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5 Ideas to Drive More Patients for Bariatric Surgeons

Bariatric surgery isn’t new, but interest in these procedures is skyrocketing. This means that many new surgeons are entering the field, making it more competitive than ever before.

So, how can you drive more bariatric patients to your practice and get a bigger slice of the pie?We suggest bariatric marketing.

What Is Bariatric Marketing?

In essence, it is a subset of healthcare internet marketing that specifically targets those who are or might be interested in getting weight loss surgery.

Through links and keywords, patients reach your website, then the content helps them see how your practice can assist them in reaching their goals.

Most people considering surgery will spend a lot of time online doing their research, learning about procedures, lifestyle changes, and surgeons before they decide on surgery. You want to be one of the sites they land on during this stage.

How Can You Enhance Your Bariatric Marketing?

Our top suggestion is to work with a patient engagement company that has bast experience within the field of bariatrics.

They will best understand the ins and outs of SEO and specifically what people interested in bariatric surgery are looking for.

Their weight loss marketing strategies will likely focus on the following 5 ideas:

1. Build Your Online Footprint:

Having a website isn’t enough. You also need to be active on various social media platforms and have your Google My Business place always up to date. Additionally, you’ll need to respond to patient reviews, both positive and negative.

2. Create Quality Content:

Search engines aren’t interested in content that is too short, pure fluff, or otherwise not informative. Make sure your content on every platform helps patients feel more knowledgeable and answers important questions they might have.

3. Incorporate Keywords:

And typically, this means incorporating global keywords and local keywords. Global keywords are those that anyone might search, while local keywords are specific to your geographic region.

4. Make Contact Simple:

People considering bariatric surgery are often on the fence about making the jump. You don’t want to force them to make a call or go through a drawn-out process just to get in touch.

5. Embrace Visual Media:

In the digital age, text alone is not enough. Look into medical video production so you can incorporate video content on your site and across your social media platforms.

Of course, when you partner with the experts, it does get a little more complicated than that. To learn more about comprehensive bariatric marketing strategies, contact Sequence Health.

Bridging Bariatric Patient Conversion Rates and Practice Growth

Our Final Rule for Growing Your Bariatric Practice Addresses the Importance of Managing Patient Pipelines with Better Monitoring, Tracking and Analysis

Before we explore our fourth and final rule and conclude our series about how to grow your bariatric practice, let’s revisit the first three rules:

Rule #1: Know Your Numbers: The foundation of any successful bariatric practice marketing program! Having a firm grasp on your bariatric patient acquisition data is crucial for developing and gauging effective marketing strategies.

Rule #2: Make It Easy for Patients to Find You: Patients use online searches to find healthcare services more than anything else. With so much at stake, you must leverage online search strategies and tools to get your bariatric surgery program directly in front of them.

Rule #3: Use Online Seminars to Increase Leads: If you aren’t offering online bariatric seminars to prospects, your competitors probably do—and they are taking your share of new bariatric patients.

Now, the fourth rule: Increase conversions rates throughout the entire patient pipeline. This specifically includes patient conversion rates for:

• Leads to Surgery

• Seminars to Surgery

• Consults to Surgery

This is important because we’ve seen compelling results from our own studies that have shown direct correlation between positive bariatric patient surgery conversion rates and success bariatric surgery programs.

Getting Patients Into the Pipeline is Only the Beginning of the Conversion Process

Below is a chart from a study of one of our client’s conversion rates over a two-year period. Even without scrutinizing the chart’s details, it’s immediately obvious that as the slopes increase positively in the left column (conversion rates), the same happens in the right column (program growth).

Tracking Conversion Rates for Patient PipelineTake a moment to think about how each line represents a different phase of the patient pipeline. Notice in the left column how patients are more likely to get surgery (convert) the farther they move down the lead–to-seminar-to-consult pipeline.

The takeaway is that it’s not enough to just have a great marketing strategy that gets prospects to become aware of your program. Instead, you must also have a well-managed patient pipeline that can retain prospects and nurture them through the entire journey.

Once Again, You Must First “Know Your Numbers” to Improve Your Growth

Ironically, the first step in increasing bariatric conversion rates and managing patient pipelines relates to the first rule, “Know Your Numbers.” This is because having an accurate and reliable process for monitoring your conversation rates will give you valuable insights into your patient pipelines.

There are multiple processes and tools for collecting statistics, ranging from simple-to-sophisticated to analog-to-digital.

