Thursday, December 19, 2024

The season of gratitude extends beyond Thanksgiving

By Rachel V. Rose, JD, MBA
Fact checked by Keith A. Reynoldsly



According to Webster’s Dictionary, “gratitude” means “the state of being grateful [or] thankfulness.” In light of the Holiday Season and my clients’ experiences with different health systems and hospitals, as both providers and family members of patients, I embarked on a research path to see if there was a correlation between gratitude and both quality of care (perceived or real) and patient satisfaction scores. It turns out that there is a strong connection between gratitude and positive outcomes on reputation and revenues.

According to a 2019 article, What Role Does Patient Gratitude Play in the Relationship Between Relationship Quality and Patient Loyalty?, raises a variety of considerations. Some items to ponder include:
  • The health care environment is competitive. If patients (or family members) have an adverse experience, they can choose to go else where and often tell their neighbors about their experience.
  • Patient gratitude, patient loyalty, and quality are intertwined.
  • There are three relationship quality tactics that those participating in the health care sector should not ignore. For example, “a stronger physician-patient relationship can not only generate a significant impact on the patient’s loyalty to the hospital but it can also make patients more likely to introduce the physician to others.”

The proposed research model was framed with the three quality tactics in mind.

Given the notion of the impact of patient satisfaction scores on reimbursement in some value-based models, gratitude is an item that, if it is genuine, can organically lead to greater reimbursement. Gratitude, like any perceived “currency” also has the place of misuse, as the article Gratitude in Health Care: A Meta-narrative Review suggests.

“Critiquing moral economics, she [Claudia Card] maintains that unpayable debts in this paradigm, where reciprocity is not practical or desirable—as is often the case in health care—make the sense of obligation problematically unresolvable. This position is supported by the research we reviewed that engaged with the meta-narrative of social capital: while economics metaphors are prevalent in the discourse of gratitude, the way it plays out in practice in health care is much more psychologically and philosophically subtle than the metaphor of ‘capital’ suggests.”

Overall, genuine gratitude only has positive benefits – to patients and providers alike. “That gratitude may have a positive impact on quality of life and reduce psychological distress” is something everyone can and should be thankful for.

__________________________________

Rachel V. Rose, JD, MBA, advises clients on compliance, transactions, government administrative actions, and litigation involving healthcare, cybersecurity, corporate and securities law, as well as False Claims Act and Dodd-Frank whistleblower cases. She also teaches bioethics at Baylor College of Medicine in Houston.

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Tuesday, December 17, 2024

Medicare-supported GME residency positions look to grow the physician workforce and expand health care access

The Centers for Medicare & Medicaid Services (CMS) published its official list of teaching hospitals that were rewarded new Medicare-supported graduate medical education (GME) positions, which were created under Section 126 of the Consolidated Appropriations Act, 2021 (CAA, 2021). The new residency positions—of which there are 200—are intended to contribute to the growth of the physician workforce, allowing for easier access to care for patients across the United States. Approximately 70% of the newly awarded positions will be in primary care and psychiatry residency programs, according to the CMS.

“These new residency positions will have a tangible, positive impact on a diverse mix of communities across the nation, including traditionally underserved areas,” David J. Skorton, MD, president and CEO of the American Association of Medical Colleges (AAMC) said in an organizational release. “Medical school enrollment has continued to grow, but a commensurate increase in residency positions is necessary to help ensure that there are enough opportunities for medical school graduates to complete their training and practice independently.”

According to projections published by the AAMC in March 2024, the U.S. will face a physician shortage of up to 86,000 physicians by 2036. Specific to primary care, the AAMC projects a shortage of 20,200 to 40,400 physicians by 2036. The projection has most of the specialties included under primary care in shortage by 2036, with the exception of general pediatrics, which is expected to be near equilibrium. At the time of the report’s release, Skorton cautioned that, “Without funding beyond current levels, the [GME] growth trajectories hypothesized in this year’s report will not materialize.”

