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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 becchers podcast. 15 00:00:35,570 --> 00:00:37,649 This is Gracelyn Keller with the Becker's Healthcare 16 00:00:37,649 --> 00:00:39,489 Podcast, and we are live at the twenty 17 00:00:39,489 --> 00:00:42,710 second annual Spine Orthopedic and Pain Management Conference. 18 00:00:43,015 --> 00:00:45,255 I'm currently joined by doctor Joseph Lamplott, who 19 00:00:45,255 --> 00:00:48,155 is an orthopedic surgeon and sports medicine specialist 20 00:00:48,215 --> 00:00:51,754 at Endeavor Health Orthopedic Orthopedic and Spine Institute. 21 00:00:52,054 --> 00:00:54,695 Doctor Lamplott, thanks for being here. To start 22 00:00:54,695 --> 00:00:55,975 us off, can you please share a little 23 00:00:55,975 --> 00:00:57,574 bit more about yourself, your role, and your 24 00:00:57,574 --> 00:00:58,074 organization? 25 00:00:58,490 --> 00:01:00,170 Of course. So I'm an orthopedic surgeon. I 26 00:01:00,170 --> 00:01:02,670 specialize in sports medicine and shoulder surgery. 27 00:01:03,130 --> 00:01:04,969 I work for Endeavor Health. It's a nine 28 00:01:04,969 --> 00:01:07,530 hospital health care system in Illinois. It's actually 29 00:01:07,530 --> 00:01:09,950 the second largest, health care system in Illinois. 30 00:01:10,250 --> 00:01:12,829 And I work within the Northwest Community Hospital 31 00:01:12,890 --> 00:01:13,390 System. 32 00:01:13,734 --> 00:01:16,694 So this is, recently we merged, with Endeavor 33 00:01:16,694 --> 00:01:18,555 Healthcare, and we're building an orthopedic 34 00:01:18,935 --> 00:01:21,674 hospital employed orthopedic group at NCH currently. 35 00:01:22,614 --> 00:01:24,454 Wonderful. Well, thanks so much for being here. 36 00:01:24,774 --> 00:01:27,334 And let's start our conversation with what trends 37 00:01:27,334 --> 00:01:29,599 or shifts you're currently seeing in the industry 38 00:01:29,599 --> 00:01:31,599 right now that you think are most important 39 00:01:31,599 --> 00:01:33,219 for leaders to pay attention to. 40 00:01:33,680 --> 00:01:36,159 So work case in point, consolidation is happening 41 00:01:36,159 --> 00:01:36,659 everywhere. 42 00:01:37,200 --> 00:01:40,020 As I mentioned, we went from basically three 43 00:01:40,079 --> 00:01:43,165 large systems into, one. And I think as 44 00:01:43,165 --> 00:01:45,564 those consolidations continue to happen, we need to 45 00:01:45,564 --> 00:01:46,945 make sure we maintain quality. 46 00:01:47,805 --> 00:01:50,125 I think putting pride aside, each of the 47 00:01:50,125 --> 00:01:52,545 kind of member hospitals does some things well, 48 00:01:52,685 --> 00:01:54,525 and we have data to support each of 49 00:01:54,525 --> 00:01:56,465 those things. So as we've come together 50 00:01:56,890 --> 00:01:58,189 as one large system, 51 00:01:58,490 --> 00:02:00,329 and especially starting a new group at one 52 00:02:00,329 --> 00:02:01,150 of our hospitals, 53 00:02:01,530 --> 00:02:03,450 we're trying to kinda cherry pick the best 54 00:02:03,450 --> 00:02:05,609 aspects of each hospital as we build our 55 00:02:05,609 --> 00:02:07,770 program. And it's been really helpful to have 56 00:02:07,770 --> 00:02:09,449 that road map as we kind of put 57 00:02:09,449 --> 00:02:11,949 together our orthopedic program at Northwest Community. 58 00:02:13,104 --> 00:02:13,604 Wonderful. 59 00:02:14,064 --> 00:02:15,665 And I'd love to touch on staffing and 60 00:02:15,665 --> 00:02:17,985 workforce challenges as well as these continue to 61 00:02:17,985 --> 00:02:20,544 be concerns across health care. So how is 62 00:02:20,544 --> 00:02:23,264 your organization navigating these pressures, and what strategies 63 00:02:23,264 --> 00:02:24,884 have you seen working well? 64 00:02:25,379 --> 00:02:27,780 Of course. So, and this is uniform across 65 00:02:27,780 --> 00:02:30,340 the board. The the cost of providing care 66 00:02:30,340 --> 00:02:33,139 is increasing. The cost of staffing is increasing, 67 00:02:33,139 --> 00:02:35,539 and our reimbursements are staying the same or 68 00:02:35,539 --> 00:02:37,959 or going down relative to