We asked guests at our recent Webinar, 4 Powerful Strategies That Can Grow Your Bariatric Program, about which tools they used, and the results showed a range of practices:Tracking Conversion Rates for Patient Pipeline

Using Bariatric Patient Pipeline Management to Improve Conversion Rates

Let’s presume you actively use at least one of the above processes for tracking your bariatric patient pipelines and measuring conversion rates. Would it be a fair assumption to say if you aren’t using bariatric-specific patient tracking software, you probably aren’t experiencing the growth you want or need?

If this describes your situation, don’t feel bad—but also don’t overreact and get the first option you find, because it might not be the best solution for you.

There are two reasons for this.

First, not all bariatric patient management software and platforms integrate with all EMRs. In our experience, we’ve seen much better outcomes when the platform “plays nice” with an existing EMR because it can significantly improve efficiency throughout your entire practice.

Second, not all platforms can give you easily understandable metrics about your patient pipelines that answer essential questions like:

• Where do our leads come from?

• Where do our patients stall?

Below is an example of how our platform provides a simple yet powerful illustration of where your patients are in their entire journey—including post-operation.Tracking Conversion Rates for Patient Pipeline

In this example, the practice does well with getting prospects into the program (patient intake, seminar and insurance verification). But notice how there’s a sudden surge in stalled patients during the consult and clearance stages. If not already lost, then these prospects are very likely to drop out of the program (and likely go elsewhere).

A Final Thought

As mentioned at the beginning of this series, we regularly hear from bariatric surgery practices about how difficult it is to manage the day-to-day operations while also trying to increase patient volumes.

Although there are no quick fixes or one-size-fits-all solutions, the truth is there are many bariatric surgery practices enjoy a healthy balance of current surgery volumes and anticipated growth. We are privileged to have some as clients. Your practice has the capability of enjoying that kind of success, and we hope this series helps you continue to advance towards that goal.


Nate McCormack is Sequence Health’s Director of National Sales.

Sequence Health is a cloud-based technology and services company that improves profitability and patient outcomes for hospitals and practices through end-to-end patient engagement solutions backed by clinical and non-clinical teams. Its HIPAA-compliant, SaaS platform improves care team workflows, automates patient communication and tracks patient progress to optimize the patient journey. Since 2004, leading healthcare providers have trusted Sequence Health to help acquire, manage and engage patients through complex episodes of care.

Bariatric Surgery Seminars: Online vs. In-Person

Bariatric Medical Marketing Practice Rules

The Third Rule for Growing Your Bariatric Practice Places a High Value on Online Seminars

If you’ve been following our blog series about how to grow your bariatric practice, you have already learned our first two rules:

Rule #1: Know Your Numbers

Rule #2: Make It Easy for Patients to Find You

Now it’s time to introduce the third, which is to use online bariatric seminars (OLS) to:

Increase qualified bariatric patient intake leads

Expand into new bariatric surgery markets

If you’re thinking, “Well, we already have a pretty good in-person bariatric seminar in place and seem to get decent results with it,” please be advised:

If you aren’t offering online bariatric seminars, competitive medical practices probably do—and they are taking your share of new bariatric patients.

Most simply, online bariatric seminars enable a better experience for prospects—and that directly translates into better conversion rates for you.

We know this because we conducted a one-year study of a bariatric surgery practice that offered both in-person information sessions and online seminars.

Although their conversion rates were decent for in-person seminars, they paled when compared to OLS:

In Person Vs Online Conversation RatesThere’s no mystery to why this happened. Two key reasons are because bariatric surgery prospects are often:

• Apprehensive about in-person seminars

• Too busy to attend in-person seminars at a set date/time/location

But, when prospects have access to online bariatric seminars, they can register and begin watching immediately.

More Benefits for Online Bariatric Seminars

Not only do online bariatric seminars help improve your conversion rates, but they can also be highly efficient and economical for your practice. This is because they:

Are recorded and produced once: This prevents you from having to commit resources for conducting the same seminar over and over.

Deliver the best payer mix: OLS gives you access to working and busy adults that are Internet and computer savvy.

Components of a Successful Online Bariatric Seminar

Our experience in developing successful online bariatric seminars has given us the ability to share some sound advice about key components that include:

Requiring registration that should be captured in Google analytics, too

Linking the registration to patient management software for a better understanding of the patient pipeline

Polls and surveys to test knowledge

Short, easy-to-digest segments rather than one long 30-minute clip

Interactive playback features that allow patients to pause resume the seminar

Optimized, professional-developed content for online viewing and NOT just a recording of a typical in-person seminar

Tracking for analytics and viewership

Automation for sending post-seminar requests for insurance verification, consult, etc.

Please be sure to also watch our online seminar 4 Powerful Strategies That Can Grow Your Bariatric Program to learn more!


