1 00:00:00,240 --> 00:00:03,220 Imagine this. You're at the Hyatt Regency Chicago 2 00:00:03,439 --> 00:00:05,859 surrounded by the top minds in the ambulatory 3 00:00:06,160 --> 00:00:07,540 surgery center industry. 4 00:00:07,919 --> 00:00:10,960 Welcome to the Becker's 30th annual meeting, the 5 00:00:10,960 --> 00:00:14,259 business and operations of ASCs from October 30th 6 00:00:14,400 --> 00:00:15,705 to November 2nd 7 00:00:16,324 --> 00:00:19,285 2024. Picture the excitement as you collect business 8 00:00:19,285 --> 00:00:22,184 cards from over a 1000 executive level attendees 9 00:00:22,404 --> 00:00:23,945 forging priceless connections. 10 00:00:24,404 --> 00:00:25,864 Feel the buzz of conversations 11 00:00:26,164 --> 00:00:28,904 as you participate in more than 60 sessions 12 00:00:29,045 --> 00:00:29,969 led by over 13 00:00:30,849 --> 00:00:33,030 225 elite ASC speakers. 14 00:00:33,649 --> 00:00:37,090 Envision yourself gaining actionable insights on topics like 15 00:00:37,090 --> 00:00:38,390 private equity strategies, 16 00:00:38,929 --> 00:00:43,030 ASC business growth, and innovations in spine, orthopedics, 17 00:00:43,635 --> 00:00:45,734 GI, ophthalmology, and cardiology. 18 00:00:46,354 --> 00:00:49,954 Now imagine yourself listening to inspiring keynotes from 19 00:00:49,954 --> 00:00:53,094 Hall of Fame boxing world champion, Lila Ali, 20 00:00:53,155 --> 00:00:56,879 and professional basketball player, Caitlin Clark. Their stories 21 00:00:56,879 --> 00:00:59,199 will motivate you to take your business to 22 00:00:59,199 --> 00:01:01,600 new heights. You'll leave with a wealth of 23 00:01:01,600 --> 00:01:03,920 knowledge and a network of connections to help 24 00:01:03,920 --> 00:01:06,719 lead your ASC into the next year. Don't 25 00:01:06,719 --> 00:01:09,619 miss out. Get registered today. Visit beckershospitalreviewdot 26 00:01:10,834 --> 00:01:12,754 com and click on the events page to 27 00:01:12,754 --> 00:01:15,094 find the conference website. That's the beckershospitalreview.com 28 00:01:17,075 --> 00:01:19,094 events page. See you in Chicago. 29 00:01:20,114 --> 00:01:22,834 Welcome everyone to the Becker's Healthcare podcast series. 30 00:01:22,834 --> 00:01:25,314 I'm Mariah Muhammad, writer and moderator with Becker's 31 00:01:25,314 --> 00:01:27,450 Healthcare. Our folks I have with me today, 32 00:01:27,450 --> 00:01:28,590 doctor Dan Buckholter, 33 00:01:28,969 --> 00:01:32,090 orthopedic surgeon at Summers Orthopedic Surgery and Sports 34 00:01:32,090 --> 00:01:34,890 Medicine Group. Doctor, welcome to the podcast for 35 00:01:34,890 --> 00:01:36,650 the very first time. We're very excited to 36 00:01:36,650 --> 00:01:38,170 have you join us today. To get us 37 00:01:38,170 --> 00:01:40,010 started, would you mind please introducing yourself and 38 00:01:40,010 --> 00:01:42,064 telling us a bit about your background? Sure. 39 00:01:42,064 --> 00:01:44,144 Hi. Thank you, very much for having me. 40 00:01:44,144 --> 00:01:46,064 So, yeah, my name is Daniel Bauchalter. I 41 00:01:46,064 --> 00:01:47,265 am a recent, 42 00:01:47,584 --> 00:01:50,305 joint replacement fellow graduate from the hospital for 43 00:01:50,305 --> 00:01:52,944 special surgery. I did my, my residency training 44 00:01:52,944 --> 00:01:55,104 at NYU, so most of my orthopedic training 45 00:01:55,104 --> 00:01:57,379 was in the city. And I just, moved 46 00:01:57,379 --> 00:01:57,780 up to, 47 00:01:58,340 --> 00:02:00,420 the suburbs. I live in Westchester now, and 48 00:02:00,420 --> 00:02:00,819 I cover, 49 00:02:01,700 --> 00:02:04,280 the orthopedic patients in kind of Connecticut, Westchester, 50 00:02:04,340 --> 00:02:06,420 and some of the neighboring counties. So thanks 51 00:02:06,420 --> 00:02:07,319 for having me. 52 00:02:08,334 --> 00:02:10,094 Yeah. Yeah. Of course. And I love that 53 00:02:10,094 --> 00:02:11,935 we're we were kinda close to each other. 