Methodology to Analyze Most Valuable Diagnoses to a Hand Surgery Practice

Methodology to Analyze Most Valuable Diagnoses to a Hand Surgery Practice

Methodology to Analyze Most Valuable Diagnoses to a Hand Surgery Practice Orrin I. Franko, MD – East Bay Hand Medical Center in San Leandro, CA Hypothesis: The purpose of this study was to develop a reproducible protocol used to determine the most valuable diagnoses to a hand surgery practice. Recognizing the relative value of various diagnoses can help guide practice management, scheduling, and growth strategies for success. Methods: Two years of professional fee billing and collection data was generated from a single practice management software. Using Microsoft Excel formulas, tools, and pivot tables a reproducible protocol was developed to analyze the value of common patient diagnoses defined as greater than 20 patients. The specific workflow began by isolating patients with a single diagnosis limited to the first 5 characters of the ICD-10 standard (exclusive of digit or laterality). Next, total charges and total collections were calculated for each diagnosis, and further sub-divided by insurance status (Medicare, Medicaid, Private-PPO, Private-HMO, Work Comp, or None/Cash Pay). Results...
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Comparing Pain and Satisfaction Outcomes for Endoscopic Versus Open Carpal Tunnel Release

Comparing Pain and Satisfaction Outcomes for Endoscopic Versus Open Carpal Tunnel Release

Orrin I. Franko, MD & William Slikker, MD – East Bay Hand Medical Center in San Leandro, CA Presented at the American Society for Surgery of the Hand (ASSH) 2019 Conference in Las Vegas, NV Background: Many studies have compared endoscopic versus open carpal tunnel release, but few have compared the differences in patient reported outcomes We hypothesize that patient reported outcomes (QuickDASH score) will be improved following endoscopic carpal tunnel release (ECTR) compared to open carpal tunnel release (OCTR). Methods A prospective, hand surgery registry was created to evaluate patient reported outcomes and track patient recovery Outcomes for QuickDASH score were collected with automated electronic surveys A total of 1,131 patients who underwent either open (892 patients) or endoscopic (239 patients) carpal tunnel release were included in this study Results Both groups showed marked improvement in QuickDASH function scores over the first three weeks The ECTR group had lower QuickDASH scores and better function throughout the recovery process At 1 year, the ECTR...
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Vietnam Hand Surgery Trip – 2019 Summary

Vietnam Hand Surgery Trip – 2019 Summary

Touching Hands Project: Da Nang, Vietnam Trip Summary: • Team: 3 hand surgeons, 1 foot surgeon, 1 PA, 3 CRNAs, 4 podiatry residents (12 person team, which made it the largest team that has ever been on this trip). • Total of 63 procedures completed this trip (double the amount from the year before). • Set hospital record for the most surgeries ever completed in a single day at that hospital on Wednesday (14 procedures), then proceeded to break our own record on Thursday for a total of 24 procedures completed on that day. • Worked directly side-by-side with every member of the local Vietnamese surgical team, with teaching as the primary focus of the trip. • More than half of the procedures were on children born with birth defects. • Introduced 3 specialized hand surgeries that are routine in the US but have never been done at the hospital (or in that region of the country for that matter). • Treated polydactyly, syndactyly, macrodactyly and thumb...
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