Plan Tomorrow's Psychedelic Integration Therapy Clinic, Today!

“Humanity, now is in a race between catastrophe and consciousness. The psychedelic renaissance is here to help consciousness triumph.” Rick Doblin


This just in:


The FDA just granted Breakthrough Therapy Designation for MDMA

assisted psychotherapy for PTSD1


The FDA just granted Breakthrough Therapy Designation for Psylocybin

assisted psychotherapy for Treatment Resistant Depression (TRD)2


The FDA just granted Breakthrough Therapy Designation for Esketamine

assisted psychotherapy for Depression3


By late 2021 the FDA will have approved MDMA for psychotherapy for PTSD.



“If approved the only therapists that will be able to directly administer it to patients are going to be therapists who have been through our training program and they will only be able to administer MDMA under direct supervision in clinic settings. We anticipate that over the next several decades that there will be thousands of Psychedelic clinics established, at which therapists will be able to administer MDMA, psilocybin, ketamine and other psychedelics to potentially millions of patients. These clinics can also evolve into centers where people come for psychedelic psychotherapy for personal growth, for couple’s therapy or for spiritual mystical experiences.” Rick Doblin(4)



“ Humanity, now is {sic} in a race between catastrophe and consciousness. The psychedelic renaissance is here to help consciousness triumph.” Rick Doblin(4)



When you go to school to learn to help heal people the one thing they don’t teach you is business. The first step to good business is building good foundations. A solid foundation for a private medical practice equates to a solid and streamlined business plan that will speak to investors with a clear mission to direct all future growth of the business.

Thousands of clinics will be starting across the world over the course of the next decade. The increased competition among medical peers and the increased awareness into this therapeutic arena will lead to a more diverse distribution of practitioners and profits through-out the growing industry. Through this development we look forward to practitioners establishing rural practices thereby seeing more underserved communities.

The thought of starting your own practice can be overwhelming. But do not fear, getting it right the first time is only as difficult as finding the correct information from the beginning. You can do this.

Traditionally there are several types of medical practice one may consider. The different practice models significantly change what services and procedures may be utilized or performed.


In general, the types of medical practice one may consider starting are Solo, Group , Hospital-owned, Federally Qualified Health Center (FQHC) or an Academic Health Center. Each has positives and negatives and you should understand why and what type of clinic your's will be.


For non MD’s, Solo practice will limit you to only being able to see patients after the psychedelic experience, in order to begin the Integration portion of their evolution.


While Federally owned health centers and Hospital owned clinics operate procedurally in a similar fashion. One caveat is that there are caps with respect toward your working capital based solely on the allocation of federal resources.


With the Academic Health center, you may find yourself trading autonomy for the minimization of business risk and available working capital.


Steps to beginning a Medical Practice Up-Start


1. Hire a professional consultant who has been educated and trained and has experience starting clinical practises.

  • They will understand the hidden obstacles and invariably save you years of your life as well as thousands of dollars in time and efficiencies.

  • To do otherwise would be like going on an expedition without a guide. It's sometimes more exciting, but you won't go as far, and you might not survive. There are particularities of operating a start-up that change in scope depending on the type of practise and state of establishment (ie. local laws and regulations). It's really very necessary for your consultant to fully understand these variables, in order to allow them to accurately map your moves.

2. Build a solid FINANCIAL PLAN and then acquire the financing.

  • Plan on needing $100k for start-up costs and an additional $100K line of credit in order to accommodate payroll costs and/or bills along with any unexpected operating costs during the first couple of years while your revenue stream picks up.

  • Apply for a loan

  • Create a Pro Forma (High level view of future revenue specifically covering revenue and debt projections for the Clinics first 3-5 years)


3. Source equipment and staff for your practice

  • Electronic Health Record system (EHR)

  • Practice Management System (PMS)

  • Medical Billing Service (MBS)

  • Medical Transcription Software (MTS)

  • Background Check Services

  • Credit Card Processor for Point of Care Sales

  • Office Manager

  • Accountant

  • Answering Service

  • Ancillary Services Provided by Your Practise for Patients


4. Prepare to open

  • Legally Incorporate and Obtain an Employer Identification Number (EIN)

  • Credential All Health Care Providers for payers (for submitting claims)

  • Policy Manual, Clinical Procedures Manual, Compliance Documentation

  • Purchase Insurance: medical malpractice, workers compensation, Emp. Health


5. Opening Shop & Practice Performance Evaluation

  • Soft open for first 2 weeks to work out kinks and particularities of operation

  • Grand-Open with advertising and marketing

  • Hire On-Going Professional Practice Consultant


There are always a few special areas to pay close attention to when getting started.

Inside the clinic, construction needs often translate directly into scope-creep as unforeseen time and money are spent in haste due to looming deadlines. Construction requirements necessitate often starting 6 months early. Since in business time lost correlates to money lost and if you cannot open on time it will cost you dearly.


Meanwhile, outside of the clinic space, the landscape of regulations and payer rules is vast, changes regularly and requires expertise, making compliance key to long term success.


Often overlooked in a timely manner are Marketing and Advertising. Marketing and Advertising are key components of a successful clinical practice. Marketing and Advertising of the clinic need to begin before the Grand Opening if first year benchmarks are expected to be met.


During the life of your business you will repeatedly require the help of advisors. Once the good ones are found keep them on file and use them repeatedly. It improves your business in general more than any other move.

  • Business Attorney

  • Insurance agent

  • Investment advisor/Financial planner

  • Certified Public Accountant

  • Professional Mentor


Meaningful Use standards given by the Centers for Medicare & Medicaid Services explain the proper use and application of your EMR and PMS. (5),(6) If you choose the wrong EMR and PMS that will lead to Reimbursement Penalties.




Citations:



  1. FDA Grants Breakthrough Therapy Designation for MDMA-Assisted Psychotherapy for PTSD, Agrees on Special Protocol Assessment for Phase 3 Trials https://maps.org/news/media/6786-press-release-fda-grants-breakthrough-therapy-designation-for-mdma-assisted-psychotherapy-for-ptsd,-agrees-on-special-protocol-assessment-for-phase-3-trials

  2. FDA Calls Psychedelic Psilocybin a 'Breakthrough Therapy' for Severe Depression https://www.livescience.com/psilocybin-depression-breakthrough-therapy.html

  3. FDA approves new nasal spray medication for treatment-resistant depression; available only at a certified doctor’s office or clinic https://www.fda.gov/news-events/press-announcements/fda-approves-new-nasal-spray-medication-treatment-resistant-depression-available-only-certified

  4. Video : Rick Doblin: How Can We Use Psychedelic-Assisted Therapy To Treat Trauma?

  5. HHS: Clinical Practice Guideline Development Manual

  6. NIH: Guidelines for Clinical Practice: From Development to Use



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