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CPA Qualifications
Must pass extensive exams and do yearly CE
Bookkeepers
kind of like vet assistant vs vet tech. Bookkeepers would be assistants. They can maintain accounts payable and receivable and payroll
Wellness plans
To drive preventative health care for patients. Based on species and age
Physical effects of euthanasia
Stops the lungs before the heart.
Fixed cost
A cost that does not change in the variation in the volume of business for the practice. EX. rent, mortgage, and utilities
Variable cost
Any cost that varies with the volume of business for the practice. ex. Medical supplies and drugs increase and decrease based on how busy the practice is
gross revenue
total money received before expenses and taxes
Profits
Revenue- expenses. Ideally positive balance
Gap analysis
used to compare the practice actual performance/ current state with its desired state, looking for gaps to improve
Key Performance indicators (KPIs)
Statistics that can be generated from client transaction data that can be reviewed to assess practice performance. ex. active clients, average client transaction, client survey results, accounts payable summary
Benchmarking
metrics in which to compare the practice to. External: comparing to other practices vs internal: comparing practice to its own history/numbers
Accounts receivable
Amount of money owed to a business for services or products received that are not paid at the time rendered. Should not exceed 1% of gross revenue
Accounts payable
List of accounts the practice owes money to. ex. banks, utilities, vendors
Average client transaction
Average of every transaction DVM is credited for. Ex. refills, diets, rechecks, diagnostics
Average doctor transaction
Patient visits and diagnostics only
Client surveys
A survey for the client to tell the practice how their experience/satisfaction with their care was. Client satisfaction increases compliance rates
Telehealth benefits
allow clients to get education, advice when practice is closed, or they do not know if they should come into the clinic. Enhance care as owners are able to see live updates of pets
Medical records purpose
provide evidence of services provided and communications with clients
What need to be included in medical records
must include presenting complaint, SOAP, entry diagnosis, supporting lab results, patient prognosis, client communication (treatment plans, consent forms, treatment acceptance or decline),previous medical history, vaccination history
PO
by mouth (per os. latin for mouth)
QID
four times per day
How to interpret dosages
must contain dosage such as mg and the route to be given
EOD
??
Tx
Treatment/therapy
PRN
as needed
SID
once per day
BID
twice a day
TID
three times a day
NPO
nothing by mouth
Sx
surgery
Phases of strategic management
Formulation, Development, implementation, evaluation
Business life cycle
Introductory, growth, maturity, decline
Master problem list
A summary of patient health status. active and resolved medical issues,
Tangible property
physical property that has value. ex. desks, chairs, computers
intangible property
nonphysical property that has value. ex. client lists, noncompete agreements, copyrights
Fair debt collection act
cannot harass, intimidate, etc. in trying to collect debt
Red flag rules
basically say we cannot keep personal information on file like credit card numbers and SSN, etc. in order to cut down on identity theft
Medical record time and release
3 yrs WI to keep, record is owned by practice but owner can request copy at any time
inactive records
Clients that have not visited practice for 1 year. Can be moved to another location within the practice
Written logs within practice
controlled substance logs, consent forms
Soft costs
ordering and holding costs
hard costs
costs associated with paying veterinarians a percentage of the product
acceptable amount of inventory of the clinics budget
between 18-20% of yearly budget
When items should be outsourced
when they turn less than 6x per year
appointment management basics
must allow room for some walk-ins, systems help control flow and efficiency, decrease wait time
Tech appointments
Can give vaccines, ??
Successful inventory management practices