clinic location, layout & design dr. patrick bodnar © 2005 by patrick bodnar and parker college...
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Clinic Location, Layout & Design
Dr. Patrick Bodnar© 2005 by Patrick Bodnar and Parker College of Chiropractic. All rights reserved. Any unauthorized use, reproduction or dissemination of this information may be subject to civil and criminal penalties.
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Location Analysis
1. Patient Sources
2. Financial Resources
3. Patient Behavioristics
4. Competition Analysis
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1. Patient Sources
• Can the type of patients you want be found in this location?
• How many sources of your kind of patient does this location have?
• Can you develop ways to connect with these sources?
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2. Financial Resources
• What are the resources for healthcare money?– Compare ave household income to
ave household expenditures. How much money is left?
– What type of insurance does your potential patient have?
– If interested or necessary, how difficult is it to join networks?
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3. Patient Behavioristics
• What are the travel patterns of your patient population?
• What hours are your population available for service?
• How much time does your patient population have for a visit?
• Where does your patient go throughout their day, week, month?
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4. Competition analysis
• What other entities are contending for your type of patient?
• Always try to develop networking possibilities rather than competing scenarios.
Chiro’s MD’sorthos, physistrist, neuro…
PT’s Nutritionists
Fitness Centers Massage Therapists
Integrated Centers Etc.
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Things to Consider
• Accessibility• Parking• Signage/Exposure• Versatility of space• Build out• Restrictions on
space
• Term• Maintenance fees• Image• Traffic patterns• Surrounding
environment
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Lease Negotiation
• Important to You:– Low sq/ft and maintenance price
– Landlord pay build out
– Step up schedule for initial monthly payments
– Restrictions on space
– Restrictions on neighbors space
– Minimal deposits
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Lease Negotiation
• Important to Landlord:– Longer term on contract
– Build out is easily transferable
– Security deposit with first and last months rent
– Type of patron you attract
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Size Does Matter• Sometimes smaller is better than
bigger• Average size seems to be 1,000-
2,000 sq/ft• However, you need to make sure
that your available space will:– Accommodate your services– Foster productivity– Create efficiency– Fulfill future development
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Components of aChiropractic Clinic
• Entrance• Reception Area• Front Desk• Patient Support Area• Treatment
Areas/Rooms
• Consultation/Exam Rooms
• Report Room/Office• X-ray Room• Bathroom• Storage
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Entrance• Located in close proximity to front
desk?
• When possible, front window should include list of services, types of patients/cases seen, web address, and phone number
• If there is foot traffic and landlord permits, build and information center
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Entrance• Make sure signage is neat and
matches and contributes to the overall image
• Entrance should be inviting and professional
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Reception Area• A reception area is not a waiting
room
• It is the area between the entrance and the front desk
• Should be warm and inviting
• Should have enough space to allow a CA to walk up and greet NP’s
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Reception Area• Waiting rooms are generally not a
good idea– Your procedure should allow for on-
time scheduling– Waiting rooms can be expensive once
build out, and furnishings are added– You do not want to pay for people to
wait
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Front Desk• Needs to be approachable with easy
in/out access• Should include information displays for
CA to educate and distribute• Need to be able traffic in and out at
same time• A well-designed front desk is usually
worth the investment• Should be able to see the entrance,
reception area and treatment area
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Patient Support Area• Area that provides equipment,
supplies, and nutrition that supports a patient’s treatment plan
• Needs to be located in close proximity to front desk
• If only provide small inventory, can incorporate into the front desk area
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Treatment Areas/Rooms• An open treatment area that
incorporates all services is the most affordable option, can increase efficiency, and promote a sense of comradery among patients
• If separate treatment rooms are desired, the prep room layout may be an appropriate substitution
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Treatment Areas/Rooms
Open Treatment
Room
Separate Treatment
RoomsBuild Out Dollars Less Expensive More Expensive
Privacy Limited Maximal
Integrated usability
Maximal Limited
Efficiency Maximal Limited
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Consultation/Exam Room• Some use a separate room for
consultation and exam• Using the same room for
consultation and exam can save time and money
• As compared to the other rooms of the clinic, this room is often the smallest
• However the décor should promote comfort and healing
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Report Room/Office• Reports usually given in Dr’s. office
• A separate area, such as a corner, can be created for reports
• Organize with charts, models, view box, and other necessary tools
• Make sure office is neat, organized, and professional
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X-ray Room• Including x-ray service is a
business decision– Need to consider cost and financing,
sq/ft price for floor space, dark room expense, average fee for using equipment and how often equipment will be used
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X-ray Room• Usually located near rear of office space
b/c most water lines located there• Consult with x-ray installation company
before doing clinic layout to minimize installation, electrical, plumbing, and shielding costs– These costs fluctuate according to
room size, distance from main plumbing line, distance from electric source, etc.
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X-ray Room• Walls typically have different
shielding requirements– Medical health or radiation
physicists or an experience and qualified installer can help save money by calculating lead requirements
– The size of the room affects shielding requirements and cost
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X-ray Room• The size of an x-ray room is a catch 22
– Smaller size saves money on monthly price per sq/ft
– Larger size saves money on shielding– Need to calculate the options and
base room size on better financial choice
– If have extra room, use the square footage for service such as extra exam space.
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X-ray Room• The dark room size needs to meet
the minimal requirements for one adult to stand within arms length of the film bin, processor, water source, chemical storage, and work space to open and load cassettes