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is a question-and-answer forum featuring leading practice management experts who may or may not be employed by Physicians Practice. On average, Physicians Practice receives 250 questions per month from physicians, office managers, office administrators and others. Have a question about the operation of your practice? Visit www.PhysiciansPractice.com. Your question will be answered within three business days. For more practice management resources and tools, visit www.yourpractice-online.com.

Q How should I develop job descriptions?

A You can pick generic job descriptions from a resource book or hire a recruiter to help you develop descriptions for present and future employees. However, the best source for this information may be right under your nose: your staff. Ask these “in-house experts” to make detailed lists of the tasks they do. This may not be a total solution, but it will give you a good start.

Next, review the lists objectively. For instance, are you paying a nurse to pull files? If so, make that task part of the job description for a lower-paid employee. The idea is to match training and tasks as closely as possible. And review all procedures, even the ones that have “always been done that way.” With your revised task list in hand, you can set clear standards for each job, so you’ll have a basis for performance review in the coming months.

Finally, review the finished product with each employee. Make sure you haven’t overlooked something. Are there ways to make the person’s job easier? Is there opportunity for advancement? Most important, make sure each person understands what’s expected and how he or she will be reviewed.

Q If I fire an employee, do I need to escort him or her out of the building?

A Although firing an employee can create problems in an office, there is usually no cause for drastic measures. You may want to remove the employee’s password from the computer systems and collect keys, but there is usually no reason to escort the employee out of the office. You might recommend he or she takes a few minutes to collect belongings, then go blow off steam elsewhere. But don’t add insult to injury by treating the person like a criminal or refusing to let him or her make a few calls to get a ride home.

However, if the employee seems violent, your priority must be to look out for the safety of other employees and yourself. Don’t take the situation into your own hands. Immediately, call security or the police and have them escort the potentially harmful person out of the building.

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This material is provided by Physicians Practice and represents the views and opinions of Physicians Practice and not Humana.



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