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Clinical Gastroenterologist
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What we Offer100% Physician ownedLiberal benefits packageTwo year Partnership trackPathway to ASC ownershipPatient centered and Quality driven environment1 in 5 callDeep rooted community relationships/ referral patternsRobust on site ancillary servicesBackground
The Olympia Multi-specialty Clinic is located in Olympia WA. Olympia is an unusual small town that is also the state capital and as a result, offers more than most cities it size. Our specialties are those that we have found integrate well together and allow us to share services while at the same time have the feel of a single specialty clinic. Currently we have 5 GI, 5 cardiologists, a dietician, a pathologist and a sleep neurologist. Our ancillary services include a GI ASC owned by the gastroenterologists, histology, sleep center, abdominal ultrasound, cardiac echo, cardiac PET, Fibroscan, capsule endoscopy, esophageal manometry and nuclear medicine. We are in the planning stages for a new Endo center with 4 rooms. It should truly be state of the art. Not only with equipment, but with the endoscope reprocessing as well. We are on the cutting edge of this utilizing ATP testing and borescope exams and are becoming known nationally for our efforts.
Our Approach to Quality
We also focus heavily on quality and data collection. We have designed our own EHR for our endoscopy center and collect data on essentially every quality indicator described by our national societies. We have a full-time quality coordinator who was a GI tech for years, who runs our reports and reviews them with the docs every month. We have found that It is rewarding to run own quality program. Rather than feeling like someone is looking over your shoulders, we get confidential feedback that is provided directly to us that allows us to modify our practice style if desired. We do not run a volume driven ASC. Procedures are scheduled at the pace the provider can handle while still achieving our goals of adenoma detection rate etc. Our ASC hours are from 7:30 - 5:30, and we average procedures at a pace that allows us to maintain our quality. We do not book a double procedure in one "slot", we allow the extra time necessary to perform both procedures.
Our Practice Model
Unlike most GI practices, we have not relied on advanced practitioners to see patients. We all enjoy the patient contact and ability to provide the quality care afforded by the classic physician model. As a result, half of our time is seeing clinic patients and half at our ASC. Our staffing model is one dedicated LPN and one MA per gastroenterologist, so you have a team assigned to you that helps with continuity of care. We have nurses that have been with the same provider for years.
Hospital Responsibilities
We practice at one hospital that is a 5-minute walk from our offices. It is fairly small, with an average census of just 65, but acts as a referral center for surrounding hospitals who do not have gastroenterologists. It is rare to have to return to the hospital after hours, and as a result, we are able to have scheduled clinic and procedures call days. We have an excellent hospitalist team that admits the patients and allow us to arrange procedures at the end of the day or early the following morning.
Partnership Model and Culture
We have a very close group who value the ability to work together as colleagues and recognize the importance of being good business partners. This has allowed us to thrive as we have watched essentially every other group in the state be purchase by a local network or national GI group. This is not something we are entertaining. Since we are not sharing our revenue with corporate investors or owners, we expect that in the long run the private practice model is best. Our starting salaries might be a bit lower than other corporate-type practices but in the long run will likely be higher with us. We have a 2-year associate track followed by partnership. At that point your income will be based on an overhead sharing model rather than an income sharing model. Those that are able to have a higher practice volume without affecting quality will have a higher income than others. If the relationship as a partner is positive, our usual practice is to offer a graduated buy-in over the next 2 years. The buy in is very reasonable and historically based on real assets such as cash on hand, accounts receivable and the depreciated value of property, equipment etc. We are not looking to profit off of associates, we are looking for good long-term partners and recognize that this requires an investment.
If you are just finishing your training and want to try the classic model of private practice, or are currently part of a more corporate style of practice and want more autonomy and ownership please contact us.
