Direct Primary Care FAQ

15 Great Ways to Grow Your Direct Primary Care Practice

Here are 15 amazing ways to market your practice!

- join a small biz association in your community and make genuine connections

- dine at a restaurant and ask to meet the owner/manager (leave a nice review, too)

- ask your current patients "who do you know that could benefit from our services?"

- ask your current patients for reviews on Google and Yelp

- get great headshots of yourself at your office and in your community

- write an opinion piece for your local newspaper

- send out a press release to your local journalists

- bring cookies to your local specialist's office

- send out mass emails via MailChimp or Emma or a similar email marketing platform

- create fun and engaging content on your social media accounts and ask your current patients to share that content

- host a meet-and-greet at your office and supply bagels and coffee or wine and cheese, depending on your community

- host a meet-and-greet at a nearby bar, restaurant, or park and give everyone $5 or $10 off of their order (this is a great way to have a memorable event and a great way to invite new people into your practice)

- host a ribbon cutting at your office

- have a community walk with the doc

- sponsor your local 5K

..and on and on and on - you can do this! think creatively :)

if you need more ideas, you can find them here on my sales funnel course: https://startup-dpc.teachable.com/p/building-a-sales-funnel-for-your-direct-primary-care-practice/

Best of luck!

- Paul Thomas MD with Startup DPC

What Direct Primary Care Doctors Use for Casting and Splinting for Fractures and Sprains

Doctors who are starting their direct primary care practices often wonder what to use for casting and splinting. In this video, Dr. Paul Thomas shows the materials that are often used at Plum Health DPC, a direct primary care practice in Detroit Michigan.

For most sprains, we use a self-closure elastic bandage - these come in many different brands, like ACE Wrap or EZe-Band.

For casting, we use Scotchcast Plus (3 inch). Underneath the cast, we apply a padding material as well as a cotton stockinette that helps protect the patient’s arm.

What's the most effective way to distribute information to the community for my Direct Primary Care practice?

How do you distribute flyers for your Direct Primary Care practice?

Making a flyer is helpful for having all of your information for your Direct Primary Care practice in one place. It’s useful if you’re putting together a packet of information - the basic packet might have a flyer or brochure about your business and a business card with your contact information.

What’s the best way to get this out to people? You could take it to the following places:

  • small businesses in your community and ask to meet with the owner

  • small business incubators in your community or co-working spaces

  • churches or places of worship

  • community centers or parks

  • bulletin boards at the local coffee shop

You’re looking for inexpensive ways to get the word out about your practice, and the above routes are reasonable ways to get that information out there.

The most effective ways to attract new patients to your direct primary care practice

However, in my experience with Plum Health DPC, flyers aren’t super high yield in terms of attracting patients. I’ve never had someone sign up for my practice because they saw our flyer! More often than not, people sign up for our practice for the following reasons:

  • referred by a friend or family member

  • saw that we had 80+ five star reviews on Google

  • saw that we were the highest rated doctor in Detroit on Google or Yelp

  • saw a social media post about our practice

  • used Google search and found our practice/website

  • saw us on TV or in the newspaper

There are so many ways to get your name out there! What matters most is interacting with people in an authentic way and giving them information that they're searching for. I'm a huge advocate of leveraging SEO (search engine optimization) and we've been super successful in building our practice that way. We continuously create content that answers the most important questions for our community, and people enroll when they find the information they need on our site.

It comes down to this: we write blog posts for topics that people are already searching for. For example, our blog posts are entitled:

  • Family Medicine Doctor Accepting New Patients

  • How to Quit Smoking in Detroit

  • How to get the Coronavirus Vaccine in Detroit

  • How to Check your Vitamin D Level in Detroit

I focus on teaching doctors how to attract patients by using the above methods via my courses, here.

Other Marketing Tidbits for your direct primary care practice

Remember that marketing is an ongoing discussion between you and your audience. You need to be communicating on a regular and frequent basis to let your audience know that you still exist and that you’re still serving people with valuable medical care.