As Sequence Health’s director of digital production, Karen Haft regularly engages with bariatric medical practices to find solutions that help grow their revenues and profitability.

Sequence Health is a cloud-based technology and services company that improves profitability and patient outcomes for hospitals and practices through end-to-end patient engagement solutions backed by clinical and non-clinical teams. Its HIPAA-compliant, SaaS platform improves care team workflows, automates patient communication and tracks patient progress to optimize the patient journey. Since 2004, leading healthcare providers have trusted Sequence Health to help acquire, manage and engage patients through complex episodes of care.

Bariatric Medical Practice Marketing Rule #2: Make It Easy for Patients to Find You

We kicked off this blog series with a discussion the first rule for growing your bariatric medical practice: the importance of “knowing your numbers.” This time, we will explore our next rule: make it easy for your patients to find you and begin their journey.

Let’s begin with understanding how and where patients are finding healthcare services. It should come as no surprise that patients use online searches more than anything else—which includes personal referrals from physicians, family, friends and colleagues, as well as offline influencers like TV, magazines and newspapers.

Chart
Click to view larger.

We know this from a well-known Google study1 published this a few years ago that also showed how:

• More than 85% of patients began their searches online for health-related topics

• 48% of patients took more than two weeks to research before booking appointments

• 61% visited two or more hospitals sites before “converting” (more on this in a moment)

Find Yourself: Are You Experienced?

When we’ve asked bariatric healthcare marketers if they’ve ever tried to find their own hospital or clinic online—the same experience a potential patient would have—the answer is often no.

We are driving home an important point, not pointing fingers: If it’s not easy to find yourself online, imagine what it must be like for patients that aren’t even aware of you, especially in competitive markets!

With so much at stake with patients being able to find your bariatric medical practice online, the importance of online search strategies, healthcare advertising and tools become increasingly obvious—and even more when you learn that:

• Searches drive nearly three times as many visitors to hospital sites compared to non-search visitors

• Organic search results are more than 80% more likely to be clicked on than paid search results

The ABCs of Bariatric Marketing with SEO, SEM and PPC

Great SEO (search engine optimization) is the key to getting your share of organic search traffic to your bariatric surgery center’s Website, but it can take time to develop a solid SEO strategy and to see the results.

That’s why we should not be too quick to downplay healthcare digital marketing and the amazing potential of paid searches, also known as PPC (pay-per-click) and SEM (search engine marketing). With the right combination of creatives (ads), keyword selection and bidding, patients will take action. According to Google, it’s meant:

• 28% visiting the advertised hospital’s Website

• 21% considering the advertised hospital

• 5% contacting the advertised hospital

Conversions: Are You Turning Prospects Into Bariatric Surgery Patients?

No matter how much search traffic comes to your bariatric hospital’s Website, it doesn’t mean anything unless you have great “conversion rates,” another way to say: Are you turning prospects into patients after they’ve found you?

This leads to two immediate questions:

• What is your current conversion rate?

• How can you increase your conversion rate?

If you are finding that your conversion rates aren’t meeting your expectations, you will want to again return to the earlier question about trying to experience what it’s like to search for your facility. This time, try to understand the experience of your Website. How would you answer the following questions:

• Is your Website appealing to prospective patients?

• Is your Website optimized for both mobile and desktop?

• Is it easy for patients to find the right information?

• Is there a clear call-to-action (CTA) on the Website to help patients get started?

• Do you offer seminars—and if so, what type and how often?

Don’t assume low conversion rates are entirely the fault of the Website, though. This is especially true if you are noticing a sharp decrease in rates between Website registrations and seminar completion. In this case, consider these enhancements:

• Automated reminders prior to seminar

• Personal phone call prior to seminar

• Offer more seminar times or online options like Webinars

We’ll close on that note, but when we resume, we’ll talk more about increasing intake rates after seminars and Webinars.


As Sequence Health’s Central/Western Regional Director, Chris Stearns regularly engages with bariatric medical practices to find solutions that help grow their revenues and profitability.

Sequence Health is a cloud-based technology and services company that improves profitability and patient outcomes for hospitals and practices through end-to-end patient engagement solutions backed by clinical and non-clinical teams. Its HIPAA-compliant, SaaS platform improves care team workflows, automates patient communication and tracks patient progress to optimize the patient journey. Since 2004, leading healthcare providers have trusted Sequence Health to help acquire, manage and engage patients through complex episodes of care.

1 The Digital Journey to Wellness: Hospital Selection

Bariatric Medical Practice Marketing Rules #1: Know Your Numbers

The First of a Four-Part Series of Advice for How to Grow Your Bariatric Practice

We regularly speak to many bariatric programs across the country, and we often hear how difficult it is to manage the day-to-day operations while keeping up with the hundreds of patients that are on their journey to bariatric surgery.

