(The California Medical Association (CMA) recommends, if possible, that letters be sent by certified mail, return receipt requested, and that a copy of the letter with the return receipt be kept. Although you may be considering retirement, your patients' records must continue working for years, and in some cases decades. Thoughtfully managing the various aspects of closing or relocating a clinical practice ensures the needs of patients continue to be met and potential medical-legal risks are mitigated. 6. retirement, resignation, relocation, revocation of a member’s certificate of registration by the . TMA has a sample 'discontinuing practice' letter and a clause for transfer-custody of records in practice change sample forms. Letters notifying patients about the practice closure should be both professional and sensitive to the possibility that some patients might be upset or … TMLT also has some sample closing/retiring letters. (See “ Letter to Current/Active Patients for Emergent Situations .”) Call all physicians who customarily refer patients to the practice, all contracted managed care organizations, and local hospitals to advise them of the practice closure. �� X� ��2���c7�b�@b�gC��4��sˌa �� �x�}E��u�?O�ŅEo�meAa��u��il�����v�֘lA����J������c�g��{~�1�(Y��!�U�7��Zd�SM%+��0�'*����Zl�n�%�i�.�A�. 7. A letter or post card notifying clients and potential clients of the office's new location is important to maintaining the client base and expanding it. ��]������ؾ�ˠ�Q7��U&���t`+J��� Licensure Board notification. ��H�eW�l�������E_�~�����dm>��Q�����_*V��L�b�iU{�=�w�[�k;ƀ���л�o���i]WS���"��i�a��� In the letter, be sure to include information on how patients may request and obtain a copy of their medical records even after the practice has closed. Physicians who are retiring, closing, or leaving a practice can now notify patients electronically and by posting a notice on their practice website, according to recent rule changes made by the Texas Medical Board (TMB). (���i��U����f^��.#�%� 0Ab���GT..�w�0���S4��\�)z�M�/���]\�4����N��oe!�՜�mkr�1�K��������u�y? ��װ���4�F=�#�~�F?��\j���W_)y�_�ܸ�Li�2�h+s O������A!+�t����f���xP�����)+4.�U�������s)�L-b� x:��D�q#>��B����!0lͫۢ�7������@�L����e= 1f*���c���L�j�G��&�� ��Tp���̢9�-ٙ�x 9H�ھ}���M��$�f{��-�He����Q�.�g�knyվz��F9Z� �C��=26�Cʓ�`��j��j���j!�2�ˑ�w�9�]7�LJI���o���O�h�D��yi�h�^ov ��ԏ[N� @P CJ aJ hî$Ë h? 5. medical practice. Informing patients of a pending practice closure is the first step towards maintaining continuity of care, as it allows for a timely clinical handover to another practice of the patient’s choice. Patients are notified of changes in the medical practice. The letter should include a health records release authorization form and a self- addressed, stamped envelope for the patient to return the form. Letter to our Patients: An Update on COVID-19. The decision to close or relocate a medical practice can be a difficult one, with consequences for patients as well as for the departing physician’s colleagues. Things to Consider Before Closing the Practice; Notifying Patients and Families of Practice Closure; Medical Record Retention; Medical Malpractice Insurance and Tail Coverage; Addressing Patient Issues. ? Informing patients that you are closing your practice can be difficult. 39 permanently closing their medical practice. (2) If employed, check with your employer and their legal counsel to determine how best to notify your patients and ensure they are taken care of. It was a gentle way of closing, and that was my style." A patient notification letter should be sent to each patient and should include: reason for closing, planned date of closure, how to obtain records, the patient’s options for obtaining continued medical care (both routine and emergency), where the records will be after closure, how long records will be retained and be accessible, and contact information for future record requests. The letter also told patients how honored she had been to work with them and conveyed warm wishes. This allows patients the opportunity to obtain alternative care. ¸ I am joining a new group at the following address:. To inform inactive patients or those who have moved away, the board also recommends placing an advertisement in a local newspaper. Read below to learn more. Choose the wrong closing, and you might damage the goodwill you have built up in the rest of your communication. 2 ; A B íéáÙÎ hš%) hš%) CJ aJ hğ[Š CJ aJ hš%) CJ aJ hš%) #h»u/ hš%) 5�CJ OJ QJ ^J aJ 2 1�h:pwí °Ğ/ °à=!