inflation. So, 69 00:02:38,634 --> 00:02:41,594 maintaining your staff is critical. I think turnover 70 00:02:41,594 --> 00:02:44,174 of of anybody, whether it's physicians or staff, 71 00:02:44,474 --> 00:02:45,455 is is almost 72 00:02:45,995 --> 00:02:47,514 a a a never event. We wanna try 73 00:02:47,514 --> 00:02:49,614 and minimize that from happening because, 74 00:02:50,074 --> 00:02:51,594 it ends up costing you a whole lot 75 00:02:51,594 --> 00:02:53,310 more than if you're able to keep them. 76 00:02:53,949 --> 00:02:56,989 So staying market competitive or even slightly above, 77 00:02:57,310 --> 00:02:59,550 the market in terms of salaries and benefits 78 00:02:59,550 --> 00:03:00,610 is critically important. 79 00:03:01,310 --> 00:03:03,090 The reality is I think now, 80 00:03:03,469 --> 00:03:05,169 there's a little bit less 81 00:03:05,735 --> 00:03:08,055 pride in staying with the same job or 82 00:03:08,055 --> 00:03:08,534 the same, 83 00:03:08,935 --> 00:03:11,495 organization throughout your career. I think if there's 84 00:03:11,495 --> 00:03:14,215 opportunities to go elsewhere where where the job, 85 00:03:14,215 --> 00:03:16,454 the work life balance, the benefits, the salary, 86 00:03:16,454 --> 00:03:18,849 all those things contribute. So, we have to 87 00:03:18,849 --> 00:03:20,290 find a way to balance all of those 88 00:03:20,290 --> 00:03:22,230 things and keep the people that we have. 89 00:03:23,170 --> 00:03:23,670 Absolutely. 90 00:03:24,129 --> 00:03:26,530 And let's talk about outpatient care as this 91 00:03:26,530 --> 00:03:28,689 continues to grow. How do you see the 92 00:03:28,689 --> 00:03:29,750 role of orthopedics 93 00:03:30,210 --> 00:03:32,310 evolving within the broader health care ecosystem? 94 00:03:33,764 --> 00:03:36,004 So orthopedics, you know, what we're seeing right 95 00:03:36,004 --> 00:03:38,164 now in terms of the care that we 96 00:03:38,164 --> 00:03:38,664 provide, 97 00:03:39,764 --> 00:03:41,525 we're moving most of the procedures that we 98 00:03:41,525 --> 00:03:43,625 do to the ASC. And I think that 99 00:03:43,844 --> 00:03:46,264 as we start bundling care for most procedures, 100 00:03:46,870 --> 00:03:48,389 forward, we're gonna have to deliver care in 101 00:03:48,389 --> 00:03:49,530 a cost effective way. 102 00:03:49,830 --> 00:03:51,909 And not only do our ASCs provide care 103 00:03:51,909 --> 00:03:53,909 in a more cost effective way, but patient 104 00:03:53,909 --> 00:03:56,310 satisfaction is generally higher. So I think the 105 00:03:56,310 --> 00:03:58,550 move to the ASC is, is something that 106 00:03:58,550 --> 00:04:00,729 we're inevitably going to continue seeing. 107 00:04:01,284 --> 00:04:03,364 The second thing in terms of orthopedics, there's 108 00:04:03,364 --> 00:04:04,264 lots of competition, 109 00:04:04,724 --> 00:04:06,164 and I think that people are a little 110 00:04:06,164 --> 00:04:08,485 bit less loyal to the organizations that they 111 00:04:08,485 --> 00:04:10,324 may have been seen for years. So, you 112 00:04:10,324 --> 00:04:12,405 know, case example would be a patient that 113 00:04:12,405 --> 00:04:14,264 has had a primary care in one organization 114 00:04:14,324 --> 00:04:14,824 forever. 115 00:04:15,620 --> 00:04:17,699 Just because they're provided a referral to see 116 00:04:17,699 --> 00:04:19,779 a provider or an orthopedist or any specialist 117 00:04:19,779 --> 00:04:20,680 within that organization, 118 00:04:21,139 --> 00:04:22,819 they have so many options, and they have 119 00:04:22,819 --> 00:04:25,379 so many good options in competitive markets. So, 120 00:04:25,939 --> 00:04:29,000 we have to basically maintain quality, maintain satisfaction, 121 00:04:29,605 --> 00:04:32,085 and get patients in quickly and provide great 122 00:04:32,085 --> 00:04:34,105 care for them. So I think in orthopedics, 123 00:04:34,324 --> 00:04:35,125 we're seeing that, 124 00:04:35,685 --> 00:04:36,964 we're seeing that to a to a high 125 00:04:36,964 --> 00:04:37,785 degree now. 126 00:04:38,485 --> 00:04:38,985 Absolutely. 