A presentation for the aspiring Family Physicians about the awareness of expenses...& economics in the practice

1. ECONOMICS of GENERAL PRACTICE DR.AVINASHBHONDWE

2. CLINIC SPACE 200-300 Sq. Ft Purchase 5000/- to 10,000/- per SqFt Interest at 12% p.a. Rent : Installment : 5000/- to 30,000/- per month Up to Rs. 30/- per Patient in 40 patients a day

3. STATIONARY Prescription Pads Certificates Bills & Receipts Referral pads Dispensing Packets Files Average Expenses- Rs. 1000/- per Month Rs. 1/- per Patient

4. RECORD KEEPING Case Papers Accounts Printing Charges Rs. 1/- per Files page Maintenance of records- Files Computers Printers, UPS, Inverters Software Electricity Average Rs. 2000/- per Month Rs. 2/- per patient

5. Equipments & Maintenance Stethoscope Weighing Scale BP Apparatus Torches, Cells Glucometer Nebuliser ECG Surgical Instruments If Rs. 1,00,000/- initially Rs. 20000/- per year & 1667/- per Month Rs.1.67 per patient

6. STAFF SALARIES Minimum Rs.5000/- per staff More the patients more the staff Advertisements Bonus Gifts Min. Rs. 5/- per staff per every patient seen

7. MEDICINES PURCHASE Min. purchase Rs. 5000/- per month More the patients more the expenses Rs. 10/- per patient

8. INVESTIGATIONS & LAB Collection Charges- Rs. 5 per sample Cleaning Communications

9. TAXES & DUTIES Society Maintenance- 2000/- Municipal Tax- 4000/- Professional Tax- 2500/- Shop Act- 3000/- Biomedical Waste- 2000/- Income Tax- 40000/- Insurance- Vehicles, Indemnity, Accident, LIC Rs.25000 Total 78,500/- per year; Rs. 6500 per month Rs. 6.50 per patient Pay Taxes & Be a Good Citizen

10. DONATIONS & CONTRIBUTIONS Professional Organizations- IMA,GPA Festivals: Ganpati,Holi, Gokulashtami Mandirs- Renovations Trusts & Social Cause Rs. 10,000/- per year Rs. 833/- per month Rs.8.33 per patient

11. SELF EDUCATION CME Conferences Books Medical Magazines CDs Rs. 15000/- per year Rs.1250/- per month Rs. 1.25 per patient

12. TRAVEL To & fro Daily Visits Vehicle- interest, Maintenance, Petrol, PUC, Insurance Rikshaw, Bus Rs. 5000/per month Rs.5/- per patient

13. ELECTRICITY & Water Electricity- Rs. 500/- to 1000/- per month Water- Rs. 500/- per month Rs. 1.50 per patient

14. CLEANING & SANITATION Cleaning of Clinic Sweeper Maintenance- Dustbins, Bags, Phenyle, Soaps, Brooms,Dusters Plumber Avg Rs. 1200/- per month Rs. 1.20 per patient

15. ENTERTAINMENT Tea –Coffee Lunch Newspapers, Magazines Avg Rs. 3000/- mth Rs.3/- per patient

17. CONSULTATION FEES YOUR FEES SHOULD BE MORE THAN THE EXPENSES INCURRED DON’T GO BY NEAR BY COMPETITORS RATES PROFESSION DOES NOT MEAN SOCIAL SERVICE

18. ACCOUNTS KEEP BOOKS OF ACCOUNTS FROM DAY 1 KEEP ALL PAYMENTS BY CHEQUES KEEP A FILE FOR EXPENSES KEEP A DAILY REGISTER OF PATIENTS SEEN WITH FEES COLLECTED TAKE A REVIEW EVERY MONTH TRY TO ANALYSE THE PROFITABILITY REVISE YOUR CHARGES AS PER INFLATION

19. THIS PRESENTATION IS AVAILABLE ON http://www.slideshare.net/avinash15/economics-of-general-practice