Automating your Hand Practice

Incorporating efficient automation into your hand surgery practice can greatly improve office workflow, patient follow-up, online reviews, and increase referrals and patient volume.  The following presentations summarize how you can implement these tools in your practice for little or no cost at all.  Many of these features have also been incorporated into a product solution through www.SurgiSurvey.com.  Please reach out if you would like to learn more.   AAOS 2019: Optimizing Your Practice Website and Online Marketing - Franko - Wed 1030AM AAOS 2019: Revolutionize Your Life With Automation - Franko Thursday 930 ASSH 2018: Automating Your Life - ASSH 2018 - IC72 Building an Efficient Practice ASSH 2018: IC75 - Website Enhancements and Rating Sites to Increase Search Results - 645 saturday...
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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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Online Marketing is Moderate-Value for Building a Hand Surgery Practice

Online Marketing is Moderate-Value for Building a Hand Surgery Practice

Orrin I. Franko, 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 Online reviews are important for attracting new patients to a hand surgery practice The monetary value of different referral sources is unknown This study determines the value of Internet-referred patients compared to other traditional referral sources for building and growing a hand surgery practice Methods Two years of billing data were analyzed Data was cross-referenced with referral sources Calculations were made for average percent collection dollars per visit dollars per patient Internet-referred patients are those who made appointments after reading online reviews Results 5,071 patients’ data were analyzed Average collections/visit was $202 Average collections/hour was $626 Average total collections/patient was $692 The most valuable referral sources were: Surgeons > Workers Compensation > Former Patients value of internet-referred patients was below average at $541/hour and $442/patient Internet-referred patients were mostly PPO insurance (75%) despite the...
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Integrating an Opioid-Reduction Pain Management Protocol in a Small Private Hand Surgery Practice

Integrating an Opioid-Reduction Pain Management Protocol in a Small Private Hand Surgery Practice

Orrin I. Franko, MD & Andrew J. Stein, 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 Media attention and scientific reports have highlighted the current opioid crises Large, integrated medical centers have demonstrated the feasibility of reducing opioid prescriptions for hand surgery patients We report the experience of transitioning to an opioid reduction pain management protocol in a small private practice Methods July 2017: a two-person orthopedic hand surgery practice transitioned to an opioid reduction pain management protocol Included the use of automated emails to provide pain management handouts and pre-operative videos on pain and discomfort Reduced the default prescriptions given for routine operative procedures Patient pain was surveyed pre- and post-operatively on a 10-point Likert scale at 3, 6, 12, 24, and 52-weeks Results 450 patients enrolled in the “traditional” pain management group and 693 patients enrolled in the opioid reduction protocol...
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Yelp Reviews are Worth $1000+ to a Hand Surgeon

Yelp Reviews are Worth $1000+ to a Hand Surgeon

Orrin I. Franko, 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: Positive online physician reviews (ie: Yelp, Google Reviews, Healthgrades) are important for managing a surgeon’s online reputation No study has ever quantified the tangible impact of positive reviews for a medical practice This study calculates the financial benefit from online reviews for an early-career hand surgery practice Methods: During a 28-month period I queried all patients for their referral source and any online review sites they visited I then analyzed the financial gain (total dollars collected) for treatment Online reviews were quantified monthly during the same period A baseline control period was established during the first 3 months prior to any interventions Results: Yelp and Google Reviews accounted for >90% of all online review referrals 146 reviews were acquired above the control acquisition rate 158 patients referred to the office Total practice...
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