According to the new AAMC release, Congress voted to expand Medicare support for GME—the only increases since the Balanced Budget Act of 1997—in 2021 and 2023 year-end spending packages—(CAA, 2021 and the Consolidated Appropriations Act, 2023 (CAA, 2023).

CMS first announced the distribution of new Medicare-supported residency position awards in 2022 and has distributed new positions each year since. In what is officially the third distribution of positions provided by the CAA, 2021, 109 teaching hospitals across 33 states received slots, which go into effect on July 1, 2025. To date, CMS has distributed half of the 1,200 positions made available under the two laws.

Teaching health systems and hospitals that choose to train medical residents incur real and significant mission-related costs, beyond those typically associated with providing care,” explained Jonathan Jaffery, MD, chief health care officer of AAMC. “These residency positions are crucial to helping America’s academic health systems and other teaching hospitals invest in more physician training, increase access to care and better serve patients nationwide.”

In their statement, the AAMC applauded CMS’s efforts to address the high-priority workforce shortage, while also urging Congress to build on the progress made through the CAA, 2021 and 2023 by passing the Resident Physician Shortage Reduction Act of 2023 (S. 1302/H.R. 2389). The legislation would gradually increase the number of Medicare-supported GME positions, which would thereby enable progress toward a sustainable physician workforce—one to meet the nation’s patient care needs.

“The AAMC, our members, our partners in the GME Advocacy Coalition and Congressional champions have worked tirelessly on increasing the number of Medicare-supported GME positions to help address the physician shortage and improve health for patients nationwide,” Danielle Turnipseed, JD, MHSA, MPP, chief public policy officer of AAMC, said in the organization’s release. “Both the CAA 2021 and 2023 were important initial steps toward helping to alleviate the national physician shortage and chip away at the cap on slots that has been in effect for almost 25 years. Additional Medicare-supported GME slots are needed to ensure we have qualified physicians to meet the growing and ever-changing health care needs of patients everywhere.”


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Thursday, December 12, 2024

Are you working on a 2025 medical practice strategy?

As you sit down with your physician partners, practice manager, and perhaps consultant over the coming weeks contemplating direction for 2025, I thought it may be beneficial to offer a few pointers to help you along the way.For starters, you should pause to reflect upon new competitors in your catchment area, as well as current competitors and new initiatives they are taking on.For physician practices, a competitive analysis is a means to assess who your competitors are, what value they provide, understanding their (and your) strengths and weaknesses, and where your practice fits in. A good competitive analysis is a scouting report of the actual market terrain that your practice must navigate in order to be successful. While analyzing the competition is an essential component of your strategy, most medical practices don't conduct this type of analysis systematically enough. However, a thorough competitive analysis is indispensable.

Gather a list of your practice's competitors. Most of the time, such a list is comprised of who your practice considers to be its chief competitors. However, there may be other healthcare organizations that indirectly compete with yours, perhaps ones outside of your catchment area that offer services such as telemedicine or niche treatment modalities that are aiming for the same patients. You will also want to include information on healthcare entities that may be entering your market in the coming year. Once you have compiled the list, you can highlight those practices that will be the greatest challenge.

Analyze the competition's services in terms of features, value, and target patients. How do they market them? How do patients see your competition? How do referring physicians view your competition? Take an honest look at their offerings. Is your quality commensurate? Do you have similar offerings? What is the unique value you provide that competitors don't or can't? Emphasize these benefits in your marketing.

Compile a list of competitor strengths and weaknesses and remember to be objective. You'll do your practice no good if you allow bias toward your own physicians, staff, and services to cloud your judgment. Try to see the competition's practice as though you were them. What makes their practice so great? If they are growing rapidly, what is it about their practice that's promoting that growth?

Observe how your competitors market themselves through advertising, collateral material, and perhaps the use of physician liaisons. You will have to go to many different sources to get a complete picture. It takes practice and a little shrewdness on your part to piece together a complete picture of strategies and objectives, so the use of a qualified consultant may be to your benefit. Focus on the facts, be persistent, and trust your intuition to help you.

