Becker's ASC Review

83 ORTHOPEDIC SECTION: Outpatient Spine Surgery Where Are Spine Referrals Coming From Today? Six spine surgeons discuss how referral patterns are changing and their strategy going forward Brian R. Gantwerker, MD, FAANS, The Craniospinal Center of Los Angeles: Most of my patient referrals come from close re- lationships that I have established with primary care and pain specialists over the years. ey have been cultivated over years, and are main- tained by close contact with them, both before, postoperation and in future visits. Alden Milam, MD, OrthoCarolina Spine Center in Charlotte, NC: Referrals are com- ing primarily from former patients, followed by self-directed to our practice, based on practice reputation. Frank M. Phillips, MD, Minimally Invasive Spine Institute at Midwest Orthopaedics at Rush: Most referrals currently come from patients. e pattern has changed considerably. Traditionally referrals frequently came from out- side physicians referring to me based on reputa- tion. As systems have closed and physicians have increasingly become employed, referrals outside of those systems are becoming difficult. Jeffrey R. Carlson, MD, Orthopaedic and Spine Center in Newport News, Va.: I have not seen a significant change in our referral pat- tern. We had thought with consolidation of medi- cal practices into major hospital systems that the patterns would change. ere was a slight dip in the referral pattern ini- tially as this happened but primary care physicians are savvy enough to send their patients to the best surgeons. e primary care provider has his/her reputation on the line, so sending their patients to an affiliated provider that may seem to have a financial incentive involved makes them look less than scrupulous. Charles S. Theofilos, MD, The Spine Center in Palm Beach Gardens, Fla.: Today most of our patient referrals come via word of mouth as well as through the Internet. Our referral pattern has definitely changed over the past five to ten years. Many of our patients have done the research on what specific spine or neck procedure they need and look for doctors that specialize in that proce- dure. We made sure that our website covers our specialties and supplement that with a robust digital presence via social media, PPC campaigns, weekly blogs, email blasts, regular online articles in the two major newspapers as well as speaking engagements through local hospitals. James Chappuis, MD, SpineCenterAtlan- ta: Our referral sources and patterns have changed dramatically over the past five to 10 years. Cur- rently, most of our referrals are now coming from word of mouth from past patients and from a very targeted marketing campaign which employs a marketing and sales staff and an Internet presence. In the past, most of the referrals would come direct- ly from another healthcare provider. Although we continue to receive referrals from other physicians and healthcare providers, we are more aggressive in campaigning directly to the public for people who are seeking traditional treatment for spine pain and alternative treatments for spine pain.

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