You definitely want to build up your email list and send regular email blasts.

You'll also want to create content on your blog regularly.

You should meet with business owners in your community - the decision makers who would possibly enroll their employees with your service.

There's so many little things like this that you can do to build your practice! So keep doing these things on a regular basis and your practice will start to grow organically after some time.

It may seem like a lot of work at the beginning, because it is. You’re like an airplane at takeoff, expending the vast majority of your energy during the takeoff process, and then gliding through the air once you’ve climbed to 30,000 feet.

Marketing your practice at the beginning is that energy-intensive take off process, so don’t get discouraged! Know that all of your hard work will pay off once you reach a certain level in terms of new enrollments, then word of mouth will boost your success and sustainability. But, you should always communicate with your broader community about your valuable service in order to keep your pipeline full.

STARTUP DPC - DIRECT PRIMARY CARE MASTER CLASS

Because there are no in-person conferences this year, we are hosting an intimate gathering of Direct Primary Care doctors who are looking to start and grow their DPC practices. We did this last year, and it was a rousing success! Join our Direct Primary Care Master Class on May 14th through May 15th, 2021 at our Plum Health DPC office in Detroit, Michigan and accelerate your growth as a DPC doctor.

Thanks for reading and watching, and best of luck in your direct primary care journey!

-Dr. Paul Thomas with Startup DPC

Productivity Hacks for Direct Primary Care Doctors

Some Productivity Hacks for Direct Primary Care Doctors

How can we be more productive in our Direct Primary Care practices? That question came up on a recent forum about direct primary care, and I’m sharing some highlights here!

  • Dictating

  • Macros - using macros can save a ton of time! For me, I have a handful that I use just about every day, but they range from sending someone my calendar so that they can schedule their own appointment, to sending someone our signup link so that they can sign up for the service, to hashtags about common note templates. For example, if I type “#TwoMonths” into my medical record, I’ll get a note template with all of the developmental milestones for a two month well child visit

  • Watching videos at 2x Speed

  • Listening to Audiobooks or Podcasts at 1.5 or 2x speed

  • Listening to Audiobooks while driving, cleaning, walking, or washing the dishes

  • Having a paper shredder by the door so that you can immediately shred all the junk mail or non important documents. This can keep your mail pile manageable! Personally, I use a recycling bin for non-confidential documents and a shredder for any confidential or sensitive documents

  • Voice Dream App - I have this amazing app called Voice Dream on my phone that allows me to convert news stories or emails or PDFs or Word Documents into an audio format. I send the file to this app, and a computerized voice reads me the information. So, if I need to read an important news article, I can use Voice Dream and listen to it on my way into the office.

The Most Powerful Productivity Hack for Direct Primary Care Doctors

One of my favorite productivity hacks for my business has been leveraging Search Engine Optimization.

Basically, a lot of doctors think that they have to convince individual people to sign up for their practices, and that is somewhat effective, but hugely labor intensive.

The better strategy, and the one that saves me a ton of time, is spending about an hour each week writing about what our business does and how it helps people in the community.

Now, when people need that kind of help, they search for it on Google, and they find us! Which is amazing because we have a continual stream of new patients based on this traffic from Google.

#StartupDPC

I talk about how I do this via one of my courses on how to attract new patients, here: https://www.startupdpc.com/take-action

Streamlining Your efforts

Another way that I improve my productivity is by writing down or recording videos of frequently asked questions. If I find that I’m being asked the same question over and over again by patients, community members, or colleagues, I find that the best way to be productive is to not type out an individual response to each person, but to create an information tool - like a book, YouTube video, Course, or a Master Class on that topic.

For instance, when I first started my direct primary care practice, many people in my community and across the country asked me what it was all about. That led me two write my first book, Direct Primary Care: the Cure for Our Broken Healthcare System. Now if someone has a question about how my practice operates, I can direct them to this book!