Determine the current market demographics for your practice. If the market is flat, then the competition for patients is likely to be fierce. Your practice will find itself scrambling to win market share. The outlook portion of your analysis may seem like forecasting, but it's really a measure of trends. By the time you've done most of your research, you'll have enough information to determine what the outlook really is.

By evaluating yourself against your competition, you'll likely find new ideas for your practice. While compiling a competitive analysis is an interesting piece of work, it can indeed be challenging. Consequently, you may want to seek the help of a healthcare consultant to guide you through this process. You'll learn a lot about your market and in the process become a more valuable resource for your patients and referring physicians.


Next steps


From there, you will want to get into an abbreviated strategic planning process. That is, development of a plan (with timelines and objectives!) for what you plan to accomplish for 2022. Strategic planning is an essential business activity. However, several common mistakes must be understood so that physician owners can guard against them. Pointing out these mistakes is not a criticism of the process but acknowledgement of improper implementation. Medical practice leaders must recognize both the benefits and the potential pitfalls of strategic planning, because it is their responsibility to ensure that strategic planning is conducted properly to achieve the desired goals. Here are four of the most-common planning mistakes we find:


1. Attempting to forecast and dictate events too far into the future.


In part, this may result from the natural desire to believe we can control the future. It is a natural tendency to plan on the assumption that the future will merely be a linear continuation of present conditions, and we often underestimate the scope of changes in direction that may occur. Because we cannot anticipate the unexpected, we tend to believe it will not occur. In fact, most strategic plans are overcome by events much sooner than anticipated by practice leaders.


2. Trying to plan in too much detail.


This is not a criticism of detailed strategic planning but of planning in more detail than the conditions warrant. This pitfall often stems from the natural desire to leave as little as possible to chance. In general, the less certain the situation, the less detail in which we can plan. However, the natural response to the anxiety of uncertainty is to plan in greater detail, to try to cover every possibility. This effort to plan in greater detail under conditions of uncertainty can generate even more detail. The result can be an extremely detailed strategic plan that does not survive the friction of the situation and that constricts effective action.


3. Tendency to use planning as a scripting process that tries to prescribe actions with precision.


When practice leaders fail to recognize the limits of foresight and control, the strategic plan can become a coercive and overly regulatory mechanism that restricts initiative and flexibility. The focus for staff members becomes meeting the requirements of the strategic plan rather than deciding and acting effectively.


4. Tendency for rigid planning methods to lead to inflexible thinking.


While strategic planning provides a disciplined framework for approaching problems, the danger is in taking that discipline to the extreme. It is natural to develop planning routines to streamline the strategic planning effort. In situations where planning activities must be performed repeatedly with little variation, it helps to have a well-rehearsed procedure already in place. However, there are two dangers. The first is in trying to reduce those aspects of strategic planning that require intuition and creativity to simple processes and procedures. Not only can these skills not be captured in procedures, but attempts to do so will necessarily restrict intuition and creativity. The second danger is that even where procedures are appropriate, they naturally tend to become rigid over time. This directly undermines the objective of strategic planning — enabling the organization to become more adaptable. This tendency toward rigidity is one of the gravest negative characteristics of strategic planning and of strategic plans.

Strategic planning is one of the principal tools used to exercise operational control because it will help you to decide and act more effectively. Remember though, that strategic planning involves elements of both art and science, combining analysis and calculation with intuition, inspiration, and creativity. To plan well is to demonstrate imagination and not merely to apply mechanical procedures. Done well, strategic planning is an extremely valuable activity that greatly improves practice performance and is an effective use of time. Done poorly, it can be worse than irrelevant and a waste of valuable time. The fundamental challenge of strategic planning is to reconcile the tension between the desire for preparation and the need for flexibility in recognition of the uncertainty of the healthcare industry.


