¶ Day 11 of the ModMed transition and lessons learned
Hey guys, welcome to potential practice mastery done here. I'm going to go over the things that helped get the practice to the $1,000,000 mark and beyond. Couple of good things that are happening today. I we've had, I think we remediated our mod Med training. So we had our trainer come out twice, so two days and then another two days. And it's really because my, my, one of my partners was off on vacation when she came and she came in helping second time.
And, and one thing I kind of wish I would have known or maybe I should have realized is everything has to be really bad before it can get better. So we are on day #11 of our implementation. It's getting a little bit better. I feel more confident at getting the level of notes that I need. Murali is getting the hang of the, the, which templates to use because there's so many different plans that you can use. So just trying to find, find the right ones that that work.
Well, one thing that I did, as I mentioned before, any big transition, I like to use something called a positive focus where I write down 10 good things about the day. So the one of the main thing is, is I originally used to print out my, my patient's schedule every day and I used to write
¶ Using positive focus tracking to navigate change
notes on that. And I don't like the way the new mod Med schedule prints out. Actually, I didn't really like the one that Athena printed out either, but it was just what I did. But this, instead of doing that, what I did is I print out a daily patient tracking sheet. This is something I've tried to use in the past, but I figured out a little bit better way of doing it and that's what I'm going to be using to track my patients from now on instead of
doing the print out. So it'll say paper, I guess. But more importantly, I can just write down my main thoughts if I can read my handwriting. The problem is reading my handwriting here. So today did that, did a couple of wounds, made a little bit easier for the wounds, their wound template. It's pretty good. In the Mod Med. I sent a couple of complex patients to get surgical consults as well to the wound center. Kenya was our trainer was there
helping us out. I set up a couple of filters within my one of my like screens that I had to look at so I don't have to be overwhelmed by everything in there.
¶ Leveraging Clara to automate reviews and patient communication
And I also learned more about Clara. Clara is an add on thing for Mod Med. I think it's owned by Mod Med and it it contacts patients before them, asks them to fill out their paperwork. It also has something that might be able to replace Swell. Swell is what we use for our online reviews to get them. So it actually has something where every patient after they come in, it can send them information out to give that online review. How was your experience?
Would you give us a review? It has more of a feel like Athena meaning it. How do you say it? I think it's illegal. But what it does is it says did you have a good experience? Yes or no? And if you say no, it'll last to give a comment. If you say yes, that'll last to give them a review. So I'm not sure if that they're supposed to do it that way, but that that's what from what I understand, that's that's what it is. Also, I've realized shockwave is
¶ Easier shockwave procedures with improved templates
a lot easier with the procedures because it remembers everything. So shockwaves getting easier. My partner is using the iPad component. He really likes the transcription component of it. So you can use Dragon right inside of it and things are kind of working better.
¶ Case review: chronic plantar fasciitis and surgical consults
So let's go over the patients. So I still had less patients here, I think as we're still booting up. So 55 year old female, level 4 visit. She had very severe plantar fasciitis. This is one that didn't resolve from Shockwave. She had six sessions, then I did another three sessions and then she just wasn't better. So she's going to be seen for like a surgical consult she's had for over six months.
She's frustrated. So that's what we're going to do Next one was a 54 year old female that had #2 out of 6 for a painful osperonium that was referred over to me from another provider. 74 year old male that we did medication management.
¶ Managing nail fungus with oral meds vs. laser treatments
We changed his gabapentin so it's a level 4 visit and we are going to check on Q Tenza for him. Next was an 84 year old female. Level 3 visit. E pad #1 out of 3 and so she I can't even read my hand right. I'm sorry guys, but we did E pad for her. Next was a 80 year old female. This was a patient that was given Diflucan from another doctor, didn't feel comfortable taking it, came to talk to me and I, you know, just kind of went over the options with them and then I divided the nails.
Next was a 50 year old female that wanted to do a nail sample before he took the trypenafin. I've had a lot of patients coming in because we have the lunula, they're wanting to do laser. I just don't find it works as well as the oral. That's just my experience. If you guys know any different or feel any different let me know please and maybe I'll change my ways but I still tend to do more oral medication than anything.
¶ Wound care challenges and referrals to specialists
Next was a 80 year old female. She had an ulcer on the anterior leg with some venous stasis and edema. I did an uniboot on that and she had a pressure ulcer on her heel neuropathic and on the left side she had a BKA. So I'm going to send her to the wound care center to to deal with these. I don't deal with a lot of these wounds so if they get messy. Next patient was a 40 year old
male with the first MPJ. First actually met cuneiform joint and she's feeling much better after doing shockwave therapy on it for Mecca uniform. I think she had an old lisp
¶ Using shockwave therapy for chronic met cuneiform arthritis
franc injury that was never healed. Next patient was a 8 year old girl that had some maceration between the 4th inner space. I did lamb's wool and some betadine. If it doesn't get better, we'll do athlete's foot cream. Next was a fibroma 55 year old that was set as opposed 3 sessions of shockwave. She wasn't any better so I did a cortisone. She felt better after that. She has orthotics and then she's just going to come back as needed for cortisone.
And then the last one actually was that one, sorry, the met cuneiform joint that has a lot of better arthritis.
¶ Creating annual maintenance plans for long-term relief
She felt better after the three shockwaves. So I kind of talked to her about having a maintenance plan like every year coming in for shockwave to help with that bone marrow oedema. It's not going to take down the arthritis, but it'll make her feel much better. OK, those are things for the day. Thanks.