Health Care Services From Premise Technical Services, Inc.

Premise Technical Services provides expert services to the health care industry ranging from temporary and permanent staffing placements at all levels, to a full range of physician practice management consulting services.

Healthcare Staffing

Many health care providers have variable staffing needs. PREMISE can get you the extra staff you require during busy seasonal times, sparing you painful layoffs or the cost of carrying underutilized staff during slower times. If you need a specialist for a temporary, one-time project, PREMISE can help you fill the void.

It is sad to say, but many staffing companies have "gone public." At PREMISE, we believe that publicly-traded staffing firms are not organized for the benefit of their clients. There is no evidence that the costs of being publicly-traded (SEC reporting and compliance costs, Sarbanes-Oxley related costs, etc.) bring a more cost-effective service on behalf of clients. There is plenty of evidence, however, that publicly-traded staffing firms generate enormous salaries and lucrative stock options for a handful of executives.

We at PREMISE recognize that our clients pay all of our costs. By keeping our general and administrative costs low, we are able to pass on to our clients and to our employees the benefits of an efficient and effective organization.

Physician Practice Management

Physicians in private practice or small group practice often find themselves faced with management issues that are far removed from the practice of medicine or surgery, and for which they have little experience or formal training. They and their families rely on the practice to be well managed and to provide financial security, both of which can be threatened by forces inside and outside of the practice.

With an exceptional breadth of experience, PREMISE can help physicians overcome existing or potential business challenges with reasonably-priced, hands-on service. Our consulting engagements are tailored to the needs of each client. Our areas of expertise include the following:

Needed Skills Category	Critical Practice Management Skills

Ownership	Improve Your Leadership: Practice Culture, Vision & Goals
	Resolve Conflicting Personal & Physician Group Needs
	Define Effective Spouses' Practice Roles
	Make Effective Business Decisions
	Set Quality Standards & Avoid Malpractice Risks
	Encourage Physician Productivity & Manage Time
	Distribute Practice Income
	Value Your Practice: Agree on Buy-Sell Arrangements

Financial Management	Effectively Use Mid-Level Practitioners
	Benchmark and Control Your Overhead
	Evaluate Revenue Cycle, Internal Control Breaches & Embezzlement Risks
	Use Operational Budgets
	Code, Audit-Proof Your Medical Records, & Optimize Reimbursement
	Select Managed Care Contracts & Streamline Credentialling
	Control Purchases & Inventory Costs
	Make Equipment Expenditure Decisions / Buy or Lease
	Decide In-House vs. Billing Service
	Create Affordable & Effective Legal Counsel Relationships
	Create Affordable & Effective Accountant Relationships
	Minimize Banking Costs

Human Resource Management	Set Customer Service Standards & Train To Them
	Set Salaries for Your Staff
	Get the Most For Your Staff Benefit Dollars
	Recruit and Retain Staff
	Orient New Staff & Measure Their Critical Core Competencies
	Articulate Your Staff Roles & Responsibilities
	Use Behavior-Based Staff Performance Improvement Methods
	Effectively Adjust to Seasonal Staffing Needs
	Use Staffing Firms & Avoid Co-Employment Risks
	Train & Develop Supervisors

Practice Development	Build Referrals
	Market & Use Media Effectively
	Make Affordable Legal Service Arrangements
	Make Effective CPA Service Arrangements
	Design Facilities & Create Effective Patient & Work Flow
	Effectively Use Information Technology