On November 14, 2012, Ann Wendel and I hosted our latest #socialortho tweetchat. This month we discussed goals and vision for your medical practice. This one got a little crazy, with multiple conversations going on at once. That is partly why I enjoy them though!
For those of you unfamiliar with tweetchats, people answer questions posed by the moderator and comment on other tweets using the hashtag specified – in this case #SportsSafety. It often starts slowly, but it can become difficult to follow when many people get involved and respond to many different questions and comments.
If you enjoy fast-paced discussions about important sports medicine, healthcare, and social media topics, join us for future #socialortho tweetchats. We usually hold these chats on the first Wednesday of each month. The next #socialortho tweetchat will take place on Wednesday, December 5 at 9 PM ET.
Dr. David Geier @DrDavidGeier
Welcome everyone to our monthly #socialortho tweet chat! This time we’re talking about goals & visions for your practice and business.
JC @Paleojc
@DrDavidGeier I am a general surgeon near Atlanta. Not too far from you #socialortho
Ann Wendel @PranaPT
Our chat will go from 9-10 ET, please remember to use the #socialortho for every tweet!
Ann Wendel @PranaPT
@Paleojc Hi JC, thanks for joining! How long have you been doing Paleo? #socialortho
JC @Paleojc
@PranaPT for a few years now #socialortho
Dr. David Geier @DrDavidGeier
@PranaPT This is a topic that evolved from our last chat, so we’re hoping for a lot of interaction. Let us know who is here! #socialortho
Ann Wendel @PranaPT
#socialortho going on right now – @jdimick @hjluks
Ann Wendel @PranaPT
@Paleojc Awesome – we will have to talk later about that! #socialortho
Dr. David Geier @DrDavidGeier
@Paleojc Atlanta is a great place. How is the medical climate there? Lots of competition? #socialortho
Steven Kleinman @StevenRKleinman
#socialortho I am here and ready to listen and chat
Ann Wendel @PranaPT
@Jerry_DurhamPT This is your personal reminder for #socialortho – happening now!
JC @Paleojc
@PranaPT I have been following your posts for a while #socialortho
Ann Wendel @PranaPT
@StevenRKleinman Hey Steve, glad you’re here! #socialortho
Dr. David Geier @DrDavidGeier
@PranaPT And all of you athletic trainers out there are welcome to join. We love hearing from all of you! #socialortho #atc
Dr. David Geier @DrDavidGeier
@StevenRKleinman Great Steve! I bet you have a lot of thoughts on the topic tonight! #socialortho
JC @Paleojc
@DrDavidGeier I work at two hospitals and there is enough work for me but I have to take 11 calls a month which is hard #socialortho
Dr. David Geier @DrDavidGeier
@StevenRKleinman How is the recovery from Sandy coming up there? #socialortho
Mike Hopper @mnhopper1s
@DrDavidGeier @PranaPT As you Dr Geier, I’m an athletic trainer working in a PT clinic in southern Illinois.. #AT4ALL #socialortho
Steven Kleinman @StevenRKleinman
@DrDavidGeier #socialortho: recovery is going slowly, but luckily everyone I know is doing well
Dr. David Geier @DrDavidGeier
@Paleojc Sounds brutal! Trauma call? Busy ER? Now I’m really curious to hear your thoughts tonight #socialortho
Ann Wendel @PranaPT
@mnhopper1s Welcome, Mike! Do you provide on field and clinic coverage? #socialortho
Ann Wendel @PranaPT
@StevenRKleinman Steve, where in NJ are you? I grew up in Red Bank… #socialortho
Dr. David Geier @DrDavidGeier
@mnhopper1s @PranaPT Great Mike! I want to hear about your goals as an athletic trainer and also your role, goals in PT clinic #socialortho
Steven Kleinman @StevenRKleinman
@PranaPT #socialortho i am in bergen county.
