Chapter 1 – Envisioning the Opportunities
Introduction
Overview of Ancillary Services
Why Consider Ancillary Services?
Current Environment/Players in the Market
Characteristics of Successful Ventures
Planning Stage
Development Stage
Operating Stage
Continued Assessment
Successful Planning Processes
Conclusion
Chapter 2 – Facing Legal and Regulatory Issues
Introduction
Self-Regulation of Surgical Settings
State Regulations
Stark and Other Compliance Questions
False Claims Act
The Anti-Kickback Statute and Ancillary Services
State Self-Referral Prohibitions
Conclusion
Chapter 3 – Preparing the Feasibility Study
Introduction
Defining the Feasibility Study
Writing the Feasibility Study
Operational Overview and Market Profile
Customers/Buyers
Investment/Financing Initiatives
Financial Analysis Summary
Conclusion, Summary, Recommendation
Chapter 4 – Writing the Business Plan
Introduction
Developing the Business Plan
Business Plan Features
Assembly of the Business Plan and Implementation/Next Step
Conclusion
Chapter 5 – Discovering Financing Alternatives
Introduction
Financing: A General Overview
Financing: The Alternatives
Conclusion
Chapter 6 – Getting Ready for Opening
Introduction
Professional Practice or Separate Legal Entity?
Scheduling a Start Date
Permitting and Contractor Bid Process
Licensing
Credentialing
Developing a Fee Schedule
Furniture and Equipment
Purchased Services
Policies and Procedures
Compliance Plans
Personnel
Marketing, Promotions, Advertising
Conclusion
Chapter 7 – Managing Ongoing Operations
Introduction
Monitoring Operational Data and Statistics
Personnel Management
Management Reports
Conclusion
Chapter 8 – Benchmarking Performance and ROI
Introduction
What are Benchmarks?
Measuring ROI
Conclusion
Chapter 9 – Exploring Ownership Diversification Alternatives
Introduction
Alternatives to the Traditional Medical Practice Business Model
Partnering Opportunities
Integration Principles
Political Ramifications
Legal Constraints and Considerations
Thinking Outside the Box
Balancing the Practice of Medicine and Role of the Business Owner
Thinking Retail
Exploring a New Type of Ancillary Venture
Summary