Yet, no matter how many patients they have, nearly all want or need to increase their bariatric patient volumes. That is why we are frequently asked a simple but important question: “How can I get more patients and grow my bariatric practice?”

Although there are no simple answers, we have been able to boil them down into four key rules that we explore in one of our most popular presentations, Four Key Strategies to Grow Your Bariatric Program.

Which leads to the first rule: Know your numbers. Here is what we mean by that.

What are Your Numbers? Where are They?

Bariatric practice marketing is a numbers game you can play best if you have a firm grasp on your data. Otherwise, it is virtually impossible to develop strategies and gauge their effectiveness if you don’t know where you stand.

Let’s start with some basics like:

• What are your conversion rates from lead to surgery?

• What is your average time to surgery?

• Which steps in the prospect-to-patient continuum are taking the longest?

• Where are patients falling through the cracks?

Now ask yourself:

• How quickly could you produce those numbers for analysis?

• How simple would the process for accessing them be?

• How reliable would the data you retrieved be?

The last set of questions can be as telling as the first set. We’ve found the bariatric practices that can easily and accurately track their patient marketing, acquisition, management and engagement are almost always the most successful practices.

Learn From Your Numbers

Knowing about your bariatric practice’s numbers is only the beginning. Once you’ve established an efficient process for monitoring your bariatric marketing efforts and collecting data, you next want analyze your numbers and starting learning from them. And what better way to learn is there than to ask questions?

Here is where we divide our focus into two primary areas, each with their own sets of unique questions. For how many of these can you produce answers? Do any spark insights into where your bariatric practice marketing is underperforming?

Bariatric Marketing and Patient Acquisition

• What is the conversion path of our marketing efforts?

• How many conversions resulted from the campaign?

• What is my cost per lead?

• How many surgeries resulted from the campaign?

• What is my cost per surgery?

• What payor mix is my marketing campaign driving?

• What is my most effective marketing medium?

• What is my least effective marketing medium?

• Of the surgeries we’ve performed, where did those leads come from?

Bariatric Patient Engagement and Management

• What is my conversion rate from lead to seminar registration:

• …from seminar registration to attendance?

• …from seminar attendance to consult?

• …from consult to surgery?

• What is my overall conversion rate from lead to surgery?

• What is the average throughput for each of these milestones?

• Where are patients falling through the cracks?

• How long have patients been in each step?

• What clearances need to be completed in order to have surgery?


As Sequence Health’s Central/Western Regional Director, Chris Stearns regularly engages with bariatric medical practices to find solutions that help grow their revenues and profitability.

Sequence Health is a cloud-based technology and services company that improves profitability and patient outcomes for hospitals and practices through end-to-end patient engagement solutions backed by clinical and non-clinical teams. Its HIPAA-compliant, SaaS platform improves care team workflows, automates patient communication and tracks patient progress to optimize the patient journey. Since 2004, leading healthcare providers have trusted Sequence Health to help acquire, manage and engage patients through complex episodes of care.

Why In-house Services Are Among the Best Ways to Increase Revenues in Bariatric Medical Offices

Be Careful: Advantages Can Quickly be Outweighed by Risks, Especially If Not Properly Managed

With ObesityWeek2017 beginning tomorrow, many of the attending bariatric surgery doctors, nurses and administrators will be visiting the event’s exhibitor hall to discover the latest innovations for improving bariatric practice revenues.

As a regular ObesityWeek exhibitor, Sequence Health has regularly used the opportunity to listen to customers—a topic we discussed in a recent blog, “You Can’t Hit a Target Blindfolded: Why We Exhibit at ObesityWeek 2017 (and It’s Not Why You May Think)”.

One thing we’ve learned (not mentioned in that blog) is that more and more bariatric clinics are offering in-house services to boost revenue and to reap other rewards.

Bariatric practices give up an estimated 80 percent of overall patient spend to hospitals for ancillary services. Much of that can be recovered by expanding in-house services to include cardiac testing, bone density scanning and even endoscopy. Other services such as medi-spa, nutrition and cosmetic procedures like Botox can provide additional sources of revenue for bariatric surgery practices.

Although bringing these services in-house can sometimes require significant investment in equipment and training, return on investment (ROI) is often swift. They can yield other advantages that include:

Reduced liability: In-house services give providers additional opportunities to monitor patient progress and identify areas that need to be addressed before they worsen to the point that they exhibit clinically.

Reinforced patient confidence: In-house services and patient engagement tools can validate patients’ concerns about their providers’ expertise, ability to understand their cases to providee optimal care.

