Cornell to offer new veterinary business programApril 5, 2019Cornell University College of Veterinary Medicine has launched a new interdisciplinary program called the Center for Veterinary Business and Entrepreneurship (CVBE) to grow research, training, and outreach in veterinary business. "I'm thrilled to announce the launch of the Center for Veterinary Business and Entrepreneurship in collaboration with the Cornell SC Johnson College of Business," says Lorin D. Warnick, DVM, PhD, the Austin O. Hooey dean of veterinary medicine. "The center is the culmination of extensive needs-based assessments and planning, and will answer the urgent need in the veterinary profession to provide essential training for students, faculty, and alumni to launch, manage, and succeed in a business or organization of any kind." The CVBE will focus on four pillars: education, economics research, entrepreneurship, and intrapreneurship. The center will offer a new DVM certificate program, a postgraduate executive education, and an assortment of educational programs. Through a faculty hire and collaborations with Cornell's Charles H. Dyson school of applied economics and management, the center will launch a veterinary economics research program. "It's exciting to embark on an initiative of this scope," says associate dean for education, Jodi Korich, DVM. "We are confident this new center will position our graduates for success in …
SPONSORED CONTENTThe Case for Year-Round Heartworm Prevention and Affordable OptionsVeterinarians are often more than just clinicians - they’re advisors, educators, and, increasingly, financial counselors. In today’s economy, pet owners may hesitate to invest in year-round prevention due to budget constraints; but, skipping even a few months of heartworm protection can have serious consequences. + Learn More
Five trends in pet medical insuranceApril 3, 2019The human-animal bond is evolving, and pet parents want their canine and feline family members to live longer, healthier lives. As human life expectancy and quality increase, we want our loyal companions with us well into their/our senior years, because, let's face it, those years come far too soon. Veterinary medicine, in parallel with human medicine, has advanced leaps and bounds over the years. As a result, veterinarians can now routinely detect and treat disease before clinical signs of illness ever appear. Pet parents are expecting and demanding their pets are treated as family. But more often than not, budgeting is problematic. With human-quality medicine comes the cost of care for advanced, though, routinely available diagnostics, such as digital X-rays, ultrasound, and blood chemistry analysis. Yet, six out of 10 Americans don't have $500 in savings for an unplanned expense.1 The widespread budgeting challenge became even more evident for federal workers (including veterinarians) with the government shutdown earlier this year. Many pet owners and veterinarians are quickly realizing quality medical insurance can help fill the financial gap so their pets can have access to the treatments recommended by their trusted family veterinarian. Yet, just as the human-animal bond is evolving, …
How nurses can grow your revenueMarch 29, 2019What is the difference between an under- and top-performing health-care team? Let's say you schedule appointments every 30 minutes. In an eight-hour workday, one doctor sees 14 patients and has an average transaction of $160, generating $2,240 in revenue. Your average doctor transaction should be 3.2 to 3.5 times your exam fee, according to the Well-Managed Practice Benchmarks Study.1 If you leverage your nursing team and schedule time based on the reason for the visit, you could see 21 patients per day, producing $3,360 per veterinarian and averaging three patients per hour. Revenue rises when you add dental income that nurses deliver. How can nurses help you grow revenue? Follow these steps: Check your staff-to-doctor ratio Every employee feels the hospital is short-staffed. Chances are you may have the right number of employees, but are using them inefficiently. Aim for a staff-to-doctor ratio of 4.7 team members per full-time veterinarian, according to WTA Consultants in Columbus, Ohio.2 This support staff includes two nurses, one veterinary assistant, one receptionist, and 0.7 managers. Assign doctor-nurse teams Designate daily which staff will be outpatient nurses (exams) and inpatient nurses (treatment area). Assign two nurses or assistants to each veterinarian. This medical team …
Telehealth and telemedicine and teletriage… Oh my!March 29, 2019The idea of implementing telehealth within a veterinary practice may be confusing or even downright scary to some. However, when there is understanding of what it is and its governing laws, it can become exciting. We hope to clear some muddy waters for veterinary team members who are eager to support and participate in the delivery of telemedicine to clients. Believe it or not, you're probably already doing some of it. Just by picking up the phone and checking on the status of a patient, you've delivered virtual care. Further, incorporating telemedicine's tools and technology allows the veterinary team to provide even more services and care. Today's pet owner wants more than just the traditional veterinary hospital experience. The best advice is to first understand your own state's veterinary board (i.e. examiners) and the federal laws governing telehealth. Some of these are newly applied laws that are taking effect at different times in various states. Teams are encouraged to discuss, as a group, the hospital's philosophy related to virtual care, the importance of a veterinarian-client-patient-relationship (VCPR),1 and the different roles when offering the services and care. We want your experience in providing these new benefits to be a great …
Must you pay your staff for being on call?March 19, 2019Suppose you operate a 24-hour emergency hospital. In this tight labor market for veterinary technicians, you are faced with a staffing shortage for the night and overnight shifts. It occurs to you that requiring existing technicians to be on call from time to time may be a way to help solve the staffing dilemma. But how would this affect your budget? More specifically, would you be required to pay your staff for being on-call even if they are not actually called in to work? What is considered compensable? Well, that depends. Under the federal Fair Labor Standards Act (FLSA), employees in on-call status must be paid if they are "engaged to wait," but not if they are "waiting to be engaged." Hmmm. How does this obtuse rule of thumb work in the real world? The key is whether the on-call time is predominantly for the practice's benefit. The more the employee is under the practice's control, the more likely it is the on-call period will be viewed as benefiting the practice and, in turn, as being compensable. Requiring technicians to remain on the premises during their on-call time will almost certainly render this time "hours worked" under FLSA. In …
