39
Partner’s Edition, Sept. 2020 BUSINESS AS
Partner’s Edition, Sept. 2020
B U S I N E S SA S
2 OTO’S SCOPE PARTNERS EDITION | SEPTEMBER 2020 OTO’S SCOPE PARTNERS EDITION | OCTOBER 2019 2
contentsPartners Edition | Sept. 2020
6 OTIPRIO®: THERMOSENSITIVE LIQUID-TO-GEL TECHNOLOGY– ALK
8 THE VALUE OF EMPLOYEE HEALTH CARE BENEFITS – ELITE HEARING NETWORK
1110 WAYS TO ENGAGE YOUR PATIENTS REMOTELY– ENTCHOICE
14PHONAK MARVEL™: INSIGHTS AND DATA BEHIND THE MULTIFUNCTIONAL MARVEL– PHONAK
15
HEAR BETTER, LIVE BETTER: LIVIO AL DETECTS FALLS ACCURATELY AND ALERTS OTHERS– STARKEY
18 REVITALIZATION: EFFECTIVELY REOPENING YOUR AUDIOLOGY DEPARTMENT AND MANAGING FUTURE CRISIS– AUDIGY MEDICAL
21 WELCOME TO FUEL MEDICAL’S COVID-19 BUSINESS RESOURCE CENTER– FUEL MEDICAL GROUP
association informationAdministrator Support Community for ENT2400 Ardmore Blvd., Suite 302 • Pittsburgh, PA 15221Phone: 412-243-5156Email: [email protected] Website: www.ask ASCENT.org
24 SPECIAL OFFER ON MINICAT™ FINANCING– XORAN
28INTRODUCING THE CS 9600 IN-OFFICE CBCT SCANNER FOR ENTS– CARESTREAM
32
COVID-19 PROCESSES AND PROTOCOLS CONSULTANT SURVEY RESULTS– STRYKER
36 IS YOUR PRACTICE PREPARED FOR SUCCESS IN THE NEW NORMAL?– MODERNIZING MEDICINE
4 EDITORIALLY SPEAKING– ROBIN WAGNER, COPM EXECUTIVE DIRECTOR
5 PRESIDENT’S MESSAGE– JOANNE GAUTHIER, COPM ASCENT PRESIDENT
3 EXECUTIVE PARTNER DIRECTORY
3OTO’S SCOPE PARTNERS EDITION | SEPTEMBER 2020
Executive Partner Contact Information
Contact: Jim Lowry Senior Regional Business Manager1700 Royston LnRound Rock, TX [email protected] • 214-793-3881www.alk.net
Contact: Jason Luchterhand, COPM-C Director – New Market Development11201 NE 9th StVancouver, WA [email protected] • 360-816-2902www.audigymedical.com
Contact: Hayley Burton Regional Director ENT & Accreditation Specialist 1765 The Exchange Atlanta, GA [email protected] • 770-226-3290www.carestream.com
Contact: Gray Fleming Senior Vice President150 South 5th St, Ste 2300Minneapolis, MN [email protected] • 763-268-4101www.elitehearingnetwork.com
Contact: Renae Rossow Director of Marketing, Health [email protected] • 513-600-3124 www.isalushealthcare.com
Contact: Burke Johnson Marketing Project Assistant 314 NE Birch StCamas, WA [email protected] • 360-818-7922www.fuelmedical.com
Contact: Stephanie Pandal Associate Marketing Events Specialist4850 T-Rex Ave, Ste 200Boca Raton, FL 33431 [email protected] •561-232-6298 x1588www.modmed.com
Contact: Heath Baldock, Candice Tackett National Account Managers750 N. Commons Dr, Ste 200Aurora, IL [email protected] • 224-410-2766www.phonak.com
Contact: Lynn Melling Communications Manager6425 Flying Cloud Dr Eden Prairie, MN [email protected] • 952-941-6401 x5706www.starkey.com
Contact: Rachel Gajda Senior Business Manager, Capital & Strategic Partnerships3600 Holly Lane North, Ste 40Plymouth, MN [email protected] • 734-718-9297www.stryker.com
Contact: Micah Walker, MA, CCC-SLP | Regional Business Manager5210 S State RdAnn Arbor, MI [email protected] • 734-709-5448www.xorantech.com
Directory
M E D I C A L
4 OTO’S SCOPE PARTNERS EDITION | SEPTEMBER 2020
Editorially Speaking
Sincerely,
Robin L. Wagner, COPM Oto’s Scope Executive Editor | ASCENT Executive Director
Executive EditorRobin L. Wagner, COPMPittsburgh, PA
Editorial CoordinatorClaudia Hardy
Executive PartnersALK
Audigy Medical
Carestream
Elite Hearing Network
ENT Choice
Fuel Medical
Modernizing Medicine
Phonak
Starkey Hearing Technologies
Stryker
Xoran
“Innovation distinguishes between a leader and a follower.”
– Steve Jobs
Dear Colleagues,
As I was preparing to write this, my first thoughts were that it’s nearly impossible to find the good in a global pandemic, but COVID-19 did bring forth a few things I now feel I need to acknowledge: resiliency, leadership, and coming together to make a new way happen! As I was reflecting on early March and thinking about how quickly we needed to revamp how we were working, caring for our families, friends, pets, and ourselves, I realized just how resilient we are! We all had our routines and our work/business were humming along like well oiled machines and abruptly, this all had to change – no option, it had to change. We weren’t given much warning but that didn’t stop us from being able to figure out how to get staff working from home, patients cared for, children set up for home school, and to make the best of a bad situation – one we have never experienced before.
As the days went on, I felt like we were bombarded with information from the media that only escalated my anxiety. But then I remembered one of Mr. Roger’s famous lines “look for the helpers!” Look for the helpers is what I began to focus on. Sure enough, I began to see the helpers. ASCENT leadership and staff quickly began working on pulling together COVID-19 information that would help practices to better manage this. Additionally, our partners, kicked into gear and provided us with information and resources to share with our members to enable them to keep their practices and employees safe and operational, to keep cashing coming in, and caring for patients. Again, we were forced to do what some may have thought was impossible: telehealth, remote working, and balancing personal responsibilities. The “helpers”, ASCENT Leadership, members, partners, and the office staff came together to help ENT practices across the country.
During all the chaos, ASCENT Leadership was faced with a difficult situation – our annual educational conference. In the best interest of the safety of our members, partners, and exhibitors, a decision was made to go virtual. Now, we were faced with yet another challenge but guess what? Everyone kicked into gear again and another outstanding educational program was developed, a virtual meeting platform was secured, and we are ready to provide you and your practice with good information to help you manage your practice. Our partners stepped up (again!) and they will be with us at our virtual meeting as well. Of course, we will all miss the face-to-face experience but as we quickly came to learn, being together virtually is the next best thing! Of course, we have sprinkled in some fun and chances to win some great prizes – it wouldn’t be a true ASCENT meeting without our partners and exhibitors helping to spice things up. I hope you and others from your practice can join us on Oct 15-16 for our very first virtual educational meeting!
Lastly, with elections coming soon, I encourage everyone to do their civic duty and to vote!
Looking forward to seeing you on our virtual meeting platform in October!
Look for the HelpersRobin Wagner, COPM
“If you’re trying to achieve, there will be roadblocks. I’ve had them; everybody has had them. But obstacles don’t have to stop you. If you run into a wall, don’t turn around and give up. Figure out how to climb it, go through it, or work around it.”
– Michael Jordan
President’s Message
President
Tricia Long, COPMAllergy & ENT Associates of Middle Tennessee3901 Central Pike, Suite 351Hermitage, TN 37076Phone: [email protected]
President Elect
Joanne Gauthier, COPMThomas Jefferson University Dept. of Oto/HNS925 Chestnut St. 6th FloorPhiladelphia, PA 19107Phone: [email protected]
Secretary-TreasurerBrian WoodheadJohns Hopkins University, OTO550 North Caroline St., Ste 6215Baltimore, MD 21287Phone: [email protected]
Member-at-Large
Craig KilgoreCharleston ENT & Allergy Associates2295 Henry Tecklenburg DrCharleston, SC 29414Phone: [email protected]
Immediate Past President
Dianne WilliamsENT Associates of Alabama, PC833 Saint Vincents Dr, Building 3, Ste 402Birmingham, AL 35205Phone: [email protected]
“Teamwork is the ability to work together toward a common vision. The ability to direct individual accomplishments toward organizational objectives. It is the fuel
Dear Fellow ASCENT Members,
I hope this letter finds you well. I am more than half way into my term as President – and what a
year it has been. A year like no other - that is for sure.
As we live through and manage our practices in these unprecedented times, I hope that you are
utilizing your ASCENT membership to its fullest. It is awesome to be able to count on all of the
valuable resources – including each other – at challenging times.
The current crisis has prompted us to move our annual meeting to a virtual format and I am
very excited about the opportunities that this brings! While we haven’t hosted a virtual meeting
before, I am confident that we will continue to offer all of the great educational content and
networking opportunities that you have come to expect and enjoy from the annual meeting.
And, if you’ve never experienced an ASCENT annual meeting, this year’s is one you shouldn’t miss!
The Education and Program Committees and the home office have been working very hard to
ensure that ASCENT 2020 will be the best annual meeting yet. One of the advantages of going
virtual is that you will be able to “attend” the meeting from the safety of your own home or office.
I encourage you to register for the meeting and block the time on your calendar now to attend.
The knowledge and resources you will gain will surely outweigh the price of admission!
I would like to thank our Executive Partner companies for all of the valuable resources they
provide to our members. We rely on the generous support of our partners to provide services and
resources that add value to your membership. The partnerships have allowed us to stay current
with the ever-changing regulations in healthcare and pass along that information to you in a
timely manner. The value of our partnerships was never more evident as it has been during this
ongoing health crisis. We had several partner companies step up to provide timely webinars and
offer valuable insights via the COVID-19 Discussion Board.
