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To learn 13 00:00:30,649 --> 00:00:32,929 more, visit carecredit.com 14 00:00:32,929 --> 00:00:34,789 forward slash beckers podcast. 15 00:00:35,729 --> 00:00:37,809 This is Gracelyn Keller with the Becker's Healthcare 16 00:00:37,809 --> 00:00:39,649 Podcast, and we are recording live at the 17 00:00:39,649 --> 00:00:42,609 twenty second annual Spine Orthopedic and Pain Management 18 00:00:42,609 --> 00:00:43,109 Conference. 19 00:00:43,875 --> 00:00:46,114 I'm currently joined by Ramesh Gaeth, who is 20 00:00:46,114 --> 00:00:48,134 the chief medical officer at DXTX 21 00:00:48,515 --> 00:00:50,835 Pain and Spine. So, Ramesh, thanks so much 22 00:00:50,835 --> 00:00:52,754 for being here today. To start us off, 23 00:00:52,754 --> 00:00:54,114 can you please share a little bit more 24 00:00:54,114 --> 00:00:56,295 about yourself, your role, and your organization? 25 00:00:57,190 --> 00:01:00,250 Thank you. Yes. My name is Ramesh Gaith. 26 00:01:00,390 --> 00:01:03,429 I'm the chief medical officer of DXTX Pain 27 00:01:03,429 --> 00:01:07,430 and Spine and medical director of Interventional Pain 28 00:01:07,430 --> 00:01:08,969 Institute in St. Louis, Missouri. 29 00:01:09,965 --> 00:01:12,465 I've been a physician for over two decades, 30 00:01:13,005 --> 00:01:13,484 and, 31 00:01:13,965 --> 00:01:15,265 excited to have joined, 32 00:01:15,805 --> 00:01:18,204 DXTX Pain and Spine after meeting doctor John 33 00:01:18,204 --> 00:01:18,704 Prunskis, 34 00:01:19,405 --> 00:01:20,145 who is, 35 00:01:21,084 --> 00:01:23,344 one of the founding members of the organization 36 00:01:24,130 --> 00:01:27,010 and former presidential appointee to the Department of 37 00:01:27,010 --> 00:01:28,150 Health and Human Services 38 00:01:28,530 --> 00:01:30,069 pain management task force, 39 00:01:30,770 --> 00:01:33,349 which established The US guidelines for the diagnosis 40 00:01:33,409 --> 00:01:35,189 and treatment of painful conditions. 41 00:01:35,969 --> 00:01:36,469 DXTX 42 00:01:36,770 --> 00:01:37,670 Pain and Spine 43 00:01:38,494 --> 00:01:39,394 is an organization 44 00:01:39,854 --> 00:01:40,594 that is 45 00:01:41,055 --> 00:01:43,155 majority physician and family owned 46 00:01:43,614 --> 00:01:46,494 that operates surgery centers and practices dedicated to 47 00:01:46,494 --> 00:01:49,215 the precise diagnosis and treatment of spine and 48 00:01:49,215 --> 00:01:50,034 pain conditions. 49 00:01:50,939 --> 00:01:54,240 We have approximately 60 locations spanning nine states, 50 00:01:54,939 --> 00:01:57,340 and we adhere to a unique model characterized 51 00:01:57,340 --> 00:01:58,640 by high physician ownership, 52 00:01:58,939 --> 00:02:02,219 physician respect, and a steadfast commitment to complying 53 00:02:02,219 --> 00:02:03,120 patient care. 54 00:02:03,974 --> 00:02:06,614 In addition to offering growth capital and strategic 55 00:02:06,614 --> 00:02:11,194 planning, DXTX provides comprehensive services in compliance, HR, 56 00:02:11,414 --> 00:02:14,394 finance, operations, and revenue cycle management. 57 00:02:15,510 --> 00:02:17,189 Wonderful. Well, thank you so much for taking 58 00:02:17,189 --> 00:02:19,270 the time to be here today. And let's 59 00:02:19,270 --> 00:02:21,430 start off with what trends or shifts you're 60 00:02:21,430 --> 00:02:23,290 currently seeing right now in the industry 61 00:02:23,669 --> 00:02:25,669 that you think are most important for industry 62 00:02:25,669 --> 00:02:27,284 leaders to pay attention to. 63 00:02:28,485 --> 00:02:31,865 Throughout the years, we've noticed a significant shift 64 00:02:32,564 --> 00:02:34,585 of physicians and private practices 65 00:02:35,284 --> 00:02:39,605 moving away from hospital systems, operating rooms, and 66 00:02:39,605 --> 00:02:42,344 entering the ambulatory surgical center world. 67 00:02:42,990 --> 00:02:46,110 We noticed that, physician ownership of ASCs has 68 00:02:46,110 --> 00:02:48,770 grown significantly and continues to grow 69 00:02:49,469 --> 00:02:50,530 year after year. 70 00:02:50,990 --> 00:02:52,770 And this is a very important 71 00:02:53,310 --> 00:02:55,250 aspect of surgical care 72 00:02:55,575 --> 00:02:58,155 as now we're seeing more and more operations 73 00:02:58,215 --> 00:02:59,995 occurring on an outpatient basis. 