54 00:02:11,935 --> 00:02:14,275 I now live in, Brooklyn. And so, 55 00:02:15,215 --> 00:02:17,074 New Yorkers on the podcast today. 56 00:02:18,094 --> 00:02:20,334 So what are some of the biggest headwinds 57 00:02:20,334 --> 00:02:21,875 you're planning for this year? 58 00:02:22,560 --> 00:02:24,800 So, yes, 1st year in practice, so very 59 00:02:24,800 --> 00:02:27,120 exciting. Right now learning a new EMR, which 60 00:02:27,120 --> 00:02:28,800 believe it or not is more difficult than, 61 00:02:28,960 --> 00:02:31,919 than doing orthopedics. So that is, the biggest 62 00:02:31,919 --> 00:02:34,000 challenge I have at this time. But headwinds 63 00:02:34,000 --> 00:02:35,439 wise, like, what am I interested in? What 64 00:02:35,439 --> 00:02:37,199 what do I see myself doing over the 65 00:02:37,199 --> 00:02:39,004 next year more or less is, 66 00:02:39,564 --> 00:02:41,985 is kind of getting more technology into, 67 00:02:42,764 --> 00:02:45,564 the orthopedic community that I serve. So I'm, 68 00:02:45,805 --> 00:02:46,305 covering 69 00:02:46,685 --> 00:02:48,044 ER call and actually, 70 00:02:48,525 --> 00:02:50,284 I have privileges at a bunch of hospitals 71 00:02:50,284 --> 00:02:51,659 in the area. And a lot of them 72 00:02:51,659 --> 00:02:53,900 have technology, but they kind of jumped on 73 00:02:53,900 --> 00:02:56,060 the bandwagon early and have not really updated 74 00:02:56,060 --> 00:02:56,560 themselves 75 00:02:57,180 --> 00:02:59,259 since. So, I am excited to kind of 76 00:02:59,259 --> 00:03:01,180 bring all the things that I learned and 77 00:03:01,180 --> 00:03:02,719 all the things that I'm working on, 78 00:03:03,500 --> 00:03:05,340 from a technology perspective and also, 79 00:03:05,739 --> 00:03:06,985 to bring a little bit of a a 80 00:03:06,985 --> 00:03:08,825 research kind of arm to the practice that 81 00:03:08,825 --> 00:03:10,764 I'm joining to to help accelerate 82 00:03:11,064 --> 00:03:12,585 our productivity and and the way that we 83 00:03:12,585 --> 00:03:13,564 take care of patients. 84 00:03:14,665 --> 00:03:16,685 Yeah. Yeah. That completely makes sense. 85 00:03:17,385 --> 00:03:17,885 And 86 00:03:18,379 --> 00:03:20,139 in your opinion, I know a lot of 87 00:03:20,139 --> 00:03:21,979 things, you know, a lot of moving parts 88 00:03:21,979 --> 00:03:23,840 right now in your field. 89 00:03:24,139 --> 00:03:26,699 How will the spine and orthopedic field evolve 90 00:03:26,699 --> 00:03:28,219 in the next 2 to 3 years, do 91 00:03:28,219 --> 00:03:30,780 you think? Whether it's involving tech or the 92 00:03:30,780 --> 00:03:32,719 workforce or anything like that. 93 00:03:33,425 --> 00:03:35,104 Yes. That's a that's a great question. Right? 94 00:03:35,104 --> 00:03:36,245 So I joined a practice, 95 00:03:36,784 --> 00:03:37,685 that was recently, 96 00:03:39,185 --> 00:03:41,824 partnered with a, private equity firm called Health 97 00:03:41,824 --> 00:03:44,064 Plus Management. And, it's funny because when I 98 00:03:44,064 --> 00:03:46,224 was starting practice, a lot of my mentors 99 00:03:46,224 --> 00:03:47,492 from, my training were, like, careful with with, 100 00:03:47,509 --> 00:03:47,643 private equity. They might direct the way that 101 00:03:47,643 --> 00:03:48,405 you take care of patients. And so, 102 00:03:49,159 --> 00:03:50,919 private equity. They might direct the way that 103 00:03:50,919 --> 00:03:51,979 you take care of patients. 