This issue is a great example of the tremendous body of knowledge our partners can provide for
us. The next time you have a need within your practice, I encourage you to reach out to one of
our partner companies. You can visit the partner page on the ASCENT website at askASCENT.org/
PartnerProgram for more information as well as free resources.
Thank you for giving me the opportunity to represent our amazing organization this year as
President. If you have a suggestion on anything that we can improve or add to advance your
ASCENT membership, I would be grateful to hear about it. Feel free to contact me at
484-716-1212 or [email protected]. Stay well friends.
ASCENT Support During a Time of CrisisJoanne Gauthier, COPM
“Effectively, change is almost impossible without industry-wide collaboration, cooperation, and consensus.”
– Simon Mainwaring
Sincerely,
Joanne Gauthier, COPMASCENT President
OTO’S SCOPE PARTNERS EDITION | SEPTEMBER 2020 5
6 OTO’S SCOPE PARTNERS EDITION | AUGUST 2020
INDICATIONS AND USAGEOTIPRIO® (ciprofloxacin otic suspension) 6% is a fluoroquinolone antibacterial indicated for the treatment of acute otitis externa in patients 6 months of age and older due to Pseudomonas aeruginosa and Staphylococcus aureus.
IMPORTANT SAFETY INFORMATIONCONTRAINDICATIONSOTIPRIO (ciprofloxacin otic suspension) 6% is contraindicated in patients with a history of hypersensitivity to ciprofloxacin, to other quinolones, or to any of the components of OTIPRIO.
WARNINGS AND PRECAUTIONSPotential for Microbial Overgrowth: OTIPRIO may result in overgrowth of non-susceptible bacteria and fungi. If such infections occur, institute alternative therapy.
ADVERSE REACTIONSAcute otitis externa clinical trial: Adverse reactions (incidence at least 2%) with OTIPRIO vs sham were: ear pruritus (2% vs 2%), headache (2% vs 1%), otitis media (2% vs 1%), and ear discomfort (2% vs 0%).
USE IN SPECIFIC POPULATIONSPediatric Use: The safety and effectiveness of OTIPRIO in infants below 6 months of age have not been established for the treatment of acute otitis externa.
Please see Brief Summary of Prescribing Information for OTIPRIO on the following page
Staying PowerThermosensitive liquid-to-gel technology
For more information on OTIPRIO, please contact your local ALK representative or call 1-800-325-7354.
The first and only single-dose ciprofloxacin otic suspension administered by a healthcare professional in an office setting
OTIPRIO uses proprietary formulation technology
After administration to the external ear canal, OTIPRIO warms and transitions to a gel.
THERMOSENSITIVE PROPERTIES
OTIPRIO is being marketed by ALK-Abelló, Inc. and Otonomy, Inc.OTIPRIO is a registered trademark of Otonomy, Inc.©2020 Otonomy, Inc. All rights reserved. OTI0228.0720
OTIPRIO® (ciprofloxacin otic suspension) 6%
Rx only
BRIEF SUMMARY OF PRESCRIBING INFORMATION FOR OTIPRIO
INDICATIONS AND USAGEOTIPRIO is a fluoroquinolone antibacterial indicated for the treatment of acute otitis externa in patients 6 months of age and older due to Pseudomonas aeruginosa and Staphylococcus aureus.
DOSAGE AND ADMINISTRATION Dosage and Important Administration Instructions
• OTIPRIO is for otic administration by a healthcare professional only.
• OTIPRIO is intended for single-patient use, discard unused portion.
• For acute otitis externa, administer OTIPRIO as a single 0.2 mL (12 mg) administration to the external ear canal of each affected ear of patients aged 6 months and older.
Preparation of OTIPRIODirections for OTIPRIO dose preparation and handling for acute otitis externa is illustrated in Figure 1 of the full prescribing information.
DOSAGE FORMS AND STRENGTHSOtic Suspension: Each 1 mL of OTIPRIO contains a white, preservative-free, sterile otic suspension consisting of 6% (60 mg/mL) ciprofloxacin in a single-patient use glass vial.
CONTRAINDICATIONSOTIPRIO is contraindicated in patients with a history of hypersensitivity to ciprofloxacin, to other quinolones, or to any of the components of OTIPRIO.
WARNINGS AND PRECAUTIONSPotential for Microbial OvergrowthOTIPRIO may result in overgrowth of nonsusceptible bacteria and fungi. If such infections occur, institute alternative therapy.
ADVERSE REACTIONSClinical Trials ExperienceBecause clinical studies are conducted under widely varying conditions, adverse reaction rates observed in the clinical studies of a drug cannot be directly compared to rates in the clinical studies of another drug and may not reflect the rates observed in practice.
In a single randomized, sham controlled Phase 3 clinical trial, 259 pediatric and adult patients with acute otitis externa were treated with OTIPRIO or sham administered by a healthcare professional to the external ear canal as a single dose (0.2 mL to each affected ear). The median age of the patients enrolled in the clinical trial was 34 years; 26% were pediatric patients (age 3 to 17 years), 65% were adults (age 18 to 64 years), and 8% were elderly patients (age 65 years and older).
Adverse reactions that occurred in at least 2% of OTIPRIO patients and at an incidence greater than sham are presented in Table 1.
Table 1: Adverse Reactions in Phase 3 Acute Otitis Externa Trial
Adverse ReactionsOTIPRIO(N=127)
Sham(N=132)
Ear Pruritus 2% 2%Headache 2% 1%Otitis Media 2% 1%Ear Discomfort 2% 0%
USE IN SPECIFIC POPULATIONSPregnancyRisk SummaryAnimal reproduction studies have not been conducted with OTIPRIO. No adequate and well-controlled studies have been performed in pregnant women. Because of the negligible systemic exposure associated with clinical administration of OTIPRIO, this product is expected to be of minimal risk for maternal and fetal toxicity when administered to pregnant women.
LactationRisk SummaryCiprofloxacin is excreted in human milk with systemic administration. However, because of the negligible systemic exposure after otic application, nursing infants of mothers receiving OTIPRIO should not be affected.
Pediatric UseThe safety and effectiveness of OTIPRIO for the treatment of acute otitis externa was established in 67 pediatric patients (3 through 17 years of age) who participated in the Phase 3 trial; 57% of patients were 3 through 11 years of age and 43% of patients were 12 through 17 years of age. The safety and efficacy observed in the pediatric patients was no different from the older population. OTIPRIO is indicated for the treatment of acute otitis externa in pediatric patients 6 months of age and older.
The safety and effectiveness of OTIPRIO in infants below 6 months of age have not been established for the treatment of pediatric patients with acute otitis externa.
For more detailed information, please read the full Prescribing Information.
Distributed by: Otonomy, Inc. San Diego, CA 92121 www.otiprio.com
OTIPRIO® is a registered trademark of Otonomy.
U.S. Patent Nos: 8,318,817, 9,205,048, 9,220,796, 9,233,068, 9,486,405, and 9,603,796
.... .. �LI<.:•.• .:: :•:.• ::: .. ..... .... :.::: .. . • ·.=:::r .. . OTIPRIO is being marketed by ALK-Abelló, Inc. and Otonomy, Inc. ©2020 Otonomy, Inc. All rights reserved. OTI0226.0720
8 OTO’S SCOPE PARTNERS EDITION | SEPTEMBER 2020
Elite Hearing NetworkHuman Resources
The Value of Employee Health Care BenefitsBetween the time to assess and implement policies, administrative work to manage over time, and costs, there’s no getting around it: employee benefits programs can be a pain. However, these programs provide a number of advantages employers cannot ignore. Business owners are not required to provide employees with health plans (in every state besides Hawaii), but for today’s workforce, they’re no longer a nice to have – they’re a necessity.Employees expect to have some form of health care options from their employer, and about half (49%) of Americans obtain health care benefits through their place of work.While the pros of health care benefits from the perspective of your employees might be clear, you may not understand how those benefits also impact your practice for the better.
The Value for Employees
Employees who are left to pay most of their healthcare costs out of pocket may choose to skip a visit to their doctor or accept necessary treatment for an illness, and are therefore less productive at work or call in sick.
On the other hand, those who feel they have adequate health coverage are healthier, more satisfied with their job, more engaged with colleagues and patients, and ultimately perform better. A happy staff means happy patients who will return to your practice time and time again.
Supporting staff with sufficient benefits also fosters loyalty. Two in five employees (42%) said that making improvements to their benefits is something employers could do to keep them in their jobs.
Today’s multigenerational workforce holds benefits to as high a standard – if not higher – as salary. Well over half (60%) of employees would take a job with lower pay but better benefits, while 16% said they had left or turned down a job in the prior 12 months due to the level of benefits offered.
This brings up the common challenge for business owners and employers to attract new talent. Two-thirds of small business owners surveyed in an eHealth study said they offer medical employee benefits in order to help them hire and retain the best employees. Additionally, according to a survey by Fractl and Harvard Business Review, 88% of job seekers gave
better health, dental, and vision insurance some or heavy consideration when deciding whether to accept a job.
The Value for Your Practice
It may seem impossible to offer employees the benefits they want while maintaining your bottom line, but doing so actually comes with some cost perks. With more flexible plans available, employers are no longer expected to foot the entire bill for benefits; they can split costs with employees while providing more freedom when it comes to providers, treatments, and prescription medications.
Group plans are typically cheaper than individual plans, with lower premiums on average. In 2018, the average premium per person through a small business plan was $409 and the average premium for an individual health insurance plan was $440, and deductibles were 31% lower.