Then, when I established a successful and thriving direct primary care practice, many of my colleagues asked how I was able to start and grow Plum Health DPC. I diligently wrote down all of my individual responses into a twenty-chapter book called Startup DPC: How to Start and Grow Your Direct Primary Care Practice. Now, when someone asks how I created a thriving DPC practice, I direct them to this book.

For our patients, they have a ton of questions about Coronavirus, so I compiled an entire series of videos about coronavirus, COVID19, and the vaccines on my YouTube Channel.

Next, doctors started asking for more details beyond the book, so I put together my courses on direct primary care and I recently launched the Startup DPC Master Class event, happening May 14th and 15th, 2021. That way, I can explain things once to a group of people who are interested in learning, and they can learn from each other as they grow.

Thanks for reading, and have a wonderful day!

-Dr. Paul Thomas with Startup DPC

Direct Primary Care is Hard

Direct Primary Care is hard.

Fee-for-service is hard.

Choose your hard.

#DirectPrimaryCareIsHard #DPCisHARD

The secret is out - it’s hard to run a direct primary care practice. It’s hard to build a business from the ground up, to consistently communicate clearly with patients and their families. It’s hard to negotiate for better prices for lab services and it’s hard to learn how to draw blood. It’s hard to be responsible for ordering and dispensing medications for patients and for organizing a medication room. It’s hard to learn enough new skills to be successful in the direct primary care model.

But, it’s also hard to be an employed doctor in the fee-for-service model. It’s hard to have to see 20 to 30 patients each day. It’s hard to not have enough time to give your full time and care to your patients in the fee-for-service model. It’s hard to deal with the pajama notes and burnout that is associated with this fee-for-service style of practice.

Fortunately, you get to choose your hard.

You get to choose if you want to practice in the direct primary care model or in the fee-for-service model.

Choose wisely.

How Much Money Will You Make in Your Direct Primary Care Practice?

How Much Money Will You Make in Your Direct Primary Care Practice?

Doctors want to know how much money they’ll make when they start a direct primary care practice. This question came up in the Direct Primary Care Facebook Group. You can join it, here.

Here’s the question in full:

I’ve been looking into doing a DPC practice, however the numbers don’t make sense to me. If I charge a patients $100 a month for unlimited visits, as well as access to email and phone calls. so if I sign up 500 patients that’s $600000 a year. Taking out overhead I’m left with $400,000. But with unlimited visits that encourages pts to constantly come in and makes fir a busy practice and on top of it I’m doing emails and phone calls after hours and after taxes maybe taking home $250,000. Is this correct or am I missing something ? Is there a way to charge for visits in addition to the monthly fee ? Do you drop all insurances when you are dpc?

Here’s my answer:

Well, there’s a lot there.

First, if you’re doing it for the money, then this may not be the right path for you.

Second, there are so many intangible benefits to running a successful DPC practice, like more time with patients, greater autonomy and satisfaction with your practice of medicine.

Third, because you only have 500 patients, not 2,400 like a typical doctor, you see 5x’s fewer patients each day, leading to less stress and more time with your patients.

Fourth, your overhead is super high - there are ways to deliver excellent care at a lower cost than what you’re projecting.

I explain the ethos of this movement in great detail in my book and I give a ton of practical pointers there as well:

https://www.startupdpc.com/books

#StartupDPC

The my response was followed up with a follow-up question:

But overhead is related to where you practice so if you practice in an expensive area the rents will be expensive and people expect higher pay

To which I responded:

yes, that's true, but I think that's a smaller piece of the puzzle than you perceive it to be. In my experience monthly rent is a big expense, but just 5% of our current monthly revenue, so in no way is it the biggest expense. Plus, when you scale up and hire more doctors, the relative cost of your rent becomes much less.

STARTUP DPC - DIRECT PRIMARY CARE MASTER CLASS

Because there are no in-person conferences this year, we are hosting an intimate gathering of Direct Primary Care doctors who are looking to start and grow their DPC practices. We did this last year, and it was a rousing success! Join our Direct Primary Care Master Class on May 14th through May 15th, 2021 at our Plum Health DPC office in Detroit, Michigan and accelerate your growth as a DPC doctor.

