Death of an orthopaedic group

By Robert Garroway, MD, MBA

How could a busy, six-surgeon orthopaedic practice that had been in business for more than 45 years simply fall apart over a 2-year period? Could the problems that undermined this practice have a similar impact on your practice?

Many factors may contribute to such demise, including inefficient or untrained management, old behavior patterns, an inappropriate expense ratio, lack of productivity, unwise investment in and use of ancillaries, and hospital relationships. It’s not a happy story, but it offers a number of lessons.

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