Practice Management 
Multi specialty group practice
A multi specialty group practice is a term for teams of healthcare professionals in varying specialty areas which can include therapists and psychologists as well as other professionals. The collaboration amongst all of these health professionals in a multi specialty practice to provide healthcare services is referred to as integrated healthcare.
The overall goal in multi specialty group practices is to improve the effectiveness, continuity and quality of healthcare services or treatment.
A few key components of a successful multi specialty group practices include:
- Client-centered care: Multi specialty services are focused and tailored to the unique needs of each individual and involve clients in care decisions
- Integration of technology: Integrating technology specifically electronic health records (EHRs) and exchanging of health information systems allows for streamlining communication with providers and clients. Allows for the delivery process to be easier and more efficient for both clients and practice staff
- Improvement in quality: A key pillar in most successful and efficient medical practices is a commitment to continuous improvements that may include ongoing assessments of client outcomes, feedback via surveys, or ongoing healthcare provider training.
Benefits for clients and therapists
Clients:
- Accessibility
- Convenience
- Comprehensive care
- Collaborative care
- Integrated EHRs
- Holistic treatment
Therapists:
- Increase in networking
- Professional development/Learning opportunities
- Collaboration of clients
- Interdisciplinary or peer collaboration
- Coordinated care plans
Structural components of multi specialty group practices
Multidisciplinary group practices consist of many components and are usually more layered than a solo practice.
They include:
- Leadership: May include a board of directors, practice managers, and/or team lead, who are responsible for making decisions and overseeing management and structure of the practice as well as subsets of teams
- Different specialty providers: May include a variety of therapists or other healthcare specialties with different areas of expertise
- Infrastructure: Physical locations that are conducive to specialties and treatment areas and may also include administrative staff
- Technology and health information: Use of technology to streamline client information and efficient and effective client services among providers
- Financials: Management of billing, insurance claims, or medical billing and coding
Client-centered care in multi specialty practices
Client-centered care in a multi specialty practice involves prioritizing the client's needs and values.
Some key points in client-centered care include:
- Client-centered communication/shared communication: Tenants of client-centered communication includes giving clients, their families, and caretakers a say in decisions and giving them time to research before making those decisions and sharing all observations and data as well as the latest relevant condition and treatment research.
- Interdisciplinary collaboration: Collaboration amongst other health professionals and therapists is key to providing comprehensive care.
- Accessibility: Greater access to specialists, scheduling appointments, and technology.
Operational considerations for therapists in multi specialty groups
Therapists who work in multi specialty groups have operational considerations to ensure effective healthcare services:
- Foster collaboration: Facilitate interdisciplinary communication and consultations.
- Technology/integrated health records: Use of technology to deliver and provide therapy services and stay informed about digital tools and platforms. Use technology to implement appointments and schedules, client education, and remote client monitoring.
- Set communication protocols in place: Communication between other therapists and clients should be established for efficient services.
- Value professional development: Engage and value continuous professional development to stay up to date in the latest research, policies, and treatment procedures.
- Quality improvement: Encourage feedback from clients to improve the quality of services.
Electronic Health Records (EHRs) for multi specialty practices
Electronic Health Records (EHRs) are electronic records of health-related information on a client that can be created, gathered, managed, and consulted by authorized clinicians and staff within one health care organization.
To implement EHRs a few steps should be followed:
- Select an EHR system that aligns with your goals and needs
- Work closely with the EHR vendor to customize settings and figures that work within your specialty
- Train staff and consider on-going training with updates
For more tips, check out this blog.
Privacy and security
Privacy and security in electronic records are essentials for EHRs. The government also created the HIPAA Security Rule requiring specific protections to safeguard electronic health information.
A few possible measures that can be built into EHR systems may include:
- Access control tools like passwords and PIN numbers, to help limit access to your information to authorized individuals.
- Encrypting stored information. That means your health information cannot be read or understood except by those using a system that can “decrypt” it with a “key.”
- An “audit trail” feature, which records who accessed your information, what changes were made and when.”
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Technology trends and telehealth in multispecialty practices
Adapting to technology trends is a vital component of providing effective client-centered care. Technology trends may include digital applications, client portals, remote client monitoring, wearable devices, integrating social media, and telehealth. Telehealth provides clients with greater accessibility and convenience to healthcare.
Facilitating virtual consultations and collaboration among therapists involves utilizing technology and efficient communication methods. Training staff and becoming familiar with virtual tools is essential for providing efficient care. Training and education can be conducted via regular virtual team meetings and virtual collaboration tools can be established.
Benefits and challenges
With multi specialty group practices, there are a host of benefits but it also comes with its challenges.
On the upside, there can be improved client experiences, coordinated care, and diversity of experiences.
Some common challenges include communication, billing and reimbursement, conflict resolution, cultural differences, and compliance with regulations.
Solutions to these challenges can include:
- Hosting interdisciplinary meetings
- Using technology for communication
- Setting standardized billing and reimbursement processes
- Staff education regarding conflicts
- Cultural competence
- Regulation changes to adhere to the latest policies and procedures
Financial considerations of a multi specialty practice
In addition, there are financial considerations and revenue sharing to take into account in multi specialty group practices.
Compensation models
For healthcare providers, a compensation standard or model should be created, allowing for:
- Specialty-specific reimbursement rates
- Productivity standards
- Expenses
- Incentives for meeting specific standards or reaching benchmarks
- Regularly Evaluating and monitoring regulatory requirements
Quality assurance
Other key components of multi specialty group practice are quality assurance and outcome measurements along with marketing strategies.
Quality assurance and outcome measurements can be implemented by utilizing evidence-based practice, client-centered care, outcome measurement tools such as data collection methods such as surveys, risk management strategies, interdisciplinary collaboration, or peer collaboration, and client education and engagement.
Effective marketing is key to communicate the values and mission of the group practice. Some strategies include utilizing social media platforms, incorporating client stories or reviews, community events, promoting certifications and accreditations, and hosting webinars.
Overall, the goal of multi specialty group practices is to improve the overall effectiveness and quality of healthcare services or treatment.
Fostering interdisciplinary and multidisciplinary cross-collaboration and communication with a focus on client-centered care is a vital component in delivering healthcare services. With the integration of healthcare technology and education, therapists and other providers can deliver holistic and client-centered care that addresses the individual needs of clients which contributes to the overall quality of care.
References
- Electronic health record systems. https://www.hhs.gov/sites/default/files/electronic-health-record-systems.pdf
- Privacy, security, and Electronic Health Records. https://www.hhs.gov/sites/default/files/ocr/privacy/hipaa/understanding/consumers/privacy-security-electronic-records.pdf
Resources
While handling all of the administrative tasks can feel overwhelming, having the right electronic health record system can keep you organized. Theraplatform, an EHR/EMR, practice management and teletherapy platform can streamline your processes and give you confidence that you are getting the most out of your hard work in a group practice setting. They offer a free, 30-day trial with no credit card required. Cancel anytime.
More resources
- Therapy resources and worksheets
- Therapy private practice courses
- Ultimate teletherapy ebook
- The Ultimate Insurance Billing Guide for Therapists
- The Ultimate Guide to Starting a Private Therapy Practice