Becker's Spine Review

12 Sign up for Becker's Orthopedic, Spine Business & Pain Management E-Weeklies at www.BeckersOrthopedicandSpine.com or call (800) 417-2035 accurate it is. That's one of the dangers of the internet, and it's relatively new territory." While a vast majority of these websites are underutilized, they are gaining traction as patients are continuously encouraged to take more responsibility for their care. Unfortunately, the most avid contributors to these pages are often those with negative experiences. "It's a double-edged sword," says Dr. Anand. "You can have one disgruntled patient for any reason who could post a very negative review that is an inaccurate misrepresentation of the physician and his clinical skills. On the flip side, you can also have patients posting extremely positive results. At the end of the day, I advise people to look at these comments very carefully, conduct extensive research about the surgeon they are considering, and assess their decision based on more than just one review whether it is positive or negative." If someone publishes false damaging information, physicians may be able to take action based on libel or slander. However, wrongdoing may be difficult to prove and removing the information could be a time-consuming process. Instead, physicians should work on getting ahead of a negative reputation by creating a positive one. "The internet is going to make decisions for us," says Dr. Corenman. "If physicians don't take part in the discussions regarding the internet, you are going to have the decisions make for you by the general public." Beyond using the internet, Dr. Anand suggests connecting patients via phone. With permission, connect a previous patient with a future surgical candidate so they can discuss the process and what to expect in the future. "I think that's the most effective way for patients to be comfortable about who the surgeon is and what the surgeon is capable of clinically and surgically," he says. n Dr. Thomas Errico: 5 Goals of International Advocates for Spine Patients By Heather Linder R ecently the International Society for the Advancement of Spine Surgery formed an advocacy arm, the International Advocates for Spine Patients. being a spine patient, Dr. Errico says. The organization has already begun fielding questions from patients about insurance denials. Thomas Errico, MD, was appointed chairman of the board of IASP. Dr. Errico practices at the New York University Lagone Medical Center and the Hospital for Joint Disease in New York City. 4. Solve spine care coverage issues. The advocacy organization will work with other societies to address discrepancies in coverage and other issues plaguing patients. The group's first step is building its membership among spine patients, whom the organization hopes to reach out and connect with. IASP will likely seek patients through individual physician members, Dr. Errico says. "Even if it is just patients receiving our emails and newsletters, we want them to be aware there is an organization out there that cares about them," he says. Here Dr. Errico expounds on why IASP was created and what the group will focus on as it becomes established among physicians and patients. 1. Bring the patient back into the care conversation. In the midst of an evolving spine surgery market, Dr. Errico and other members of ISASS felt as if no one was representing the interests of spine patients. "In a cost-saving era, nobody was speaking for spine patients," he says. IASP was formed to meet that need. "As an organization and an advocacy group, we needed to be different," he says. 2. Advocate for spine patients, surgeons and industry members. The society was created primarily to advocate on behalf of spine patients and secondarily to represent spine surgeons and other industry members, such as device makers, hospitals and insurance companies. "We'd like to get [hospitals and insurance companies] interested in trying to help spine patients instead of helping their bottom line," Dr. Errico says. "If we are honest with ourselves, the most important thing is the patient." 3. Provide patient education and support opportunities. IASP will eventually be a place for patients to share stories about surgery, discuss insurance or coverage difficulties and share common anxieties surrounding "Getting together with other specialty societies, we can call attention to these issues as insurance companies come up with arbiDr. Thomas Errico trary rules," he says. "Once we get going we should have more resources to come up with guidelines, not designed by insurance companies to benefit their bottom line, but based in the best evidence available as to what should and shouldn't be paid for." By partnering with other organizations, IASP will have the clout it needs to be a voice for patients and a motivating force for industry-wide improvements. "If anything, I'd like to see this organization, since we speak for spine patients, get professional societies and industry on their feet, acting together to have the voice be heard," he says. 5. Promote cost-effectiveness without compromising quality. IASP will also work with ISASS to promote increased cost effectiveness for spine procedures and devices. Dr. Errico and the organization will pursue other projects as IASP grows, but the focus will not stray from patients' wellbeing. "I just want to make sure people understand that we have one focus, and that's things which benefit spine patients," he says. "We want to be unbiased, not a chauffer for the industry to get guidelines they want or for doctors to get more patients. We are doing what doctors should be doing, which is advocating for their patients." n

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