I am (if the bankers agree) adding a nurse practitioner to my practice in January. She’s done 2 rotations with me and will graduate by then. My plan (and she’s OK with it) is to start her part-time and work into full-time within the first 6 months (to have the least impact on my personal income) – she will continue doing some of the RN work to supplement her income during that time.
So here are my questions:
- What is the best way to utilize a nurse practitioner? I have done so in my previous practice, but I am much more sensitive to the feelings of my patients in DPC and so want them to see this as a move forward instead of a move to “dilute” me. My thought was to have her do all of my new patients’ initial interview and history, after which I can see them for new patient visits that are 30 minutes (instead of 60) long and grow faster. I also intend her to do more intensive follow-up on my more complex patients, diabetics, weight loss, and well-woman care. This will hopefully bring new patients in at a faster rate, getting me to break-even faster. I also intend to work harder on getting some businesses to sign up their employees and use her to make this work.
- Where is the best place to go for reasonable estimates of salaries? She’s fresh out of school, so I don’t have to start too high, but finding salaries and keeping their pay competitive without overpaying or setting too high of expectations was a big headache in my old practice.
- Any resources for or opinions about contracts? I assume it is best to have a contract (and I prefer that) spelling out their responsibilities and what they should expect from me.
- Any other thoughts or help in this area?
Looking forward to hearing your thoughts.