ASSH 2021 Scientific Program (for Manu Members)

The 2021 ASSH in San Francisco has announced a hybrid IN-PERSON and VIRTUAL event.  Manu Members are making a splash, once again, with a combination of posters, papers, and ICLs.  Check them out: Melissa Arief: Wednesday Precourse: "Embracing Diversity: Closing the Gender Gap in Hand Surgery" ICL: "Building and Maintaining a Successful and Healthy Practice: Salary and Negotiations, Marketing, Optimizing Communication, Moral Injury and Burnout"   Orrin Franko: Franko OI, Pfeiffer J. #SPP0295: Annual Meeting ePoster 116: Local-Only Anesthesia for Distal Radius Fixation and Hardware Removal is Patient Dependent: Early Experience in the United States. 2021. 76th Annual Meeting of the ASSH.  Franko OI. #SPP0296: Annual Meeting ePoster 172: Hand Surgeons Value a Positive Online Reputation but Lack Review Volume. 2021. 76th Annual Meeting of the ASSH.  Franko OI. #SPP0297: Annual Meeting ePoster 413: Automated Email Review Requests are Highly Successful for Increasing Surgeon Online Reputation. 2021. 76th Annual Meeting of the ASSH.  Franko OI, Kestler A, Stern PJ. #SPP0298: Annual Meeting ePoster 280: Level of Evidence: Does it...
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ASSH 2020 Award Report

ASSH 2020 Award Report

Manu Amici had SOLID representation at ASSH 2020 (Virtual) this year with awards for the Top Paper and Best Clinical Poster!  Check out the research here: Top 5 Paper Award to Dr. Orrin Franko: PRO Scores at 3 Weeks Predict Post-Op Satisfaction at 1 Year Bruner Award for Clinical Paper to Dr. Orrin Franko: "Patient Dissatisfaction after Highly "Successful" Hand Procedures" VAM20 Poster: 059: Measurement of Wrist Motion: A Comparison of Visual, Manual, and 3-Dimensional Motion Goniometry,  Andre Ivy, MD, MS Daneil Bowles, MD Peter J. Stern, MD    ...
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ASSH AFSH Buy a Brick Campaign

ASSH AFSH Buy a Brick Campaign

Manu Amici was proud to participate in the ASSH AFSH Buy a Brick Campaign at the new ASSH Central Office in Chicago.  By donating towards this effort, Manu Amici demonstrates our commitment to supporting ASSH staff, members, committees, leaders, and volunteers.  Member Andre Ivy was able to attend a celebratory event honoring all donors and proudly showed off our contribution!  Thank you to all Manu Amici members for your contribution!   ...
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ASSH 2019 – Conference Report

ASSH 2019 – Conference Report

The members of Manu Amici attended the ASSH 2019 in Las Vegas for another successful conference!  Highlights and pics from the conference include the following: Orrin Franko presented at the Residents and Fellows Conference about "Private Practice Pearls," highlighting the benefits of online marketing and patient demographic analysis to "supercharge" practice growth as a young surgeon. The 6th Annual Mentorship Happy Hour was a HUGE success with over 60 residents and fellows attending the event.  Hosted at the Caesar's Palace Hospitality Suite, the event provided a space for trainees to ask questions about jobs, boards, contracts, and anything else related to starting practice as a surgeon.  There was plenty of food and drinks to go around and we had a great time.  We thank TriMed for their continued sponsorship of this event. At the Happy Hour we announced our newest candidate members who were able to attend:  Melissa Arief, Asher Kupperman, and Beverly Ting. Members of Manu Amici enjoyed a private...
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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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Post-Operative Average Recovery Trajectories

Post-Operative Average Recovery Trajectories

Post-Operative Average Recovery Trajectories By: Orrin Franko Background: Patients frequently ask about the recovery period following elective surgical interventions; critical information when planning time off work, personal travel, or other life events. Yet despite extensive literature detailing long term outcomes for common procedures, information regarding the recovery time or return to work time is often lacking. The study utilized a hand surgery registry to graph the recovery rate for common hand surgery procedures. Methodology: A prospective, hand surgery registry was utilized to evaluate the recovery curves for carpal tunnel surgery, trigger finger release, 1st dorsal compartment release, basal joint surgery, metacarpal/phalangeal fractures and wrist fractures. Recovery was monitored over time and recorded as a mean QDASH Score. The term “fully recovered” was set at an average QDASH score of 15 based on the best available literature for population averages. Results: The hand registry database included on-going data collection for 2,046 patients after hand surgery. A total of 990 patients met criteria for this study,...
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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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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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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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