How to Manage Risk with In-House Bariatric Services

Opportunities to improve bariatric surgery revenues and outcomes with in-house services come with additional responsibilities. Practices that bring services in-house have to be even more on top of their game when it comes to tracking patient progress or they risk the worst kind of delays: those caused by inefficient record keeping or miscommunication.

When bariatric surgery clinics add in-house services, the chances to makes mistakes grow because they increase the volume of specialists and tests that must be completed in a specific order. Any delay in the process moves downstream and clogs up the works. And thus, it only takes one misread lab test, physician on vacation, or misplaced record to negatively impact a clinic’s entire schedule.

In our experience, there are two keys to success in this context:

Knowing exactly what service is needed and what keeps patients on the most efficient path to positive experiences and outcomes.

It’s crucial to track every clearance that a patient has completed and what comes next on their care path, even when they are specifically tailored to individual patients. Any necessary alterations should be recorded in real-time so every member of the care team can have immediate visibility into what changed and why.

Keeping patients informed about their progress is equally important.

Interactive features like short quizzes complete the feedback loop and inform providers what information has been presented and comprehended by their patient. This gives providers an additional platform for increasing patient awareness about which services to expect next and which optional services may interest them.


Sequence Health is a cloud-based technology and services company that improves profitability and patient outcomes for hospitals and practices through end-to-end patient engagement solutions backed by clinical and non-clinical teams. Its HIPAA-compliant, SaaS platform improves care team workflows, automates patient communication and tracks patient progress to optimize the patient journey. Since 2004, leading healthcare providers have trusted Sequence Health to help acquire, manage and engage patients through complex episodes of care.

You Can’t Hit a Target Blindfolded: Why We Exhibit at ObesityWeek 2017 (and It’s Not Why You May Think)

Listening to Customers is the Key to Effective Customer Engagement

Earlier this month, we published a news release to announce our attendance at ObesityWeek 2017 as an exhibitor—continuing what has become an annual tradition for us since 2013.

In the release, we wrote two important things that say as much about why we are attending ObesityWeek as they do about our company.

First, we wrote “understanding why bariatric clinics struggle with figuring out how to get new bariatric patients” is among our key objectives for attending this year.

Second, we wrote “we are always eager to use this invaluable time to listen and better understand bariatric clinics’ obstacles for improving surgery volumes, patient satisfaction and positive outcomes.”

Do you see a connection between the two?

Most simply, it’s all about patient engagement.

Patient Engagement Without Listening is Not a Strategy…It’s Guessing

If you are responsible for getting more bariatric surgery patients at your clinic, you know that getting potential patients to believe you are the best solution for them requires you to first understand what they want and need.

That requires listening, which is a huge part of the patient engagement process.

Without engagement, trying to figure out how to honestly and successfully position yourself as a bariatric surgery solution (and to reap the rewards) is like trying to hit a target while blindfolded: At best, you know the approximate direction of the target, but you are merely guessing at what you are aiming. Even if you are lucky and can hit your target once, it’s very unlikely you’ll ever hit it again because you’ll always be guessing.

A glitch with the customer engagement process—especially in the context of healthcare marketing—is that listening often takes a backseat to one-way communication. The urge is often to push your message/solution rather than to hear your customer’s actual needs/problems.

Sequence Health understands this because we have a lot in common with clinics like yours.

Like with your business, we must know what our customers need.

Like with your patients, there are never really any one-size-fits-all solutions for our customers.

Like with your medical procedures and treatments, we are always embracing innovations and adapting to changes.

The difference is that our customers rely on us to give them the tools to make engagement easier and more productive.

Since engagement is such a crucial part how we thrive as a business—which depends on our ability to boost customers’ success in patient acquisition, management and satisfaction—we must constantly be thinking about how to be better at listening.

How We Engage and Listen at Healthcare Conferences and Trade Shows

Too often, healthcare trade show and conference exhibitors send out their sales teams in hopes of bringing back new leads to develop into customers. There’s nothing entirely wrong about that if the company is pushing commoditized goods or believes its services are perfect, one-size-fits-all solutions.

That’s not us.

Some of the more recent and important improvements to our Sequence CRM and medical call center were directly related to engaging with the bariatric surgeons and program coordinators that have visited our ObesityWeek exhibition booths. These include:

Increased focus on bariatric patient conversion: Although finding new patients is always a top healthcare marketing goal, we learned that bariatric clinics more often struggle with converting prospects into patients. As a result, we upgraded our Sequence CRM to make it easier to boost bariatric surgery conversion rates and volumes.