Dr. David Geier @DrDavidGeier
Let’s get started… Q1: What is your vision for your practice and/or business? #socialortho
Mike Hopper @mnhopper1s
@PranaPT Outreach AT services at high school, run fitness center and help out with PT alongside PT and PTA staff #socialortho
Ann Wendel @PranaPT
@mnhopper1s Nights, weekends? I remember those days! Clinic during day, games at night. Tough. #socialortho
JC @Paleojc
@DrDavidGeier #socialortho my vision is to better utilize technology in my practice, to keep current and to be happy
Mike Hopper @mnhopper1s
@PranaPT Open gym at 5:30AM, some days work until 10PM.. just depends. #socialortho #AT4ALL
Ann Wendel @PranaPT
@DrDavidGeier And, if you don’t own the business, does your vision align with the owner’s? #socialortho
Dr. David Geier @DrDavidGeier
@PranaPT @mnhopper1s Ann, did I somehow miss that you are an athletic trainer too? #socialortho
Ann Wendel @PranaPT
@mnhopper1s Hard to have any vision except making it through the day! Wow, long hours for you! #socialortho
Dr. David Geier @DrDavidGeier
@Paleojc Sounds like it would be busy. I have heard the private general surgeons here take a lot of call. #socialortho
Ann Wendel @PranaPT
@Paleojc Are you in private practice? What type of technology do you utilize now? #socialortho
AOSSM @AOSSM_SportsMed
A great time for sports med pros to join @PranaPT and @drdavidgeier for their monthly #socialortho tweet chat.
Mike Hopper @mnhopper1s
@DrDavidGeier We are utilizing things like Graston Technique, @Rocktape and Pilates. Also beginning to incorporate KBs. #AT4ALL #socialortho
JC @Paleojc
@DrDavidGeier #socialortho Another new trend for me is how powerful hospitals are becoming. They are now employing surgicalists in Atlanta
Ann Wendel @PranaPT
@DrDavidGeier @mnhopper1s Yes(?)How did we never talk about that before?I’m an ATC/PT.Worked as ATC first then to PT school. #socialortho
Steven Kleinman @StevenRKleinman
@mnhopper1s @DrDavidGeier @Rocktape #socialortho, Mike is rocktape like kinesiotape?
Kristi Messina @kmessina15
Sorry I’m late! HS athletic trainer from Dallas here! #socialortho
Ann Wendel @PranaPT
@mnhopper1s Mike, have you gone through RKC? I’m considering it… #socialortho
JC @Paleojc
@PranaPT #socialortho I am in private practice. I use cloud, email, texting, iPads, and macs. I use iPads a lot
Mike Hopper @mnhopper1s
@StevenRKleinman @DrDavidGeier @Rocktape yea, it’s a form of kinesiotape. Best one I’ve found and I’ve tried a couple brands. #socialortho
Dr. David Geier @DrDavidGeier
@Paleojc Haven’t heard term surgicalist. Hospitals own almost every practice here. Would think it’s trend that will end but… #socialortho
Ann Wendel @PranaPT
@mnhopper1s It’s great that you have a gym/wellness center as well as PT. Great continuity of care. #socialortho
Mike Hopper @mnhopper1s
@PranaPT No RKC, considering FMS/SFMA and CSCS first along with Masters Degree #socialortho
Dr. David Geier @DrDavidGeier
@Paleojc …the data collection required by law, govt, insurance is more than most small groups can handle by themselves #socialortho
Steven Kleinman @StevenRKleinman
@mnhopper1s @DrDavidGeier @Rocktape #socialortho, better than THE KINESIOTAPE? I use regular kinesio normally
Ann Wendel @PranaPT
@StevenRKleinman @mnhopper1s @Rocktape I actually like Rock Tape better. Stronger, stays on longer. I have good results w it. #socialortho
Ann Wendel @PranaPT
@mnhopper1s Good plan – I like Gray’s stuff. #socialortho
Mike Hopper @mnhopper1s
@StevenRKleinman @DrDavidGeier @Rocktape I have trouble with other tapes sticking. Rocktape I don’t seem to have that problem #socialortho
JC @Paleojc
@DrDavidGeier #socialortho I spoke with one today (surgicalist) it’s new to me. @rocktape sounds cool. I also do Crossfit
Kristi Messina @kmessina15
@mnhopper1s Those r long days! No gym cov. for me,would love to focus more on Ath. quality of care & not teach classes though. #socialortho
Ann Wendel @PranaPT
@mnhopper1s @StevenRKleinman @DrDavidGeier @Rocktape I agree – Rock Tape stays on for several days for most. #socialortho
Steven Kleinman @StevenRKleinman
@PranaPT @mnhopper1s #socialortho, I am looking into SFMA and FMS also for courses next year. I am taking Sahrman this wknd
Ann Wendel @PranaPT
@Paleojc Do you use EMR or paper charts? #socialortho
Dr. David Geier @DrDavidGeier
RT @myorthodoc Efficient, Digital,Team-oriented,similar minded partners,subspecialty,state of art, SoMe strong, hosp ownership #socialortho
Ann Wendel @PranaPT
@kmessina15 Hi Kristi! #socialortho
JC @Paleojc
@DrDavidGeier #socialortho I am more tech savvy than most practices but I also having problems.
