1. Clinic Location, Layout & Design Dr. Patrick Bodnar © 2005 by Patrick Bodnar and Parker College of Chiropractic. All rights reserved. Any unauthorized use, reproduction or dissemination of this information may be subject to civil and criminal penalties.

2. Location Analysis 1.Patient Sources 2.Financial Resources 3.Patient Behavioristics 4.Competition Analysis

3. 1.Patient Sources Can the type of patients you want be found in this location? How many sources of your kind of patient does this location have? Can you develop ways to connect with these sources?

4. 2.Financial Resources What are the resources for healthcare money? –Compare ave household income to ave household expenditures. How much money is left? – What type of insurance does your potential patient have? –If interested or necessary, how difficult is it to join networks?

5. 3.Patient Behavioristics What are the travel patterns of your patient population? What hours are your population available for service? How much time does your patient population have for a visit? Where does your patient go throughout their day, week, month?

6. 4.Competition analysis What other entities are contending for your type of patient? Always try to develop networking possibilities rather than competing scenarios. Chiro’sMD’s orthos, physistrist, neuro… PT’sNutritionists Fitness CentersMassage Therapists Integrated CentersEtc.

7. Things to Consider Accessibility Parking Signage/Exposure Versatility of space Build out Restrictions on space Term Maintenance fees Image Traffic patterns Surrounding environment

8. Lease Negotiation Important to You: –Low sq/ft and maintenance price –Landlord pay build out –Step up schedule for initial monthly payments –Restrictions on space –Restrictions on neighbors space –Minimal deposits

9. Lease Negotiation Important to Landlord: –Longer term on contract –Build out is easily transferable –Security deposit with first and last months rent –Type of patron you attract

10. Size Does Matter Sometimes smaller is better than bigger Average size seems to be 1,000- 2,000 sq/ft However, you need to make sure that your available space will: –Accommodate your services –Foster productivity –Create efficiency –Fulfill future development

11. Components of a Chiropractic Clinic Entrance Reception Area Front Desk Patient Support Area Treatment Areas/Rooms Consultation/Exam Rooms Report Room/Office X-ray Room Bathroom Storage

12. Entrance Located in close proximity to front desk? When possible, front window should include list of services, types of patients/cases seen, web address, and phone number If there is foot traffic and landlord permits, build and information center

13. Entrance Make sure signage is neat and matches and contributes to the overall image Entrance should be inviting and professional

14. Reception Area A reception area is not a waiting room It is the area between the entrance and the front desk Should be warm and inviting Should have enough space to allow a CA to walk up and greet NP’s

15. Reception Area Waiting rooms are generally not a good idea –Your procedure should allow for on- time scheduling –Waiting rooms can be expensive once build out, and furnishings are added –You do not want to pay for people to wait

16. Front Desk Needs to be approachable with easy in/out access Should include information displays for CA to educate and distribute Need to be able traffic in and out at same time A well-designed front desk is usually worth the investment Should be able to see the entrance, reception area and treatment area

17. Patient Support Area Area that provides equipment, supplies, and nutrition that supports a patient’s treatment plan Needs to be located in close proximity to front desk If only provide small inventory, can incorporate into the front desk area

18. Treatment Areas/Rooms An open treatment area that incorporates all services is the most affordable option, can increase efficiency, and promote a sense of comradery among patients If separate treatment rooms are desired, the prep room layout may be an appropriate substitution

19. Treatment Areas/Rooms Open Treatment Room Separate Treatment Rooms Build Out DollarsLess ExpensiveMore Expensive PrivacyLimitedMaximal Integrated usability MaximalLimited EfficiencyMaximalLimited

20. Consultation/Exam Room Some use a separate room for consultation and exam Using the same room for consultation and exam can save time and money As compared to the other rooms of the clinic, this room is often the smallest However the décor should promote comfort and healing

21. Report Room/Office Reports usually given in Dr’s. office A separate area, such as a corner, can be created for reports Organize with charts, models, view box, and other necessary tools Make sure office is neat, organized, and professional

22. X-ray Room Including x-ray service is a business decision –Need to consider cost and financing, sq/ft price for floor space, dark room expense, average fee for using equipment and how often equipment will be used

23. X-ray Room Usually located near rear of office space b/c most water lines located there Consult with x-ray installation company before doing clinic layout to minimize installation, electrical, plumbing, and shielding costs –These costs fluctuate according to room size, distance from main plumbing line, distance from electric source, etc.

24. X-ray Room Walls typically have different shielding requirements –Medical health or radiation physicists or an experience and qualified installer can help save money by calculating lead requirements –The size of the room affects shielding requirements and cost

25. X-ray Room The size of an x-ray room is a catch 22 –Smaller size saves money on monthly price per sq/ft –Larger size saves money on shielding –Need to calculate the options and base room size on better financial choice –If have extra room, use the square footage for service such as extra exam space.

26. X-ray Room The dark room size needs to meet the minimal requirements for one adult to stand within arms length of the film bin, processor, water source, chemical storage, and work space to open and load cassettes