Conventional wisdom tells us, of course, that it is much easier to make major decisions in a small office than in a large office because fewer people have to approve of and work with the decision. The politics in a small office can be just as hair-raising as large office politics. Whether you work in a large office or a small office, you should take time to agree on a set of goals for your practice. These goals should be shared with everyone who works for you. Once you have these goals in place, it will be much easier for everyone to make the correct decisions.
Many offices fail to assign the specific task of answering the phones.
Having everyone in your offices ready to pick up the phone not only leads to distractions, but inconsistent service to your patients. Assign one person to answer the phone, and only one person. This person should learn how to handle several calls at once. Some offices may need two people, but only in extreme circumstances. Keep in mind, however, that the person answering the phone should have no other greater responsibility.