Dr. David Geier @DrDavidGeier
@myorthodoc Steve, is your group owned by a hospital? #socialortho
Steve A. Mora, MD @myorthodoc
@Paleojc A big hosp in Fullerton hired specialists and drove a lot of business away from private practices. #socialortho
Mike Hopper @mnhopper1s
@PranaPT Yeah, I’ve read Movement and watched several of his videos. Have requested DVD packs for XMas. #socialortho
TherapyGirl5 @SnippetPhysTher
@DrDavidGeier @Paleojc MI PT here…. what’s the scoop on the required data collection? Are you talking PQRS? #socialortho
TherapyGirl5 @SnippetPhysTher
@myorthodoc Lots of that going on here – the buying out. How does that sit with orthos? #socialortho
Mike Hopper @mnhopper1s
@kmessina15 I wish it was more #athletictraining and less fitness, but IL not as AT-savvy as Texas. #socialortho
Ann Wendel @PranaPT
@StevenRKleinman @mnhopper1s I would love to hear about Sahrman’s course after you take it. #socialortho
Kristi Messina @kmessina15
@PranaPT Hi Ann! I have a lot of visions for HS ATC, biggest is improvement in quality of care for athletes! Need more hands! #socialortho
Dr. David Geier @DrDavidGeier
@myorthodoc @Paleojc There are almost no true private practices in any field left here in Charleston. True other places? #socialortho
TherapyGirl5 @SnippetPhysTher
@DrDavidGeier @myorthodoc @Paleojc Primary care selling out to hospitals in my area, cardio too. Ortho hanging in PP #socialortho
Steven Kleinman @StevenRKleinman
@PranaPT @mnhopper1s #socialortho:I am taking it saturday and sunday,ill tweet you afterwards or send me a tweet monday and ill let you know
Kristi Messina @kmessina15
@mnhopper1s Ha ya Texas does love their AT’s- To an extent, need more hands to focus on better care though. #socialortho
Mike Hopper @mnhopper1s
@kmessina15 @PranaPT need for time here.. #socialortho #AT4ALL
JC @Paleojc
@myorthodoc #socialortho I not surprised. That’s what I am seeing as well
TherapyGirl5 @SnippetPhysTher
How can one have a vision or goal for practice when one loses control to big company? #socialortho
Steve A. Mora, MD @myorthodoc
@DrDavidGeier no we are private. St Joseph might hire specialist in future. Currently they have Hospitalist only. #socialortho
Dr. David Geier @DrDavidGeier
@SnippetPhysTher @myorthodoc @Paleojc Selena, here even orthopaedic practices owned by hospitals. Fear seemed to play a role #socialortho
TherapyGirl5 @SnippetPhysTher
@DrDavidGeier @myorthodoc @Paleojc Full contracts, completely selling or pseudo contracts to get incentive via savings? #socialortho
Mike Hopper @mnhopper1s
@kmessina15 Only at school 2x weekly plus varsity games. Poor athletic healthcare model. #AT4ALL #socialortho
Kristi Messina @kmessina15
@mnhopper1s yeah I was up in Ill. 4 years ago, they have al ot of AT working clinics/gym. Multi-purpose. Think ath. lose out. #socialortho
Ann Wendel @PranaPT
@SnippetPhysTher Must try to retain some sort of personal vision even if not the “owner” once bought out. #socialortho
Steve A. Mora, MD @myorthodoc
@DrDavidGeier Hoag Ortho Irvine Hospital in one of few hospitals which partnered w Orthopods #socialortho
Dr. David Geier @DrDavidGeier
Almost hate to break up wild chat…Q2: Did you create your vision into business plan on your own or with business manager? #socialortho
TherapyGirl5 @SnippetPhysTher
@PranaPT I’d say sometimes that might be very difficult due to policies and company vision #socialortho
JC @Paleojc
@SnippetPhysTher definitely both types of arrangements going on full steam here #socialortho
Ann Wendel @PranaPT
@mnhopper1s @kmessina15 That’s the model I practiced in as ATC in Baltimore years ago. Not ideal. #socialortho
Kristi Messina @kmessina15
@mnhopper1s oh wow that is bad. I’m there 7:30-7 daily depending on game days. AD wants AT on campus at every event. #socialortho
TherapyGirl5 @SnippetPhysTher