CT or MRI? When to use each and whyMarch 15, 2019Use MRI for meningitis, encephalitis, fibrocartilaginous embolism, malignancy of liver tumors, muscle tears and strains, and cranial cruciate rupture, says Tony Pease, DVM, MS, DACVR, chief veterinary medical officer of the Western Veterinary Conference Oquendo Center in Las Vegas, Nev. For fragmented medial coronoid processes, dental disease, 3-D reconstructions, and small bone fractures, use CT, he advises. "In general, MRI can see more medically treated lesions, but CT and MRI can see lesions that are amenable with surgery," Dr. Pease says. "However, gastrointestinal lesions are questionable. The motion of the gastrointestinal tract makes large artifacts, as does metal (e.g. microchips), which is not a factor with CT as opposed to MRI." MRI is preferred whenever disease of the central nervous system is suspected, says Nathan C. Nelson DVM, MS, DACVR, clinical associate professor of radiology at the North Carolina State University College of Veterinary Medicine. "MRI has excellent ability to image soft tissue structures and is able to differentiate gray matter, white matter, nerves, and cerebrospinal fluid to a much greater extent than CT," Dr. Nelson says. "In any case, where brain disease is suspected—such as the acutely seizing dog or the dog with sudden behavior change—MRI is the …
Seven secrets for spring cleaning your practice and your lifeMarch 14, 2019Whether out of fear of missing out (aka loss aversion), getting in trouble, or that it might be useful someday, we accumulate an extravagant amount of stuff, both physical and virtual. We've all read articles about the importance of spring cleaning and how to declutter your life. Unfortunately, most articles usually focus on physical objects, rather than the multiple facets that make up your every day. Imagine how much better you would feel knowing you are free of all types of clutter, well beyond your secret junk drawer. We are going to help you do just. All you have to do is commit the desire and the time to do it. 1) Spring cleaning in your personal life Spring is a perfect opportunity to rid your life of toxic relationships (or any relationship) that infects it with negativity and bad influence. How much better would you feel if you got rid of them? In some cases, you may not be able to cut the ties completely. So stretch them! Make the necessary changes to get away from soul-sucking individuals and get closer to positive, happy, and compassionate people. 2) Spring cleaning in your home Remember this mantra of spring …
Why your front-desk team sucksMarch 13, 2019Do you remember the first time you told a pet owner her dog was dying? You were sweating bullets, struggling to find the right words, and tried your best to be honest and compassionate. I'm going to have a similar conversation with you. Your front-desk team is in critical condition. If you don't resuscitate your employees, client relationships will die. Every client interaction begins and ends with your client-care team. From the phone call to book an exam to collecting payment at checkout, your front-office staff impacts your hospital's revenue and client relationships. Here are your team's ailments and how to cure them: 1)They don't know your standards of care. As a mystery caller, I explained I had recently moved from another state and received an email from my previous veterinarian that my dog was due for a checkup. I asked which vaccines would be needed in our new community and the cost. The employee replied, "The shots are always up to you, but we usually do leptospirosis, distemper, rabies, and bordetella." Describe core vaccines with confidence, rather than "shots are up to you." Miscommunication of basic medical information is commonplace. In another call about a 16-week-old kitten, …
How therapeutic home-delivery programs can benefit your practiceMarch 11, 2019This is an exciting, but challenging time for small-animal veterinarians, as we help clients manage their pets' health in ways that were unavailable when I started practicing more than 30 years ago. Take nutrition, for example. New therapeutic diets are enabling us to manage a much broader spectrum of disorders than ever before. But advances don't stop there. Our multiple-location dermatology practice has found success using e-commerce to deliver therapeutic diets directly to pet owners' homes. This convenient and efficient system benefits our clinic, our clients, and the patients in our care. Why sign up for a home-delivery program? While I'm not an expert regarding such programs, I will share my experience with home delivery of therapeutic pet diets in the hope other veterinarians can benefit. It's no secret online pet food sales have grown dramatically in the last few years, especially as more people use e-tailers for their shopping needs. According to a 2017 article, e-commerce accounted for more than 18 percent of dog food sales and close to 13 percent of cat food sales. Further, Amazon's pet food sales increased 34 percent in the first half of 2018 compared to the first half of 2017, and retail …
Leveraging your team to its maxMarch 4, 2019If you always do what you have always done, you always get where you have always gone. This is a slight variation of Einstein's definition of insanity. Let's explore how this unfolds within the realm of veterinary team utilization. Your veterinary team is made up of people with various passions and talents. Each team member brings great depth and breadth to the services provided to the client and patient. Clearly defining their roles, expertise, and scope of practice improves the delivery of veterinary care. You may recall the 1999 Mega Study1 commissioned by the American Veterinary Medical Association (AVMA), Association of American Veterinary Medical Colleges (AAVMC), and American Animal Hospital Association (AAHA) entitled "The Current and Future Market for Veterinarians and Veterinary Medical Services in the United States." The study defined six critical issues to be addressed for veterinary medicine to succeed moving into the next millennium: 1) Veterinarian's income 2) Economic impact of large numbers of women in the profession 3) Global demand for all categories of veterinary services 4) Inefficiency of the delivery system 5) Supply of veterinarians 6) Skills, knowledge, aptitude, and attitude of veterinarians and veterinary students Let's briefly address the other categories before delving …