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Tuesday, December 10, 2024

Are telehealth visits for pediatric primary care associated with higher rates of health care utilization?

More than 12 million children rely on telehealth each year in the United States, according to a National Health Statistics report. Despite this, studies supporting telehealth as an effective vehicle for health care in pediatric populations have been relatively scarce since its emergence during the COVID-19 pandemic. Now, researchers looked to determine whether pediatric primary care telehealth visits were associated with more medication prescribing, imaging and laboratory ordering, in-person follow-up visits, emergency department (ED) visits or hospitalizations, compared with in-person visits. Research out of Kaiser Permanente Northern California (KPNC), published in the Journal of the American Medical Association (JAMA) Health forum, determined that primary health care systems that utilize telehealth appear to be meet the pediatric primary care needs of patients, although they should not serve as a universal substitute for in-person visits.

“In this cohort study, primary care pediatric telemedicine was associated with less medication prescribing and laboratory ordering compared with in-person visits across most areas of clinical concern,” the authors of the study explained. “Based on our results, health care systems and private pediatrics practices seeking to initiate or broaden their pediatric telemedicine programs should expect that primary pediatric care delivered by telephone or video may be associated with modest increases in in-person follow-up visits and slightly higher ED utilization, but negligible differences in downstream hospitalizations compared with traditional in-person visits.”

The cohort study looked at all patients younger than 18 years old who had scheduled primary care appointments with a pediatrician from January 1 to December 31, 2022, in the KPNC health care system. Of 782,596 total pediatric appointments among 438,638 distinct patients, 332,153 pediatric primary care appointments were conducted with telehealth.

Researchers found a higher rate of medication prescribing in in-person visits, at 39.8%, compared with 29.5% of video visits or 27.3% of telephone visits. Similarly, there was more laboratory ordering for in-person visits, at 24.6%, compared with 7.8% of video visits or 8.5% of telephone visits.

In-person visits also saw more frequent imaging ordering, at 8.5% of visits, compared with 4.0% of video visits, and 3.5% of telephone visits. However, in-person follow-ups were seen less often for index visits that occurred in-person, at 4.3%, compared to video or telephone visits, at 14.4% and 15.1%, respectively. ED visits following in-person visits were also lower, occurring following 1.75% of visits, compared with video visits, at 2.04%, or telephone visits, at an even 2.00%. The study found no statistically significant difference in the 7-day rate of hospitalizations.

The authors of the study note that 49.2% and 47.3% of the in-person visits were scheduled after an index video or telephone call, respectively. According to the authors, this finding likely supports a role for telehealth in identifying patients who require prompt, in-person evaluation.

The study evaluated a comprehensive, large and integrated health care system. Results suggest that pediatric primary care visits conducted over video or telephone calls were associated with less overall physician prescribing and ordering, as well as modest increases in subsequent short-term in-person visits and slight increases in downstream ED encounters, with no statistically significant differences in hospitalizations. Although the authors of the study still do not recommend telehealth as a universal substitute for in-person primary care visits, these findings demonstrate the considerable growth of telehealth since its rapid emergence in 2020. It could now be a viable alternative to in-person visits for pediatric primary care.

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Thursday, December 5, 2024

3 cornerstones young physicians need for a solid financial foundation

The early part of a physician’s career can be the most exciting and daunting simultaneously. The thrill of practicing medicine and serving patients is often tempered by financial stress. Since doctors begin their professional careers — and earning years — later than most, there is often immediate pressure around managing school debt and thinking about retirement.

Fortunately, established models exist to help young physicians develop a plan for long-term financial security. Although every physician’s financial situation is unique, three financial strategies are generally applicable to most scenarios and can serve as the foundation for financial security.


Establish a savings habit


The first cornerstone for building a strong financial foundation is savings. Many young doctors are unable to save during medical school, residency and fellowships. Even when you begin working, saving may seem unrealistic.