@Paleojc Do you know the guesstimated percentage of each type? Curious… #socialortho
Ann Wendel @PranaPT
@SnippetPhysTher Very difficult, yes. Impossible, no. If too difficult, time to move on. #socialortho
Steve A. Mora, MD @myorthodoc
@DrDavidGeier on my own but I I recently consulted w a med Management comp. It’s not a bad idea to get pros to help #socialortho
TherapyGirl5 @SnippetPhysTher
@DrDavidGeier Q2: I created mine on my own, but geesh… getting more difficult to do what I want to do with regulations #socialortho
Kristi Messina @kmessina15
@PranaPT I agree with this. Hard as ATC in HS to have own vision, but can set personal visions/goals & try to aim for those. #socialortho
Mike Hopper @mnhopper1s
@PranaPT @kmessina15 Little continuity bc everything gets referred to PT and I never see injured kids as they progress back #socialortho
Ann Wendel @PranaPT
@DrDavidGeier On my own with advise from several mentors over the years. #socialortho
TherapyGirl5 @SnippetPhysTher
@mnhopper1s @PranaPT @kmessina15 That’s what I hated about being AT! NO continuity or feedback… difficult #socialortho
Dr. David Geier @DrDavidGeier
@myorthodoc Would it be smarter for PP orthopaedics groups in an area to partner as LLC for insurance negotiations? #socialortho
JC @Paleojc
@SnippetPhysTher well the pseudo arrangements are slowly trickling in but full ownership of specialists are common. #socialortho
Kristi Messina @kmessina15
@mnhopper1s @PranaPT I wish we could refer more to PT honestly. Quality of care decreases in AT room with 26 kids in 60 min! #socialortho
Howard Luks MD @hjluks
@DrDavidGeier remain pvt, independent, relevant and viable 🙂 #socialortho
JC @Paleojc
@DrDavidGeier #socialortho I did not use a biz mgr
TherapyGirl5 @SnippetPhysTher
@Paleojc I’m thinking the pseudo arrangements would be more win/win #socialortho
Ann Wendel @PranaPT
@SnippetPhysTher @mnhopper1s @kmessina15 I was lucky in a way-I was in the clinic treating my HS athletes until return to play #socialortho
Dr. David Geier @DrDavidGeier
@PranaPT Think that’s ideal. Your passion, vision w advice of trusted colleagues. Business managers can help, complicate too? #socialortho
Ann Wendel @PranaPT
@kmessina15 @mnhopper1s Do you have a good relationship w a PT in your area? #socialortho
Howard Luks MD @hjluks
@DrDavidGeier @myorthodoc of course… But egos and paranoia get in the way #socialortho
Kristi Messina @kmessina15
@mnhopper1s @PranaPT Also, PT can give them more 1 on 1, see us AT once or twice. Teamwork with AT & PT is key. #socialortho
Ann Wendel @PranaPT
@hjluks @DrDavidGeier Hi Howard! #socialortho
Jesse @jdimick
@DrDavidGeier @pranapt @jdimick: @PranaPT @hjluks better late than never. PTA/ATC here partner in private PT practice. #socialortho
Dr. David Geier @DrDavidGeier
@hjluks Agree Howard. So surprised groups gave up autonomy to hospitals. Will be interesting to follow once guarantees gone #socialortho
Kristi Messina @kmessina15
@PranaPT we do. We have 2 that we use, esp since they have more resources, aquatic therapy etc. its great. #socialortho
Ann Wendel @PranaPT
@jdimick @DrDavidGeier @hjluks Hey Jesse! Glad you could make it! Talking about our vision for our practice. #socialortho
Dr. David Geier @DrDavidGeier
@kmessina15 @mnhopper1s @PranaPT Agree completely on the AT and PT teamwork. Add collaboration with orthopaedics #socialortho
TherapyGirl5 @SnippetPhysTher
@hjluks @DrDavidGeier @myorthodoc I don’t understand. Hospitals need ortho in OR but don’t need 2 own business. #socialortho
Steve A. Mora, MD @myorthodoc
@hjluks there will always be a role for great private Ortho groups #socialortho
Dr. David Geier @DrDavidGeier
@Paleojc JC, are you a solo general surgeon or in a PP group? #socialortho
Mike Hopper @mnhopper1s
@PranaPT @kmessina15 I work with staff of 4 PTs and 3 PTA. One PT is also AT, owner is former AT. All GT trained #socialortho
Kristi Messina @kmessina15