Expanded subscription-based online education content: Every clinic would love to have custom online bariatric seminars, but not all have the resources to produce them. After learning that many clinics would be able to improve conversions with more economical online patient education options, we added more slides and templates to our customers’ online education subscriptions.

If you are attending ObesityWeek 2017, please visit us at Booth 914 and let us know how we can help you improve your bariatric surgery patient acquisition and engagement!


Sequence Health is a cloud-based technology and services company that improves profitability and patient outcomes for hospitals and practices through end-to-end patient engagement solutions backed by clinical and non-clinical teams. Its HIPAA-compliant, SaaS platform improves care team workflows, automates patient communication and tracks patient progress to optimize the patient journey. Since 2004, leading healthcare providers have trusted Sequence Health to help acquire, manage and engage patients through complex episodes of care.

Three Key Takeaways For Success From ASMBS Weekend 2017

The American Society for Metabolic and Bariatric Surgery just wrapped up its ASMBS Weekend in San Diego. This flagship event was jam-packed with information on the latest trends in improving patient experience, outcomes and growth for providers. Though much of the content shared throughout the conference was clinical, we wanted to highlight some key takeaways from the practice management track. This sector of healthcare is evolving rapidly and several surgeons shared key drivers that they have seen propel their practices into improved efficiency and revenue generation.

Enhance Your Digital Presence

With 80% of patients turning to digital channels to seek healthcare information, a robust online presence is critical to attracting and engaging them. Most providers have become adept at developing websites rich in information, but social media platforms represent opportunities for increased growth. After attending a session led by Dr. Neil Floch (@NeilFlochMD) about the use of Twitter and the role it can play in healthcare, one provider/attendee, Dr. Paul Davidson (@PaulDavidsonPhD), saw a single well-crafted strategic tweet generate more than 10,000 impressions.

Patients are more educated and empowered than ever before — they are talking to each other on social media, sharing stories, support and recommendations. Providers who are active on social media can increase engagement and increase the patient experience. They can become leaders in these conversations by creating their own closed Facebook groups that give patients a place to share information online. These can be viewed as virtual support groups that allow practices to create their own online communities, share clinical data, and help encourage and motivate patients.

Practices can also host special Twitter talks that give existing and prospective patients a user-friendly forum to ask questions and share information. Many practices find that it often makes sense to work with marketing professionals for help leveraging digital channels.

Online education sessions, such as video seminars, also keep patients engaged and reinforce the idea that they have made the right decision with the practice they have selected.

In his session Internet/Website Strategies to Maximize Your Practice, Dr. Sunil Bhoyrul of Olde Del Mar Surgical told attendees that using a professional to create an online seminar, despite a steep price tag, easily paid for itself and improved his quality of life. He got his personal time back by not having to conduct in-person seminars and it reduced his legal liability by being able to have reports and insights demonstrating that the patient watched the entire online seminar and took quiz questions that reinforced the material. He also echoed the suggestions of other speakers by indicating the value of working with a professional to market your program and build a high-quality online seminar.

Shift Healthcare Services In-House

Bariatric practices see 80% of overall patient spend related to treatment fall into the hands of hospitals. Moving these services in-house achieves two goals: it streamlines the process for patients and enables them to get all of the clearances they need for surgery in a single day. It also brings more of that overall spend into the practice.

Moving services in-house requires significant investment, but also provides rapid ROI. For example, a leading private-practice bariatric program spoke about the success they had after offering transnasal endoscopy services. This alternative to a traditional upper endoscopy doesn’t require sedation and can be completed in just five minutes. It also doesn’t require cleaning, so the time transitioning to the next patient is minimal. The practice calculated that it would need to perform around 250 TNE procedures to break even on its investment — it performed 1500 of the procedures in a 12-month period. That represents $420,000 in revenue, with about $360,000 in contribution margin. Patients love it, too, because they don’t have to go to a hospital, recover from sedation, and get driven home. The patient sits in an office chair with no sedation, just a numbing of the nose. The procedure can be completed along with all of their workup, allowing the patient to only miss one day of work. It’s more efficient and affordable to both the patient and the payer.

Not all streams of income require significant investment. Bariatric Advantage has a revenue-sharing model with its bariatric-specific, ASMBS-guideline based supplements. For several physicians that spoke about their experience, they realized over fifty thousand dollars in annual revenue, which has zero overhead and is straight profit. It can also mitigate liability issues related to vitamin deficiency and bone-loss issues, which is becoming common, suggested by Dr. Eric DeMaria in his presentation Liability: How to Choose Your Insurance Carrier, Avoid Lawsuits and Survive Them. As this article indicates, Texas Medical Liability Trust has “seen an alarming increase in the number of claims filed related to Wernicke’s encephalopathy (WE) following bariatric surgery… involving allegations of failure to monitor thiamine levels in post-bariatric surgery patients and failure to treat symptoms… with thiamine supplementation.”