The reality is that young physicians typically don’t start saving in earnest until a few years after other professionals. That’s why starting to save as soon as possible is so critical. Many young doctors also don’t realize the amount they need to save to reach their retirement goals. Recent studies show that saving 15% of income for retirement is a good rule of thumb. Even if you can’t save that amount immediately, save what you can.

Creating a habit of consistently saving for retirement will make a huge difference later in life. There are many options to establish that habit of saving. In addition to traditional high-yield savings and money market accounts, consider a wide array of other options. Employer tax-deferred retirement accounts, like 401(k)s and 403(b)s, are especially beneficial for high-income doctors. Health savings accounts (HSAs) are another option. Contributions to HSAs are pretax, growth is tax deferred, and distributions are tax-free if used for qualified medical expenses. Likewise, backdoor Roth Individual Retirement Accounts (IRAs) are attractive for physicians. High-income doctors often don’t qualify to make Roth IRA contributions. You can, however, make nondeductible traditional IRA contributions and then convert that to a Roth IRA. Think about saving creatively as well. If young physicians have children or are planning for children in the future, use 529 college savings accounts as another savings vehicle. Because few doctors’ dependents will qualify for financial aid, saving for college through these federally tax-exempt savings vehicles is highly recommended.

Depending on a doctor’s financial goals, utilizing multiple savings vehicles may be the best strategy. Once that savings strategy is defined, young physicians would be wise to establish a plan for automatic contributions to savings accounts, an emergency fund and retirement accounts.


Pay down debt


Many young doctors focus primarily on paying down debt early on in their career. Paying off student loans is absolutely necessary and a cornerstone of long-term financial security, but it’s not the only key to your financial future. Don’t think of paying down debt and saving for retirement as conflicting. It is not an either/or situation but rather a both/and. Paying down debt and saving at the same time will create a stronger financial foundation.

Given the additional education that doctors must undertake, you want to ensure that you begin leveraging compound interest as soon as possible. To delay saving for retirement in favor of only paying down debt can have a negative impact if you wait too long.

The best rule of thumb is to pay down debt as quickly and reasonably as possible while also saving for retirement.

Young physicians have lots of options to address medical school loan repayment, including consolidating loans and loan forgiveness programs. Generally, it’s best to make larger payments on loans with higher interest rates.


Build a support team


Evaluating medical school debt and identifying opportunities to manage or reduce those loans fall by the wayside for many young physicians. There’s a lot on your plate early in your career. Financial strategies for addressing debt and long-term savings might not feel like a priority. That’s why the third cornerstone for a strong financial foundation is building a team to support you.

Working with a financial adviser can allow doctors to focus on their patients, medical practices and families. Having a trusted adviser will provide peace of mind and give you confidence in your financial goals. This person can help you identify your goals and then create a financial road map to meet those goals.

If you begin building this team early in your career, that financial adviser can help you at all stages of life. As careers develop, your goals may change, and having someone who understands you can make it easier to adjust plans and realign. Furthermore, a financial adviser also can help identify tax savings and other financial benefits, especially as physicians progress in their careers.

For doctors just beginning their busy careers, taking a holistic approach to financial planning will pay dividends throughout their lives.

Focus on these three financial cornerstones — save, pay down debt and build a team — early so you have a strong foundation and are on a pathway to achieving your financial and life goals.

 

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Tuesday, December 3, 2024

How digital tools can alleviate health care access and affordability issues for women

By developing a greater understanding of some of the challenges women face with healthcare, providers can help improve healthcare access and affordability issues for them.

For example, women are 35% more likely than men to say they’ve skipped or delayed medical care, which leaves their conditions untreated for longer and can compound costs, according to a recent report from the Deloitte Center for Health Solutions.

Additionally, women (29%) are more likely than men (22%) to say that they have avoided or delayed obtaining mental health services due to cost. The types of health care services women are skipping or delaying as a result of costs include acute illnesses (38%), preventive care (35%), women’s health issues (34%), and dermatology concerns (19%).