@PranaPT our team Orthos always know to write a script for PT, if we decide to send we already have it on-hand! works well! #socialortho
Ann Wendel @PranaPT
@kmessina15 That’s a great system! Getting the script/referral to PT is often very frustrating and time consuming. #socialortho
JC @Paleojc
@DrDavidGeier #socialortho Solo
Dr. David Geier @DrDavidGeier
@SnippetPhysTher @hjluks @myorthodoc I’m sure there’s much downstream revenue from owning orthopaedics hospitals would capture #socialortho
Mike Hopper @mnhopper1s
@DrDavidGeier #socialortho We have PCPs, PT, fitness center, Imaging, Ortho/Sports Med and OP surgery in same complex
TherapyGirl5 @SnippetPhysTher
@DrDavidGeier @hjluks @myorthodoc I think the only reason to do is is for changes in payment coming in future #socialortho
Kristi Messina @kmessina15
@mnhopper1s prob is not all AT are willing to send out to PT, feel they can do it all, but PT is very essential team member! #socialortho
Dr. David Geier @DrDavidGeier
@Paleojc So you were able to set up your practice much as you wanted, I assume? #socialortho
JC @Paleojc
@myorthodoc ortho is the straw that stirs the drink in my hospitals. Do I sound jealous? 🙂 #socialortho
Ann Wendel @PranaPT
@mnhopper1s @DrDavidGeier Is your clinic owned by the physicians? #socialortho
Kristi Messina @kmessina15
@PranaPT Yes! that was our prob when I came in, not a lot were being sent out, I started requesting more scripts! Be prepared! #socialortho
Mike Hopper @mnhopper1s
@PranaPT @kmessina15 Have docs who won’t give script when find out AT in school. Frustrating to fight for. #socialortho
Ann Wendel @PranaPT
@kmessina15 @mnhopper1s That’s also true of others – trainers, coaches, MT’s. We all need to work together. #socialortho
Dr. David Geier @DrDavidGeier
Not sure my questions are even needed tonight, but… Q3: How do you ensure that your goals align with your vision? #socialortho
Ann Wendel @PranaPT
@Paleojc @myorthodoc Depends on what they’re drinking 😉 #socialortho
JC @Paleojc
@DrDavidGeier a hospital near me owns a ortho practice. The doc is making a ton if money. #socialortho
Mike Hopper @mnhopper1s
@PranaPT @DrDavidGeier PT clinic owned by PT, building owned by physician partnership I think. #socialortho One-stop shop.
Kristi Messina @kmessina15
@PranaPT So true! we have a huge team: Ortho, GP, ENT, PT’s, DC, MT’s even a dentist! It’s great support! #socialortho
Kristi Messina @kmessina15
@mnhopper1s @pranaPT Really? I guess we usually only work with select few whom know what we like. Makes its easier. #socialortho
Dr. David Geier @DrDavidGeier
@PranaPT @kmessina15 @mnhopper1s Totally agree, but I think EMR, data collection, regulations, paperwork all making that harder #socialortho
JC @Paleojc
@DrDavidGeier yes I was able to do things my way. The only thing that keeps me from making progress is lack of free time. #socialortho
Ann Wendel @PranaPT
@Paleojc Interesting, b/c many POPTs don’t really seem to make much off the PT side of biz.They would make more doing surg! #socialortho
Ann Wendel @PranaPT
@DrDavidGeier @kmessina15 @mnhopper1s Making harder to all work together? I find that docs who use email are my favorites. #socialortho
Dr. David Geier @DrDavidGeier
@Paleojc Wonder if he cut special deal. Salaries seem to vary widely in hospital-owned practices, from what I hear.Anyone know? #socialortho
Steve A. Mora, MD @myorthodoc
@Paleojc Ortho cases certainly help hospitals a lot. It’s also a lot of fun. . #socialortho
Ann Wendel @PranaPT
@Paleojc @DrDavidGeier Ditto! Another 5 hours in the day would help! #socialortho
Howard Luks MD @hjluks
@myorthodoc hope ur right 🙂 #socialortho
TherapyGirl5 @SnippetPhysTher
@DrDavidGeier @Paleojc Do they have set salary like what happens in Mayo clinic or is it based on productivity? #socialortho
Mike Hopper @mnhopper1s