The list of services that bariatric practices can consider shifting in-house include bone density scans, ultrasound, blood tests and esophageal motility testing, among others. Practices can also enhance the patient experience and boost revenue by offering other ancillary services in-house. Sleep studies, medispas, and even cosmetic surgeries like arm and neck lifts can offer a sense of “one-stop shopping” for services that bariatric patients need or desire, pre-and post surgery. This helps keep patients in the surgery pipeline because it reduces the time it takes to get to surgery. Every delay in the medical clearance process can lead to patients dropping out of the process and electing not to have the surgery or seeking a different provider.

Service is as Important as Science

Patients have many options for healthcare and they know it. Great physicians understand the importance of bedside manner, and this notion extends to all aspects of a practice. Understanding how patients enter and exit the program is key to enhancing their experiences with services that generate goodwill and loyalty. It starts with something as simple as how your staff answers the phone the first time the patient calls.

This idea permeates the entire process. Practices should examine every aspect of the services they offer from the perspective of patients. Think of it like being a secret shopper. What services are valued by patients? An excellent example is insurance verification. This can be very complex for bariatric surgery, and a practice that relies exclusively on patients to verify their own coverage is putting a tremendous responsibility on the patient. Not verifying benefits results in a missed opportunity to provide a value-added service to the patient. It also leads to misinformation and patients wrongly thinking they have coverage or not understanding their true requirements for surgery.

Providers who take ownership of the entire journey and take steps necessary to ensure patients are educated and informed each step of the way are rewarded with evangelist patients that become brand ambassadors. As Dr. Teresa LaMasters said, “the number one source of new patients? HAPPY PATIENTS!”


What were your takeaways from ASMBS Weekend? Contact us today!

Linking Patient Reported Outcomes and MBSAQIP Bariatric Surgery Accreditation

With last fall’s release of the new bariatric accreditation standards by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP), a significant numbers of bariatric surgery centers are expected to seek accreditation.

This is for good reason: As we mentioned in our blog “Bariatric Surgery Center Accreditation: A Life or Death Decision,” studies from Stanford University show patients receiving bariatric surgery at MBSAQIP-accredited surgery centers had a significantly reduced risk of serious postoperative complications. Risk reductions ranged from nine to 39 percent, and risk of post-surgical mortality was significantly lower in accredited bariatric surgery centers.

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What the New Accreditation Standards Mean for Your Bariatric Surgery Center

As private insurers have become aware of the link between surgery at MBSAQIP-accredited surgery centers and positive patient reported outcomes, they have increasingly been requiring patients they cover to opt for accredited facilities for bariatric procedures. Although Medicare patients are currently not required to choose accredited facilities for bariatric care, it’s more than possible that this will change, given the recent study results.

What does this mean for your bariatric surgery center? All indications are that meeting the new MBSAQIP accreditation standards will be highly recommended to keep your surgery center in the forefront of acceptance for both insurers and patients. This in turn means optimizing your staff’s performance and workflow to meet the new standards and to manage and track ongoing patient engagement.

Using a Bariatric Patient Management Platform to Meet the New MBSAQIP Accreditation Standards

A well-designed bariatric patient management platform that can improve patient retention and results may help you stay on top of the new MBSAQIP accreditation standards.

When choosing a bariatric patient management platform, look for the features that make these more stringent standards easier to track and follow. For example, take a look at the bariatric patient intake forms:

• Are they easy to customize?

• Do they provide the information you need to assess and manage risks regarding each patient from the moment of on-boarding?

Properly designed, versatile forms help your bariatric surgery facility meet core accreditation standards regarding patient selection, approved procedures by designation level and bariatric patient clearance management, as well as making the standard requiring data collection manageable by your busy staff.

A top-flight patient management platform helps you meet the MBSAQIP standard calling for continuum of care by providing a dedicated medical call center. When you have nurses and other medical personnel available 24/7, you can provide the patient support that you and your patients all want and that helps you meet the accreditation standards.

Maintaining patient engagement throughout the entire continuum of care becomes streamlined with the right patient management platform, which makes it easier for your staff to follow up with bariatric patients post-discharge. Because your team is kept aware of changes to each patient’s status in real time, meeting the MBSAQIP requirements regarding critical care support becomes a matter of function with no emergency scrambling.

A patient management platform designed to follow the new MBSAQIP standards to mitigate risks and improve patient engagement can make all the difference in your bariatric surgery center’s efforts to meet the new standards. With the data and workflow tools you need in hand, you can focus on enhancing patient care so that the new MBSAQIP standards become a starting place rather than a goal.