The report’s authors suggest that these issues are indicative of deeper problems that American women are experiencing with U.S. healthcare and noted three specific “structural design flaws” that contribute to women avoiding or delaying care. The three issues relate to affordability, access, and prior experiences.

As it relates to patient payments, providers have tools at their disposal that can help alleviate some of the problems that women face with affordability and access. By adopting consumer-friendly options such as payment plans and offering new digital tools such as pre-service cost estimates and digital wallets, providers can begin to improve some of the gender-related disparities in healthcare.


A deeper look at the problem


Women face some healthcare barriers at a more acute level than men. For example, women were almost twice as likely as men to say they aren’t financially prepared to pay an unforeseen medical bill. Further, even after excluding maternity expenses, employed women still spend 18% more than men on healthcare. What’s more, these affordability challenges are occurring at a time when American women earn an average of 82 cents for every dollar a man earns and therefore might be less able to cover out-of-pocket expenses, according to Deloitte.

In terms of access issues, women are 50% more likely than men to report skipping care due to a long wait time and are twice as likely to miss a medical appointment because of a transportation issue. However, on the positive side, many women are looking to digital options to make care more accessible. Among women who have participated in a virtual health visit, 80% said convenience and access were their top reasons for the choice, Deloitte reported.

It is important to note the broader impact as well, studies show women make approximately 80% of household health care spending decisions in the United States.

What providers can do to help
Following are three options providers can adopt to relieve healthcare accessibility and affordability issues for women:

Adjustable payment plans: For some patients, access to payment plans can be a significant help in addressing financial strain. Instead of paying for the entire cost of care upfront, payment plans give patients the ability to pay for care over a predetermined time period. This can provide relief and allow for currently available resources to be used to cover more immediate needs.

From the provider’s perspective, offering payment plans is an important consideration towards enabling patients to pay unexpected expenses over time and access care that may otherwise be unaffordable. Payment plans also increase the likelihood that providers will eventually be able to collect payment for delivery of services that are not fully covered by insurance.

Pre-service check-ins and price transparency: According to the Bureau of Labor Statistics, on an average day, women (86%) were significantly more likely than men (71%) to spend at least some time on household responsibilities. When it comes to obtaining medical care, convenience is critical.

With pre-service check-ins, patients are sent a message in their preferred channel containing a link that confirms several key pieces of data: demographic information, insurance and benefits coverage, copay, and service amount estimates based on visit type. They can complete paperwork and co-payment in advance of their visit. As an example, consider an expectant mother who has other children. This convenience can save time in the office and make it more feasible for her to make an appointment. In addition, helping patients understand what they will owe for medical care can help empower them to coordinate care and payment ability with the provider in advance and adjust their own budget as needed.

Modern payment methods: Today’s consumers expect flexibility in payment methods when shopping online or with retailers. These expectations are increasingly extending toward healthcare providers. Accordingly, providers should embrace modern payment methods such as digital wallets, card on file, and peer to peer payments to accommodate growing consumer preferences towards these payment approaches. Further, digital wallet services such as PayPal and Venmo do not require users to have bank accounts, making them potentially desirable options for “unbanked” patients.

Women no doubt face unique challenges in managing healthcare in America, but the good news is that providers can take a few simple steps to deliver relief. By adopting digital payment tools, payment plans, and promoting price transparency, providers make healthcare more affordable and accessible for women.

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Wednesday, November 27, 2024

Reaching patients through video

Now more than ever, physicians must be more efficient to remain productive. It was just a few years ago that physicians saw low volumes of patients and were able to spend ample time educating patients about their medical condition and helping them understand the importance of being compliant. Now, physicians will have to see larger volumes of patients and spend less time with each patient. They will not have the luxury of lengthy explanations about their health and providing them with one-to-one educational discussions. As a result, patients are relying on the Internet and other sources, such as social media, to obtain medical information. Patients are less compliant, and the outcomes are often less than desirable when compliance has decreased. This blog will discuss how doctors can use videos to enhance patient education, improve compliance, and increase practice efficiency.


