East Bay Hand Medical Center San Leandro CA UCSD Undergraduate 20012005 Harvard Medical School 20052009 UCSD Ortho Residency 20092015 Stern Hand Fellowship 20152016 Private Practice 2016current ID: 813040
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Slide1
Orrin FrankoOrthopedic Hand SurgeonEast Bay Hand Medical CenterSan Leandro, CA
UCSD Undergraduate 2001-2005Harvard Medical School 2005-2009UCSD Ortho Residency 2009-2015 Stern Hand Fellowship 2015-2016Private Practice 2016-current
Revolutionize Your Life With Automation: Enhancing Outcomes,
Patient Education, and Revenue
Slide2I (and/or my co-authors) have something to disclose.
Detailed disclosure information is available via: “My Academy” app; or AAOS Orthopaedic Disclosure Program on the AAOS website at
http://www.aaos.org/disclosure
My Academy
Slide3Conflicts of Interest
Founder/OwnerSurgiSurvey LLC – Automated Patient Reported OutcomesTopOrthoApps – Reviewing orthopedic mobile apps for smartphones
Slide4How it all began…
Slide5And the evolution…
Slide6Take-Home Points
Automated email software can reliably collect clinical data Minimal financial cost and enrollment timeNo surgeon/staff intervention or monitoringPatients prefer electronic assessments over traditional paper
Slide73rd Party Software…
Pros/Cons:
Ease of setup
ComplexityCustomizabilityCost*Extras
Slide8Speaking of costs…Automated surgical outcomes
$3,000-5,000 / surgeon initiation cost$1,000 / surgeon annual costSocial Media Management$1500-$3000 annual costStaff timeCompile patient informationInput into systemPrepare phone numbers / reminders $
Slide9This System…Very low costModerate flexibility
Unlimited potential within the restrictions of the systemTime-intensive set-upReal-time (live) data access
Slide10OutlineAutomated Intake QuestionnairesCollecting Physician Ratings and ReviewsWebsite Features to Save your Staff Time
CRM and Patient Outcomes
Slide11Office Automation and Outcomes
Collect / Score Symptoms for New Visit NoteFollow-up with Patient Education Materials on WebsitePost-Op Instructions for Pain, Exercises, and Cast CarePatient Phone Numbers Delivered for Post-op CallsRequest Online Reviews to Google and HealthGrades
Slide12“Please Complete this iPad…”
Slide13iPad Registration FormNameProvider
EmailArea of painDiscomfortQDASH or LEFI
Slide14Slide152 days later 8 weeks later
Slide16Encourage Online Reviews
Slide17Slide18Passive v. Active
v. Automated Reviews0.25/m1.33/m9.0/m1.16/m5.5/m
Slide19It makes a DIFFERENCE…
Slide20Putting it all together…
Slide21Does it work for other surgeons?
Score: 2.1Score: 4.2Score: 5.0
Score: 4.9
Young surgeon, low rating (2.1)
Mid-career surgeon, high rating (5.0)
Slide22iPad Pre-Op FormCompleted by MAAll pre-op patients enrolledTakes 5 min
Slide23Case Log
Slide24Pre-op / Surgery Emails
Slide25Post-op Emails
Slide26Slide27Email Reminders – 3pm on DOS
Slide28Automated Patient Outcomes
Slide29Improve Patient Education
Pre-Op expectations for recoveryPost-Op reassurance for persistent symptomsAccurate surgeon understanding of recovery timeObjective differences between patient demographicsPrivate Ins vs. Work CompExpected post-operative pain control
Slide30Slide31Slide32Slide33Publish Real-Time Outcomes
Slide34Slide35Slide36The Final ResultImproved clinical documentation/billing
Patient email management/enrollmentImproved patient education/communicationSurgical case log creationPatient reported outcome collectionsSolicit ratings and reviews100% customizabilityTotal Cost:Zero surgeon time5 min patient or assistant enrollment~$100/m depending on complexityMany hours of trial and error…
Slide37Cost-Benefit Analysis
The value of a Yelp Review = ~$500 Is it right for your practice?
Slide38Slide39Slide40Slide41Value of Referral Sources
$/VisitSurgeon$254Friend/Fam/Former$217ER/UC$211PCP$198
Internet
$195Insurance
$165
Work Comp
$129
$/Patient
Surgeon
$1,066
Work Comp
$1,003
Friend/Fam/Former
$795
ER/UC
$737
PCP
$643
Insurance
$606
Internet
$442
Visit/Patient
Work Comp
7.7
Surgeon
4.2
Insurance
3.7
Friend/Fam/Former
3.7
ER/UC
3.5
PCP
3.2
Internet
2.3
“Busy Surgeon”
“Practice Manager”
“Young Surgeon”
Slide42Summary
Automation is the secret to continued successAutomate online reviews to improve your search resultsAutomate patient education to improve your engagementAutomate patient reported outcomes to improve your marketingCombined – automation costs very little and GREATLY increases revenueAutomation technologies have the potential to ACCELERATE your practice growth trajectory
Slide43Questions? Send me an email…
Orrin.Franko@gmail.comCell: 858-337-7149