Thanks for reading and watching, and best of luck in your direct primary care journey!

-Dr. Paul Thomas with Startup DPC

Direct Primary Care Practice Featured on PBS

Direct Primary Care Practice, Plum Health, Featured on PBS

Earlier this month, Plum Health DPC was featured on PBS. The show details the staff and operations of Plum Health DPC. Here’s what PBS said about Plum Health DPC:

Dr. Paul Thomas knew what he wanted to do with his life since the age of 17. After completing medical school, residency and a short stint at an Urgent Care facility, he founded Plum Health. Plum Health offers direct primary care services based on a subscription model. Rather than charge patients for each visit, patients pay a set fee each month, gaining direct access to doctors as needed.

Why Traditional Media Engagement Matters

If you’re a direct primary care doctor and starting your own DPC practice, traditional media engagement can be like jet fuel for growing your practice. Traditional media is any form of mass communication available before the advent of digital media. This includes television, radio, newspapers, books, and magazines. The audiences for these platforms are vast, but not well targeted. Yet, engagement here can still be very powerful.

In my book, Startup DPC: How to Start and Grow Your Direct Primary Care Practice, I how to get on TV, and I’ve included those passages below:

If you want to be interviewed on Television, you’ve got a bit of work to do. First, by being interviewed on podcasts frequently, you’ll have the same speaking skills that will be transferrable from the radio or podcast medium to the television medium.

Second, you can practice speaking into a camera by filming yourself each week. Yes, you can film yourself weekly doing a show on your YouTube channel about any topic that you desire. Try to look into the camera and tell a story about an interesting patient, an interesting new development in medicine, or the progress you’ve made in your clinic, like a new hire or a new piece of equipment or even a new test or treatment that you’re offering.

Again, you’re working out your own rough spots, so that when you appear on camera you look polished and professional. In this regard, you will want to look your best each day, so keep up with your personal grooming. Some doctors get last-minute calls to appear on Television or the Local News as a credible authority, so make sure you have a clean white coat handy.

Action steps: If your goal is to be featured on the news in your town or city, get camera ready. Start creating content on your YouTube channel on a weekly basis. You can interview interesting people in your town on health-related topics or you can talk about topics you’re passionate about. Make sure you have professional attire on hand at your office, perhaps a clean white coat and a freshly pressed top or blazer on a hanger at your office.

From there, I go on to describe how doctors can engage with the media by building relationships, interacting on social media, and sending press releases. Of course you can pick up a copy of the book, or check out our course that delves into this topic for more information.

STARTUP DPC - DIRECT PRIMARY CARE MASTER CLASS

Because there are no in-person conferences this year, we are hosting an intimate gathering of Direct Primary Care doctors who are looking to start and grow their DPC practices. We did this last year, and it was a rousing success! Join our Direct Primary Care Master Class on May 14th through May 15th, 2021 at our Plum Health DPC office in Detroit, Michigan and accelerate your growth as a DPC doctor.

Thanks for reading and watching, and best of luck in your direct primary care journey!

-Dr. Paul Thomas with Startup DPC

How This Direct Primary Care Doctor Started Their Practice With $90

How This Direct Primary Care Doctor Started Their Practice With $90

I originally made this post on LinkedIn on New Year’s Eve:

I started Plum Health DPC in November 2016.

I opened my bank account on a hot summer day a few months before my launch 🚀 with the $90 worth of cash I had on hand.

We now have over 900 patients, 3 doctors, and 2 locations. 🏥

However small you think you are, or however small you’re starting from, you can grow, do amazing things, and have a huge impact. 💯

Make 2021 your year to chase your dreams, pursue your passions, and live your purpose.

Don’t live in regret, take action.

