia, relies on hot-water bottles to help provide comfort to patients.

How do I know if gossip has become a problem in my practice? And what's the best way to get rid of it?

I'm considering remodeling an exam room. What are the first steps I should take?

Offering to put them in contact with a financial planner may just be the ticket for some new grads.

I'm tired of having a huge pile of accounts receivable. How can I manage this better?