Running a Modern Solo Practice - Ophthalmology
Meet Dr. Vaidya
Dr. Nadeem N. Vaidya is an ophthalmologist
and surgeon who specializes in the retina
and vitreous. The founder of Retina Orange
County, a private practice in Irvine, CA,
Dr. Vaidya also sees patients at Kaiser
Permanente in Riverside. Dr. Vaidya
graduated from Harvard with high honors and
earned his MD from Tufts Medical School.
Dr. Vaidya's Practice
Dr. Vaidya established Retina OC in 2012
as one of only ~1,500 retina subspecialists
in the US. With only a few other retina
subspecialists in the region, Dr. Vaidya quickly
grew his practice from the ground up to
treat over 2000 patients with four rotating
staff members. Now he is one of the most
respected retina and vitreous specialists in
the state.
Dr. Vaidya's Business Challenge
In his early days as an associate in New York, Dr.
Vaidya collaborated with a team of doctors working
in offices scattered throughout the boroughs. At
that time, all patient records were kept in physical
form. This meant that Dr. Vaidya and his staff
had to constantly plan ahead to make sure that
they retrieved patients’ charts from the clinic
where they were filed before a visit. This wasn’t
just inconvenient, it was a confidentiality risk and
would result in uninformed care decisions when
last minute visits meant no access to a patient’s
prior history.
When Dr. Vaidya decided to start his own
practice, he knew what to avoid in order to run
an efficient practice that provided high quality
care. Consequently, he chose to take ownership
over all operations, from patient interaction to
billing. In pursuit of setting up an independent
ophthalmology practice, Dr. Vaidya reached out to
an ophthalmologist who ran a blog about starting
one’s own practice. He learned from that meeting
that by getting the right practice management
EHR and billing platform that fit his requirements,
everything would fall into place.
Dr. Vaidya's Solution
Finding the Right Software
When Dr. Vaidya decided to start his own
practice, he knew what to avoid in order to run
an efficient practice that provided high quality
care. Consequently, he chose to take ownership
over all operations, from patient interaction to
billing. In pursuit of setting up an independent
ophthalmology practice, Dr. Vaidya reached out to
an ophthalmologist who ran a blog about starting
one’s own practice. He learned from that meeting
that by getting the right practice management
EHR and billing platform that fit his requirements,
everything would fall into place.
Now, with DrChrono running all his practice’s
administrative needs, Dr. Vaidya focuses on one
patient at a time. He sees 15-20 patients a day,
averaging around 20 minutes a visit. Dr.Vaidya
estimates that he spends about five minutes of each
consultation on his iPad charting and chatting with
patients. His patients agree that they feel heard and
cared for and that they appreciate his deft use of
technology.
With online check-in, digital eligibility checks, and a
cloud-based EHR, neither Dr. Vaidya nor his patients’
time is wasted. This keeps patients coming back.
Even with back to back patient visits, technicians
can complete necessary tests, upload the results
to DrChrono, and send them straight to Dr. Vaidya’s
iPad so that he has all the information he needs as
soon as the visit begins.
Right Hardware
Dr. Vaidyas’ workflow clearly demonstrates his
passion for technology. He uses iPads at check-in.
His digital ophthalmology tools store information
securely in the DrChrono EHR. In the exam room,
Apple TVs project patient information, facilitate
education, and even conduct vision tests. These
steps have put Dr. Vaidya ahead of the competition.
He says the Apple hardware coupled with DrChrono
EHR & billing software “makes it almost like child’s
play, quick and easy, despite seeing around 20
patients a day.”
Self Managed Billing
Billing has proven to be the area in which DrChrono
has provided Dr. Vaidya’s practice the most value. If it
weren’t for DrChrono, he would have to pay someone
$60,000 a year to manage billing for the practice.
Instead of hoping to get paid, he can watch individual
claims get paid. The live claims feed allows him to
view any claim status in real time and immediately
follow up on denials or rejections. ERAs post into his
electronic funds transfer so he never has to manually
post EOBs.
Advanced Clinical Charting for Ophthalmology
Dr. Vaidya has found that DrChrono offers
comparative tools to ophthalmology-specific
software. One feature he often uses is DrChrono’s
draw tool. He can draw on a template retina in
various colors, giving additional insight into a
patient’s condition. This allows him to conduct and
bill for extended ophthalmoscopies without carrying
additional charting supplies. “If I do a lot of typing,”
Dr. Vaidya says, “I have failed at customizing my
template. [DrChrono] makes the repetitive things a lot
easier.”
Using DrChrono’s text replacement, automation,
and customizable templates, Dr. Vaidya is able
to retrieve and input all the information he needs
without wasting doctor-patient time. He can pull
up his preferred prescriptions prepopulated with
instructions, saving him time and assuring accuracy.
And he can do this on any device. He once helped a
patient with an emergency refill while watching a little
league game.
“The typical ophthalmologist spent 3.7 hours
using the EHR for a full day of clinic: 2.1 hours
during examinations and 1.6 hours outside the
clinic session”1
Dr. Vaidya is happy these numbers do not apply to
him or his practice with him spending on average
just 30 minutes after the clinic hours. He spends the
vast majority of his time in the room with patients,
knowing that DrChrono will handle the rest.
Technology and quality patient care are central to the
success of Dr. Vaidya’s practice. With DrChrono’s
powerful tools, Dr. Vaidya took control of his revenue
and focused on what really mattered: patient health.
Technology and quality patient care are central to the
success of Dr. Vaidya’s practice. With DrChrono’s
powerful tools, Dr. Vaidya took control of his revenue
and focused on what really mattered: patient health.