@PranaPT @DrDavidGeier @kmessina15 Text message major communication avenue for us. #socialortho
Dr. David Geier @DrDavidGeier
@Paleojc @myorthodoc I say this not to stir the pot, but at least our total joint MDs argue that ortho is future revenue driver #socialortho
Ann Wendel @PranaPT
So, on a daily basis, how many feel you make progress toward your vision? #socialortho
TherapyGirl5 @SnippetPhysTher
@DrDavidGeier @Paleojc @myorthodoc Except Medicare wants to put a stop to that revenue generator… #socialortho
Ann Wendel @PranaPT
@mnhopper1s @DrDavidGeier @kmessina15 Do u use a secure texting platform? I don’t allow patients or MD’s to text me (HIPAA) #socialortho
Howard Luks MD @hjluks
@DrDavidGeier @paleojc @myorthodoc no question… But revision joints won’t 🙂 #socialortho
JC @Paleojc
@SnippetPhysTher #socialortho I don’t know about salaries but hospitals have a lot of reasons for buying/owning practices not only money
adam tarr @adam_tarr
@mnhopper1s @pranapt @drdavidgeier @kmessina15 agreed smart phones have made things much easier! Docs easy to contact now. #socialortho
Dr. David Geier @DrDavidGeier
@mnhopper1s @PranaPT @kmessina15 Mike,I’ve been saying text messaging coming to healthcare. Think Orbitz & flight announcements #socialortho
TherapyGirl5 @SnippetPhysTher
@PranaPT @mnhopper1s @DrDavidGeier @kmessina15 If a pt initiates a text/email, obviously that person doesn’t care about HIPAA #socialortho
NCH Sports Medicine @NCHSportsMed
@DrDavidGeier @kmessina15 @mnhopper1s @pranapt Late to the party. What did we miss? #socialortho
Ann Wendel @PranaPT
@DrDavidGeier @mnhopper1s @kmessina15 Howard and I talked once about secure texting platforms… @hjluks #socialortho
TherapyGirl5 @SnippetPhysTher
@Paleojc I think $$ is main factor… #socialortho
Dr. David Geier @DrDavidGeier
@hjluks @Paleojc @myorthodoc Great point. Point of contention between academic surgeons & PP. Prob true in all surgical fields #socialortho
Ann Wendel @PranaPT
@NCHSportsMed We’re talking about our vision and goals for our practice. #socialortho
Kristi Messina @kmessina15
@PranaPT text message is easiest for us for sure with schedules, and our Dr. prefer it a lot of times to be honest. #socialortho
Dr. David Geier @DrDavidGeier
@NCHSportsMed @kmessina15 @mnhopper1s @PranaPT Thanks for coming! Ummm, chat is all over the place. Great fun! #socialortho
JC @Paleojc
@PranaPT #socialortho how do you do secure email?
Mike Hopper @mnhopper1s
@DrDavidGeier Nearly impossible to get ahold of boss other than texting. #socialortho
Dr. David Geier @DrDavidGeier
@adam_tarr @mnhopper1s @PranaPT @kmessina15 I want to incorporate texts for patients. Appt reminders, delays in clinic.. #socialortho
Kristi Messina @kmessina15
@PranaPT with increase in Concussions etc, no way I could keep up with our Dr without texting updates etc. #socialortho
Ann Wendel @PranaPT
@Paleojc It’s interesting when u really read the HIPAA laws. Lots of room for interpretation about how secure things are… #socialortho
Kristi Messina @kmessina15
@DrDavidGeier @adam_tarr I have seen this done from a few clinics out here, they give text options for patients. I like it. #socialortho
Dr. David Geier @DrDavidGeier
@adam_tarr @mnhopper1s @PranaPT @kmessina15 Maybe @hjluks & I can start text messaging services for healthcare practices… #socialortho
Ann Wendel @PranaPT
@DrDavidGeier Ha! You already have a lot on your plate! You need to sleep at some point 😉 #socialortho
JC @Paleojc
@DrDavidGeier texting and cloud based data are critical. All my office workers text from their desktops (not phones). #socialortho
TherapyGirl5 @SnippetPhysTher
Seems as though at initiation of services, allow a pt to agree to texts. If agree, no HIPPA issue #socialortho
Dr. David Geier @DrDavidGeier
I’ve completely lost control of #socialortho tweetchat tonight but love tremendous interaction w healthcare providers from everywhere. Join!
