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Background
... 4 out of every 5 U.S. adults reports having had back pain at some point in their life.
The Orthopedic service line is a key contributor to the financial success of a hospital.
The spine sub-service is the largest sub-segment representing 25% of inpatient revenues and over 50% of all inpatient profits.
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The future outlook for spine care at U.S. hospitals is threatened by a number of contributing factors:
- Migration to outpatient setting
- New competition - ambulatory service centers (ASCs) and specialty hospitals
- Eroding profitability
- Inconsistent inpatient hospital patient experience
- Uncoordinated initial spine care
Marshall Steele, MD, believed that the issues described above were the result of a fragmented care delivery system. To fix this, he spearheaded the development of a solution for designing, implementing and sustaining repeatable processes in order to capitalize on all aspects of the surgical spine patient experience
- Destination Spine and Musculoskeletal Center
The MS&A Back on Track Program is a full service, hospital based, operative and non-operative spine and musculoskeletal program that differentiates the facility via two primary centers of superior performance:
Back on Track Surgical Center
The destination center for all inpatient surgical spine patients, the Back on Track Surgical Center offers a consistent patient experience, increased levels of satisfaction and potentially improved outcomes to this key patient population.
Back on Track Intake Facility
The point of entry / single referral point for all patients with back and / or neck pain to begin their treatment program and then resume their care after an intervention has been completed.
The MS&A Destination Spine and Musculoskeletal Center Consulting Service
The Destination Spine Musculoskeletal Center consulting engagement follows a standard methodology and approach to include all key personnel and physicians within your spine center. The primary components of the engagement are:
1. Hospital On-Site Visitation
MS&A provides a one day visitation at your hospital to accomplish the following:
- Assess the hospital's current spine service/program
- Introduce the Destination Center of Superior Performance model
2. Destination Center Development and Implementation
MS&A provides comprehensive assistance for the transformation of your spine service into a Destination Spine and Musculoskeletal Center. This involves a four-step process, as follows:
- Phase I: Assess - A baseline that provides the team with a thorough understanding of both the current state and the potential for the desired state.
- Phase II: Architect - This is the design and planning phase for your Destination Spine and Musculoskeletal Center.
- Phase III: Assemble - Once the plans are in place and the design is ready, the building process begins. During the Assemble phase, the Center is built, modified, piloted and launched.
- Phase IV: Assure - During this phase the Center's performance is evaluated, feeding insights back into the organization for continuous learning and improvement and increased patient satisfaction.
The Benefits
The results associated with implementing a Destination Center of Superior Performance benefit a wide range of audiences:
Patients
- Comprehensive education and coordination in all phases of care.
- Enjoyable hospital experience, complete with group interaction.
- Consistent family involvement and education.
- Faster return to home.
Surgeons
- Processes are consistent and predictable.
- Efficiencies are improved.
- Outcomes are documented.
- Leadership opportunities are created.
Hospitals
- Patient expectations are exceeded.
- Physician and staff loyalty is increased.
- Profitability and volume grow.
- Other hospital-based services benefit from a "halo effect".
| A Destination Spine and Musculoskeletal Center positions participating hospitals and surgeons to be leaders in innovation and value creation. |
Additional Services
Operating Room Efficiency
The operating room is an essential part of every orthopedic program. While the creation of a Destination Spine Center will inevitably improve operating room efficiency, MS&A offers in-depth consulting services to specifically assess and address core perioperative processes and elements.
Ongoing Support
Subscription Services:
To continuously improve program performance, MS&A provides subscription support services for hospitals that have completed the program implementation. Hospitals that we believe have successfully implemented a Destination Center of Superior Performance are eligible to purchase the subscription service on an annual basis.
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