74 00:03:01,335 --> 00:03:03,655 Absolutely. And I'd also love to touch on 75 00:03:03,655 --> 00:03:06,055 staffing and workforce challenges as these continue to 76 00:03:06,055 --> 00:03:08,580 be a concern for health care leaders. So 77 00:03:08,740 --> 00:03:11,219 how is your organization navigating these pressures, and 78 00:03:11,219 --> 00:03:13,080 what strategies have you seen work well? 79 00:03:14,580 --> 00:03:16,280 Workforce challenges are, 80 00:03:17,379 --> 00:03:18,520 across the board, 81 00:03:19,139 --> 00:03:20,520 affecting every organization. 82 00:03:22,064 --> 00:03:23,764 Unfortunately, no one is immune, 83 00:03:24,305 --> 00:03:25,284 to this particular 84 00:03:25,745 --> 00:03:27,125 aspect of our, 85 00:03:27,985 --> 00:03:28,884 changing landscape. 86 00:03:29,985 --> 00:03:30,485 But 87 00:03:30,944 --> 00:03:33,604 we do have a great workforce at DXTX 88 00:03:34,009 --> 00:03:36,169 Pain Spine, and we attract good employees, especially 89 00:03:36,169 --> 00:03:38,430 in a competitive market like health care. 90 00:03:38,810 --> 00:03:41,449 It requires a comprehensive approach that goes beyond 91 00:03:41,449 --> 00:03:42,669 just offering a paycheck. 92 00:03:43,849 --> 00:03:46,669 We define and communicate our mission very clearly. 93 00:03:47,495 --> 00:03:49,914 Great employees wanna work somewhere with purpose. 94 00:03:50,375 --> 00:03:52,875 We make our mission visible in every interaction. 95 00:03:54,455 --> 00:03:55,354 We tell 96 00:03:55,814 --> 00:03:58,455 our employees who we are, what we stand 97 00:03:58,455 --> 00:04:00,794 for, and why our work matters. 98 00:04:01,580 --> 00:04:02,639 We build a strong 99 00:04:03,340 --> 00:04:04,400 employer brand. 100 00:04:05,340 --> 00:04:08,560 Our reputation is everything. We showcase our testimonials. 101 00:04:09,340 --> 00:04:10,800 We have community involvement, 102 00:04:11,580 --> 00:04:12,080 and 103 00:04:12,460 --> 00:04:13,840 we tell our patient 104 00:04:14,175 --> 00:04:14,675 success 105 00:04:15,134 --> 00:04:18,095 stories. And everyone takes pride in that, and 106 00:04:18,095 --> 00:04:20,035 people want to work with an organization 107 00:04:20,495 --> 00:04:21,555 that takes pride 108 00:04:21,855 --> 00:04:23,875 in the care they provide like ours. 109 00:04:25,214 --> 00:04:28,350 Absolutely. And as outpatient care continues to grow, 110 00:04:28,350 --> 00:04:30,129 how do you see the role of orthopedics, 111 00:04:30,509 --> 00:04:33,470 spine, and ASCs evolving within the broader health 112 00:04:33,470 --> 00:04:34,129 care ecosystem? 113 00:04:35,629 --> 00:04:38,290 As mentioned earlier, the the ASC landscape 114 00:04:38,670 --> 00:04:39,810 is going to, 115 00:04:41,285 --> 00:04:42,584 surpass and overcome 116 00:04:43,125 --> 00:04:44,345 hospital outpatient, 117 00:04:45,285 --> 00:04:46,504 departments, but also 118 00:04:47,204 --> 00:04:47,704 intraoperative, 119 00:04:48,884 --> 00:04:50,024 surgical cases 120 00:04:50,404 --> 00:04:51,865 in the hospital itself. 121 00:04:52,324 --> 00:04:55,044 We are moving away from the hospital based 122 00:04:55,044 --> 00:04:55,544 model 123 00:04:55,910 --> 00:04:57,209 to the independent 124 00:04:58,389 --> 00:04:58,889 ambulatory 125 00:04:59,350 --> 00:05:02,250 surgical center model where doctors have more independence. 126 00:05:02,790 --> 00:05:04,009 They have more autonomy, 127 00:05:04,870 --> 00:05:06,089 and they 128 00:05:06,470 --> 00:05:07,449 have a 129 00:05:07,750 --> 00:05:09,370 hand in changing the landscape 130 00:05:10,145 --> 00:05:11,205 and fostering, 131 00:05:12,545 --> 00:05:14,485 better relations with their patients 132 00:05:15,425 --> 00:05:17,824 and sort of removing that middleman that's in 133 00:05:17,824 --> 00:05:19,845 the room, particularly the hospitals. 134 00:05:21,185 --> 00:05:23,504 And then as we wrap our conversation up, 135 00:05:23,585 --> 00:05:24,085 many 136 00:05:24,459 --> 00:05:27,120 many organizations are exploring new technologies, 137 00:05:27,500 --> 00:05:30,379 partnerships, and care models to improve efficiency and 138 00:05:30,379 --> 00:05:33,439 outcomes. So are there any innovations or initiatives 139 00:05:33,579 --> 00:05:36,479 that you found particularly promising in this area? 140 00:05:37,995 --> 00:05:39,375 One of the biggest initiatives, 141 00:05:40,314 --> 00:05:41,694 that we see across, 142 00:05:43,115 --> 00:05:46,495 all fields and particularly our field is artificial 143 00:05:46,555 --> 00:05:47,055 intelligence. 