Introductory videos reduce patient anxiety


People look for physicians who are qualified to treat their medical issues. But, even more so, they look for physicians they like and can see themselves having a positive relationship with. When they visit your website or see your practice on social media, they're typically not asking where you went to medical school or the accolades you've earned. Instead, they want to know if you're friendly and trustworthy. And they want to see if you'll be empathetic and caring when they're most vulnerable.

That's why videos introducing you and your practice make a difference. On video, people can hear your voice and see your face. They can see how you talk about complex issues and what having you as their doctor might be like. Ultimately, a video introduction is more memorable and makes a stronger impression than just text on a bio page.

To make an introduction video, create a slide deck and talk as you go through the slides. This can be quickly recorded on Zoom and published on YouTube or your website.


Build relationships before the first appointment


Your staff and assistants are the people your patients spend most of their time interacting with. No matter how good the doctor is—the staff can make or break their experience at your office.

I suggest creating videos with your staff. Include your office manager and receptionist. Interview the staff members with whom your patients will speak the most. Show them that you're a great practice because you have a great team that cares about your patients and wants them to have a positive experience.

A great staff and supporting team can differentiate you from other practices. The video instantly connects potential new patients, encouraging them to trust your practice. This video can be uploaded to your website or sent to them before they visit with a "New Patient Welcome Packet."


Give viewers a tour of your office


While you introduce yourself and your staff on the video, could you show them your office? A tour of your office is a chance to show your staff at work, introduce your services, familiarize potential patients with your space, and create an atmosphere of an approachable practice.

Video tours help potential patients learn about your practice and reduce anxiety. They also help patients understand what to expect when they schedule an appointment.

Video tours work well for your homepage to show website visitors what to expect when they visit the office. If you have multiple offices, you can make a short video of each location and put it in the Locations section of your website.


Using testimonials from existing patients


Happy patients will often tell others about their experiences with you. So, along with text-based testimonials and a favorable review profile, add video testimonials to your marketing mix. Of course, this requires the patient's permission.

Even a few testimonial videos can be powerful conversion tools for your practice. New patients are already looking at your online reviews and asking friends and family if they've ever heard of you. A video testimonial is more compelling because it is more authentic than a text-based review and gives happy patients a chance to tell their stories.

You can use those testimonials in the appropriate section on your website. For example, it's good to get testimonial videos of what you enjoy seeing in your office. If you enjoy shockwave therapy and orthotics, get a testimonial about the treatments you offer and put the video in that section of your website. You could also repurpose the video by sending it to your patient email newsletter.


Videos to educate patients about conditions and treatments


Before people look for a physician online, they tend to research their symptoms and learn more about what happens when they see a doctor. That's why it's important to educate potential clients, explain common symptoms and causes, and discuss possible treatment options. If you're the practice with answers when they need them, you'll also be the practice they choose when they're ready to make an appointment.

Videos are the unrivaled medium for explaining complex topics. Whether using props, recording while you draw on a whiteboard, or talking viewers through an on-screen infographic, video brings your issues to life. It improves the amount of information viewers retain after watching. You can use these videos alone or as visual aids alongside written content, and you can share them on social media sites to expand your reach and get potential patients interested in your practice.


Explain what to expect


Along with the educational videos, you should show people their treatment. For example, patients might think that "laser treatment" or "shockwave therapy" sounds scary or painful, and it can be challenging to picture the treatment just from reading it. A short video showing you performing laser treatment can put people at ease and give them a better idea of what to expect.

In my practice, patients are asked to give a urine specimen. They were informed they would be asked to provide a specimen and hydrate before coming to the office. This simple information reduces patients' waiting in the reception area or the exam room to furnish a specimen.

Similarly, intake videos can be a great way to ensure patients come to their appointments prepared. Whether you use video with your website's appointment-scheduling chatbot or send out a video to help patients prepare for a procedure, your videos help your patients have a favorable opinion about working with you and become confident in their choice.