Additionally, businesses can deduct the entire cost of monthly premiums from federal business taxes, and health care compensation packages may also result in reduced payroll taxes.
Certain small businesses may even qualify for a tax credit if they meet certain criteria, including having less than 25 full-time or full-time equivalent employees, pay average wages of less than $50,000 annually per employee, and pay more than half of qualified employees’ health insurance premiums.
OTO’S SCOPE PARTNERS EDITION | SEPTEMBER 2020 9
It’s Time to Make a Change
Employees value healthcare benefits above salary and other perks, and while there are cost and tax advantages for you, the positive impact that engaged and productive employees have for your business is priceless. Failure to provide the coverage your employees – both current and future – want and expect may seem like an easy way to save a buck, but it will come back to bite you in the long run.
Implementing a benefits package for your staff doesn’t have to be a burden. A24U is Elite Hearing Network’s exclusive employee benefits program, designed to streamline the process of assessing employee health plans and putting those plans into action. Contact us today to learn more about how this program can save you time and money while keeping employees happy. Check out the “Employee Benefits: Removing the Administrative and Financial Burden” webinar that took place on August 12, 2020.
Check out our recent white paper, “Addressing the Challenges of Employee Benefits with Better Access & Flexibility” to learn more about the common challenges associated with employee health insurance. Visit elitehearingnetwork.com.
Check out the “Employee Benefits: Removing the Administrative and Financial Burden” webinar that took place on August 12, 2020.Check out our recent white paper, “Addressing the Challenges of Employee Benefits with Better Access & Flexibility” to learn more about the common challenges associated with employee health insurance.
REGISTER FOR ASCENT 2020
TODAY!
10 OTO’S SCOPE PARTNERS EDITION | SEPTEMBER 2020
Built exclusively for Elite Hearing Network members and their employees, A24U is a robust benefits program that includes a variety of health, dental, vision, and short-term disability insurance options. Designed to mitigate the common challenges associated with selecting and implementing employee health care plans, A24U ensures you and your employees stay healthy so you can provide the highest level of care to your patients.
Interested in learning more?View the “Employee Benefits: Removing the Administrative and Financial Burden” on-demand webinar and learn how A24U:
1. Helps you attract and retain top employee talent2. Expands your employee benefit offering without increasing your costs
3. Simplifies the benefits administration process
0720
View the Webinar Now!
Download the A24U White Paper> elitehearingnetwork.com
Employee Benefits Made Easy
OTO’S SCOPE PARTNERS EDITION | OCTOBER 2019 11
it makes in-officescanning and faster diagnosis
So smart,
CS 9600
so simple.Introducing the CS 9600 in-office CBCT scanner for ENTs. We know that most patients who leave your practice for a scan never come back. So don’t let them leave. The new CS 9600 is a high-quality imaging solution that allows you to scan and diagnose on the spot. Learn more about this simply brilliant scanning solution at csd-ent.com or call 888.477.4359.
WORKFLOW INTEGRATION
DIAGNOSTIC EXCELLENCEHUMANIZED TECHNOLOGY
© 2019 Carestream Dental LLC. 19121 NT CS 9600 AD 0719
19121-CS_9600_ENT_ASCENT_Ad.indd 1 7/25/19 4:43 PM
12 OTO’S SCOPE PARTNERS EDITION | SEPTEMBER 2020
Marketing ENT Choice
10 Ways To Engage Your Patients RemotelyThe everyday normalcy of practicing medicine has been interrupted since COVID-19 started to spread rapidly, worldwide. Providers everywhere are trying to find the best way to continue providing care, while also engaging patients safely and remotely. Healthcare teams do not have the luxury of closing their doors to consumers. Instead, they are on the front-lines of patient interactions.In order to continue providing safe, quality care and reduce patient fear, all while increasing patient engagement remotely, practices should implement and promote the following tools, steps, and resources.Telehealth
In a time where patient engagement could potentially plunder, we have the technology to keep it from sinking. Telehealth offers a solution to practices looking to continue providing services during a pandemic, while still giving patients a way to connect.
1) Video Visit
Telehealth is a great option as it gives patients a way to visit with their physician without contributing to the spread of COVID-19. From the comfort of their own home, patients can log on and complete a video visit with their provider. Here practices can offer care to their patients, just as they would in an in-person visit, subtracting all of the risks.
2) Remote Monitoring
Telemedicine also offers a solution for providers looking to monitor their patients remotely and increase patient engagement. Remote monitoring enables practices to track important health data, like vitals, while having them uploaded directly into the patient’s chart. This allows providers to keep an eye on patients who might have regularly entered the office prior to the outbreak of the coronavirus.
Digital Intake
Tools like telehealth are helping patients visit with their providers from home. Digital patient intake can streamline the gathering of important PHI, reduce the number of people in waiting rooms, as well as improve practice workflows.
3) Safer Patient Intake
Traditional patient intake often involves handing your patients a clipboard, pen, and paper while they sit in your waiting room, writing all of their information down by hand and returning
it to you when they are done. Digital patient intake offers a safer alternative to traditional intake, eliminating the in-office process, and moving it online. From their patient portal, patients can input all necessary and relevant information directly into their chart. This allows you to gather and assess their PHI without them having to come into the office. Digital patient intake also often results in a more comprehensive list of information by eliminating the need to rush the patient into a visit.
4) Reduce Waiting Room Crowds
By digitizing this process, healthcare teams can reduce waiting room times and crowds dramatically. This is incredibly important as minimizing person-to-person interaction is vital to decreasing coronavirus transmission. Digital patient intake enables your patients to complete all necessary documents online, allowing them to visit with their provider at home or wait in their car for an in-person visit. By eliminating the need for patients to take up space in your waiting room, you control the number of people in your building at one time.
Patient Portal
Having a quality patient portal in your organization’s tool belt is essential to maintaining high levels of communication between patients and their physicians during a time of social distancing.
5) Send and Receive Secure Messages
With a patient portal, patients can ask questions about their care plan, upcoming appointments, and what the process is for in-person visits. This ability to quickly communicate with one another helps to limit fear and anxiety during times of social distancing and provides patients with the tools they need to stay engaged with their physician remotely. It also helps to cut down lengthy phone call conversations and protect your
OTO’S SCOPE PARTNERS EDITION | OCTOBER 2019 13
practice’s time.
6) Share Important Data
Your patient portal can also function as a useful means to communicate important data and developments related to the virus and how your practice is responding to it. Many healthcare teams have delivered messages about new COVID restrictions and how their practice is taking action to prevent the spread and growth of the virus with their patient portal. These messages might inform patients on the importance of staying home, utilizing virtual visits, messaging their provider, or requesting prescription refills.
Chronic Care Management
Chronically ill patients are some of the most vulnerable during this time as contracting COVID-19 can be life-threatening to anyone who is immunocompromised. They are also some of the individuals who visit medical facilities most frequently throughout the year. Chronic Care Management offers a solution for these patients, helping them stay safe and helping your practice increase revenue during a pandemic.
7) Care Coordination
Care coordination is helping chronically ill patients avoid leaving the house unless completely necessary. By working with a qualified professional, patients minimize the number of testing and in-person visits they must complete, helping to increase patient engagement. Together with your CCM services vendor, your patients get the care they need, without putting themselves at risk.
8) Monthly Check-in
When medical facilities and staff are stretched thin, your CCM vendor lends a hand when it comes to checking on patients via a phone call. During this call, the CCM vendor will connect with your patients, collect any questions, offer medication
reconciliation, and make sure your patient is taken care of.
Medical Billing
Maintaining your revenue cycle is vital to keep your practice up and running during the COVID-19 outbreak. It also allows physicians to connect with and care for their patients via innovative software solutions designed to enhance patient engagement and encourage personal responsibility.
9) Optimize Your Revenue Cycle
Maximizing your clean claims is the quickest avenue to payment for providers. For practices that might be implementing new services, like telehealth, in order to increase patient engagement, utilizing RCM services is the best way to keep your claims clean through the duration of this outbreak.
Lastly, having an ENT specific EHR that integrates seamlessly with all of these tools is also vital for digital health innovation and makes your practices processes and workflows more efficient.
SEPTEMBER 2020
14 OTO’S SCOPE PARTNERS EDITION | OCTOBER 2019 OTO’S SCOPE PARTNERS EDITION | SEPTEMBER 2020 14
OTO’S SCOPE PARTNERS EDITION | SEPTEMBER 2020 15
Revitalization: Effectively Reopening Your Audiology Department and Managing Future Crises
Audigy MedicalOperations
Knowing when and how to reopen your audiology department isn’t simple or easy. Read on for tips and considerations to help you know if you’re ready to reopen, as well as best practices for managing future crises.
Planning to Reopen Can You Reopen? First thing’s first: You need to stay current on what is allowed — and what’s now required — not only at a local level but at a state and federal level to make sure you can reopen. Should You Reopen?
Cash flow: Start with a cash-flow analysis focused on the next three months. How much revenue will you need to generate in the event of a second wave of COVID-19? The answer will inform whether your goal is cash flow or capital preservation, how much of your staff can return, and whether you have enough capital for the next three months to avoid outside financing.
Service needs: What are your chief complaints and their prevalence? Is telehealth even an allowable option, and is it feasible? One possible barrier to reopening your audiology department is whether the physical environment of your practice can accommodate any new requirements for social distancing and sanitizing. Staffing needs: The most obvious factor for your staffing needs is whether you provide care on-site, remotely, or both. Patient demand and social-distance guidelines might also heavily affect whether you should offer extended clinic hours during the week or over the weekend. You’ll also need to decide your policy on summer vacations to ensure you’re meeting patient demand. Bring staff members in before you reopen for walk-throughs of the new appointment structure and any newly implemented safety standards and processes. Ensure each team member is clear about how the new processes work. This will prevent mistakes and loss of patient confidence when you first start seeing patients after opening. Marketing: Patients will want to know you’re reopening, and patients and prospects alike might be worried about safety, so they’ll appreciate knowing all about your updated precautions, standards, and procedures.
