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This is the complete lecture note for FAM503 Private Practice Organisation. You can read it online below, open it in the full viewer, or download the PDF for offline study. It pairs with the course's video lectures, so you can read and watch together.
la-NET | ONLINE LEARNING VIDEO PLATFORM FOR POST-SECONDARY & HIGHER INSTITUTION STUDENTS
la-NET | ONLINE LEARNING VIDEO PLATFORM FOR POST-SECONDARY & HIGHER INSTITUTION STUDENTS Course code: FAM 503 Course title: Private Practice Organisation Course credit load: 1 Unit Series 1: Family Medicine Tools, Comprehensive and Coordinated Care, and the Patient-Centred Approach • Part 1.1: Family Medicine Tools in Private Practice o Sub Part 1.1.1: Practice organisation tools o Sub Part 1.1.2: Medical records and appointment systems o Sub Part 1.1.3: Tools supporting continuity and coordination of care • Part 1.2: Comprehensive and Coordinated Care o Sub Part 1.2.1: Concept of comprehensive care o Sub Part 1.2.2: Concept of coordinated care o Sub Part 1.2.3: Organising a private practice to deliver comprehensive, coordinated care • Part 1.3: The Patient-Centred Approach o Sub Part 1.3.1: Concept and principles of the patient-centred approach o Sub Part 1.3.2: Patient-centred consultation skills o Sub Part 1.3.3: Applying the patient-centred approach in private practice Introduction Establishing and running a successful private family practice requires considerably more than clinical skill alone, demanding careful attention to practical organisation, and a deliberate commitment to comprehensive, coordinated, patient-centred care even outside the structured environment of a large public hospital. Picture a newly established private family practice, where a simple but well organised appointment and records system, combined with a physician's genuine commitment to seeing each patient as a whole person, makes the difference between a practice patients trust and one they quietly abandon. Understanding these organisational and philosophical foundations is the essential starting point for everything that follows in this course.
la-NET | ONLINE LEARNING VIDEO PLATFORM FOR POST-SECONDARY & HIGHER INSTITUTION STUDENTS The aim of this Series is to equip you with a clear understanding of family medicine tools relevant to private practice, comprehensive and coordinated care, and the patient-centred approach. This Series begins with family medicine tools in private practice, before turning to comprehensive and coordinated care. It concludes with the patient-centred approach. Series Learning Outcomes At the end of this Series, you should be able to: • SLO 1.1: describe family medicine tools relevant to organising a private practice • SLO 1.2: describe medical records and appointment systems supporting continuity of care • SLO 1.3: explain the concept of comprehensive care and coordinated care • SLO 1.4: describe how a private practice can be organised to deliver comprehensive, coordinated care • SLO 1.5: define the patient-centred approach and its principles, and • SLO 1.6: describe patient-centred consultation skills and their application in private practice. 1.1 Family Medicine Tools in Private Practice 1.1.1 practice organisation tools Structuring the day-to-day running of a private practice Practice organisation tools are the practical systems and instruments a private family practice uses to manage its day-to-day operations, including scheduling, patient flow, and staff coordination, complementing the clinical family assessment tools, such as the family APGAR and genogram, discussed in an earlier related course. Well designed practice organisation tools help a small private practice function efficiently despite generally more limited administrative staffing than a large public hospital, discussed in an earlier related course, meaning careful attention to practical organisation is particularly important for the sustainability of private family practice.
la-NET | ONLINE LEARNING VIDEO PLATFORM FOR POST-SECONDARY & HIGHER INSTITUTION STUDENTS Fill in the blank: Practice organisation tools are the practical systems a private family practice uses to manage its day-to-day operations, including scheduling and staff ________. 1.1.2 medical records and appointment systems A well organised medical records system, whether paper based or electronic, is essential to supporting continuity of care, discussed in an earlier related course, allowing the family physician to quickly access a patient's relevant history, previous investigations, and ongoing management plans at each subsequent visit. A functioning appointment system additionally supports efficient practice organisation, reducing patient waiting times, discussed in relation to comparing facility types in an earlier related course, and allowing the practice to plan appropriate time for different types of consultation, such as longer appointments for complex chronic disease review. Fill in the blank: A functioning appointment system supports efficient practice organisation, reducing patient waiting ________. 1.1.3 tools supporting continuity and coordination of care Beyond basic records and scheduling, private practices benefit from specific tools supporting continuity of care over time, including structured recall systems reminding patients due for chronic disease review or preventive screening, discussed in relation to secondary prevention in an earlier related course, to return for their next scheduled visit. Tools supporting coordination additionally include clear systems for managing referrals, discussed further in a later Series of this course, and communication with other health providers involved in a patient's care, ensuring the private practice remains effectively connected to the broader health system rather than functioning in isolation. Fill in the blank: Tools supporting coordination include clear systems for managing referrals and communication with other health providers, ensuring the practice remains effectively connected to the broader health ________.