127 00:04:39,845 --> 00:04:42,024 And then as we wrap our conversation up, 128 00:04:42,540 --> 00:04:46,220 many organizations are exploring new technologies, partnerships, or 129 00:04:46,220 --> 00:04:48,939 care models to improve efficiency and outcomes. So 130 00:04:48,939 --> 00:04:51,180 are there any innovations or initiatives you found 131 00:04:51,180 --> 00:04:52,240 particularly promising? 132 00:04:53,259 --> 00:04:55,064 So one thing we've adapted within the last 133 00:04:55,064 --> 00:04:58,504 two years is, AI driven dictation software, and 134 00:04:58,504 --> 00:05:01,805 that has massively improved efficiency across the board. 135 00:05:01,865 --> 00:05:04,584 And it's really improved, physician quality of life 136 00:05:04,584 --> 00:05:07,529 and APP per, provider quality of life. 137 00:05:08,250 --> 00:05:10,250 Reason being, you know, I can tell you 138 00:05:10,250 --> 00:05:11,149 from my experience, 139 00:05:12,410 --> 00:05:14,410 seeing, you know, 40 to 50 patients in 140 00:05:14,410 --> 00:05:17,050 a day and finishing your notes after clinic, 141 00:05:17,050 --> 00:05:19,629 you'd be spending upwards of two hours, oftentimes 142 00:05:19,769 --> 00:05:20,509 at home, 143 00:05:20,889 --> 00:05:22,509 you know, after the kids go to bed. 144 00:05:22,625 --> 00:05:24,225 And you're up till 09:00, and then you 145 00:05:24,225 --> 00:05:26,165 rinse and repeat the next day. So, 146 00:05:26,625 --> 00:05:28,785 now with this AI driven software, and some 147 00:05:28,785 --> 00:05:30,545 are better than others, and they continue to 148 00:05:30,545 --> 00:05:31,045 improve, 149 00:05:31,745 --> 00:05:33,444 it's basically given me, 150 00:05:33,985 --> 00:05:35,824 you know, two hours per day back to 151 00:05:35,824 --> 00:05:36,324 myself. 152 00:05:37,240 --> 00:05:39,000 And that allows you not only to, you 153 00:05:39,000 --> 00:05:40,759 know, have that work life balance, but also 154 00:05:40,759 --> 00:05:43,319 achieve things in the workplace, whether that's research, 155 00:05:43,319 --> 00:05:45,819 whether that's meetings, whether that's, you know, whatever 156 00:05:45,879 --> 00:05:47,419 that we didn't really have before. 157 00:05:48,535 --> 00:05:49,035 Absolutely. 158 00:05:49,574 --> 00:05:51,014 And is there anything else you'd like to 159 00:05:51,014 --> 00:05:52,555 add that we didn't touch on today? 160 00:05:53,334 --> 00:05:56,074 You know, another thing in terms of, efficiency 161 00:05:56,375 --> 00:05:56,875 is 162 00:05:57,415 --> 00:06:00,214 the use of of, Google. So Google My 163 00:06:00,214 --> 00:06:00,714 Business, 164 00:06:01,095 --> 00:06:03,194 I really think that all physicians should have 165 00:06:04,350 --> 00:06:06,270 a Google My Business profile that they're active 166 00:06:06,270 --> 00:06:09,069 with. I think that generating new patients and 167 00:06:09,069 --> 00:06:11,470 generating strong reviews is critical to building a 168 00:06:11,470 --> 00:06:12,370 practice. So, 169 00:06:12,910 --> 00:06:14,990 you know, one thing that we're using with, 170 00:06:15,150 --> 00:06:17,150 all of our patients is we're trying to 171 00:06:17,150 --> 00:06:18,210 send them an automated, 172 00:06:18,670 --> 00:06:19,170 Google, 173 00:06:19,604 --> 00:06:20,824 basically, Google survey 174 00:06:21,125 --> 00:06:23,444 to generate those those positive reviews and get 175 00:06:23,444 --> 00:06:24,504 patients in the door. 176 00:06:24,884 --> 00:06:26,425 So I think we're we're using, 177 00:06:27,125 --> 00:06:28,884 you know, between the AI software that we 178 00:06:28,884 --> 00:06:31,444 use in in clinic and, improved use of 179 00:06:31,444 --> 00:06:33,764 Google, we're, we're we're finding that's improving our 180 00:06:33,764 --> 00:06:34,504 our outcomes. 181 00:06:35,410 --> 00:06:37,569 Wonderful. Well, doctor Lamplat, thanks so much for 182 00:06:37,569 --> 00:06:38,930 taking the time to join me today on 183 00:06:38,930 --> 00:06:41,250 the Becker's Healthcare podcast and share these insights. 184 00:06:41,250 --> 00:06:42,930 Again, we are recording live at the twenty 185 00:06:42,930 --> 00:06:45,910 second annual Spine Orthopedic and Pain Management Conference. 186 00:06:46,050 --> 00:06:47,430 Perfect. Thank you so much.