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Before We StartScope of Practice –Gov Gazette 3 Dec 1976Acts and omissions-Ethical rules Gov Gazette 12 August 1994Guidelines for making your Professional Services
Known-HPCSAMedical Schemes Act -Gov Gazette No 20556 20
October 1999Basic Conditions of Employment ActICD10Certificate of NeedNational Health Plan
Starting a new Practice 2
LEGISLATIVE AND REGISTRATION
REQUIREMENTS.Registration with the HPCSA. 012 3286680Registration with SASP. Malpractice Insurance. Receiver of Revenue. SARS
For provisional taxAs an employerVAT: If your gross income exceed R300 000 per annumSkills Development Levy. 1% of salaries.
Department of Manpower: Unemployment Fund. UIFRegistration in terms of Workmen’s Compensation Act . Registration with the Regional Service CouncilsAnnual PCNS fee at BHF 011 8808900.
Starting a new Practice 3
Starting a new Practice 4
Principles, standards and guidelines
Physiotherapist
Medical SchemesCouncil
BHF
HPCSA
DepartmentOf Health
SASP
SARSDepartmentOf Labour
MedicinesControl Council Department
Of Education
RESEARCHFeasibility study.Client needs analysis.Location.Financial needs analysis.Human recourses analysis.Legislative and registration requirements.
Starting a new Practice 7
FEASIBILITY STUDYDistribution of competitors. Physio’s, doctors
and others.Population figures.Distribution of hospitals and services offered.Services rendered by competitors.Ethical requirements.
Starting a new Practice 8
CLIENT NEEDS ANALYSISWhat services are being offered?Is there any gaps in current services offered?Do you have a niche service to offer?
Starting a new Practice 9
LOCATIONPremisesCheck proximity of competitors.Check requirements of the local authorities.Consider accessibility for handicapped people.Allowance for future expansion.Availability of parking.Security.Proximity to public transport.Requirements of lease agreement. - Legal
advice.
Starting a new Practice 10
Location…Functional DemandsReception and waiting area.Space for receptionist and office functions.Toilet facilities for patients and staff.Treatment areas ( cubicle size 2m x 3m)Gymnasium area.Small kitchen area.Area for physiotherapist to prepare
reports.
Starting a new Practice 11
FINANCIAL NEEDS ANALYSIS
HOW MUCH DO YOU NEED?HOW MUCH DO YOU HAVE?
Long term funds should be borrowed on a long term basis. (more than 12 months)
Bridging capital: To cover day to day expenses till the money comes in.
Starting a new Practice 12
Sources of Outside Finances.
Financing.Own capital. Outside capital. Liability on balance sheet. Banks by means of lease agreements, instalment sale or
bank credit =must be regarded as a short term finance. Be aware of credit trap!!!
Starting a new Practice 13
HUMAN RESOURCE ANALYSIS.
What type of staff would you need? Receptionist, cleaner, debt controller,
accountant?How are you going to ensure continuation of
treatment? Weekends, leave and sickness? Assistant Physiotherapist or Locum.
Starting a new Practice 15
PLANNINGBusiness Plan.Mission Statement.Practice Objectives.Time Frames.Interviewing staff.Arranging finances.SHOPPING!!!!!
Starting a new Practice 16
Planning…NB! Ethical Requirements.Promotion of Professional Image.Signs and Name Plates.Naming the Practice.StationaryEquipment and office furniture.Treatment equipmentElectronic equipmentOffice furniture
Starting a new Practice 17
Account Rendering
DIY or Outsource?Soft Ware Package?Electronic or Paper?Electronic. Who?Paper. Postage or courier?
Starting a new Practice 18
IMPLEMENTATIONStick to your Business Plan, Objectives, Time Frames and BUDGET!!! Self ManagementTime ManagementPatient ManagementFinancial ManagementKnowledge Management = CPDHuman Resources Management.
Starting a new Practice 19