COVID-19 complications: One important consideration is how it will affect your audiology department if a confirmed COVID-19-positive patient is seen in the office and has an aerosol-generating event. How long will your exam room rest before being put back into use, and can you absorb that temporary loss of usable space? Reopening Communicating With Your Patients Be proactive about patient communication. Script out the things you know for sure you want communicated to each patient. Ask screening questions to determine their risk for bringing COVID-19 into the practice as well as appropriate courses of action for each scenario. Keep a list of which services you are and are not offering at this point next to each phone. Cover all safety guidelines, both over the phone and again when the patient comes into the clinic. Filling Your Patient ScheduleYour office is prime real estate for a captive audience — map your patient flow and identify any internal marketing opportunities. As you’re mapping your patient flow, think outside the box. Does every patient need to be seen in the office? Are there telehealth or remote-care opportunities to be developed?
Scaling Up Evaluating Audiology Department Processes As you adjust to your practice’s new normal, look for ways to fine-tune processes: Reevaluate patient triage and the patient’s physical journey through your clinic. Determine the appropriate amount of cleaning supplies and PPE needed daily to keep your staff and patients safe. Calculate the appropriate and realistic number of patients to schedule per hour. Where can remote care or telehealth provide breathing room in your clinic?
Audigy Medical
16 OTO’S SCOPE PARTNERS EDITION | SEPTEMBER 2020
Oversight On a daily basis, review federal/state/local guidelines and regulations. On a weekly basis, review schedule capacity and cancellation/no-show percentages, and meet with team leads for feedback. Schedule biweekly meetings with owners and physicians. Meet with the full staff and review cash flow and finances monthly.
Managing Future Crises
COVID-19 will not be the last crisis to affect your practice. In order to survive this and future crises, we encourage you to consider the following: Presence Now is the time to take stock of what kind of leader you’ve been. Your staff, patients, and community all need to know you’re present. Determine what telehealth and remote-care options you can provide to patients, and keep the digital lines of communication open. Check in with your staff regularly. Use your website, social media, and digital advertising to be a voice of sanity, safety, and health in your community. Perseverance Ensure that when patient demand returns, you’ll exist to serve it. Perform immediate financial triage, assessing cash flow, fixed and variable costs, A/R, expenses, and additional sources of revenue. Leverage lines of credit, and apply for federal tax extensions if necessary. Stay on top of evolving staffing
considerations, such as proactive communication; whether remote-work opportunities for employees are possible; and the possibility of layoffs, furloughs, or a hiring freeze. Be sure to update sick-leave policies. Institute COVID-19 policies within your organization. Develop new delivery models. Communicate about them regularly to patients and referring practices. Prosperity Prosper and learn from this experience: Develop an emergency financial plan, and build a culture of always seeking greater efficiency. Be charitable, show your humanity, and share what you’ve learned from this crisis. Serve your community, your team, and your patients in the “new normal.”
OVERBURDENED ADMINISTRATORS. DECLINING REIMBURSEMENTS. RESTRICTIVE INSURER RULES AND REGULATIONS. PHYSICIAN BURNOUT. EMPLOYEE TURNOVER. MAXIMIZING PATIENT TIME. A GLOBAL PANDEMIC.
WHAT DOES SUCCESS LOOK LIKE TO YOU? WE’RE HERE TO HELP YOU ACHIEVE IT.
WE’VE ALWAYS GOT YOUR BACK.No matter what Audigy Medical members are facing, they always have a team of trusted business experts they can rely on for strategies, tactics, and advice, creating over 15 years of community, perseverance, and success.
WHO IS LOOKING OUT FOR YOU?
Visit Audigy.com or call us today at 855.404.0977 to learn how you can become a part of this thriving community of independent, innovative medical professionals.
18 OTO’S SCOPE PARTNERS EDITION | SEPTEMBER 2020
Lost physician productivity in the United States can be largely attributed to time spent on documentation, which accounts to 34%-55% of a physician’s workday
PhonakTechnology
Phonak Marvel™: Insights and Data Behind the Multifunctional MarvelThe No. 1 priority behind developing a hearing device is to design innovations that respond to the needs of the hearing aid user. However, the needs of a hearing aid user change throughout the hearing aid journey – from the very first moments of hearing aid use when comfort is key, to hearing performance out in the real-world, to long-term aspects of hearing related to overall wellness.
Launched in October 2018, Phonak Marvel hearing aids offer technologies that are designed to address each of these stages of the hearing aid journey.
So, how well is the multifunctional marvel performing for patients and hearing care providers? Nicole Klutz, Au.D., a Phonak Audiologist, shares insights and data into the acceptance and success of Phonak Marvel hearing aids.
The Response to Marvel
“We have heard overwhelmingly positive responses and feedback from both hearing care providers and patients wearing Marvel hearing aids,” said Dr. Klutz. “In fact, when surveyed, 91% of Phonak Audéo™ Marvel wearers would recommend Marvel to a friend or a loved one.” In addition, Phonak surveyed hearing care providers who are fitting Phonak Marvel, and 95% of them would recommend Marvel hearing aids to their colleagues. “This is an incredibly high success rate and performance with both patients and hearing care providers fitting Marvel,” she added. With the launch of Phonak Marvel, the device was promoted to offer the best first fit experience, universal connectivity with no compromise on performance, and a product that is truly an all-in-one solution. “It is important to us that when we make such strong claims about performance that the product delivers,” said Dr. Klutz. “This is exactly what we’re hearing from the hearing care providers who are fitting Marvel devices.” In fact, 9 out of 10 hearing care providers reported that Marvel delivered the best first fit for first-time hearing aid wearers with exceptional sound quality right from the beginning. And, 92% of them confirm that the biggest advantage of Marvel is the combination of rechargeability and connectivity with no compromise on sound quality.
The Experience of First-Time Patients
The importance of getting a first fitting “right” is critical with a new hearing aid wearer. And while this may be the beginning of the hearing aid journey, it is typically the end of five to seven years of waiting to pursue amplification. “You never get a second chance to make a great first impression, and for some first-time hearing aid wearers, that moment can be one that they never forget for the wrong reason,” said Dr. Klutz. “Hearing care providers have had to compromise on first fit sound quality for comfort — meaning that they had to reduce the high frequencies (a.k.a. audibility) for many of their first fits to provide overall comfort to their patients so as not to give them a bad first experience,” she added. “However, we all knew that this meant we were potentially under amplifying them, and often many patients never got up to their full potential within the first 6 months of their hearing aid experience.” After launching Marvel, Phonak reviewed the ~76,000 fittings from 32,000 patients who had been fit across various countries (USA, DE, FR, CA, GB) and reviewed the parameters and fitting behaviors to see just what was really happening. “Right off the bat, we saw that the newly designed M receiver and Open dome were being used at first fit as recommended by Target fitting software, and that upon follow-up, there were no changes made to the acoustic coupling, meaning that the patient and the hearing care provider were happy with the fit,” said Dr. Klutz. When looking at first fit data, it showed that hearing care providers are using the first fit algorithm without any additional fine tuning for their first-time Marvel wearers. “We also see that they are making minimal, if any, changes to the first fit program,” she added.
19
Evolution of Hearing Aid Technology
AutoSense OS™ is the operating system of many Phonak hearing aid platforms. It is extremely important in how patients experience their world around them as well as how the hearing care provider can confidently fit a patient who has a very dynamic listening environment. Unique to Phonak, AutoSense OS is multi-based and has the intelligence to analyze the acoustic environment and select to blend components of the programs within it to match the patients’ environment and optimize their settings whatever it is that they need at that time. “It is important, though, that we recognize that AutoSense OS needs to continue to evolve, and the system needs to be continually refined to optimize its acoustic classification and recognition of very dynamic and challenging listening environments,” said Dr. Klutz. With Marvel and AutoSense OS 3.0, Phonak introduced a new capability for AutoSense OS: classification of streamed signals. Along with classification of streamed inputs, AutoSense OS 3.0 can also identify if the signal is streamed speech (like a podcast) or streamed music (like a movie scene) and adapt the setting accordingly to optimize what the patient is hearing to ensure a full, rich sound quality.
AutoSense OS 3.0 is the only automatic system available to do this.
Wearing Marvel Longer
“Phonak has always seen a relatively high wearing rate across various generations of products, like Quest, Venture and Belong. With Marvel, we have seen an amazing increase in the length of time patients are wearing their hearing aids,” said Dr. Klutz. In fact, Marvel hearing aid wearers are wearing their devices on average 13 to 20 hours a day, which is 2-3 hours longer than any previous generation of Phonak hearing aids. “They simply don’t want to take them off! This is exactly what we all strive for: a hearing aid that people want to actually wear,” she added. Along each stage of the hearing aid journey, Phonak Marvel is a hearing aid that has the ability to change the lives of hearing aid users at every stage of the hearing aid journey. Learn more information and training on Phonak Marvel.
AutoSense OS™ is the operating system of many Phonak hearing aid platforms. It is extremely important in how patients experience their world around them as well as how the hearing care provider can confidently fit a patient who has a very dynamic listening environment.
Get your Certification in Otolaryngology Practice
Management!
OTO’S SCOPE PARTNERS EDITION | SEPTEMBER 2020
COPM InformationCOPM-C Information
Phonak Audéo™ Marvel#1 hearing aid for first-time users1
When given the option between Phonak and a competitor, first-time hearing aid users preferred the exceptional sound quality of Audéo Marvel.
www.phonakpro-us.com/audeomarvel
Telecoil models available!
