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SURGEONS CUT COSTS

                                                                                                                    

Specialty center allows for office visits, surgeries and physical therapy all under one roof      

 


   Having their cake and eating it, too, is what doctors at the Kansas City Orthopaedic Institute in Leawood will soon be doing.  In December, they will see patients and operate in one building.

   Although execs would not give revenue figures, they say the Institute will lower operating costs, attract more business and bring more profit for the doctors than if they each had their own private practices and did surgery at one of the major area hospitals.  And the regular office hours will give physicians greater control over their free time.

   The concept of a freestanding orthopaedic surgical center is new to the greater Kansas City area, but it has been tried in other cities throughout the country.  Paul Kerens, senior executive officer for Kansas City Orthopaedic, says projections for the Leawood center are 3,000 outpatient procedures a year and another 400 inpatient procedures.

   Charles Rhoades, a physician at the center, says they're not planning on a lot of down time.

   "We have four operating rooms which we plan to keep full," he says.  "The center will attract many new patients and there will be a number of procedures currently done elsewhere done at the center."

   At this time, 14 physicians have agreed to work at the center.  Plans call for a 58,000-square-foot, two-story building, with four operating rooms, four 23-hour stay beds and nine private beds, 32 consultation rooms, physical therapy and orthopaedic rehabilitation.

   "Our site will be a leader in introducing new technology," Rhoades says.  "With this new model we are unencumbered by the shortfalls of the past."

   Steve Wilkinson, president and CEO of Menorah Medical Center in Overland Park, says all hospitals have experienced continued change toward outpatient procedures.  Of all surgical cases at Menorah, outpatient operations are about 70 percent and orthopaedics account for approximately 9 percent.

   But he doesn't expect the new orthopaedic center to affect his hospital's business.

   "I really would not expect it to have any impact at all on Menorah," Wilkinson says.

   Execs at Kansas City Orthopaedic say health insurance companies should be enamored with the new center as well.

   "Most managed care companies have been very responsive because things cost less in a specialty hospital than a full-service hospital," Rhoades says.

   Although execs would not disclose company names, they say about 10 managed care companies have already signed on with the Institute and negotiations are ongoing with others.

   Many of the contracts with managed care companies are in the worker's compensation plans and sports medicine.  One of the managed care companies currently discussing plans with the Institute is Kansas City, MO.-based HealthNet.

   "Many of the physicians are already in our network and we are in discussion with them about the new facility," says Cheryl Dillard, vice president of public affairs with HealthNet.

   At the Institute, doctors will have better control over their work hours and spend less time on the road.

   "There is an added convenience when your office is above the operating room," Rhoades says.

   The center will be staffed 24 hours a day for elective surgeries only.  No emergency procedures will be performed.  Also, there will be no surgeries scheduled for weekends or holidays.

   Rhoades says hospitals will benefit from the venture as each will complement the other's strengths.

   "We're partners in many parts of delivering medical care," he says.  "It's a new step in the direction of care in the 90's."

 

--By Jennifer Gordon, contributing writer

           Johnson County Business Times

July 21-27, 1999

 

 

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Last modified: September 21, 2009