Thanks, Arnon Krongrad, fortalking to the Op Report today about Surgeo. Please tell the audience whatthis is, what the model is that you’ve developed for surgical care. The model is a logistics model. Itrecognizes that every patient wants three things: quality, convenience, and choice. When it comes to surgery, we believe that quality comes principallyfrom the surgeon, and so as we seek to simplify access to quality care, we put aheavy emphasis on which surgeons to work with. We use a peer credentialing process. I can certainly get into it in great
detail. The point is once we find these qualified surgeons, we wrap their services and everything a customer might want. So forexample, anesthesia, facility, implants, physical therapy, and so on. We takethese uniformly defined choices of flat fee surgery packages led by peercredentialed surgeons, put them all on surgeo and invite the user,principally patients at this point, to do their shopping that way. And of course wehave offline support, too. Interesting. So I suspect that the surgeons hearingabout this model for the first time would have concerns about accountability and follow up care. Can you talk about
the pre and postop surgeonpatientrelationship? The beauty what’s happening with Surgeo is that surgeons are askingexactly the right questions, like the one that you just asked. This is a surgeondriven model, so, for example, when we first designed our first orthopedicprogram, total knee replacement, we didn’t have a urologist design thatpackage. We had orthopedic joint replacement surgeons design them andthey included what they thought was critical to a quality outcome: preopevaluation, for sure, the surgery itself, postoperative care including 12sessions of physical therapy, and so on.
Carpal tunnel includes occupationaltherapy. Penile implant surgery includes postoperative visits and education inregards to how to work the implant. So the model takes into account theopinions of surgeons. And a lot of patients are traveling to locations forthese packages. How are postop complications and the physicaltherapy handled in that? Every patient travels surgery and that’s becausenobody has surgery in his living room, so there’s always some. Now we don’t seek to get patients to airports. That isn’t the purpose of this thing and we’re not a travel agency, and so what we’re
trying to do is once we identify highlyqualified surgeons is to bring in more of them and to distribute themgeographically so actually for the convenience of the patient, including ina situation that you described, you’re not dealing with any sort of complicatedtravel. For example, yesterday one of our patients had surgery in Lake Elmo,Minnesota. It’s a suburb of the Twin Cities. He lives in St. Paul. I think most of uswould consider that to be a very reasonable distance, so it’s possibleonce you check off the quality criterion, which is something we’re not prepared tocompromise, then we expand the
network. Look, fundamentally choice is acritical element of health services delivery. You have to have quality. Youhave to have choice. And so we’re all about expanding choice through theintegration of more and more qualified surgeons. And has getting liabilityinsurance been difficult, or no? We’re not providers, right? We’re not deliveringdesignated health services, ok? So we don’t need malpracticeinsurance. Our surgeons do obviously have professional liability much as you and Ihave professional liability when we touch a patient, but that’s somethingthat goes with the provision of services.
Lost Needle Tip Costs 500000 NY Medical Malpractice Attorney Gerry Oginski Explains
A loses a needle tip during the courseof surgery that cost him $500,000 dollars. You want to learn what happened? Come joinme as I share with you this great information. Hi. I’m Gerry Oginski. I’m a New York medicalmalpractice and personal injury trial lawyer practicing law here in the state of New York.This was very early in my career and I was representing the in this particularcase. I was defending the . He was being sued by the patient. The patient winds upgoing in for hernia repair surgery. And now, during the course of surgery the iswrapping up the surgery and as he is sewing the patient closed, the tip of the needlebreaks off. So what does the do? Well
he actually goes ahead and starts lookingfor it. But after ten or fifteen minutes he can’t find it so what does he do? Insteadof getting an xray, he decides to close the patient that it is unlikely going to effectthe patient at all. He thinks what’s the big deal, no big deal, it’s not going to affectthe patient at all, I’m going to close the patient up. When he sees the patient the nextday in follow up, he does not tell the patient about the fact that the tip of the needlebroke off. So the patient has no clue. All the tells the patient is, quot;Listen,your surgery went great. Everything went fine. You’ll be fine.quot; Well three years later, thepatient winds up having significant back pain
and they can’t understand why they’re havingthis significant back pain. So they go to an orthopedist, the orthopedist takes xraysand says, quot;What is this?quot; He finds something sharp on the xray in the patient’s back.He said did you ever have surgery? He’s like quot;Yeah, three years ago I had surgery.quot; Well,it looks like somebody left something inside of you. Now that’s remarkable. Why? Becausenow this problem that the thought wouldn’t be a problem is a problem. What the should have done is the should have told the patient, quot;Listen. I did everythingI could to try and find this. I couldn’t find it and now just let me know. Come back tome if you have any further problem.quot; Instead
the patient had no clue. And now, three yearslater when he wakes up and realizes I have excruciating pain what’s causing this? Theorthopedist has to find it on an xray and now he has to go in and surgically have thatremoved. And that’s exactly what happened. Now you might be thinking, three years? Ifthis is a medical malpractice case, how is that the patient had three years to go aheadand bring a lawsuit? Well as of today, May 9th, 2014, there is something known as thediscovery rule. So, if for example, something was left inside of you during the course ofsurgery that was not in intended to remain inside of you then the patient has one yearfrom the date of discovering that thing or
when they reasonably should have discoveredthat thing within which to bring a lawsuit. So why do I share this great information withyou? I share it with you to give you an insight and an understanding into what went on whena inadvertently broke off the needle tip and decided you know what? It’s not abig deal. I’m not going to tell the patient. You know, I realize you’re watching this becauseyou have questions or concerns about your own particular matter. Well if your matterhappened here in New York and you do have legal questions, what I encourage you to dois pick up the phone and call me. I can answer your legal questions. You know, this is somethingthat I do every single day and I’d love to
talk to you. You can reach me at 5164878207or by email at Gerry@Oginskilaw . That’s it for today’s quick tutorial. I’m Gerry Oginski,have a fantastic day!.