Ann Wendel @PranaPT
@DrDavidGeier I get 100 text reminders a month through my EMR provider. #socialortho
Steven Kleinman @StevenRKleinman
#socialortho: different computer systems allow for text messages to/from patients and also email or text reminders on appts
Ann Wendel @PranaPT
@DrDavidGeier That’s what happens when we trade roles! Haha, it’s more fun this way, though! #socialortho
Dr. David Geier @DrDavidGeier
@Paleojc Key would be to automate many of the texts. At least patient reminders, health tips, etc #socialortho
Jesse @jdimick
@PranaPT @drdavidgeier @hjluks check out tiger text #socialortho
Ann Wendel @PranaPT
@Paleojc @DrDavidGeier Through your EMR provider? Or a different platform? #socialortho
JC @Paleojc
@DrDavidGeier #socialortho hmm that’s a good tip. I see you have been working on this.
Ann Wendel @PranaPT
@DrDavidGeier @Paleojc On @WebPT I can click a box for text or email reminders for patient when I set up the chart. #socialortho
NCH Sports Medicine @NCHSportsMed
@DrDavidGeier @kmessina15 @mnhopper1s @pranapt let’s see: we have 8 physicians, 25 AT’s and 2 bldgs that also house Ortho & PT. #socialortho
Kristi Messina @kmessina15
@DrDavidGeier @pranaPT would love to incorporate secure text with athletes though, hard to communicate with them. #socialortho
Howard Luks MD @hjluks
@jdimick @pranapt @drdavidgeier … Just wait. Machine learning, natural Lang processing SMS coming soon #socialortho
Dr. David Geier @DrDavidGeier
@PranaPT @kmessina15 @mnhopper1s Email is good. Or do what Ann and I do and ask questions, advice on Twitter.. #socialortho
Ann Wendel @PranaPT
@kmessina15 @DrDavidGeier Funny thing is that the only way high schoolers communicate is via text!!! #socialortho
Mike Hopper @mnhopper1s
@PranaPT @WebPT Our clinic is considering WebPT or other EMR in near future. #socialortho
Kristi Messina @kmessina15
@PranaPT yes!!! so true, and get mad when I don’t respond… very limited response if I do! #socialortho
Jesse @jdimick
@PranaPT @kmessina15 @drdavidgeier compliance went up dramatically with hs kids when I put my cell number on my card #socialortho
Ann Wendel @PranaPT
@mnhopper1s @WebPT I am very happy w WebPT. They are very responsive, set up was easy, and it’s easy to use. #socialortho
Howard Luks MD @hjluks
@hjluks @jdimick @pranapt @drdavidgeier nite all.. Fun chat #socialortho
NCH Sports Medicine @NCHSportsMed
Love the text reminders. RT @StevenRKleinman: #socialortho: text messages to/from patients and also email or text reminders on apts
Dr. David Geier @DrDavidGeier
@Paleojc I love social media for healthcare. Text messaging is biggest “social media” entity in many ways. Everyone uses it. #socialortho
Ann Wendel @PranaPT
@jdimick @kmessina15 @drdavidgeier Yep. All my calls go through to my cell. #socialortho
Ann Wendel @PranaPT
@hjluks G’night, Howard! #socialortho
Kristi Messina @kmessina15
@jdimick yeah agree. But working with the school district they are strict about texting the st. athletes. have to be careful. #socialortho
Dr. David Geier @DrDavidGeier
@jdimick @PranaPT @kmessina15 Jesse, I’ve heard same thing about offering cell phone number. You don’t get too many calls? #socialortho
Mike Hopper @mnhopper1s
@jdimick @kmessina15 Cell # on business cards and every time I write out consult form, concussion form, etc to send home. #socialortho
Kristi Messina @kmessina15
@PranaPT yeah, most are lucky if I know my office #, Cell phone is go-to for us ATC. we are all over the place lol #socialortho
Ann Wendel @PranaPT
Normally I do a wrap up-Tonight was very fast moving over different topics. Clearly,all of us are passionate about what we do! #socialortho
Dr. David Geier @DrDavidGeier
@hjluks @jdimick @PranaPT Agree with Howard. Technology will make healthcare a radically different industry very soon #socialortho