104 00:03:52,599 --> 00:03:53,800 And so we're kind of giving me a 105 00:03:53,800 --> 00:03:55,240 lot of warnings and actually believe it or 106 00:03:55,240 --> 00:03:57,240 not, it's been an incredible experience. They've been 107 00:03:57,240 --> 00:03:58,860 incredibly supportive. I have, 108 00:03:59,240 --> 00:04:01,639 more autonomy than I've ever had. Not just 109 00:04:01,639 --> 00:04:03,659 because I'm now an attending, but also because 110 00:04:03,935 --> 00:04:05,854 the private practice model that I've joined is 111 00:04:05,854 --> 00:04:08,014 is still very much a private practice model 112 00:04:08,014 --> 00:04:09,074 just with the support, 113 00:04:09,854 --> 00:04:11,455 of a private equity firm that sort of 114 00:04:11,455 --> 00:04:13,854 allows us to continue to expand and continue 115 00:04:13,854 --> 00:04:15,854 to offer kind of the latest and greatest 116 00:04:15,854 --> 00:04:18,014 to our patients without being nervous that we're 117 00:04:18,014 --> 00:04:20,120 gonna break the bank of a smaller private 118 00:04:20,120 --> 00:04:22,759 practice group. So, in that respect, it's been, 119 00:04:22,919 --> 00:04:25,419 it's been great. And I think that orthopedics 120 00:04:25,560 --> 00:04:27,319 and spine surgery are kind of going a 121 00:04:27,319 --> 00:04:29,099 little bit in that direction in that, 122 00:04:29,399 --> 00:04:32,139 the smaller practices obviously are having difficult times 123 00:04:32,574 --> 00:04:36,254 become staying independent because reimbursements are decreasing and 124 00:04:36,254 --> 00:04:38,414 the smaller practices are having difficult time arguing 125 00:04:38,414 --> 00:04:41,454 with insurance companies that they're providing equal care 126 00:04:41,454 --> 00:04:43,714 as the larger, you know, organizations 127 00:04:44,269 --> 00:04:44,709 and, 128 00:04:45,149 --> 00:04:47,069 and so aren't being compensated as well as 129 00:04:47,069 --> 00:04:48,509 a larger organization. So a lot of roll 130 00:04:48,509 --> 00:04:49,629 ups are happening and the roll ups are 131 00:04:49,629 --> 00:04:52,029 continuing to happen. And what's interesting, I think, 132 00:04:52,029 --> 00:04:54,350 is that the roll ups, at least in 133 00:04:54,350 --> 00:04:56,269 this past few months that I've started appear 134 00:04:56,269 --> 00:04:58,264 to be less like you go somewhere and 135 00:04:58,264 --> 00:04:59,464 they tell you what to do. It's more 136 00:04:59,464 --> 00:05:01,545 like you go partner with somebody, whether it's 137 00:05:01,545 --> 00:05:03,705 a a major academic institution or, again, a 138 00:05:03,705 --> 00:05:05,084 private equity firm or otherwise. 139 00:05:05,384 --> 00:05:07,865 And they they leverage kind of your knowledge 140 00:05:07,865 --> 00:05:09,084 and you leverage their, 141 00:05:09,464 --> 00:05:11,810 their power with negotiations and with, with the 142 00:05:11,810 --> 00:05:14,050 big bank account basically that they have and, 143 00:05:14,290 --> 00:05:16,050 and are and are able to, again, like 144 00:05:16,050 --> 00:05:18,949 I said, kinda continue direct the, the direction 145 00:05:19,250 --> 00:05:21,810 of, of orthopedic care in your area. So 146 00:05:21,810 --> 00:05:23,810 it's actually pretty exciting and it's it's less 147 00:05:23,810 --> 00:05:25,329 nerve wrecking than I kind of was set 148 00:05:25,329 --> 00:05:25,785 up, 149 00:05:26,264 --> 00:05:28,425 to be expect to expect sort of. So 150 00:05:28,425 --> 00:05:30,185 I've spoken to some of my mentors since, 151 00:05:30,185 --> 00:05:32,264 and and they're, they're encouraged by what I've 152 00:05:32,264 --> 00:05:34,105 seen so far. So, I think things are 153 00:05:34,105 --> 00:05:35,785 moving in in a good direction, and we'll 154 00:05:35,785 --> 00:05:37,644 just, gotta keep a finger on the pulse. 155 00:05:38,599 --> 00:05:40,519 Yeah. Yeah. Definitely sounds like it. Thank you 156 00:05:40,519 --> 00:05:42,759 so much for sharing that. And, doctor, before 157 00:05:42,759 --> 00:05:44,360 I let you go, the last thing that 158 00:05:44,360 --> 00:05:46,120 we're going to ask you is, where do 159 00:05:46,120 --> 00:05:48,379 you see the best opportunities for growth? 