Keeping track of contract renewals can be tedious. Whether practices renew such contracts all at once, or throughout the year, there are techniques to simplify the task.

A healthy practice is one that manages its contracts (vendor contracts, service agreements, and leases) well. Many physicians and practice managers, however, are running nonstop and have never taken the time to track their practice’s contracts. Just as clinical pathways promote organized and efficient patient care, effective contract management promotes organized, efficient, and cost-effective practice management.

There is actually a fairly simple method for headache-free contract tracking. I have found that using an Excel spreadsheet in conjunction with Outlook tasks is a proven system to accomplish this. Many contracts are auto-renewing (known as “evergreen”), meaning that once they are signed, they don’t terminate after a certain period but rather continue in effect. Most people get so busy with their practice that after signing the contracts, no one is diligent about reviewing the agreements on an annual basis.


Here are the key items to include in the spreadsheet

1. A list of all of your contracts

The spreadsheet should contain all contracts, including leases such as property leases and copier leases as well as service agreements and vendor maintenance agreements such as janitorial, landscape, etc.

2. The date each contract is up for renewal

The first date to be listed on the spreadsheet is the date the contract is up for renewal.  Be sure to make a note if the contract is auto-renewing. And if this is the case, a separate “notification trigger” date should be included.

3. Notes regarding mandated price increases

When reviewing the contracts, take note of any automatic price escalators. If this is part of the contract, a brief note should be included in the spreadsheet. The purpose here is to remind you next year that this contract is not only due for renewal, but also has a mandated price increase. This will allow you time to negotiate, shop around, or cancel your current agreement.

The spreadsheet is a central repository for summary details of your contracts/agreements/leases.


After you create the spreadsheet

Make note of any of the dates included in the spreadsheet in your Outlook calendar. Outlook gives you the ability to effectively manage contract milestones via automated alerts. Based on the dates you have listed in the spreadsheet, you can set up reminders to negotiate rates (taking advantage of renegotiation windows to improve terms); cancel if so desired (without triggering any fees); or put it out for bid (if reminders are set up with enough advance notice).


Going above and beyond

It is also advisable to digitize the contracts and store them as well as the spreadsheet on a shared drive where access can be granted to select members of the practice. When setting up the Outlook reminders, you may also want to ensure that more than one person receives the alerts.

Setting this up for the first time can be time-consuming and with busy practices that are often short-staffed, this may be something worth getting a consultant to set up for you initially. Then, you can monitor it yourself on an annual basis.

Nick Hernandez, MBA, FACHE

Nick Hernandez, MBA, FACHE,, is the CEO and founder of ABISA, a consultancy specializing in strategic healthcare initiatives.

Since founding ABISA in 2007, his emphasis has been on developing and maintaining a strong relationship with physicians and identifying areas for business opportunity and support. The company’s client list includes physician groups, hospital systems, healthcare IT organizations, venture capitalists, private equity firms, and hedge fund managers.

Nick is a graduate of the United States Naval Academy and a former Captain in the U.S. Marine Corps. He holds MBA degrees in both Operations Management and Information Technology & E-Business Management from Wake Forest University. He is Board Certified in Healthcare Management and has been named a Fellow of the American College of Healthcare Executives.

He is a frequent guest lecturer and is often quoted in the national media. He has consulted with clients in multiple countries and has over 20 years of leadership and operations experience. Nick is a Subject Matter Expert in business strategy, practice management, telemedicine, health IT, and oncology.


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