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What Do You Do When Patients Request Their Files?

By Jerry Hayes OD | in
  • article discussions
| 3/2/2010 - 11:05 am

Dear Dr. Hayes,

About eight months ago, an associate left my practice on less than good terms to open an office about 25 miles away.

I just found out that he called many of the patients he was seeing in my office to let them know he was leaving and a number have decided to follow him.

I would say we are getting about 10 requests per month to transfer records to his practice.

Should I try to do anything to keep those patients? It’s starting to take a bite out of my revenue as they were spending about $500 per visit.

I was thinking about contacting the patients to ask if I did something wrong. Or, maybe send them a postcard offering $100 - $200 if they return to our office for materials.

What do you think about either one of those ideas?



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wilsonjp's picture

Bribe...

wilsonjp - 03/04/2010 - 12:52 pm

Just sounds like a bribe...just give good service, it will all come back to you in one way or another.

eyeguy1's picture

Dr Hayes advice is right on

eyeguy1 - 03/02/2010 - 18:32 pm

I think giving a discount like that will hurt you in the long run. What if the patient decides to play this game again the following year?

If they like the other doc, no matter what, you will not be him, so let them go with "should things change we'll be available to help you anytime in the future".

They may have liked him while he was working for you, but when you own your own business, especially new, that has a habit of changing our views of business. They may not love him as much after doing business under his new model, as opposed to yours.

drfred's picture

Discount

drfred - 03/02/2010 - 17:32 pm

I feel it is not fair to your loyal patients to offer discounts to someone who wants to leave. Wish them well, offer a welcome for future care if they choose to return and work on the management of your practice. Twenty five miles is a long way to go and I think many will be back anyway.

bison's picture

DEPARTING PATIENTS

bison - 03/02/2010 - 17:20 pm

HOPEFULLY MOST OF THESE PATIENTS ARE ONES THAT WERE ADDED TO YOUR PRACTICE THROUGH THE ASSOCIATE'S PRACTICE BUILDING EFFORTS. IF SO THEY HAVE HAD LITTLE OR NO CONTACT WITH YOU, SO THEY ARE FOLLOWING THEIR DOCTOR...25 MILES?..THAT IS LOYALTY..OR WERE THESE PATIENTS GEOGRAPHICALLY CLOSER TO THE NEW DOC'S OFFICE.

DaRN ALL CAPS AGAIN.

Patients will leave for many reasons. Just keep in focus the patients who continue to trust their and their family's eye health and vision to you.

$500 per patient is a healthy return on each patient. This provides you an opportunity to continue rethink policies and to continue to build your own practice base.

If you do find another associate look at a "covenant to compete", ( it does not approach restraint of trade issues and allows you to recoup your facility and promotional costs incurred by you to present the new doctor to the community)with reasonable geographic distance.

Include a a per patient development fee to be charges to the newly relocated doctor as patients ask for their records located in your office. Do this for a reasonable time frame..2 years..or whatever your exam cycle time is.

Forgive the typing and misspelling..I am an incompetent typist and not currently inebriated.

Doc Bison

plwoolf's picture

discount to keep patient

plwoolf - 03/02/2010 - 13:32 pm

By offering a large discount, I believe you are setting a precedent and the patient will expect that discount each time they return.

drooster's picture

Is offering a dollar incentive to keep patients a bribe?

drooster - 03/02/2010 - 11:32 am

yes, I do think it sounds like a bribe.

I like Dr. Hayes philosophy on this and if you think about it, it just goes back to the Golden Rule.

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