Vth pressures and their implications on the function and missions of the hospital
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Vth pressures and their implications on the function and missions of the hospital

Client Expectations for Veterinary Care in the FutureDr. Mary Ann Vande Linde Meeting the Expectations of Referring VeterinariansDr. Colin BurrowsDeveloping a Caseload:  Balancing Veterinary Student and Residency TrainingDr. Deborah KochevarThe Future of Specialty PracticeDr. John Albers The Veterinary Teaching Hospital as a Profit CenterDr. David LeeClinical Research in the Veterinary teaching HospitalDr. Amy Trettien

VTH Pressures and their Implications on the Function and Missions of the Hospital.

Expectations of veterinary care in the future
Expectations of Veterinary Care in the Future

  • Complete medical services with preventative and well care as a priority.

  • A long term relationship with a practice that is supportive of their pet and who will be their advocate if treatment with a specialist necessary.

  • An office operation that is efficient and organized

Client expectations of veterinary care in the future
Client Expectations of Veterinary Care in the Future

  • Want to be communicated to with respect, clarity, and consistency.

  • Explain things in terms the client can easily understand.

  • Exams to be conducted thoroughly and without a sense of rush.

Communications model
Communications Model

  • Program to help define expectations

  • Outline to help define appropriate methods of teaching communication

  • Examples of how communications with our clients can be taught and structured.

Meeting the expectations of referring veterinarians

Meeting the Expectations of Referring Veterinarians

Colin Burrows

University of Florida

Meeting expectations
Meeting Expectations………….

  • Why practitioners refer

  • Why they do not

  • What they expect

  • What we expect

  • Education and public relations

  • Pitfalls and problems

What referring veterinarians expect
What referring veterinarians expect

  • Knowledge about spectrum of services offered

  • Access - response to first phone call - referral liaison

  • No waiting

  • Efficient communication from staff-return phone call that day

  • Protect the relationship

  • 24 hour post discharge follow up with referral letter

  • Need to be kept in the loop – partnership

Additional consideration
Additional Consideration

  • Model good referral process to students

  • Educate Interns and Residents

  • Build the PR base for the hospital

  • Address communication problem areas

  • Consider incentive plans

  • Provide infrastructure in Staff and technical support

Summary referring veterinarians need
Summary-referring veterinarians need:

  • Access

  • Acknowledgement

  • Respect

  • Education

  • Communication

Developing a caseload balancing veterinary student intern and resident training

Developing a Caseload: Balancing Veterinary Student, Intern and Resident Training

Deborah Kochevar

Cummings School of Veterinary Medicine

Tufts University

Do students believe they must

compete with others for learning

experiences in the clinical year(s)?

  • Who is the competition?

  • What factors affect the competitive learning environment?

  • How can competition be managed?

  • What impedes effective management?

  • How can progress towards an improved clinical learning environment be measured?

Summary of survey findings
Summary of Survey Findings

  • Competition of students with Int. and Res.

  • > with Interns

  • High case load seems to moderate competition

  • Clinicians don’t identify competition

  • Clinicians aren’t effective at managing competition

Strategies to address competition
Strategies to Address Competition

  • Management strategies – Define roles

  • Emphasize teaching to House officers

  • Set benchmarks and objectives

  • Provide alternative activities and rotations.

What impedes effective management of competition
What impedes effective management of Competition?

  • Time pressures on hospital personnel

  • Poor communication skills

  • Case management prioritization relative to learning objectives

The future of specialty practice



November 10, 2006

Current state

  • June 2006: ~700 “enterprises”

  • Every specialty, every metropolitan area

  • High level of medical and surgical care

  • More convenient (and often better) service

  • Huge, multi-specialty facilities

    • 25,000 – 58,000 sq. ft.

  • Highly sophisticated technology

    • MRI, Linear Accelerators, CT Scans

Current trends in finishing specialist
Current Trends in Finishing Specialist

  • Private Specialty practices will grow

    • Specialty colleges (Sm. Animal) residents migrate to practice


      • > 50% finishing residents -> specialty practice

Private specialty practices will grow
Private Specialty Practices Will Grow

  • Specialty practice represents highest level of care

  • Current student training encourages referral

  • Pet owners expect specialty care

  • Specialist in practice do well economically

  • Lenders willing to support specialist

  • Continued growth for next 5 – 10 yrs.

The veterinary teaching hospital as a profit center

The Veterinary Teaching Hospital as a Profit Center

David E. Lee, DVM, MBA

Hospital Director

Veterinary Medical Center

University of Minnesota

The profitable vth
The Profitable VTH

  • Nets some profit after paying…

    • Supplies

    • Labor expenses including clinician salaries

    • Equipment expenses

    • Reinvestments (5%)

  • From service revenue

Economic and related issues impacting vth
Economic and Related Issues Impacting VTH

  • Focus on Service – Esp. RDVM

  • Improve communications infrastructure

  • Improve feedback mechanisms

  • Compartmentalize 3 part mission

  • Service based incentives – balance score card

Conducting clinical trials

Conducting Clinical Trials

Amy Trettien, DVM

Manager, Pfizer Companion Animal US Veterinary Operations


  • Overview of FDA CVM’s requirements on clinical study conduct

  • Use overview to understand a pharmaceutical company’s needs for investigators and study site selection

  • Focus will be on requirements of study site and not pharmaceutical company

  • Summarize with attributes defining an ideal study site

Clinical efficacy studies
Clinical Efficacy Studies

  • CVM guidance in GCP

    • Is guidance and not law

  • Guidelines enacted for globalization of studies

    • US, EU, Japan

  • Detailed requirements on study conduct and data collection

  • Company SOP’s at a minimum reflect CVM guidance

Goal of gcp
Goal of GCP

  • Data collected to an international standard

  • A study can be reconstructed after the fact

    • Source data

    • Study personnel and their roles

    • Protocol deviations

    • Study drug reconciliation

  • Assure sponsor company does not influence data collection