#PlumHealth #Detroit #HealthCare #DirectPrimaryCare

The Ingredients Needed to Start a Successful Direct Primary Care Practice

I made this post because I want medical students, residents, and early-career primary care doctors to embrace entrepreneurship and start their own practices. Physicians are often stymied by the perceived complexity of starting their own practices, but it doesn’t have to be that way. I often tell doctors this: if you’re smart enough to pass your boards, gritty enough to make it through residency, and compassionate enough to choose a primary care specialty, you have all of the ingredients necessary to start a successful and thriving direct primary care practice.

“But I Don’t Know Anything About Business!”

Here’s a typical scenario: I speak in front of a large group of family doctors or internists about direct primary care. I lay out the pros and cons, show them my scars from the failures, and show them the trophies from my victories. I see them turning it over in their minds and I see the light bulbs go off (one of the best feelings in the world).

After the presentation, the microphone gets passed around the auditorium and without fail, I get asked this common question: “how did you learn about business? Did you get an MBA?” Translation: “I don’t know anything about business and this running-your-own-business thing is scary!”

My typical response goes something like this: if you had the grit and the wherewithal to endure medical school and residency, if you have the smarts to pass your boards, and if you selected a primary care specialty because you love talking to and taking care of people, you have all of the essential ingredients to be a great small business person.

When it comes down to it, business is all about relationships and building strong relationships with people in your community. If you build a strong relationship with your existing patients, they are more likely to become long- term customers. If you build a strong relationship with the local small business owner, they will be more likely to send their sick employee to your office. Because of the relationship, that small business owner knows that their employee will get compassionate care and great service from you. If you build strong relationships with your community leaders, specialist colleagues, and vendors, you will have a thriving source of referrals and therefore a more sustainable medical practice.

I’m going off on a tangent here, but you don’t need an MBA to be a successful businessperson. Some of the wealthiest and most innovated entrepreneurs in the world do not have an MBA – Jeff Bezos, Bill Gates, Howard Schultz, Mark Zuckerberg, Tony Hseih, and Gary Vaynerchuk don’t have an MBA and you don’t need one either. Also, savvy people go to top-flight business schools not for the education, but for the relationships that they will develop. These relationships at top-tier institutions open up doors for higher-paying management and consulting positions.

That being said, for you and your DPC practice, you don’t need an MBA. However, if you want to take a small business 101 course that covers the basics, or read a few business books, this will give you a solid foundation to start your DPC practice. Specifically, I’m writing this book to give you the tools that you’ll need to start the DPC practice that you deserve to have.

The above is an excerpt from my recently published book, Startup DPC: How to Start and Grow Your Direct Primary Care Practice, available on Amazon.

STARTUP DPC - DIRECT PRIMARY CARE MASTER CLASS

Because there are no in-person conferences this year, we are hosting an intimate gathering of Direct Primary Care doctors who are looking to start and grow their DPC practices. We did this last year, and it was a rousing success! Join our Direct Primary Care Master Class on May 14th through May 15th, 2021 at our Plum Health DPC office in Detroit, Michigan and accelerate your growth as a DPC doctor.

Thanks for reading and watching, and best of luck in your direct primary care journey!

-Dr. Paul Thomas with Startup DPC

Dr. Paul Thomas MD Featured on The Changed Physician

How I started Plum Health DPC - a recap with The Changed Physician

This is Episode 68 of The Changed Physician Podcast when hosts, Drs. Melissa Cady and Kevin Cuccaro, speak with direct primary care physician, Dr. Paul Thomas about how any new physician can successfully start and build a direct primary care practice.

Timeline:

  • 01:00​ Why and how he started a DPC practice in 2016

  • 03:40​ How he dealt with the fears of risk & recruited interest from patients

  • 05:00​ The house call that changed everything

  • 06:30​ Where he started his physical practice

  • 10:00​ His first “doctor bag” (medications from Andameds)

  • 10:50​ Setting up a business entity

  • 13:45​ Medical malpractice

  • 17:00​ How he acquired new equipment/resources

  • 20:00​ How he adds value to his patient members

  • 22:30​ Electronic Medical Records from beginning (e.g. Atlas, Hint & Elation, etc.)