Create videos for social media


Your website is a great place to post your videos. Static text posts and graphics are easy to ignore; most people click off the website and eliminate your text posts.

So, the next time you're trying to come up with ideas for a new campaign or wondering what to post on Facebook, try video. For the most part, these can be short videos, in the five—to seven-minute range, that get right to the heart of the service you're promoting and speak directly to your potential patients.

This is also a place where the magic of video editing can play a part. A great video editor can help you break up longer videos, add on-screen elements and calls to action, and create perfect videos that are easy to share and quick to watch. You can save time and money by repurposing your existing videos for social media or ad campaigns. Your audience gets interesting content that raises practice awareness and compels them to click through and make an appointment.


Videos to promote webinars and recorded live events


Consider putting together an educational webinar or recording video at any live events, such as seminars or educational programs your practice participates in with your local community.

For example, we have conducted webinars with the doctors in our office on infertility and prostate cancer. These were live, recorded, and used online as patient resources for those who could not attend.

Creating a video when you're in the community or hosting charitable events is also a great idea. For example, a few clips of your staff educating people at a local health fair or collecting donations for a food drive are perfect for humanizing your practice and showing that you care about your local community.


Getting started recording videos


You may be intimidated or think making videos is costly or time-consuming. If you have a smartphone, you are ready to start. When starting, you will get a simple ring light that holds your phone and starts the video. One of the easiest ways of finding topics is to write down every question a patient asks you during the day. Then, record a short 1–2-minute video going over that question.


Authenticity vs. polished videos


Patients and those viewing online content prefer authentic and valuable videos rather than polished ones. You are not trying to become the next YouTube influencer but to educate and attract your ideal patient. With your video, try to connect with your patients and use abundant stories of similar patients you have seen. This will create trust between you and the viewers even before you see them in the office.

One excellent way to make videos is to have your staff record you in a treatment room with a patient. Remove the patient from the video and have them record that you are explaining the typical conditions you see in the office, such as plantar fasciitis, Achilles tendonitis, or how to prepare for surgery. These videos are excellent as they can be shown to patients with similar questions.


Suggestions for video creation


Here are a few tips when creating videos:
  • Make them informal and personal.
  • Comply with HIPPA considerations.
  • Procure signed permission releases (even from providers and staff).
  • Keep it short (under two minutes).
  • Keep the topics as evergreen as possible.
  • Use patient-friendly language (not medical jargon).
  • Make it relatable by showing emotion and empathy.
  • Optimize the format for mobile phone viewing.
  • Be sure to use search engine optimization (SEO) so it will be found online.
  • Promote it and repurpose it across all digital channels.


Using videos in practice


You might be unsure where to use your videos once you make them, but here are a few options. Remember, you do not need to post the video, but one of your staff or a virtual assistant can help you with the operational side of using it once you make it.
  • Website - Answer common patient questions.
  • Website - Record video formats of presentations on each condition you treat in the office.
  • Website - Demonstrate "how-to's" such as dressing changes and stretching.
  • Website - Include meeting the doctor or staff videos with short videos.
  • Social Media - Give your opinion about a current news event.
  • Social Media - Introduce a new procedure or equipment.
  • Social Media - Show a behind-the-scenes or funny sneak peek of something in your office.
  • Social Media - Make an inspirational or motivational video for patients.
  • Social Media - Share a success story from a patient on a standard treatment.

Here is a sample video by a podiatrist entertaining with a magic trick.

Here is a humorous video discussing vasectomy.



Bottom Line:


Today, we are challenged to provide quality care efficiently and cost-effectively. This is a concern for every practice regardless of size and location, whether it is a solo or extensive group practice or an academic or private practice. Using patient videos, we can improve our efficiency and productivity, maintain quality of care, improve patient compliance, and even improve outcomes. So, get ready for lights, camera, and action.

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