Knowing Where You Are

Assessment is the process of determining the client’s executive and clinical teams’ current position in the advanced robotic surgery marketplace. We combine interviews, historical data, and business intelligence analytics to provide our clients with an understanding the ability to create and sustain a successful advanced robotic surgery program.

Executive Assessment

The first part of the Comprehensive Assessment determines the extent to which a robotic surgery program would benefit the institution and how to best implement the service. This is achieved by conducting interviews with executive leadership to determine the strategic goals for the hospital and the role that a robotic program will play to achieve those goals. These interviews also include discussions around key surgeons, the current reimbursement environment, and integrated delivery network implications.

Clinical Assessment

The second part of the Comprehensive Assessment determines the current level of expertise surgeons and clinicians possess in minimally invasive and robotic procedures. This assessment also evaluates the level and effectiveness of the basic and advanced training. To develop autonomy, MIS creates a customized clinical plan that results in the team gaining and sustaining comfort, confidence and competence (C3) with each other’s skills and with the technology. MIS has developed a High Density Training Model that has been proven to reduce the time to autonomy by at least 30%. Our purpose regarding robotic training is to take the surgical team to clinical autonomy by using accepted best practices and in depth procedure analysis.

There are several key factors to the training/proctoring pathway: target procedures the surgeon would perform robotically, delineate current technique, implement best practices, optimizing operating time, analyzing complication rates, determining size of the practice, analyzing previous training, evaluating patient-side assistant’s thoracoscopic skill etc. These factors and others are considered when designing a surgeon’s training pathway.

Market Assessment

The third and final part of the Comprehensive Assessment, this two-stage service first evaluates external markets using business intelligence analytics. External markets includes: geographic primary and secondary markets, desirable demographic markets, regional trends in pathology, population health data, and a national overview of large cardiothoracic robotic programs and their markets. A competitive analysis is completed to quantify the threat of competitive robotic programs and highlight qualitative advantages. The second stage of the Market Assessment analyzes internal markets which include: current referral sources and their patterns, cath lab yield analysis, and analysis of high value procedure lines.


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