1 Rakita, L., Stewart, E. and Drexler, J. (2018). Best first-fit experience from Phonak: Phonak Marvel. Phonak Field Study News, retrieved from www.phonakpro.com/evidence, accessed December 19, 2018.
Welcome to Fuel Medical’s COVID-19 Business Resource Center
As a practice owner or manager of any size, navigating this new landscape can be daunting. There’s a whole unique microcosm of strategic issues to solve, all while facing a daily changing news cycle and a national statistic of less than half of all practices reporting that they have enough cash to stay open in the current circumstances.1
There are the triage-like incident command questions, such as determining how much PPE you have on hand, or what services you can offer according to your local reopening protocol. Then there are the complex emotional nuances of marketing to patients who may be fearful of even setting foot in a practice.
At Fuel Medical, we understand the complete psychology and practicality of operating a medical practice, which is why we created the COVID-19 Business Resource Center—your
go-to resource to see you and your practice through this unprecedented time.
Whether its financial management, telehealth strategies, innovative operational solutions or marketing and communications, we’re here to connect you with the resources you need to not only survive the pandemic but thrive well into the future.
Meet the Team Behind the COVID-19 Resource Center: The COVID-19 Task Force
Seeing a need to amplify our award-winning business advisory services for a rapidly evolving landscape, we pulled from our team of over 100 professionals a tactical leadership force dedicated to keeping your practice moving forward.
Fuel Medical
COVID-19 has forever changed the world, let alone our nation’s health care industry. From food supply chains to global economics, politics to environmental causes, and of course, our very social fabric, there’s not much that’s not at stake as this crisis continues.
Marketing
Connecting your practice to progressive strategies when you need it most.
OTO’S SCOPE PARTNERS EDITION | SEPTEMBER 202021
Phonak Audéo™ Marvel#1 hearing aid for first-time users1
When given the option between Phonak and a competitor, first-time hearing aid users preferred the exceptional sound quality of Audéo Marvel.
www.phonakpro-us.com/audeomarvel
Telecoil models available!
1 Rakita, L., Stewart, E. and Drexler, J. (2018). Best first-fit experience from Phonak: Phonak Marvel. Phonak Field Study News, retrieved from www.phonakpro.com/evidence, accessed December 19, 2018.
22 OTO’S SCOPE PARTNERS EDITION | SEPTEMBER 2020
This elite collective of public health, operations, human resources, digital strategy, marketing and finance professionals, professional development and former practice owners, in turn, have created a living website and series of webinars that serve as the most actionable ad up-to-date steps available to you as a business owner, today.
What Resources Are Available?
Telehealth: It’s a brave new world for delivering health services using technology for virtual visits, and it just got easier with changes to compliance for these patient interactions. From understanding billing to best practices, we’re here to help you implement it.
Reopening Strategies: From our leaders to yours, we unlock the tools to lead effectively during the pandemic. Changes in policy and procedure, evolving department considerations, safety considerations—don’t get left behind the curve.
Operations: Like telehealth, operational strategies are requiring a complete retooling. On the flip side of virtual visits, steps like training staff for virtual engagement, changes in patient scheduling, and novel cash-flow solutions are a must.
Marketing: Pre-pandemic marketing strategies won’t cut it in today’s landscape. Patients are being influenced in increasingly dynamic ways. Referrals, direct mail, word of mouth, complete digital overhauls—we cover every pathway available, and the emotional tenor in between.
Webinars: Providing insight, tips and tricks on topics such as: ‘How to Build Revenue Over the Phone,’ ‘Becoming a Leader & Developing Clinical Protocols,’ ‘Behavioral Economics’ and myriad other insightful discussions.
Government Programs: The Paycheck Protection Program was just the tip of essential bureaucracy to navigate. Consider us your ongoing guide to monitoring and analyzing the programs impacting your practice.
Current State and Federal Guidelines: In both the current landscape and as we continue to reopen the nation, state and
federal guidelines roll in daily—we breakdown what matters to your practice most and how you can adhere to your individual protocols.
Vetted Sources
The information age is full of lazy reporting. We utilize the most reliable resources to keep you accurately informed, and vet an ongoing list of news updates and helpful links to further keep you connected.
Hotline
In addition to our website and webinars, if good old-fashioned dial-up is more comfortable for you or necessary, we’re just a phone call away via (360) 818-7700. At Fuel, one-dimensional health care strategies are not our business. Though the pandemic is one of the most disruptive challenges to ever enter the path of the health care industry, with our dedicated team in your corner, you’ll have the best tools and analysis at your disposal to navigate the challenge. Ready to get ahead of the curve once and for all? Contact the COVID-19 Task Force or visit our website today.
[email protected] | 360-210-5658 | FuelMedical.com
Source
Primary Care Collaborative (2020, July 09). Primary Care & COVID-19: Week 15 Survey. Retrieved July 06, 2020, from https://www.pcpcc.org/2020/07/01/primary-care-covid-19-week-15-survey
OTO’S SCOPE PARTNERS EDITION | OCTOBER 2019 2323 OTO’S SCOPE PARTNERS EDITION | SEPTEMBER 2020
Fuel Medical’s COVID-19 Business Resource Center is proud to be the complete resource in guiding you and your practice through this time of uncertainty and rapidly evolving industry change.
Led by a collective of industry-savvy professionals, our team is at full strength and here to support and guide you through the pandemic to the next level of your business goals.
You’ll find our online business resource center (www.covid-19.fuelmedical.com) offers critical information and learning tools structured to effectively navigate the road ahead. Lean on us to make sure you have the information you need, in time to use it.
· Financial Management · Telehealth · Operations · · Human Resources · Marketing & Communications ·
COVID-19Keeping Your Practice Strategic Through Chaotic Times
Fuel Medical’sBUSINESS RESOURCE CENTER
[email protected] | 360-210-5658 | FuelMedical.com
IT’S TIME TO GET AHEAD OF THE CURVE.Give us a call. 360-210-5658
24 OTO’S SCOPE PARTNERS EDITION | OCTOBER 2019 OTO’S SCOPE PARTNERS EDITION | AUGUST 2020 24
MINICAT™ FINANCING
SPECIAL OFFER ON
Xoran-only financing is available through our preferred partners—3.99% interest, with 10%/mo. step-up payments for 1-6 months*
800.709.6726 / XORANTECH.COM
Implementing MiniCAT is even easier with our “Back-to-Clinic” Summer Promotions
© 2020, Xoran Technologies LLC. All rights reserved. MCO1781
*pending credit approval and for a limited time
Optimized sinus and temporal bone CT with specification-shattering 70 micron ultra-high resolution
Solo practicesSmall officesSatellite clinics
JUST ANNOUNCED: Xoran has low-risk purchase options for clinics who are re-opening—available for a limited number of ENT and Allergy practices.
Otolaryngologists and ENT Market Leaders Support the COVID Response Effort
MiniCAT™ Point-of-Care CT Provides Contact-less Diagnostics for ENTs
The MiniCAT was designed, and is constantly improved, with ENT and Allergy clinicians and staff in mind. As the pioneer and market leader in point-of-care CT, Xoran is always looking for ways to assist ENT practices in streamlining their workflow while providing low dose diagnostic scanning.
Now, more than ever, point-of-care CT can be placed in the ENT practice to assist with contact-less, same-day diagnostics.
Socially distanced CT imaging provides the surgeon with the information need to pre-authorize procedures … and patients are saved a trip to a potentially overtaxed and “virus-exposed” hospital radiology department.
In the global “new normal,” providers will still need access to CT data. MiniCAT is uniquely situated to assist surgeons in getting quick, reliable CT results.
With XoranConnect, MiniCAT scan images can be remotely reviewed with patients.
© 2020, Xoran Technologies LLC. All rights reserved. MCO1781 800.709.6726 / XORANTECH.COM
MINICAT™ FINANCING
SPECIAL OFFER ON
Xoran-only financing is available through our preferred partners—3.99% interest, with 10%/mo. step-up payments for 1-6 months*
800.709.6726 / XORANTECH.COM
Implementing MiniCAT is even easier with our “Back-to-Clinic” Summer Promotions
© 2020, Xoran Technologies LLC. All rights reserved. MCO1781
*pending credit approval and for a limited time
Optimized sinus and temporal bone CT with specification-shattering 70 micron ultra-high resolution
Solo practicesSmall officesSatellite clinics
JUST ANNOUNCED: Xoran has low-risk purchase options for clinics who are re-opening—available for a limited number of ENT and Allergy practices.
Otolaryngologists and ENT Market Leaders Support the COVID Response Effort
MiniCAT™ Point-of-Care CT Provides Contact-less Diagnostics for ENTs
The MiniCAT was designed, and is constantly improved, with ENT and Allergy clinicians and staff in mind. As the pioneer and market leader in point-of-care CT, Xoran is always looking for ways to assist ENT practices in streamlining their workflow while providing low dose diagnostic scanning.
Now, more than ever, point-of-care CT can be placed in the ENT practice to assist with contact-less, same-day diagnostics.
Socially distanced CT imaging provides the surgeon with the information need to pre-authorize procedures … and patients are saved a trip to a potentially overtaxed and “virus-exposed” hospital radiology department.
In the global “new normal,” providers will still need access to CT data. MiniCAT is uniquely situated to assist surgeons in getting quick, reliable CT results.
With XoranConnect, MiniCAT scan images can be remotely reviewed with patients.
© 2020, Xoran Technologies LLC. All rights reserved. MCO1781 800.709.6726 / XORANTECH.COM
VentMI™ Ventilator Splitter Spearheaded by Michigan Otolaryngologists
Ann Arbor-based Xoran Technologies has announced a new agreement with MakeMedical, a company formed by University of Michigan inventors, to distribute its VentMI pressure regulator. The device is designed to allow the use of a single ventilator by multiple individuals.
