BHN Healthcare Blog

There’s no real love for waiting rooms. Call it the perpetual suspense, the white-coat syndrome lingers behind all modern chic designs. It’s time for practices to generate a greater practicality and explore deeper into human psychology behind waiting room worry.

One of the most vexing clinical situations happens to be one of the best uses of urodynamics (UDS): ongoing symptoms after female incontinence surgery. These cases are challenging and patients are often not happy to have ongoing symptoms, new symptoms or worsening symptoms; however, appropriately utilized and interpreted, UDS can be key to helping these patients.

Surgical management of stress urinary incontinence (SUI) is a commonplace procedure, usually indicated on the basis of the clinical history and exam findings alone. In fact, Level I evidence from the VALUE trial suggests that urodynamics (UDS) makes no difference in the outcome of SUI surgery in straightforward cases.¹ Nonetheless, in many situations UDS is a critical part of evaluating SUI patients for surgery; moreover, in some instances UDS will spare women surgery that may not be beneficial.²

One clear-cut area where UDS is very helpful is for the patient who has previously undergone surgery for SUI and/or pelvic organ prolapse (POP). These patients may present complex anatomy, obstruction from prior surgery, changes in bladder compliance, and a very high valsalva leak point pressure. UDS may help guide the decision as to what intervention(s) may be necessary in these patients.

Strategic Partnering.

Is your OBGYN practice a failing business? BHN (Brighter Health Network) would like to know. So should you.You’re busy. Your parking lot has a brisk turnover and your lunches are hurried. CME costs much more than tuition when you add up the money lost while out of your office. You have good months most of the time, but you also have your “marginal” months. All the more confusing is that today’s shortfall is based on what you did six weeks ago, while the piper who demands payment demands it today.

Prior to performing a TURP, there are several key tests that most urologists employ.

Aside from a history, exam, IPSS score, PSA and urinalysis, most will assess residual urine volume, perform a cystoscopy and measure the prostate – either with a formal TRUS, or based on a CT, MRI or abdominal ultrasound. Urodynamic testing (UDS) is used to varying degrees before a TURP by urologists. On one end of the spectrum there are purists who will only offer a TURP to someone with UDS-proven obstruction;

I am the CEO of a service provider that provides diagnostic testing services to over 300 medical practices across the country. Our clientele ranges from the sole practitioner to extensive multi-specialty practices, to everything in-between. I am also the former Chief Marketing Officer for a top digital marketing agency in Chicago.

My staff and I are continually researching customers and prospects; therefore we are regularly reviewing medical practice websites. Through our work and research, we have made a few notes on where medical practices make mistakes with their sites. Below are a few of the most significant mistakes we typically see.

My company provides mobile urodynamics, anorectal manometry (ARM), and other diagnostic testing services, serving hundreds of practices and hospitals across the U.S.

We are considered a core service by many of our customers, but we are considered ancillary services by others.  We are regularly exposed to the ancillary medical services marketing efforts that practices pursue to attract patients to their ancillary services.  

Many marketing efforts are quite successful, while others yield almost no results. Below are a few of the ones we see working consistently.

My company provides advanced diagnostic testing services (primarily urodynamics testing, anorectal manometry testing, and other incontinence related services) to practices all over the country.

Through our work, we are exposed to practices at all profit levels from those that are hugely profitable to those that can barely pay the bills.  Based on our work, we have compiled a few ideas below that should help any practice be more profitable.  We hope that one or two will hit the mark for you.

Urodynamic services can be added to your medical practice to help increase your net income. The reason for this is that additional urodynamic services can increase your revenue by increasing the cost of the service and lowering reimbursements.

Before you decide to add extra services to draw in potential patients, you’ll want to ask yourself five distinct questions. These questions can help determine if adding additional urodynamic services can benefit your business.