144 00:05:47,675 --> 00:05:48,735 Artificial intelligence, 145 00:05:50,089 --> 00:05:52,650 is playing a massive role in the care 146 00:05:52,650 --> 00:05:53,470 that we provide, 147 00:05:54,009 --> 00:05:55,470 how we provide that care, 148 00:05:56,330 --> 00:05:58,430 how the patients find us to, 149 00:05:59,449 --> 00:06:01,230 to seek the care that they need. 150 00:06:01,930 --> 00:06:02,430 And, 151 00:06:03,194 --> 00:06:03,995 more recently, 152 00:06:04,714 --> 00:06:05,535 doctor spearheaded 153 00:06:06,314 --> 00:06:07,774 a fantastic study 154 00:06:08,235 --> 00:06:10,254 that was published by multiple DXTX 155 00:06:10,634 --> 00:06:13,295 pain and spine physicians across the country, 156 00:06:14,395 --> 00:06:15,935 with him being the leader. 157 00:06:17,029 --> 00:06:19,350 And it spoke specifically to this topic and 158 00:06:19,350 --> 00:06:22,389 how we implement spinal cord stimulation therapies these 159 00:06:22,389 --> 00:06:24,089 days and how AI 160 00:06:24,470 --> 00:06:27,689 is playing an impactful role, in patient care. 161 00:06:28,595 --> 00:06:30,514 Absolutely. Is there anything else you'd like to 162 00:06:30,514 --> 00:06:32,134 share that we didn't touch on today? 163 00:06:32,754 --> 00:06:35,314 Yes. I'd like to share some, new exciting 164 00:06:35,314 --> 00:06:38,055 developments that are happening across our DXTX 165 00:06:39,154 --> 00:06:39,654 network. 166 00:06:40,699 --> 00:06:41,600 We're integrating 167 00:06:42,139 --> 00:06:42,639 AI 168 00:06:43,100 --> 00:06:43,919 and digitizing 169 00:06:44,379 --> 00:06:46,000 our informed consent process. 170 00:06:47,419 --> 00:06:51,019 We're digitizing our educational process for our patient 171 00:06:51,019 --> 00:06:51,919 care models. 172 00:06:52,939 --> 00:06:53,600 We're utilizing 173 00:06:53,979 --> 00:06:56,240 programs such as anchor health care 174 00:06:56,915 --> 00:06:58,295 and Informed Consent 175 00:06:59,154 --> 00:07:01,095 where patients are able to 176 00:07:01,475 --> 00:07:02,774 learn about their procedures, 177 00:07:03,394 --> 00:07:06,055 prior to arriving to the surgery center. 178 00:07:06,514 --> 00:07:09,074 They're able to then view those procedures on 179 00:07:09,074 --> 00:07:12,009 multiple occasions on their own at home, 180 00:07:12,389 --> 00:07:13,129 as the 181 00:07:13,509 --> 00:07:15,689 informed consent process is an ongoing 182 00:07:16,149 --> 00:07:18,089 educational process for our patients. 183 00:07:18,709 --> 00:07:20,149 This allows the patients to, 184 00:07:21,029 --> 00:07:23,050 have all their questions answered. 185 00:07:23,509 --> 00:07:26,089 They allows them to view these videos 186 00:07:26,535 --> 00:07:27,435 with their families 187 00:07:28,134 --> 00:07:31,095 and their friends and then, come prepared with 188 00:07:31,095 --> 00:07:32,395 more questions if, 189 00:07:32,935 --> 00:07:35,095 they have any other questions they wanna ask 190 00:07:35,095 --> 00:07:36,475 when they come for their procedures. 191 00:07:37,415 --> 00:07:37,915 Additionally, 192 00:07:38,775 --> 00:07:41,495 what we've noticed utilizing these platforms in our 193 00:07:41,495 --> 00:07:42,660 practice, particularly, 194 00:07:43,199 --> 00:07:45,060 is that the patients have a higher satisfaction 195 00:07:45,199 --> 00:07:48,000 rate. Our nurses are more educated, and our 196 00:07:48,000 --> 00:07:50,339 staff feels that we're doing a great job, 197 00:07:50,879 --> 00:07:52,259 with our patients as well. 198 00:07:53,360 --> 00:07:55,314 Wonderful. Well, thanks so much for joining me 199 00:07:55,314 --> 00:07:57,714 today on the Becker's Healthcare Podcast to share 200 00:07:57,714 --> 00:07:59,795 your insights. Again, we are recording at the 201 00:07:59,795 --> 00:08:02,595 twenty second annual Spine Orthopedic and Pain Management 202 00:08:02,595 --> 00:08:03,095 Conference. 203 00:08:03,475 --> 00:08:04,214 Thank you.