“We were focused on developing a system that could at least double ventilator capacity,” says Dr. Kyle Van Koevering of the Department of Otolaryngology-Head and Neck Surgery at Michigan Medicine and an associate faculty member in the Department of Biomedical Engineering at U-M. “We were looking for innovative ways to potentially help hospitals preparing for a ventilator shortage during the pandemic and beyond. The VentMI pressure regulator allows us to do just that, without compromising the health of our patients.”
The VentMI ventilator splitter offers individualized pressure control that is uniquely adjustable to each patient. Combining pressure regulators and one-way valves, the system minimizes cross contamination and has been tested in simulated lung environments. It recently received Emergency Use Authorization from the U.S. Food and Drug Administration and is available for purchase and use in hospitals, surgery centers, and field hospitals.
“VentMI takes minutes to set up and is easy to use, meaning hospitals and care facilities can prepare for viral outbreaks and surges with minimal cost outlay,” says David Sarment, president of Xoran. “Xoran has a long history of collaboration with University of Michigan faculty and surgeons, so our partnership with MakeMedical just makes sense. We will be able to leverage our existing footprint in the intensive care unit, where our mobile xCAT IQ CT provides real-time imaging for critical care patients.”
Xoran was founded in 2001 and offers a mobile, point-of-care, low radiation dose cone beam CT.
MakeMedical specializes in the manufacture of high-fidelity medical simulators and the use of additive manufacturing technology in developing patient solutions. It was founded in 2018 by U-M surgeons and others.
© 2020, Xoran Technologies LLC. All rights reserved. MCO1781 800.709.6726 / XORANTECH.COM
Source-Ray and Xoran Partner to Provide Portable X-ray to Hospitals and Urgent Care Facilities
Xoran Technologies has partnered with the market leader in portable X-ray, Source-Ray, to offer its portable X-ray systems to hospitals and urgent care centers in need of fast, portable X-ray imaging to support COVID response efforts and future surge planning.
Truly Mobile Point-of-care CT—Specifically Designed For Critical Care
© 2020, Xoran Technologies LLC. All rights reserved. MCO1781 800.709.6726 / XORANTECH.COM
“Source-Ray and Xoran have a long history together. We have been supplying them with U.S.-made X-ray sources for their CT imaging systems for decades,” states Source-Ray CEO Ray Manez. “A strategic partnership with Xoran to increase the access of portable CT just makes sense. Now, more facilities are able to meet the imaging needs of this global pandemic by turning to such trusted partners as Source-Ray and Xoran together.”
The SR-130 is a portable X-ray system that provides high power, state-of-the-art technology in a compact, lightweight form factor, making it easy to maneuver through crowded hospitals. Clinicians can trust the reliability and durability of these easy-to-use systems, as Source-Ray is the largest American manufacturer of high frequency diagnostic portable X-ray equipment.
The xCAT IQ is specifically designed to fit seamlessly in the operating room or intensive care unit. This compact, highly maneuverable, bedside CT provides real-time brain scans on your patient’s condition.
VentMI™ Ventilator Splitter Spearheaded by Michigan Otolaryngologists
Ann Arbor-based Xoran Technologies has announced a new agreement with MakeMedical, a company formed by University of Michigan inventors, to distribute its VentMI pressure regulator. The device is designed to allow the use of a single ventilator by multiple individuals.
“We were focused on developing a system that could at least double ventilator capacity,” says Dr. Kyle Van Koevering of the Department of Otolaryngology-Head and Neck Surgery at Michigan Medicine and an associate faculty member in the Department of Biomedical Engineering at U-M. “We were looking for innovative ways to potentially help hospitals preparing for a ventilator shortage during the pandemic and beyond. The VentMI pressure regulator allows us to do just that, without compromising the health of our patients.”
The VentMI ventilator splitter offers individualized pressure control that is uniquely adjustable to each patient. Combining pressure regulators and one-way valves, the system minimizes cross contamination and has been tested in simulated lung environments. It recently received Emergency Use Authorization from the U.S. Food and Drug Administration and is available for purchase and use in hospitals, surgery centers, and field hospitals.
“VentMI takes minutes to set up and is easy to use, meaning hospitals and care facilities can prepare for viral outbreaks and surges with minimal cost outlay,” says David Sarment, president of Xoran. “Xoran has a long history of collaboration with University of Michigan faculty and surgeons, so our partnership with MakeMedical just makes sense. We will be able to leverage our existing footprint in the intensive care unit, where our mobile xCAT IQ CT provides real-time imaging for critical care patients.”
Xoran was founded in 2001 and offers a mobile, point-of-care, low radiation dose cone beam CT.
MakeMedical specializes in the manufacture of high-fidelity medical simulators and the use of additive manufacturing technology in developing patient solutions. It was founded in 2018 by U-M surgeons and others.
© 2020, Xoran Technologies LLC. All rights reserved. MCO1781 800.709.6726 / XORANTECH.COM
Source-Ray and Xoran Partner to Provide Portable X-ray to Hospitals and Urgent Care Facilities
Xoran Technologies has partnered with the market leader in portable X-ray, Source-Ray, to offer its portable X-ray systems to hospitals and urgent care centers in need of fast, portable X-ray imaging to support COVID response efforts and future surge planning.
Truly Mobile Point-of-care CT—Specifically Designed For Critical Care
© 2020, Xoran Technologies LLC. All rights reserved. MCO1781 800.709.6726 / XORANTECH.COM
“Source-Ray and Xoran have a long history together. We have been supplying them with U.S.-made X-ray sources for their CT imaging systems for decades,” states Source-Ray CEO Ray Manez. “A strategic partnership with Xoran to increase the access of portable CT just makes sense. Now, more facilities are able to meet the imaging needs of this global pandemic by turning to such trusted partners as Source-Ray and Xoran together.”
The SR-130 is a portable X-ray system that provides high power, state-of-the-art technology in a compact, lightweight form factor, making it easy to maneuver through crowded hospitals. Clinicians can trust the reliability and durability of these easy-to-use systems, as Source-Ray is the largest American manufacturer of high frequency diagnostic portable X-ray equipment.
The xCAT IQ is specifically designed to fit seamlessly in the operating room or intensive care unit. This compact, highly maneuverable, bedside CT provides real-time brain scans on your patient’s condition.
COVID-19 risk mitigation protocols
What best describes your practice type?
COVID-19 processes and protocols consultant survey results
Scheduling protocols
Respondent profile
84%
phone screening
Using telemedicine to select patients for office visits
Contacting patients prior to appointments to confirm appointment and share risk mitigation protocols
Telemedicine encouraged
76% spacing out appointments
No visitors with patients
Screen patients upon arrival (temperature and COVID test if getting procedure)
Social distance in the office
54%
prioritizing patients
Acute or urgent issues
Type of illness/visit
Important factors
30%
other
New check-in procedure using text-based platform
No change
Drive-up outdoor allergy shot clinic
How are you scheduling patients?
68.42% group
18.42% academic
13.16% hospital
7.89% solo
Who are you informing?
89%
directly informing patients
Other
Top referring physicians, allergists and pulmonologists,hospital and surgery center partners, group partners and peers, and ENT colleagues
32%
informing primary cares
11%
informing urgent cares
8%
informing minute clinics
How are you informing them?
COVID-19 has led practices to revisit many of their processes and protocols. We recently surveyed 38 Stryker ENT physician consultants regarding the impact COVID-19 had on their practice and how they have adapted.
Disclaimer - This material is for general information purposes only. The results of the survey are the views and opinions of Stryker ENT consultants and do not serve as recommendations from Stryker or its affiliates.
Follow-ups 65%
will continue with post-op protocol as normal
32%
are adjusting protocol depending on severity of case
32%
plan to limit scoping during post-op
24%
are changing debridement protocols
Other
“ Require patient to quarantine for two weeks post-op for sinus cases”
“ Might consider telemedicine initially”
How are you doing post-op procedure follow-ups?
Personal messages to office staff
Emails
Phone calls to physician offices and text messages
Phone calls
FacebookLinkedInTwitterInstagramDocMatterDoximity
Social media
74% updated their websites
Websites
ScreeningHow are you screening patients?
89%
patient questionnaire
89%
temperature check
59%
COVID-19 testing (PCR)
14%
COVID-19 testing (antibody)
6%
are not users of telemedicine
Never closed office and never utilized telemedicine…”waste of time for my specialty”
We’ve only used it a couple of times during our partial closure with no plans to actively use moving forward
9%
4 or more days
59%
2-3 days
Telemedicine
94%
are telemedicine users
One telehealth day for every two clinic days
Decreases number of patients in the office
Use to go over test results ordered prior to COVID-19 and to screen patients to determine if office visit is necessary
18%
<30 minutes
14%
<24 hours
How have you incorporated the
use of telemedicine into your practice?
Frequency
Common trends Implementation
Platform
48% minimally
Offered but not popular
28% somewhat
Offered but believe initial evaluation should still be in person
24% heavily
Very important part of what we do
Dedicated time slots
Available upon request
Not used as much since opening back up
Do you plan on implementing telemedicine long term?
Facetime | Doximity | Doxy.me | EPIC | ZOOM | Healow
75% yes 25% no
24% yes 75% no
Future of telemedicine
Minimize office visits
Patient convenience
Time saving
Out-of-town patients
Decompress regular office hours by shifting appropriate visits to telemedicine visits
Screening new patients
Broaden reach
Geographically
Outside of traditional hours
More efficient access to ENT care our practice provides
Concerns
Reimbursement dependent
In a limited fashion, since this will not be going away and policymakers and payors will require this
LUMA Health | MdLive | Nemedic (new) | Curogram | Microsoft Teams
eClinicalWorks | Hospital-specific ER vendor
64% will use for follow-ups
Annual allergy
CPAP
Imaging
Medication
Test/lab results
Post-op
Treatment plan
Are you testing staff?100% of respondents test before all procedures/surgeries
Majority are only testing patients if it’s for a procedure/surgery
Some are starting to test for any in-office scopes
How long does it take
to receive test results?
