The starting point
Most med spa owners did exactly what they were told to do.
You formed the business. You hired a lawyer. You found a medical director. You bought insurance, software, protocols, training, products, and equipment. You spent the money. The problem is that each person usually handled one piece.
The attorney worked on the agreements. The physician signed on as medical director. The Good Faith Exam company evaluated the patient. The injector performed the service. The EHR stored the notes.
Continue reading+
Nobody checked whether the pieces actually connected. That is where we find the problems.
A Good Faith Exam may be completed, but the injector never sees the decision. The medical director may be available by phone, but has never reviewed the protocols or a sample of the charts. The nurses may be well trained, but the clinic cannot produce the orders, delegation documents, competency records, or supervision plan supporting the work they perform.
The EHR may contain plenty of notes while still failing to show one clear clinical story: Who evaluated the patient? Who made the decision? Who ordered the treatment? What was the nurse authorized to do?
Who followed up when the patient called back?
If you cannot answer those questions quickly, the clinic is relying on memory and goodwill where it needs a real system.