°"°#�$� %° °Ğ°Ğ�Ğ ^ ˜ � � � � � � � � 6 6 6 6 6 6 6 6 6 v v v v v v v v v 6 6 6 6 6 6 > 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 ¨ 6 6 6 6 6 6 6 6 6 6 ¸ 6 6 6 6 6 6 6 6 6 6 6 6 h H 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 ° 6 2 À Ğ à ğ 0 @ P ` p € � À Ğ à ğ 2 ( Ø è 0 @ P ` p € � À Ğ à ğ 0 @ P ` p € � À Ğ à ğ 0 @ P ` p € � À Ğ à ğ 0 @ P ` p € � À Ğ à ğ 0 @ P ` p € � À Ğ à ğ 0 @ P ` p € � 8 X ø V ~ _HmH nH sH tH @ `ñÿ @ N o r m a l CJ _HaJ mH sH tH D A òÿ¡ D D e f a u l t P a r a g r a p h F o n t R i óÿ³ R T a b l e N o r m a l ö 4Ö Your medical condition requires physician supervision, and it is important you select another physi-cian as soon as possible. You need to let patients know that you are closing your practice to give them time to find another provider, obtain copies of their records and assist with the transfer of care. A practitioner’s specific obligations will vary depending on several factors including employment or practice partnership status, contractual based obligations, practice venue, and other considerations. Sincerely, Physician Name Enclosure Place a copy of the letter in the patient medical record. A copy of the posted notices shall be submitted to the board within 30 days from the date of termination, sale, or relocation of the practice. endstream endobj 590 0 obj <>>>/EncryptMetadata false/Filter/Standard/Length 128/O(��P\(��ݏ^�Ͻu���w����J�XǼ�)/P -1324/R 4/StmF/StdCF/StrF/StdCF/U(\r�'V�X��3x�r�p )/V 4>> endobj 591 0 obj <>/Metadata 78 0 R/Outlines 120 0 R/PageLayout/OneColumn/Pages 584 0 R/StructTreeRoot 125 0 R/Type/Catalog>> endobj 592 0 obj <>/MediaBox[0 0 612 792]/Parent 585 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 63/Tabs/S/Type/Page>> endobj 593 0 obj <>stream Your second thought should be: how do I protect myself? Typically, it provides requirements on the duty to notify "patients." A medical office moving to a new location not only moves the services, but the controlled private information of clients, such as financial records, insurance and medical charts. I will be available until that time for your health care needs. ���Q/�3�W�;=���cy�bz�H�JSX��d��w�f��W�z(��*cD�Eچ�Vq�XGߠ�������. A physician who decides to close his or her practice needs to begin making plans at least 12 – sending a letter to each patient; or; sending an email to each patient, in a manner that is compliant with state and federal law. Physicians who are closing their practice should consult with their attorney regarding the storage or destruction of the medical records and consider providing patients with notice and an opportunity to retrieve their medical records prior to the practice closure. Dear Patient, As a valued member of our Genesis Medical Associates patient community, we appreciate the trust you place in us and want to inform you about … When closing a practice, you should send a notification letter to the patients you have seen in your practice within the last three years. º Informing patients that you are closing your practice can be difficult. Selling or Closing Your Medical Practice Authored by W. Scott Keaty and Joshua McDiarmid You have decided to sell or close your medical practice. The location of records is of critical importance when closing a practice, both to existing patients and to former patients. Cessation of active medical practice may lead a physician to medical administrative activities, consulting in different medically-related activities or continuing practice in a voluntary and non-reimbursed fashion. The outside valuation process, analysis and generated valuation report should identify the tangible versus intangible assets of your practice, including equipment, supplies, furniture and goodwill. patients are notified of changes in the practice, sufficiently far in advance (at least 30 days) to allow other medical care to be secured, which is often done by newspaper advertisement and by letters to patients currently under care (Sample letter Attachment A); patients clearly understand that the choice of a health care provider is the This agreement shall comply with the law of states where the medical doctor is licensed, and cover A custodian of medical records should be designated and the state medical board should also be … Although you may be considering retirement, your patients' records must continue working for years, and in some cases decades. Of the many issues to consider before closing a practice, finding a trustworthy custodian to manage those records going forward is critical. NRS 630.254(3)(b). The notice to … Patients have the right to access and obtain copies of their records, without unreasonable barriers. CLOSING A MEDICAL PRACTICE Jerald L. Zarin, MD, MBA, FAAP October 25, 2015. / 0 1 2 B ı ı ı ı ı õ $a$gd»u/ V . Closure of the practice must be reported in writing to the NSBME w/in fourteen (14) days of closure. Patients and families will need to be notified of the practice's closure. * + 6 7 8 9 H I J T U V ÷ ÷ ÷ õ õ õ õ õ õ õ õ õ õ õ õ õ õ õ õ õ õ õ õ õ õ õ õ õ $a$gdwí I will be available until that time for your health care needs. "For some it became a transitional object," says Reinig. endstream endobj 595 0 obj <>stream The Florida