Jesse @jdimick
@DrDavidGeier @pranapt @kmessina15 calls are controlled. Text more than anything. #socialortho
Kristi Messina @kmessina15
@mnhopper1s lucky its a work cell # on my business cards. Usually give to parents, student inevitably end up with # as well. #socialortho
Mike Hopper @mnhopper1s
@DrDavidGeier @jdimick @PranaPT @kmessina15 Company cell phone on 20 hours a day. Told to text me if no response. #socialortho
Ann Wendel @PranaPT
@DrDavidGeier No, I find my patients really respect my down time. I also set certain hours where I don’t answer. #socialortho
Kristi Messina @kmessina15
@PranaPT @DrDavidGeier I need to do this, but def hard sometimes depending on the situation . #socialortho
Ann Wendel @PranaPT
@NCHSportsMed That’s a big operation! #socialortho
Steve A. Mora, MD @myorthodoc
@hjluks @jdimick @pranapt @drdavidgeier agree. Enjoyed it. thank you. #socialortho
Ann Wendel @PranaPT
As we wind down,any last comments? #socialortho
Steven Kleinman @StevenRKleinman
#socialortho: interesting conversation, sorry i couldn’t add too much insight to it tonight. goodnight all…til next time 🙂
TherapyGirl5 @SnippetPhysTher
@pranapt @drdavidgeier Interesting evening – thanks! #socialortho
Mike Hopper @mnhopper1s
@PranaPT @DrDavidGeier I don’t answer after 9PM unless concussion, ACL, sent to ER, etc. May respond to VM if needed. #socialortho
Ann Wendel @PranaPT
@StevenRKleinman Thanks for joining, Steve! We all learn from each other every time! #socialortho
NCH Sports Medicine @NCHSportsMed
@PranaPT yes. We are proud and still growing. Chat same day/time each week? #socialortho
Kristi Messina @kmessina15
@PranaPT Enjoyed it! Thanks for allowing me to join! #socialortho
Ann Wendel @PranaPT
@SnippetPhysTher @drdavidgeier Thanks for joining! #socialortho
Dr. David Geier @DrDavidGeier
@PranaPT I’ve debated it for while. Or set up Google Voice # that goes to VM but I return once/day. Tell me about it some time #socialortho
Dr. David Geier @DrDavidGeier
@myorthodoc @hjluks @jdimick @PranaPT Thanks for joining Steve! #socialortho
Ann Wendel @PranaPT
@NCHSportsMed Typically 1st Wednesday of each month – this month we had to do 2nd Wed. #socialortho
Ann Wendel @PranaPT
@kmessina15 Of course! Feel free to tweet to me any time! Don’t wait til next month! #socialortho
NCH Sports Medicine @NCHSportsMed
@PranaPT very nice. We will see you next month! #socialortho
Ann Wendel @PranaPT
Thanks everyone for a very lively chat! Looking forward to next month already! #socialortho
Mike Hopper @mnhopper1s
@DrDavidGeier @PranaPT I was trying to set that up the other day and wouldn’t let me for some reason.. finally gave up. #socialortho
Kristi Messina @kmessina15
@PranaPT Will do! love reading your tweets 🙂 #socialortho
Ann Wendel @PranaPT
@NCHSportsMed Great! Thanks for joining! #socialortho
Ann Wendel @PranaPT
@mnhopper1s @DrDavidGeier I did the Google voice number first – too awkward, I like getting calls right to my cell. #socialortho
Jesse @jdimick
@PranaPT @nchsportsmed anyone that’s wants to join we will be having a #aclchat for athletes on Sunday at 9pm est. #socialortho
Dr. David Geier @DrDavidGeier
@Paleojc @myorthodoc @hjluks @jdimick @PranaPT Glad that you joined in! See you next time! #socialortho
Dr. David Geier @DrDavidGeier
@PranaPT Thanks everyone! These get more fun every month. So many great opinions here. Can’t wait for the next one! #socialortho
Ann Wendel @PranaPT – @DrDavidGeier Thanks to everyone for chatting tonight! See you next month! #socialortho
Remember to join the #socialortho tweetchat every month. We hold them the first Wednesday of each month at 9 PM ET unless we announce a change. Follow me on Twitter, and follow co-moderator Ann Wendel, for more information!
