Starting a New Practice

Thank you Wilma Erasmus for your contribution

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Before We StartScope of Practice –Gov Gazette 3 Dec 1976Acts and omissions-Ethical rules Gov Gazette 12 August 1994Guidelines for making your Professional Services

Known-HPCSAMedical Schemes Act -Gov Gazette No 20556 20

October 1999Basic Conditions of Employment ActICD10Certificate of NeedNational Health Plan

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LEGISLATIVE AND REGISTRATION

REQUIREMENTS.Registration with the HPCSA. 012 3286680Registration with SASP. Malpractice Insurance. Receiver of Revenue. SARS

For provisional taxAs an employerVAT: If your gross income exceed R300 000 per annumSkills Development Levy. 1% of salaries.

Department of Manpower: Unemployment Fund. UIFRegistration in terms of Workmen’s Compensation Act . Registration with the Regional Service CouncilsAnnual PCNS fee at BHF 011 8808900.

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Principles, standards and guidelines

Physiotherapist

Medical SchemesCouncil

BHF

HPCSA

DepartmentOf Health

SASP

SARSDepartmentOf Labour

MedicinesControl Council Department

Of Education

MOST IMPORTANT QUESTIONS.Why?Where?What?

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THREE ASPECTS: RPIRESEARCH

PLANNING

IMPLEMENTATION

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RESEARCHFeasibility study.Client needs analysis.Location.Financial needs analysis.Human recourses analysis.Legislative and registration requirements.

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FEASIBILITY STUDYDistribution of competitors. Physio’s, doctors

and others.Population figures.Distribution of hospitals and services offered.Services rendered by competitors.Ethical requirements.

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CLIENT NEEDS ANALYSISWhat services are being offered?Is there any gaps in current services offered?Do you have a niche service to offer?

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LOCATIONPremisesCheck proximity of competitors.Check requirements of the local authorities.Consider accessibility for handicapped people.Allowance for future expansion.Availability of parking.Security.Proximity to public transport.Requirements of lease agreement. - Legal

advice.

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Location…Functional DemandsReception and waiting area.Space for receptionist and office functions.Toilet facilities for patients and staff.Treatment areas ( cubicle size 2m x 3m)Gymnasium area.Small kitchen area.Area for physiotherapist to prepare

reports.

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FINANCIAL NEEDS ANALYSIS

HOW MUCH DO YOU NEED?HOW MUCH DO YOU HAVE?

Long term funds should be borrowed on a long term basis. (more than 12 months)

Bridging capital: To cover day to day expenses till the money comes in.

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Sources of Outside Finances.

Financing.Own capital. Outside capital. Liability on balance sheet. Banks by means of lease agreements, instalment sale or

bank credit =must be regarded as a short term finance. Be aware of credit trap!!!

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Fee StructureNRP ListCOIDAPrivate Rate

Break Even Point!!!!

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HUMAN RESOURCE ANALYSIS.

What type of staff would you need? Receptionist, cleaner, debt controller,

accountant?How are you going to ensure continuation of

treatment? Weekends, leave and sickness? Assistant Physiotherapist or Locum.

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PLANNINGBusiness Plan.Mission Statement.Practice Objectives.Time Frames.Interviewing staff.Arranging finances.SHOPPING!!!!!

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Planning…NB! Ethical Requirements.Promotion of Professional Image.Signs and Name Plates.Naming the Practice.StationaryEquipment and office furniture.Treatment equipmentElectronic equipmentOffice furniture

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Account Rendering

DIY or Outsource?Soft Ware Package?Electronic or Paper?Electronic. Who?Paper. Postage or courier?

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IMPLEMENTATIONStick to your Business Plan, Objectives, Time Frames and BUDGET!!! Self ManagementTime ManagementPatient ManagementFinancial ManagementKnowledge Management = CPDHuman Resources Management.

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