@P >*CJ OJ QJ ^J aJ #h»u/ hwí >*CJ OJ QJ ^J aJ &hî$Ë h? I am including a medical record request form that requires your signature and identification of the physician selected. xyz who bought my practice). ƒ Texas Medical Board (TMB) Rules and Requirements The TMB Rules Chap 165.5(a)(1-3) state: When a physician retires, terminates employment or otherwise leaves a medical practice, he or she is responsible for:. 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�� GUIDELINE . In the alternative, you may call ___________________ (Physician Referral Service/County Medical Society) ______________________for assistance in selecting another physician. Patients . Place a copy of the notification letter in each patient's medical record. This policy sets out the College’s expectations for physicians when permanently closing a . ���Q/�3�W�;=���cy�bz�H�JSX��d��w�f��W�z(��*cD�Eچ�Vq�XGߠ�������. ��tWH� %��t00�F��?�@� �o I will be available to you until [30 days from date of letter]. 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. Individual state laws vary, but generally you should give patients 30-60 days’ notice of your practice closing. Enclose a records release authorization form for patients currently undergoing treatment or who were seen at the practice within the past 2 … Upon identifying patients who have been treated by the practice, physicians should send a notification letter which: ���\;�3�u�,� �:��ͨF�T� 이��xdg���b3�L�{)~zA�4�Tՠ��0�mD,B�Z����CRÕ���W�F�I�+�2�:Wy��D��1��r�Y���O�zf,y�EI%0kMl� �{�\T�Ǐ����O?A�z�Z]�w"�����)�l�Ү��3��d���2+�NI��� BJ����=j�l? Selling or Closing Your Medical Practice Authored by W. Scott Keaty and Joshua McDiarmid You have decided to sell or close your medical practice. A physician must give notice to patients of his or her leaving or closing a practice, otherwise face a possible claim of patient abandonment. 0 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. %%EOF The Practice — Patient and Medical Issues How much notice should I give patients? I felt good about that. relocation). endstream endobj 594 0 obj <>stream ]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�. NRS 630.254(3)(b). When the medical practitioner wants to dissociate himself or herself from the patient and end appointments or sessions, they send this type of letter. Learn the key steps to ensure a smooth transition for yourself, your staff and your patients—while making plans for your next chapter. Valuation should be used as a benchmark for negotiation of the purchase price. G���d�����\7��q}�S�=P�n��3t�Tp����\|7�cH(�����`�:!�/+��],��Kv�Z����|��b�3HQ��� SAMPLE DOCUMENT: Letter to Current/Active Patients for Emergent Situations (such as death or sudden illness) [Date] [Patient’s Name and Address] Dear [Patient], This is to advise you that [Dr. (Name) passed away on or due to a sudden illness, Dr. (Name) is no longer able to provide care as of] [Date]. Letterfor physician retiring and closing practice [Datel [Patient namel [Patient address] Dear [Mr./Ms.] It was a gentle way of closing, and that was my style." @P 6�OJ QJ hî$Ë h˜Tî 6�OJ QJ hî$Ë h¬m OJ QJ hî$Ë h˜Tî OJ QJ 0 1 R S Z [ \ ] b c F G ¹ 599 0 obj <>/Encrypt 590 0 R/Filter/FlateDecode/ID[<69D54FAF6835824996B3D62DB5EA6E52>]/Index[589 23]/Info 588 0 R/Length 64/Prev 455477/Root 591 0 R/Size 612/Type/XRef/W[1 2 1]>>stream 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. Executive Summary: 4. "For others it was closure. 1.This does not include temporary leaves of absence due to family emergencies or illness, but rather instances where the physician’s health is compromised to the point that they can reasonably expect that they will be closing their practice. 5 Closing the PhysiCian’s offiCeAt.some.point.in.every.physician’s.career.it. ... An official letter to your patients is highly recommended. The notice should specify the date of departure, the physician’s new contact information if applicable, and who the patients can choose for future medical care. Required notification of discontinuation of practice — updated | | 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 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. Please select another physician within this time frame to continue your care or you may (insert any recommendation you have, i.e., continue with my medical group/Dr. Five (5) years after closure of the practice, the physician must keep the NSBME apprised in writing of the location of the medical records of patients. Revised: March 31, 2018 Dentists, therapists, and other medical personnel who choose to close ties with their respective patients utilize this particular letter as a suitable way of bringing an end to things. 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 … The letter should inform the patients when your practice is closing, how they can arrange to transfer their records, where the records will be stored, and how to access their records in the future should a copy be needed. If someone you know is really sick, it could be very difficult to know how to express yourself or just what to say. endstream endobj startxref º An example letter follows: Dear (Insert Patient Name): Licensure Board notification. Ontario Medical Association 6 B. CLOSING A MEDICAL PRACTICE Jerald L. Zarin, MD, MBA, FAAP October 25, 2015. Physicians who are closing their medical practice often contact the College to seek guidance about the measures they should take before they close their medical practice. 589 0 obj <> endobj xyz who bought my practice then no request is necessary). 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. Notice to Patients. TMA has a sample 'discontinuing practice' letter and a clause for transfer-custody of records in practice change sample forms. @P CJ OJ QJ ^J aJ h»u/ h? I will be available until that time for your health care needs. Closure of the practice must be reported in writing to the NSBME w/in fourteen (14) days of closure. 