Staff PPE protocol Patient PPE protocol
Office procedure risk mitigation
What are your PPE protocols for staff and surgeons?
Do you have patient PPE protocols?
This material is solely for informational purposes only. The results of the survey are the views and opinions of those Stryker ENT consultants surveyed and are not recommendations for or against any course of action by Stryker or its affiliates.
A physician must always rely on his or her own professional clinical judgment when deciding whether to use a particular product and when to treat a particular patient. Stryker does not dispense medical advice.
Stryker or its affiliated entities own, use, or have applied for the following trademarks or service marks: Stryker. All other trademarks are trademarks of their respective owners or holders. The absence of a product, feature, or service name, or logo from this list does not constitute a waiver of Stryker’s trademark or other intellectual property rights concerning that name or logo. 4278-414 rA 07/2020
Staff Surgeons
Masks
86% N95 mask 92%
69% Surgical mask 69%
60% Face mask 67%
Surgical mask for triage
More PPE type of mask in procedure room
Only wearing N95 if patient's COVID-19 status is unknown
Occasional face shield if the case
involves significant mucosal disease
57% Goggles 53%
Eye protectant for triage
Eyewear, not airtight
14% Sterile gowns 47%
Scrubs worn for all patient care and gowns used as needed for procedures
Isolation gowns
14% Double gloves 28%
Gloves at all times
Masks Precautions
What are your patient PPE protocols?
89% yes 11% no
Enhanced suction equipment ∙ Closed wall suction ∙ HEPA and ULPA ∙ Inline suction
∙ N95 filter on suction - 11% are considering a Neptune
Turnover of room
Full wipe downHow long will you wait?
∙ Yes, with no specific time delay between room use
∙ Just as long as it takes to sterilize equipment
∙ Wipe down, fog room with hypocholorous acid, sterilize room with UV-C light
∙ Less time when using filters/air scrubbing
19% 10-20 min.
22% 30 min.
11% 30+ min.
Special patient mask
71% are not using special patient masks
Air filter room sweepers
∙ HEPA
∙ UV HEPA filter
∙ ULPA
∙ Portable air filter
∙ Oranzi EJ120s
“ No because we have dental section centralized to ceiling and external building evacuation”
55% are using air filter room sweepers
34% are not
11% n/a
During office procedures, what new COVID-19 risk mitigation are you using or will begin using?
Using VENT mask for any scopes
HEPA room air scrubbers
No sprays
Clean room after each patient
Cleaning everything every 30 minutes
Neptune HEPA and ULPA
89% require a face mask, “Some state medical boards are requiring it”
Must be worn at all times
Only removed for nasal/oral examination or procedure
Turnover of equipment
83% full sterilization
∙ " Some things will still need wipe down (wireless camera)"
∙ " Depends on the equipment, some items in the room are wiped down"
∙ Surgeon alone
∙ Surgeon and one staff (nurse, MA)
∙ No students
∙ Rep if needed
∙ Rep TBD
∙ Rep okay if wearing N95
∙ Anesthesiologist
Limit number of people in room
96% are limiting people in the room
Limited to essential personnel only:
Replacing spray protocols
5% are comfortable using sprays
∙ Cottonoids or pledgets with anxiolytics
∙ Pledgets only
∙ Lidocaine/pontocaine gel
∙ Swab of molecular iodine gel prior to scopes
∙ General anesthesia
Majority are replacing sprays with:
ClariFix cryotherapy device
Chronic rhinitis
XprESS ENT dilation system
Chronic sinusitis and Eustachian tube dysfunction
LATERA absorbable nasal implant system
Nasal airway obstruction
Learn more at ent.stryker.com
Care without compromiseStryker’s ENT portfolio of technologies offers effective treatment options that enable you to treat a broad range of patients in your preferred site of care. With Stryker, you gain access to the most complete suite of solutions to help make your vision of patient care a reality.
4278-415 rA 07/2020 | Stryker or its affiliated entities own, use, or have applied for the following trademarks or service marks: ClariFix, LATERA, Stryker and XprESS All other trademarks are trademarks of their respective owners or holders. The absence of a product, feature, or service name, or logo from this list does not constitute a waiver of Stryker’s trademark or other intellectual property rights concerning that name or logo.
Product image is representative only and will include size markings on both the delivery device and implant tray.
Livio AI Detects Falls Accurately and Alerts Others
Accidental falls are a significant health risk for older adults, can often lead to a loss of independence, and frequently shape the course of a person’s later years of life. Previous reports have shown that 40% of individuals who live at home, after reaching the age of 65, will fall at least once each year1. The risk of falling has also been shown to be greater among patients who would benefit from treatment in hearing clinics than among their age-matched peers2. In fact, a study conducted by Dr. Frank Lin, at John Hopkins University’s Cochlear Center for Hearing and Public Health, identified a 1.4-fold increase in incidence of falls for every 10 decibels (dB) of measured hearing loss3.
The Livio® AI Healthable™ hearing aid – the world’s first, ear-level fall detection and alerts system – offers piece of mind in a miniaturized and convenient package. Unlike other fall-detection devices, which hang around the neck or are worn on the wrist, Livio AI benefits from the anatomy and physiology of the human body. During typical, daily activities and instances of falls, muscles in the neck work with the balance system of the inner ear to protect and stabilize the head. Since hearing aids are worn on the head, they are naturally less prone to mistake daily activities for falls than the devices worn on other parts of the body4. Instead, head-worn fall-detection devices may be tuned to capture a greater number of falls, while still having a low number of false alarms.
To objectively evaluate the accuracy of Livio AI, a laboratory study was conducted. Participants wore binaural Livio AI hearing aids and the Philips
Lifeline® AutoAlert, a pendant-style fall-detection device, during simulated falls and daily activities. The Philips Lifeline® AutoAlert is classified by the U.S. Food and Drug Administration (FDA) as a Class II (Exempt) medical device intended for continuous operation as a personal emergency response system*. The results follow.
METHOD:
Ten young participants each experienced eight types of Falls and Near-falls. The participants also performed eight different types of Activities of Daily Living (ADLs). The conditions each participant undertook are summarized in Table 1. Three trials were acquired for each condition. The fall-detection state of the Livio AI hearing aids and the fall-detection pendant were recorded for each trial. The analysis consisted of 240 falls, 240 near-falls, and 240 ADLs.
The data were collected at the Injury Prevention and Mobility Laboratory at Simon Fraser University. All participants provided written, informed consent, and the experimental protocol was approved by the Research Ethics Board of Simon Fraser University.
Hear Better, Live Better: Livio AI Detects Falls Accurately and Alerts OthersJustin R. Burwinkel, Au.D., and Buye Xu, Ph.D.
Livio AI Detects Falls Accurately and Alerts Others
Falls
1 Slip forward on moving platform
2 Slip backward on moving platform
3 Trip by ankle tether
4 Incorrect weight transfers due to a misstep
5 Incorrect weight transfer while rising from sitting
6 Incorrect weight transfer while descending from standing
7 Hit or bumped by padded object
8 Loss of consciousness/Collapse
Near-falls 1-8Same as fall conditions, but the participant was able to recover balance before reaching the ground
ADLs
1 Normal walking
2 Standing quietly
3 Descending from standing to sitting on a chair
4 Descending from standing to lying on the ground
5 Rising from sitting to standing
6 Picking an object up from the ground
7 Ascending stairs
8 Descending stairs
Table 1. Summary of Fall, Near-fall, and Activities of Daily Living (ADLs) trials performed by each participant
RESULTS:
The Livio AI hearing aids were more accurate at detecting falls than the Philips Lifeline AutoAlert fall-detection pendant. Both systems were robust against false-positive detections during activities of daily living. A summary of sensitivity and specificity across all participants and trails is provided in Table 2. A breakdown of sensitivity rate for each type of Fall is provided in Table 3.
Philips Lifeline AutoAlert Starkey® Livio AI
True falls detected (Sensitivity rate) 198 (82.5%) 221 (92.1%)
False positives during Near-Fall trials (Specificity rate) 1 (99.6%) 6 (97.5%)
False positives during ADLs trials (Specificity rate) 0 (100%) 0 (100%)
Table 2. Sensitivity and specificity rates of Starkey Livio AI hearing aids and Philips Lifeline AutoAlert pendant across all participants and trails. A total of 240 trials took place for each of: Falls, Near-falls, and ADLs.
Fall typePhilips Lifeline AutoAlert
Sensitivity (%)Starkey Livio AI Sensitivity (%)
Backward slip 93.3 96.7
Forward Slip 53.3 90.0
Trip 66.7 100
Incorrect transfer due to misstep 73.3 93.3
Incorrect transfer during rising from sitting 93.3 93.3
Incorrect transfer during descending from standing
96.7 90.0
Hit or bump 86.7 86.7
Loss of consciousness or lower limb collapse 96.7 86.7
Mean 82.5 92.1
Range 53.3 – 96.7 86.7 – 100
Table 3. Breakdown of Starkey Livio AI hearing aids and Philips Lifeline AutoAlert pendant sensitivity during the trials for each fall type. A total of 30 trials took place for each Fall type.
DISCUSSION:
Both the Philips Lifeline AutoAlert pendant and Starkey Livio AI hearing aids performed perfectly during the Activities in Daily Living in the present study. The Starkey Livio AI hearing aids produced a slightly higher false-positive rate during trials where the participants began to fall but recovered their balance before reaching the ground. The Starkey Livio AI hearing aids were able to detect more of the falls than the Philips Lifeline AutoAlert pendant and were an overall more accurate fall-detection device than the Philips Lifeline AutoAlert pendant.