Medical Association (FMA) recommends to a practitioner who wishes to terminate a relationship that the practitioner should give the patient adequate notice in writing, and the practitioner should remain available to the patient for at least 30 days in order to allow time for the patient to find a new practitioner. Physicians may close their medical practice for a variety of reasons including . These themes provide exceptional examples of ways to structure such a letter, and also include sample material to serve as an overview of design. S T ‘ “ ª ´ µ $ ( ) * 7 8 I J V ïŞïŞïÍïŞï»©•„•r©ï©^•^•©ïMïMï h»u/ h»u/ CJ OJ QJ ^J aJ &h»u/ h»u/ 6�>*CJ OJ QJ ^J aJ #h»u/ hwí 6�CJ OJ QJ ^J aJ hî$Ë 6�>*CJ OJ QJ ^J aJ &h»u/ hš%) 6�>*CJ OJ QJ ^J aJ #h»u/ hš%) 6�CJ OJ QJ ^J aJ #h»u/ h»u/ 6�CJ OJ QJ ^J aJ h»u/ h? �f���u5M���z֦&��f�J���kR1��2 ��@&�X77r����R�+��a� This is best done by letter to patients by the physician explaining the change, including the final date of practice. Once my office receives the form, a copy of your records will be transferred within 15 days. ¹ ]3�"Q�H�jr�Nv9>4:�4�&K�Jd �R��r O\#�,���(�F��p��|�Y�j�]��x�G��*N��{D��8'�oK�����%���E��~������̗o�a�G�. Consider the following when writing patient notification letters: Patients should be told why the practice is closing, unless the reason is of a sensitive or private nature. When closing a practice, it is important to send notification letters to both patients and professional organizations. Notice to Patients. The decision to close or relocate a medical practice can be a difficult one, with consequences for patients as well as for the departing physician’s colleagues. Closing a medical practice Following closure of a practice, patients need to be able to make contact for a reasonable period (at least 3 months) in order to arrange for the transfer of their records to a new practice. You will want to express your encouragement and support as well as show concern. 0 When selling practice merging into another practice or retirement or office closure, and agreement should be drafted in order to documents what happens with patient’s medical records. Closing a Practice. I am including a medical record request form that requires your signature and identification of the physician selected. A physician who closes a medical practice may be 40 ceasing to practise medicine (due to retirement, resignation, revocation, illness or death) or 41 may be continuing to practice at a new location (i.e. Guide to Closing a Medical Practice. Every physician has the right to close or leave a medical practice or to change their pattern of practice based on personal priorities, financial considerations, health conditions or a variety of other reasons. At Genesis Medical Associates, we appreciate the trust you place in us and want to inform you about how we are addressing the coronavirus (COVID-19) situation. Send a letter to active patients notifying them of the practice closure. GUIDELINE . You may wish to refer patients to another Pennsylvania physician you think will be compatible. d8?� ��B�(��������i��D+�ǚ9�n�>4~� �?O�c�jԓ�V�#o0� �T��Ѣ��aU(vD�����yVyq��?o{��4@����V�f�&:�����r�]�;41�r> �^���=��@!�����& �Nx;���V�mg�� | | Ö Ö Ö Ö Ö ÿÿÿÿ ê ê ê ê ê Æ 8 õ õ õ E G G G G G G $ ş ² ° ¸ k Ö õ õ õ õ õ k Ö Ö Û € Ñ Ñ Ñ õ bWJ[9�V[�Ј=˨�&������Fu�ḃx�D��r9�m�����zٜ������G����d�V��z����eM�3ݨ=tR�4t�;�f�;���/k�x�.�4(9|}\+�$é��6��g�qr���L�c��hg�W����x.�JF�Y~T����a]�w�F����0CYs��kE�5�������g�c�MXdOB�+�AcUM�2�0�\����I%����X/&����9�`��Fc�lsyK�]��>|��"�������dqi��aŠ��ρk���c��9-9�C[$��l�����_������q���K�Ҷ)'��~c�}R��T"s\+�G�� In the alternative, you may call ___________________ (Physician Referral Service/County Medical Society) ______________________for assistance in selecting another physician. I will be available to you until [30 days from date of letter]. Ö Ö E Ñ õ E Ñ Ñ Ñ ÿÿÿÿ  �+†ŸnÎ ÿÿÿÿ ÿ õêõŞÒŞÇ¶¢¶�~¶m¶YE1 &h»u/ hwí 6�>*CJ OJ QJ ^J aJ &h»u/ hš%) 6�>*CJ OJ QJ ^J aJ &h»u/ h? An example letter follows: Dear (Insert Patient Name): You have likely developed a great deal of loyalty to your patients, and many of them will worry about the future of their personal medical care. patients and this responsibility must be considered when closing a medical practice. Enclose a records release authorization form for patients currently undergoing treatment or who were seen at the practice within the past 2 … When composing a formal or service letter, presentation style and also format is essential to earning a good initial impact. Learn the key steps to ensure a smooth transition for yourself, your staff and your patients—while making plans for your next chapter. Executive Summary: 4. This policy sets out the College’s expectations for physicians when permanently closing a . ... An official letter to your patients is highly recommended. 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