Marketing Ancillary Services for Your Practice - 6 Useful Ideas

Posted by Clark Love on Jul 11, 2018 6:27:07 AM

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.

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Topics: urodynamics, ancillary services, urodynamics service provider, Medical Practice Operations

8 Ideas for Optimizing Profit in Private Medical Practices

Posted by Clark Love on Jul 10, 2018 8:22:01 PM

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.

 

 

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Topics: urodynamics, ObGyn Practices, urodynamics profitability, Medical Practice Operations

Role of Urodynamics Before Prolapse Surgery

Posted by Clark Love on Jul 5, 2018 1:53:36 PM

The topic of urodynamic studies (UDS) before prolapse surgery is highly debated in urogynecology. There have been previous studies conducted on women who had prolapse and uncomplicated stress urinary incontinence (SUI). Currently, there is no possibility of a universal consensus for UDS before prolapse surgery in women who have concomitant symptomatic SUI. The issue is that there is currently no evidence that the surgery outcome will be altered or not by being given a UDS. Thus, we must test further using randomized studies to advance and see if UDS can be useful before prolapse surgery.

Preoperative UDS Should Be Performed

If a patient with a pelvic organ prolapse (POP) has either stages IIIa, IIc, or lp, she is more likely to have symptomatic vaginal bulging and asymptomatic for stress or urgency incontinence. This case is just one example of where preoperative USD should be performed before the prolapse surgery. It’s been found that POP and lower urinary tract symptoms (LUTS) usually coexist with each other. But, UDS involve objective assessments of any dysfunction in the urinary tract system. Some UDS could prevent and save people from POP. However, not many are willing to perform this option.

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Topics: Urodynamics Testing, urodynamics, pelvic organ prolapse

The Value of Urodynamics in Clinical Practices

Posted by Clark Love on Jun 18, 2018 6:11:57 PM

Urodynamic services provide valuable information when it comes to the urinary health of patients due to their interaction with medications, drugs, and other substances. However, some clinics doubt that urodynamic services make a difference in specific populations of people. To test this theory Suskind AM, Cox L, and Clemens JQ et al. (2017) decided to test the value of urodynamic services within an academic specialty referral practice. The objective of the study was to demonstrate that UDS services could provide useful information for correct medication doses in patients and other drugs.

Patients & Pre-screening

The perspective questionnaire was designed to determine the use of UDS in clinical practices. Each patient who was invited to be in the study was 18 years or older and were either male or female. Five clinics asked their patients if they wanted to participate in the study if they were coming for a UDS service. They were then prompted with a pre-questionnaire asking their race, gender, age, and if they had previously used UDS services. They were also asked if they had any history of pelvic radiation and neurological conditions.

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Topics: urodynamics, urodynamics staffing

Impact of Intraurethral Lidocaine on Urodynamic Voiding Parameters

Posted by Clark Love on Apr 18, 2018 7:41:45 PM

                                                                                     

The storage and elimination of urine are regulated by neural circuits in the brain and spinal cord to coordinate function between the urethra and the urinary bladder. During micturition, the elimination of urine is facilitated by bladder wall contraction as well as urethral wall and pelvic floor muscle relaxation. In the following article, we will discuss discuss this study: Randomized Controlled Trial to Assess the Impact of Intraurethral Lidocaine on Urodynamic Voiding Parameters.

Lower urinary tract symptoms (LUTS) lead to incomplete bladder emptying, decreased quality of life, increased healthcare use, decreased workplace productivity and impact in intimate relationships. Some of the approaches to improve the condition such as

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Topics: urodynamics, intraurethral, lidocaine

Urodynamics: Physiological Background, Set-Up, Calibration & Artifacts

Posted by Clark Love on Apr 2, 2018 7:24:48 PM

 

Introduction:

Urodynamics (UDS) is an interactive diagnostic study of lower urinary tract function. It is composed of several tests that can be used to obtain functional information about urine storage and expulsion. Its main goal is to reproduce the patients’ symptoms and determine their cause.

The present article is a review of the physiological concepts behind UDS, and explains the various normal and abnormal forces and parameters that are measured and used during the tests to assist the physician in making a diagnosis. It outlines the importance and methods of the calibration of UDS equipment to optimize diagnostic accuracy and reliability, which would have a crucial impact over the treatment’s decision, and consequently the patient’s outcome.

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Topics: urodynamics

Ambulatory vs. Traditional Urodynamics in Spinal Cord Injuries

Posted by Clark Love on Jan 9, 2018 11:14:24 AM

Ambulatory Urodynamics vs Traditional UrodynamicsBladder management is a hugely important factor that needs to be taken into consideration when it comes to managing patients with spinal cord injury (SCI). In the following blog post, we will discuss differences between ambulatory urodynamics and conventional urodynamics on patients with SCI.

According to this article1, conventional urodynamic testing has multiple drawbacks mainly due to the unfamiliar circumstances for the individual, immovability of the instrument, expenses, restrictive position during the test as well as manual filling of the bladder (rather than natural filling). Therefore, fully ambulatory urodynamic monitoring systems have been developed, which enable the pressure in the abdomen to be measured in a perfectly non-invasive manner. The question is: how reliable are they and can we use the findings effectively?

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Topics: urodynamics, ambulatory urodynamics

UroCuff vs. Urodynamics – How They Fit Together and Are Complimentary

Posted by Clark Love on Nov 2, 2017 9:51:44 PM

Urodynamics Explained

Urodynamics is a blanket term for a series of tests that assess the functionality of the lower urinary tract. Numerous 

problems of the bladder and urethra which commonly affect both men and women can be diagnosed via urodynamics. Typically, these tests are ordered to diagnose issues such as urinary incontinence or prostrate problems, as well as before and after any type of surgery involving the pelvic organs or the urinary tract. Common symptoms that result in a doctor ordering urodynamics include incontinence, frequent urination, inability to urinate, weak urine stream, painful urination, nocturia, recurrent urinary tract infections, and difficulties emptying the bladder entirely.  The types of urodynamic tests commonly performed include the following:

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Topics: urodynamics, UroCuff

Case Study: How A Large Urology Practice Should Outsource Urodynamics

Posted by Clark Love on Oct 16, 2017 2:34:59 PM

The term outsourcing tends to have a negative connotation, with immediate thoughts of lost jobs to lower-income workers. However, in the medical field there are many reasons to outsource certain tasks and testing, which not only saves costs but allows medical personnel to have a more singular focus throughout their workday. Here, ways in which a large urology practice should outsource urodynamics by utilizing a qualified vendor to provide diagnostic testing will be discussed.

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Topics: urodynamics, Medical Practice Operations

Urodynamics:  Travel Time/Distance And Impacts On No-Show Rates

Posted by Clark Love on Sep 18, 2017 2:21:19 PM

Patients that do not show up for their appointments are a major problem in healthcare. Not only do these no-shows prevent other patients from scheduling appointments, but they put their own health at risk. Frustratingly, they also cost medical practices money, as an absent patient also represents a lost opportunity for revenue – up to $300 per missed appointment. There are many factors that affect no-show rates, including travel time to the doctor’s office. Here, the solution to the all too common problem will be discussed.

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Topics: Urodynamics Testing, urodynamics, Medical Practice Operations

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