John Richmond is Sequence Health’s CEO.

Sequence Health is a cloud-based technology and services company that improves profitability and patient outcomes for hospitals and practices through end-to-end patient engagement solutions backed by clinical and non-clinical teams. Its HIPAA-compliant, SaaS platform improves care team workflows, automates patient communication and tracks patient progress to optimize the patient journey. Since 2004, leading healthcare providers have trusted Sequence Health to help acquire, manage and engage patients through complex episodes of care.

Bariatric Patient Acquisition Strategies: How to Get More Patients

One question we are always asked is about how to get more bariatric patients, which naturally leads into discussions about bariatric patient acquisition strategies.

Any discussion about acquiring new bariatric patients needs to address the “sales funnel process of finding leads, turning them into prospects, and then turning them into “customers” (or, put more accurately/appropriately, “patients”).

What often surprises many people is the first part—finding leads and prospects—isn’t as difficult as it may seem. On the contrary, there’s no shortage of them; the challenge is advancing them through the final into the final stage.

According to information presented at the 2017 Annual Meeting of the Texas Association for Bariatric Surgery (which we attended), an estimated 85 percent of potential bariatric patients that express interest in weight-loss surgery fail to follow through and never receive the surgery. Consequently, they continue to experience morbid obesity, diabetes, sleep apnea, high blood pressure and a host of other medical issues—and your bariatric surgery center may fail to meet its goals for bariatric patient acquisitions.

Of course, there are plenty of legitimate reasons why a candidate for bariatric surgery may not follow through. For example, medical insurance verification is often one hurdle, and patients must also make the mental, emotional and physical commitment involved (which speaks to the need to nurture them with patient engagement campaigns).

How a Bariatric Patient Acquisition Strategy Can Make a Difference

Without a bariatric patient acquisition strategy, the potential patients who investigate bariatric surgery via your Website are likely to slip away unnoticed—which emphasizes the importance of a strategy that includes new bariatric patient lead and tracking.

Since most patients take at least a year to commit to bariatric surgery, your strategy must help them progress from one step to the next by providing the needed bariatric patient education, interacting with them to keep them engaged, and following-up as appropriate.

Your strategy should also involve everything from checking your Website’s bariatric and weight-loss surgery SEO to make sure potential patients are finding you when they conduct online searches to using well-designed software to track patient engagement. Take a look at some specific tactics that should be part of your strategy to attract new bariatric patients.

Top Tips to Improve Bariatric Patient Acquisition Rates

If everyone in your bariatric surgery option is on the same digital page regarding patient acquisition, your efforts can team up to help you make a better connection to curious visitors. Try some of these tactics to increase your patient acquisition rates and engage your weight-loss surgery Website visitors.

Add menus and internal links to your Website pages. If visitors are learning about bariatric surgery options on one page of your Website, make it easy for them to click to your contact page or to a page where they can ask for more information, participate in a live chat or sign-up for an appointment.

• Feature useful content. Add content to your site that your visitors will consider entertaining and valuable, including bariatric-friendly recipe videos, downloadable and printable recipe cards, and videos of testimonials from happy patients.

• Offer online bariatric surgery seminars. Bariatric surgery seminars are often considered a requirement by insurance companies before they will authorize the procedure. More recently, online bariatric surgery seminars have been offered as an alternative to in-house seminars. Not only does this enable bariatric surgery centers to offer more options for new weight loss surgery patients to attend seminars at times and locations that are more convenient, but it also improves efficiency for busy bariatric surgeons and staff.

• Capture visitor contact information. Give your site visitors every possible opportunity to share their e-mail addresses with you. Offer to e-mail free content to them to capture contact information.

• Don’t forget the call to action. Every page on your Website should include a call to action, inviting the visitor to ask for more information or to make an appointment. This tactic is also valuable on your social media pages. Speaking of which…

• Don’t neglect social media. Younger patients are more likely to find you on Facebook, Instagram or Twitter than they are to seek out your site. Stay fully engaged on social media to encourage interaction with your office.


Kris Altiere is Sequence Health’s Director of Marketing and Creative.

Sequence Health is a cloud-based technology and services company that improves profitability and patient outcomes for hospitals and practices through end-to-end patient engagement solutions backed by clinical and non-clinical teams. Its HIPAA-compliant, SaaS platform improves care team workflows, automates patient communication and tracks patient progress to optimize the patient journey. Since 2004, leading healthcare providers have trusted Sequence Health to help acquire, manage and engage patients through complex episodes of care.