CONCLUSION:
Starkey’s Livio AI* hearing aids detected falls as well as or better than the traditional fall detection device studied.
REFERENCES
1. Rubenstein, L. Z. Falls in older people: epidemiology, risk factors and strategies for prevention. Age Ageing 35, ii37–ii41 (2006).
2. Criter, R. E. & Honaker, J. A. Audiology patient fall statistics and risk factors compared to non-audiology patients. Int. J. Audiol. 55, 564–570 (2016).
3. Lin, F. R. & Ferrucci, L. Hearing Loss and Falls Among Older Adults in the United States. Arch. Intern. Med. 172, 369 (2012).
4. Cola, G., Avvenuti, M., Piazza, P. & Vecchio, A. Fall Detection Using a Head-Worn Barometer. in International Conference on Wireless Mobile
Communication and Healthcare 217–224 (Springer, Cham, 2016).
starkeypro.com/livio-ai
@StarkeyHearing
facebook.com/starkeyhearing
*Livio AI is not a substitute for emergency services and will not contact emergency services if a fall is detected. Lifeline is a registered trademark of Philips.
© 2019 Starkey. All Rights Reserved. 2/19 WTPR2778-00-EE-ST
Next-generation sound never before possible
Livio Edge AI delivers the most advanced
AI engine possible in modern hearing aids,
providing patients with smart, immediate
adjustments for the most challenging
environments. It’s built on our award-
winning Livio AI technology, which is
now available across all technology tiers
so more patients can benefit from the
power of artificial intelligence.
The Starkey logo and Livio are registered trademarks of Starkey Laboratories, Inc. © 2020 Starkey. All Rights Reserved. 8/20 TJAD3118-01-EE-ST
Powerful rechargeability Introducing the world’s first 2.4 GHz custom rechargeables
Explore Livio Edge AI, visit starkeypro.com/livio-ai
Choose the #1 ENT-specific EHR* system with:
Fully integrated Practice Management software
Patient engagement tools, including telehealth
Services to help streamline your revenue cycle
Contactless digital tools like patient payment processing
Powerful analytics to measure performance
Visit modmed.com/ent-newnormal or call 561.235.7506
FIND OUT HOW WE CAN HELP
3
33
33
*2020 Black BookTM | ©2020 Modernizing Medicine, Inc.
IS YOUR PRACTICE PREPARED FOR SUCCESS IN THE NEW NORMAL?
EHR • PM • RCM • PATIENT ENGAGEMENT • VIRTUAL PRACTICE SOLUTIONS • AUDIOLOGY • ALLERGY
Ear, Nose & Throat & Facial Plastic Surgery Center EXPERIENCES EXCELLENT CUSTOMER SERVICE AND OPERATIONAL BENEFITS
At the The Ear, Nose & Throat & Facial Plastic
Surgery Center, a combination of doctors and
audiologists strive to help patients hear, breathe
and sleep better. The comprehensive practice
serves patient’s ear, nose and throat needs, offers
facial reconstructive and facial plastic surgery,
and provides allergy testing. The group also has a
Hearing Resource Center to provide professional
guidance and fitting for hearing devices.
The practice was using a popular electronic health
records (EHR) system that wasn’t specialty specific
or user friendly, so documenting and collecting
data for quality measures was a daunting task.
Leadership decided to research other systems with
the goal of implementing an ENT EHR software
that would increase efficiencies. Operations
Director Crystal Johnson shares why they
decided on the *award-winning otolaryngology
EHR, EMA®, and Practice Management (PM)
systems by Modernizing Medicine®.
FROM BASIC TO SPECIALTY SPECIFIC We used our previous EHR system for 14 months and knew we needed to make a change. Even though we spent countless hours creating templates, the system was not an ENT EHR, so charts weren’t as detailed as they needed to be to meet quality measures.
We narrowed down our ENT EHR software search to three vendors, including Modernizing Medicine. We liked that EMA was built by an otolaryngologist and is more customized to our specialty than other systems we’d seen. The intuitive ENT EHR had everything we were looking for, and our physicians love that it runs on a native iPad application. We successfully implemented EMA in 2017, followed by PM earlier this year.
SUPERIOR TRAINING AND ONGOING CUSTOMER SUPPORTThe best parts about Modernizing Medicine are the training and customer support teams. Our EHR implementation went so smoothly because we were prepared and fully supported by the Modernizing Medicine team. The trainers were extremely helpful and communicative throughout the EHR implementation to help ensure a seamless transition. They set up a test environment, so we could practice in the sandbox, and supplied us with a detailed training itinerary.
The EHR implementation training format was excellent. We started with online training, which consisted of a trainer guiding us through various features and real-life scenarios. Then, we had a trainer come onsite and our staff participated in two days of learning. This recommended style of training gave our team the chance to have one-on-one interaction with the trainers, and was very beneficial.
If we ever have a problem, the customer support team is always responsive. We also designated internal superusers for EMA and PM. Those staff members are tasked with training and onboarding new hires, notifying our team of software release updates and troubleshooting issues prior to calling support.
Modernizing Medicine actually implements customer feedback to enhance products, and that’s not something I’ve experienced with other companies I’ve worked with. EMA isn’t cookie cutter and features are always evolving. What better way to improve the otolaryngology EHR than to listen to its daily users.
Visit modmed.com/ent or call 561.235.7506 *2020 Black BookTM | ©2020 Modernizing Medicine, Inc.
IMPROVE OVERALL PRACTICE PERFORMANCEHaving all-in-one ENT software has helped optimize business processes and improve overall efficiencies. Increased accessibility to patient charts, the ability to task orders electronically and fax notes to referring physicians has improved communication for the entire office. The ENT EHR software has enhanced our coding because the ENT-specific codes are built in, which has helped increase revenue. Also, our claims submission process is much smoother because we can easily view claims, allocate the money and drop in the patient details with ease.
Our providers love how intuitive EMA is and that it adapts to their preferences. The otolaryngology EHR shows their tops codes and diagnoses. They also use the Nuance feature, so they can dictate and not have to wait for transcription, which saves time. Most of our providers don’t have to take charts home in the evening, and save an hour to an hour and a half each day compared to our previous system.
My favorite time-saving feature within PM is the ability to copy and paste appointments. Our previous system required us to reenter the patient’s information for every appointment, which was time consuming. Our appointment schedulers save at least four minutes per phone call, across an average of 350 calls per day, because the ENT software is designed so efficiently.
THE PATIENT EXPERIENCE IS EVERYTHINGThe patient engagement tools offered by Modernizing Medicine have helped improve the patient experience. Our time is optimized by those patients that use the Portal to enter demographic information prior to their visit. The ability to sign forms electronically saves paper, expenses and time. The Patient Portal has completely enhanced our office flow. We also use Patient Reminders that are compatible with PM. I love this variable because it’s helped to decrease our no-show rate and increase communication with our patients.
The patient experience is everything. We wanted the total package, and we found that with modmed® Otolaryngology. Our patients are more involved in their care and seem happier, which contributes to our growing success.
“ Having all-in-one ENT software has helped optimize business processes and improve overall efficiencies. Our patients are more involved in their care and seem happier. We wanted the total package, and we found that with modmed Otolaryngology.”
— CRYSTAL D. JOHNSON, OPERATIONS DIRECTOR
WE ARE MODERNIZING MEDICINE
Modernizing Medicine® and its affiliated
companies empower healthcare providers
and medical practices with a suite of solutions
to transform how healthcare information is
created, consumed and utilized to increase
practice efficiency and improve patient
outcomes. Our suite of solutions includes
Practice Management, Business Operations
Services, Analytics, payment processing
services and patient engagement tools such
as telehealth, patient portals, self-scheduling,
patient surveys and reminders. Built with the
help of on-staff practicing physicians, the
integrated and all-in-one EHR system helps
provide a picture into the clinical, operational
and financial aspects of ENT practices with
the goal of helping practices focus even more
of their time on patient care.
Reach patients in need of your care when they can’t make it to the office.
TELEHEALTH-ENABLED & OTOLARYNGOLOGY-SPECIFICIT’S THE #1 EHR SYSTEM*
ASSESS YOUR PATIENT’S SITUATION
HD video streaming and flashlight capabilities.**
EASY TO USEOne integrated
EHR and telehealth system.
FILL PRESCRIPTIONSMeet with patients
prior to sending prescriptions.
3 3 3
Visit modmed.com/telehealth or call 561.235.7506
*2020 Black BookTM **Available with our video conferencing PocketPatientTM app | ©2020 Modernizing Medicine, Inc.
Reach patients in need of your care when they can’t make it to the office.
TELEHEALTH-ENABLED & OTOLARYNGOLOGY-SPECIFICIT’S THE #1 EHR SYSTEM*
ASSESS YOUR PATIENT’S SITUATION
HD video streaming and flashlight capabilities.**
EASY TO USEOne integrated
EHR and telehealth system.
FILL PRESCRIPTIONSMeet with patients
prior to sending prescriptions.
3 3 3
Visit modmed.com/telehealth or call 561.235.7506
*2020 Black BookTM **Available with our video conferencing PocketPatientTM app | ©2020 Modernizing Medicine, Inc.
![Part 11: Wireless LAN Medium Access Control (MAC) and ...simson.net/ref/1999/8802-11_Amd1_2000.pdf[ISO/IEC 8802-9] Integrated Services (IS) LAN Interface at the Medium Access Control](https://static.documents.pub/doc/80x56/61452ef034130627ed50d277/part-11-wireless-lan-medium-access-control-mac-and-isoiec-8802-9-integrated.jpg)