  • 24:30​ Typical overhead for direct primary care

  • 25:40​ Leveraging moonlighting while building own practice

  • 28:00​ Reasons not to go into your own direct primary care practice

  • 29:30​ The “safer” route?

  • 32:00​ How he marketed himself and grew his practice

  • 35:30​ Pain now or pain later?

  • 39:00​ Paul Thomas’ take on his own practice and work

You can learn more about Dr. Paul Thomas and his practice at: https://www.plumhealthdpc.com/

HOW CAN I LEARN MORE ABOUT STARTING A DIRECT PRIMARY CARE PRACTICE?

If you enjoyed reading this blog post and if you want to learn more about starting and growing your direct primary care practice, look no further than our book and our courses on how to start and grow your direct primary care practice. We at Startup DPC have begun compiling some of the best content available on this blog, in our book, and in our courses.

The best place to start is to take our Direct Primary Care Business Plan course, available here. From there, you can learn how to attract new patients to your direct primary care practice and how to find the perfect location or build out the practice of your dreams.

STARTUP DPC - DIRECT PRIMARY CARE MASTER CLASS

Because there are no in-person conferences this year, we decided to host an intimate gathering of Direct Primary Care doctors who are looking to start and grow their DPC practices. We did this last year, and it was a rousing success! Join our Direct Primary Care Master Class on May 14th through May 15th, 2021 at our Plum Health DPC office in Detroit, Michigan and kickstart your DPC journey!

Thanks for reading and watching, and best of luck in your direct primary care journey!

-Dr. Paul Thomas with Startup DPC

Startup DPC Mailbag: Who Can I Get to Design My Logo For My Direct Primary Care Practice?

Today I received a great question on Logo Design for a Direct Primary Care practice. Here’s the question: “Anyone know someone who can do a quick logo? I have the image (drawing).”

Here’s what I said: “Ask the people on your personal Facebook page this question!!! This will accomplish several things - first, it'll build buzz for your practice! Second, it will help you build fans. Years from now, one of your patients will say "Hey doc, remember when you first started and were asking around for a logo design? look at you now!" Third, you may find someone in your community who will do it for you and later become a patient. Start building your brand now by letting your community help shape that brand! Best of luck #StartupDPC

When you’re starting and growing your direct primary care practice, every step that you take towards creating your practice is an opportunity to build your practice with your community. When you share that you’re starting a DPC practice and looking for a logo designer, this will build buzz and excitement in your community. Your fans - those who follow your progress closely - will rally around your brand or your banner and they’ll want to see you succeed. Let them follow you on this crazy journey as you pursue your passions and build your dream practice.

As you build your practice work collaboratively with your community - perhaps you’ll find the perfect web designer is a few blocks away, or your logo designer is nearby, or your lawyer, or your accountant. Cultivate these relationships by creating win-win scenarios.

For us, we worked with a local person who designed our logo, who later became our patient. It’s a great way to build a brand that is created by your local community and supported by your local community.

HOW CAN I LEARN MORE ABOUT STARTING A DIRECT PRIMARY CARE PRACTICE?

If you enjoyed reading this blog post and if you want to learn more about starting and growing your direct primary care practice, look no further than our book and our courses on how to start and grow your direct primary care practice. We at Startup DPC have begun compiling some of the best content available on this blog, in our book, and in our courses.

The best place to start is to take our Direct Primary Care Business Plan course, available here. From there, you can learn how to attract new patients to your direct primary care practice and how to find the perfect location or build out the practice of your dreams.

Startup DPC - Direct Primary Care Master Class

Because there are no in-person conferences this year, we decided to host an intimate gathering of Direct Primary Care doctors who are looking to start and grow their DPC practices. We did this last year, and it was a rousing success! Join our Direct Primary Care Master Class on May 14th through May 15th, 2021 at our Plum Health DPC office in Detroit, Michigan and kickstart your DPC journey!

Thanks for reading and watching, and best of luck in your direct primary care journey!

-Dr. Paul Thomas with Startup DPC