I recently went to the AAPPM Conference and wanted to give an overview of what I learned that might help the practice, what we are doing well and some suggestions to consider to get even better.

Here are all my notes HERE

What we are doing well

• The best way to do routine is to NOT do it and if that is not possible then block and double book on the same day
• Switch to Mod Med from Athena. Many there use Mod Med and will save quite a bit unless Athena will do a carve out for cash payments.
• We are doing in office surgery and that was a trend to save time. Consider doing simple amputations and arthroplasty additionally in the office.

New Products

• CBD cream by Tolcylen - switch from Biofreeze to this one works better
• Lympedema compression because can get 3 pairs per extremity every 6 months. Lots of compression.

Areas of improvement

• Have a recall campaign on patients after 3 months or 12 months and call them up to see how they are doing, use a virtual assistant in downtime when not answering phones

• Do a ICD analysis based on what we do and what is most profitable (I think we already know) but then only market to what is profitable. (Community Advocate, Catholic Flyer etc only talk about what is profitable)

• Calculation that might be helpful to add on to what Becky is doing each month and make a Dashboard.

  • Patient Lifetime Value (PLV) - Total expected revenue of patient

    Average Value Per Visit X Estimated Number of Visits = PLV

  Patient Acquisition Cost (PAC) - How much to get a patient

  Total Marketing Cost/Total Number of New Patients = PAC

  Break Even Point (BEP) - Total cost and total revenue are equal

  Fixed Cost / (Revenue Gained-Variable Cost) = BEP

• Document based on time (can include staff time) for procedure if you spend more than the pre-included time you can do a time based office visit. Neil especially might be good because of so much time.

• Consider a part time pedorthist - they can dispense AFOs and orthotics and modify. See patients one day a week and pay about $50 per hour but take care of headaches for orthotics. We still get paid they just help with fixes and scanning.

• Have me participate in staff monthly meeting to help with training. Train on what we do and why vs just change things. Explain to all staff about DME, products, etc.