Laser Spine Institute - Becker's ASC
Laser Spine Institute, LLC
New Procedure Innovation for Surgery Centers
June 11, 2010
1
Outline
I. What is the Laser Spine Institute II. Process Evaluation III. New Procedure Innovation IV. The Results V. Closing
2
I. What is the Laser Spine Institute
? Founded in 2005
? We specialize in minimally invasive endoscopic spine surgery
? Performed 15,000+ surgeries
? We maintain our commitment to continued advancement of excellence in innovation, cutting edge technology, and process perfection to
deliver the most productive and efficient working environment for our staff, while providing the most customer friendly environment to our patients.
Surgical experience
Formation Present
4158
4702
3074
368 2005
1433
2006
2007
2008
2009 3
5/24/2010 1
Setting LSI apart
Integrated medical, business process and service innovations yield breakthrough patient results
? Medical Breakthrough: - Laser "plus" procedures address "80/20" of spine pathologies - Endoscopic/ Micro-incision - Outpatient - Local/Twilight `anesthesia
? Integrated Continuum of Spine Care: - Internal capabilities "cover" life cycle - Diagnosis ? Ancillary ? Surgery ? Therapy - Medical clinic - Imaging center - Pain management - Surgery center - Physical therapy
? Employee Friendly: ? St. Petersburg times best places to work ? Becker's best places to work ? Upward Mobility ? Executive training programs ? Tuition Assistance
? Direct Patient Relationships: - Healthcare "disintermediary" - Global, multi-channel online and offline sales and marketing platform - Central call center, > 10,000 campaigns/mo. "bicoastal" seminar circuit touching 10,000 prospective patients/month - Marketing determines success vs. reimbursement
? Five -Star Hospitality Experience: - All professionals are service professionals - Internet caf?, catering, media center, transportation - Low wait times
87% vs. 60% success rate @ 65% lower cost @ 25% of alternative recovery time
4
LSI deployed rare process services, leading the market faster
...Our People ...Innovators ...Service
...Proven ...Leaders
300 "family-members;" Service leaders devoted to the patient experience in Tampa, FL; Scottsdale, AZ; Valley Forge, PA; San Diego, CA; Beverly Hills, CA; The Village, FL; Ft. Lauderdale, FL locations.
"Alchemy" of medical and business breakthroughs driving LSI leadership
Service-driven "culture of hospitality" defining the patient experience
LSI Service Excellence Rating = 90% National Average = 63%
Industry leading Safety and Success Rates 1200% growth in surgery volume over 5 years
"Consumer Health" segment pioneer -- Spine surgery market leader (Spine is #7 health condition spend - #1 health care growth sector)
5
II. PROCESS EVALUATION
6
5/24/2010 2
Innovation through Process - Positional Statement
? New procedure advancement and portfolio additions ? Early Adopters
? The Laser Spine Institute has acknowledged the practical connotation of the adoption of Procedural Advancement incubation cycle, equating to alignment and optimization of corporate focal points such as the delivery of an optimal patient care delivery platform, all while continuing an "early adopters" approach to new procedure portfolio advancement and growth. Process oriented practices must assertively manage their new procedure incubation cycle by initiating and implementing a conclusion oriented, development creation cycle that will serve as a reliable sieve to the introduction of appropriate procedural advancements.
? The assumed results of this system will lead to the continued conceptualization, development, incubation, execution, and addition/launch of new, advanced and cutting edge surgical procedures into our practice. The goal of the procedural advancement cycle is to maintain LSI's position as the leader in advanced spine surgery techniques by continuing to progress our approach to spine care.
? Conversation Points ? Identifying a best practices opportunity ? Evaluating the opportunity for fit into your system ? Appraising the opportunity for benefit of both economic and patient centric nature ? Standardizing through a philosophy of integration ? Deploying the cycle to seek results
7
5 day patient experience ? Integrated "Turnkey" patient care cycle
Post Operative Appointment and Meeting with Case
Manager
(Day 5)
Patient Discharged Home
(Day 5)
History & Physical and Medical Clearance
And Patient Education Seminar
(Day 1)
Education (Day 4)
MRI Discussion/ Surgical Order
(Day 2)
Surgery (Day 3)
Diagnostic Testing/Surgical
Order
(Day 2)
8
New process achievement ? How it works
Conceptualization Evaluation Execution Implementation
Identifying
Evaluating
Appraising
Deploying
Standardizing
Lead advancement
The opportunity for improvement
The opportunity for economic and patient centric benefit
The cycle to seek results and
advancement
LSI's Integration Philosophy
Inspiration Assessment Recommendation Approval Make it happen!
9
5/24/2010 3
Procedural Innovation
LSI must literally stay "ahead" of the curve
High Differentiation Low Competition High Price point High Profits
Low Differentiation High Competition Low Price Low Profits
LSI
TIME Innovators Early Adopters Early Majority Late Majority Laggards
Goal: Sustainable leadership through innovation-driven differentiation Continue to take more of the spine surgery market Sustaining Surgical Advantage (SSA)
10
A. NEW PRODUCT/TREATMENT INNOVATION
Identify Evaluate Appraise
11
Surgical Portfolio
100.0%
90.0%
80.0%
75%
70.0%
60.0%
50.0%
40.0%
30.0%
20.0% 10.0% 0.0%
13% 9%
4%
2005
77%
13% 8%
2% 2006
76%
15% 7%
2% 2007
93% 80%
77%
14% 4% 2% 3%
13% 8%
2% 0%
2% 1%3%1%
2008
2009
2010
DTA LFD HRDWR PDD/PLD OTHER
* Outcomes assessment and surgical strategy shift 12
5/24/2010 4
The Vision/Mission/Goals of "Sustaining the Surgical Advantage (SSA)" Enhancement Vs. Advancement
? Vision
? Advancing Innovation w/in LSI to achieve/maintain leadership position
? Mission
? Align...the leadership team ? Address...opportunities and challenges ? Advance...the patient experience ? Inspire...the leadership team to put LSI first and commit themselves to each other and to our
patients
? Goal
? Collaboration...between thought leaders ? Exploration...of opportunities ? Alignment...of agenda for implementation
? Enhancement
? 15,000 + surgeries increase outcome ? Intra-operative procedure improvement ? Post operative procedure improvement
? Advancement
? New procedures and surgical approach ? Philosophical strategy shift
13
How do we do it: R&D Process
SSA
Dept. of Bus. Strategy & Research
Step 1: Brainstorming/ Idea generation
Idea 4
Idea 3
Idea 5
Idea 2
Idea 1
Idea 7 Idea 8
Idea 6
Idea 9 Idea 10
Step 2: Planning Session: Broad evaluation/ Narrow the focus SSA Committee Team of Physicians
Step 3: Symposium: Presentation of due diligence
Idea
Idea
1
4
Idea 10
Step 4: Final decision SSA Committee
LSI LABS
Implementation/Planning/Execution
IdIde4eaa 4
Implementation w/o LSI LABS
No go
Needs further 14 investigation
The Cycle to Portfolio Advancement
New LSI Procedure
Launch
Engineering Team Protocol
Integration Strategy Launch
Think Tank
Offering Template
SSA Filter # 1
SSA Symposium
Recommendation
SSA Filter # 2
ROI Analysis
Governing Body Analysis
Business Benefit/Risk Assessment
LSI Labs Kick Off
15
5/24/2010 5
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