la-NET | ONLINE LEARNING VIDEO PLATFORM FOR POST-SECONDARY & HIGHER INSTITUTION STUDENTS Figure 1.1: A receptionist managing patient appointments and records at a private family practice front desk. Pilot questions 1.1 1. Define practice organisation tools and give an example. (Linked to SLO 1.1) 2. Explain why careful practice organisation is particularly important for private practice sustainability. (Linked to SLO 1.1) 3. Describe the role of a well organised medical records system. (Linked to SLO 1.2) 4. Explain how a functioning appointment system supports efficient practice organisation. (Linked to SLO 1.2) 5. Describe two tools supporting continuity and coordination of care in a private practice. (Linked to SLO 1.2) 1.2 Comprehensive and Coordinated Care 1.2.1 concept of comprehensive care Addressing the full range of a patient's needs Comprehensive care, discussed as a basic principle of family medicine in an earlier related course, refers to addressing the full range of a patient's health needs, including acute illness,
la-NET | ONLINE LEARNING VIDEO PLATFORM FOR POST-SECONDARY & HIGHER INSTITUTION STUDENTS chronic disease management, and preventive care, discussed in relation to levels of prevention in an earlier related course, rather than a single presenting complaint alone. Delivering genuinely comprehensive care within a private practice setting requires the physician to actively enquire beyond the patient's stated presenting complaint, and to maintain organised records, discussed earlier in this Series, tracking a patient's full range of ongoing health needs over time rather than addressing each visit in complete isolation. Fill in the blank: Delivering genuinely comprehensive care requires the physician to actively enquire beyond the patient's stated presenting ________. 1.2.2 concept of coordinated care Coordinated care refers to ensuring the various elements of a patient's overall care, including referrals to specialists, discussed further in a later Series of this course, and any care received elsewhere within the health system, discussed in an earlier related course, remain coherent and effectively communicated rather than fragmented across different, disconnected providers. For a private practice specifically, coordinated care generally requires the physician to actively maintain awareness of any care a patient receives outside the practice itself, and to communicate relevant information to and from other involved providers, a role of particular importance given private practice's position outside the more formally structured public sector referral system, discussed in relation to health system organisation in an earlier related course. Fill in the blank: Coordinated care requires the various elements of a patient's overall care to remain coherent and effectively ________ rather than fragmented across disconnected providers. 1.2.3 organising a private practice to deliver comprehensive, coordinated care Organising a private practice to deliver genuinely comprehensive, coordinated care requires deliberate structural choices, including sufficient consultation time to address a patient's full range of concerns, discussed earlier in this Series, and organised systems supporting effective referral and communication, discussed earlier in this Series. This organisational commitment additionally requires ongoing physician awareness that comprehensive, coordinated care, while potentially more time-consuming than addressing a single presenting complaint alone, generally produces better long-term patient outcomes and stronger patient trust, an important consideration for the long-term success of a private practice.
la-NET | ONLINE LEARNING VIDEO PLATFORM FOR POST-SECONDARY & HIGHER INSTITUTION STUDENTS Fill in the blank: Comprehensive, coordinated care, while potentially more time-consuming, generally produces better long-term patient outcomes and stronger patient ________. Table 1.2: Comparing comprehensive and coordinated care. Feature Comprehensive care Coordinated care Main focus Addressing the full range of a patient's needs Ensuring coherence across different providers Key requirement Time and organised records to track needs Communication systems linking providers Main risk if absent Missed or unaddressed health needs Fragmented, disconnected care Pilot questions 1.2 1. Define comprehensive care. (Linked to SLO 1.3) 2. Define coordinated care. (Linked to SLO 1.3) 3. Explain why coordinated care is of particular importance for a private practice. (Linked to SLO 1.3) 4. Describe two structural choices supporting comprehensive, coordinated care in a private practice. (Linked to SLO 1.4) 5. Explain why comprehensive, coordinated care generally strengthens patient trust. (Linked to SLO 1.4) 1.3 The Patient-Centred Approach 1.3.1 concept and principles of the patient-centred approach Placing the individual patient's perspective at the centre of care The patient-centred
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