7. Letter to our Patients: An Update on COVID-19. Arrange to store all records that have not been picked up or forwarded to another physician for the period required by Pennsylvania law. @P CJ aJ hî$Ë h? Patients have the right to access and obtain copies of their records, without unreasonable barriers. Facility Closure Plan Guidelines General Information. Patients . Reviewed 6/2013 / 0 1 2 Q R S … ¦ ï ò | } Ÿ Í The letter should include a health records release authorization form and a self- addressed, stamped envelope for the patient to return the form. The notice to patients should be a minimum of 30 days. Patients A physician—and his or her successor—can incur liability for patient abandonment if a physician-patient relationship is terminated without adequate notice to a patient. õêõŞÒŞÇ¶¢¶�~¶m¶YE1 &h»u/ hwí 6�>*CJ OJ QJ ^J aJ &h»u/ hš%) 6�>*CJ OJ QJ ^J aJ &h»u/ h? Typically, it provides requirements on the duty to notify "patients." Ñ 1 – 0 Æ Ñ h ¦ h Ñ h Ö Ñ ` õ õ Ñ õ õ õ õ õ k k ¯ " õ õ õ Æ õ õ õ õ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ h õ õ õ õ õ õ õ õ õ | œ : Sample Letter for Closing Your Medical Practice (Type in physician’s letterhead) (Date) Dear I am writing to advise you that I am retiring/have sold my practice, and will no longer be available to provide your medical care effective ___(date)________. 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. You will want to express your encouragement and support as well as show concern. 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. If you will not be the custodian of records because the medical group is retaining them or you are transferring the records to another doctor it is helpful to mention it, i.e., Dr. xyz or ABC Medical Group will be the custodian of your medical records effective__(date)____. (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. The letter should inform the patients when your practice is closing, how they can arrange to transfer their records, where the records will be stored, and how to access their records in the future should a copy be needed. The College also receives calls from patients asking how they can obtain their medical records, obtain outstanding prescriptions, or laboratory reports because their physician has closed their practice. If you will not be the custodian of records it is helpful to retain a copy of the letter for your files should your receive a records request in the future. Abandonment is a particular problem if a physician abruptly closes a medical practice without prior notice to patients, or fails to properly notify some segment of the patient population (e.g., where a physician closes the practice but fails to notify nursing home patients). Closing a medical practice involves several steps, including, but not limited to: notifying patients of the intention to retire, making decisions about insurance policies, selling or winding down the medical practice, and fulfilling record keeping responsibilities. 6. retirement, resignation, relocation, revocation of a member’s certificate of registration by the . Although you may be considering retirement, your patients' records must continue working for years, and in some cases decades. A physician must give notice to patients of his or her leaving or closing a practice, otherwise face a possible claim of patient abandonment. Dear [patient name]: This letter is sent to confirm your decision to discontinue care with me. The location of records is of critical importance when closing a practice, both to existing patients and to former patients. 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 See the Advice to the Professiondocum… (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. You can do this with a mailed letter, posted notice in your office, email, note in invoices, or advertisement in a local publication. Released: April 2, 2012. Your medical condition requires physician supervision, and it is important you select another physi-cian as soon as possible. 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. Canadian Medical Protective Association The CMPA is a national organization and provides broad advice about a number of medico … With existing patients, the practitioner can personally inform the patient about accessing the records after the practice is closed (documenting the conversation in the records)) and can, if desired, confirm that conversation in a letter. I will no longer be a provider with [Name of current group or hospital]. 2. 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. 1. unexpected death or illness), planning for an expected closure, what to do about patient medical records, sample notification letters to patients, privacy obligations and other office management considerations. These themes provide exceptional examples of ways to structure such a letter, and also include sample material to serve as an overview of design. 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. The termination process isn't just painful for some patients. This could include for example, finding a successor to take over the practice or informing patients about how to find a new provider. PATienTS Prepare and send notification to patients listing the closing date and reason for closing. Guide to Closing a Medical Practice. (Insert if appropriate – if you choose to remain with my medical group/Dr. The letter also told patients how honored she had been to work with them and conveyed warm wishes. When a medical practice is sold or closed, the physician must give notice—in different forms—to all of them. * + 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 Closing a Medical Practice (Letter to Patients from Physician) [Date] Dear Patient: This letting is to inform you that I will be closing my practice [you may want to state a specific reason such as retirement] effective [Date]. ¸ Sale of a Medical Practice; Notifying Patients and Employees; Medical Record Retention Guidelines; Dealing with Subpoenas; Retirement; Death or Incapacity of a Physician . ֜&�t��ق@�̋����r�]:�Km�Ő�alBX�� ��9I����,ʙk��~�Ƥ8B���e+B3�\�f��TV�6A�-e��Z�qB��''��*&s��ݖ��k;�0[�o���H�U`�k0�� 1�}b� ��(�]�Ώq���`�ZXW/x��F��9��Z�!���� c{�.�䴞��֕�ȷ� �ɬ´K��ߞ�vC~�+�I1ӏ��[f��+=��*�m^�nq]$���g�����5�}����S��sn)wc�G�xk[�9��U?���}���%`{���4�S���ЗK����}]�)�M�욍ȱ��nߡH�0d����? 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