Error loading player: No playable sources found
Integration of Orthopedic Service Line into Ambulatory Care Neurology/Neurosurgery Clinic
Background: We were tasked with organizational request to grow and implement orthopedic services at Fairview Hospital by collaboratively sharing space within a Neurological/Neurosurgery ambulatory clinic site.
Purpose: To increase Fairview Hospital’s Orthopedic services and increase organizational revenue while working collaboratively in the Neurological Institute ambulatory clinic space.
Methodology: We began with allotting 4-6 exam rooms for this organizational initiative which included orthopedic supplies (DME, casting) exam tables, medications, and computers/workstations. The orthopedic services began with oncology and sports medicine in November 2020. Service lines added included hand /plastics, trauma, tendon, and podiatry incrementally through 2021 and 2022. Equipment upgrades included a mini C-arm and Ultrasound for imaging.
Literature Review: A review of the literature showed evidence supporting physician referral for orthopedic services without affecting the show rate of our Neurology patients. Physician referral was found to be the most important factor influencing patient choice of orthopedic services (Antonacci, et al., 2021).
Marketing strategies were found to be not proportionally beneficial during the first six months of an orthopedic practice start-up period (Antonacci, et al., 2021). The risk of no-show was found to be low for multiple sclerosis, movement disorder, and neuromuscular clinics (Elkhider et al., 2022).
Outcome: Our Orthopedic volume increased form 12 patients in April 2021 to 611 patients in March of 2022 demonstrating nearly a 5000% increase in 12 months.
Conclusion: Increased orthopedic services benefited patient access and organization revenue. Neurology Services were not interrupted.
References:
Antonacci, C. L., Omari, A. M., Bassora, R., Levine, H. B., Seidenstein, A., Klein, G. R., Inzerillo, C., Alberta, F. G., & Sodha, S. (2021). Success of Various Marketing Strategies for a New-to-the-Area Orthopedic Practice. Cureus, 13(9), e18122. https://doi.org/10.7759/cureus.18122
Elkhider, H., Sharma, R., Sheng, S., Thostenson, J., Kapoor, N., Veerapaneni, P., Siddamreddy, S., Ibrahim, F., Yadala, S., Onteddu, S., & Nalleballe, K. (2022). Predictors of No-Show in Neurology Clinics. Healthcare (Basel, Switzerland), 10(4), 599. https://doi.org/10.3390/healthcare10040599
Purpose: To increase Fairview Hospital’s Orthopedic services and increase organizational revenue while working collaboratively in the Neurological Institute ambulatory clinic space.
Methodology: We began with allotting 4-6 exam rooms for this organizational initiative which included orthopedic supplies (DME, casting) exam tables, medications, and computers/workstations. The orthopedic services began with oncology and sports medicine in November 2020. Service lines added included hand /plastics, trauma, tendon, and podiatry incrementally through 2021 and 2022. Equipment upgrades included a mini C-arm and Ultrasound for imaging.
Literature Review: A review of the literature showed evidence supporting physician referral for orthopedic services without affecting the show rate of our Neurology patients. Physician referral was found to be the most important factor influencing patient choice of orthopedic services (Antonacci, et al., 2021).
Marketing strategies were found to be not proportionally beneficial during the first six months of an orthopedic practice start-up period (Antonacci, et al., 2021). The risk of no-show was found to be low for multiple sclerosis, movement disorder, and neuromuscular clinics (Elkhider et al., 2022).
Outcome: Our Orthopedic volume increased form 12 patients in April 2021 to 611 patients in March of 2022 demonstrating nearly a 5000% increase in 12 months.
Conclusion: Increased orthopedic services benefited patient access and organization revenue. Neurology Services were not interrupted.
References:
Antonacci, C. L., Omari, A. M., Bassora, R., Levine, H. B., Seidenstein, A., Klein, G. R., Inzerillo, C., Alberta, F. G., & Sodha, S. (2021). Success of Various Marketing Strategies for a New-to-the-Area Orthopedic Practice. Cureus, 13(9), e18122. https://doi.org/10.7759/cureus.18122
Elkhider, H., Sharma, R., Sheng, S., Thostenson, J., Kapoor, N., Veerapaneni, P., Siddamreddy, S., Ibrahim, F., Yadala, S., Onteddu, S., & Nalleballe, K. (2022). Predictors of No-Show in Neurology Clinics. Healthcare (Basel, Switzerland), 10(4), 599. https://doi.org/10.3390/healthcare10040599
Learning Objective
- After completing this learning activity, the participant will be able to assess innovations being used by other professionals in the specialty and evaluate the potential of implementing the improvements into practice.
Speaker
Nancy Richards, DNP, AMB-BC, NEA-BC
General
Related Products
The Institution of a Standardized Telephone Triage Course
Purpose: Within our ambulatory primary care clinics, planning for the ever-changing needs of our patients and communities is a priority of leadership and clinical education. Ambulatory care telephone triage is one of the organization's most rapidly growing and changing specialties…
Appreciative Inquiry: Employee Engagement and Satisfaction in Ambulatory Care Setting
Purpose of project: To promote joy at work for clinical nursing staff and explore the impact of appreciative inquiry (AI) techniques approaches on satisfaction and engagement by applying evidence-based practice…
Oncology Urgent Care
Nurse initiative: In essence, the science of oncology has outpaced the healthcare system and the conventional delivery of care…
White-Bagging vs. Free Med vs. Buy & Bill: An Interprofessional Process Improvement Initiative for Neurological Ambulatory Care Infusions
Background: Due to a lack of financial clearance, patients needed to be rescheduled for neurological infusions causing a delay in treatments. 25% had to either be rescheduled or given a free dose paid for by the hospital…