160 00:05:49,639 --> 00:05:52,725 Sure. So that is that's actually exciting. So 161 00:05:52,725 --> 00:05:54,485 I I've, I've got, you know, like I 162 00:05:54,485 --> 00:05:56,245 said, a lot of experience with kind of 163 00:05:56,245 --> 00:06:00,104 the cutting edge tech and, and implant technology 164 00:06:00,245 --> 00:06:02,884 as it relates to robotics, but also, implant 165 00:06:02,884 --> 00:06:04,805 design and and all the sort of technologies 166 00:06:04,805 --> 00:06:05,790 that we're trying to, 167 00:06:06,350 --> 00:06:08,110 put into our implants to make them last 168 00:06:08,110 --> 00:06:09,870 longer and to and to have better outcomes 169 00:06:09,870 --> 00:06:11,870 for our patients. So I think as everybody's 170 00:06:11,870 --> 00:06:13,629 always talking about one of the most exciting 171 00:06:13,629 --> 00:06:16,350 things right now in orthopedics and otherwise and 172 00:06:16,350 --> 00:06:18,189 and all sorts of tech is the use 173 00:06:18,189 --> 00:06:20,535 of of of computer intelligence more or less 174 00:06:20,694 --> 00:06:21,995 to help us understand 175 00:06:22,295 --> 00:06:23,814 the best way to take care of each 176 00:06:23,814 --> 00:06:26,615 individual patient. So, historically, right, you can do 177 00:06:26,615 --> 00:06:28,295 a knee replacement and you try to accomplish 178 00:06:28,295 --> 00:06:30,295 the same exact thing for every single patient. 179 00:06:30,295 --> 00:06:32,615 We're definitely becoming much more specific in the 180 00:06:32,615 --> 00:06:34,455 way that we treat different sorts of pathologies 181 00:06:34,455 --> 00:06:36,879 and different sorts of balancing and different sorts 182 00:06:37,100 --> 00:06:39,180 of, deformities and leg length discrepancies and all 183 00:06:39,180 --> 00:06:41,819 these sort of things. And leveraging all the 184 00:06:41,819 --> 00:06:43,419 big data that we've been collecting for all 185 00:06:43,419 --> 00:06:45,979 these years, but not necessarily knowing how to, 186 00:06:46,300 --> 00:06:48,459 to analyze it. The I think computer intelligence, 187 00:06:48,459 --> 00:06:51,514 artificial intelligence specifically will really help us kinda 188 00:06:51,514 --> 00:06:53,514 delve into that data that we have and 189 00:06:53,514 --> 00:06:55,675 give individualized care to each and each and 190 00:06:55,675 --> 00:06:56,714 every patient. I know a lot of the 191 00:06:56,714 --> 00:06:58,794 big companies are currently working on this and 192 00:06:58,794 --> 00:07:00,314 looking at that sort of data and looking 193 00:07:00,314 --> 00:07:02,634 at the way that they can incorporate artificial 194 00:07:02,634 --> 00:07:03,134 intelligence, 195 00:07:03,639 --> 00:07:05,479 into the treatment of patients. But I am 196 00:07:05,479 --> 00:07:07,079 very excited, and I think I think the 197 00:07:07,079 --> 00:07:09,959 biggest opportunities for growth, in orthopedics are are 198 00:07:09,959 --> 00:07:12,439 the leveraging of of that sort of very 199 00:07:12,439 --> 00:07:13,899 powerful computing technology. 200 00:07:15,079 --> 00:07:16,919 Yeah. Yeah. That completely makes a lot of 201 00:07:16,919 --> 00:07:18,279 sense. Thank you so much for sharing, 202 00:07:19,105 --> 00:07:20,785 those things, and thank you for those final 203 00:07:20,785 --> 00:07:23,425 thoughts. It's definitely been very informative discussion. So, 204 00:07:23,425 --> 00:07:24,545 again, I wanna thank you so much for 205 00:07:24,545 --> 00:07:25,845 coming on Becker's HealthCare, 206 00:07:26,225 --> 00:07:27,665 and I hope you have a great time. 207 00:07:27,665 --> 00:07:29,665 I look forward to connect connecting with you 208 00:07:29,665 --> 00:07:31,665 again soon. Yeah. Thank you so much for 209 00:07:31,665 --> 00:07:33,345 having me. I really appreciate the opportunity to 210 00:07:33,345 --> 00:07:33,845 speak.