Latest / Becker’s Healthcare Podcast / Leading Spine Care Through Innovation While Keeping Patients First with Dr. Ben Burch
Transcript
- 0:02- The playbook for running a successful ASC in
- 0:04- 2026
- 0:06- looks almost nothing like it did a few
- 0:07- years ago.
- 0:08- And the one for 2029
- 0:10- probably won't look like this one either.
- 0:12- Case complexity is increasing. Payer models are shifting.
- 0:16- Technology is creating new possibilities
- 0:19- and new cost pressures at the same time.
- 0:21- The spine and orthopedic leaders who are staying
- 0:24- ahead aren't just keeping up with the changes.
- 0:27- They are in rooms where the changes get
- 0:29- talked about honestly. Becker's twenty third annual Spine
- 0:29- Orthopedic and Pain honestly. Becker's twenty third annual
- 0:32- Spine Orthopedic and Pain Management Driven ASC Conference
- 0:36- is such a space.
- 0:37- More than 1,000 attendees,
- 0:39- 275
- 0:40- plus physician and ASC speakers, three days of
- 0:43- programming across the clinical,
- 0:45- operational, and strategic
- 0:47- with CME credits available.
- 0:49- Join us June eleventh through the thirteenth. For
- 0:52- the agenda and event details, visit Becker's Hospital
- 0:55- Review and click on the events tab in
- 0:57- the upper right.
- 0:59- This is Gracelyn Keller with the Becker's Health
- 1:01- Care Podcast, and we are recording live at
- 1:03- the twenty third annual Spine Orthopedic and Pain
- 1:05- Management Driven ASC Conference.
- 1:07- I'm currently joined by Doctor. Ben Birch, who
- 1:09- is a spine surgeon at Atlanta Spine Institute.
- 1:12- So Doctor. Birch, thanks for being here. I'll
- 1:14- have you start off by just briefly introducing
- 1:15- yourself and sharing more about your role and
- 1:18- the scope of your organization as well as
- 1:20- what's currently commanding most of your attention.
- 1:22- Yeah. So thanks for having me.
- 1:24- So, again, my name is Ben Burch.
- 1:26- I'm an orthopedic spine surgeon in private practice
- 1:29- at Atlanta Spine Institute. We're in Atlanta, Georgia.
- 1:33- We're a small group,
- 1:34- right there in the big city. My partner
- 1:36- and I,
- 1:37- perform various types of surgery. I'm more on
- 1:40- the minimal invasive side and,
- 1:42- am also a specialist in endoscopic spine surgery.
- 1:45- So very high volume, portion of my practice
- 1:47- is endoscopic approach for the spine.
- 1:50- And,
- 1:51- because of that, it lends itself,
- 1:53- many of my cases are outpatient.
- 1:56- I still do a full range of spine
- 1:57- surgery and reconstruction as well, but,
- 2:00- large, footprint and portion of my practice being
- 2:02- endoscopic and minimally invasive.
- 2:04- Yeah.
- 2:05- Wonderful. Well, thanks for being here.
- 2:07- And let's start with, in a year marked
- 2:09- by rapid change,
- 2:11- what recent decision or pivot required the most
- 2:13- leadership conviction from you, particularly when it came
- 2:15- to aligning people resources or capabilities?
- 2:19- Yeah. It's a great question. I mean,
- 2:21- and as with any organization right now in
- 2:23- health care, there's a lot of, factors changing
- 2:25- in the, health care landscape,
- 2:28- on the economic fronts and also on the,
- 2:30- technology fronts.
- 2:32- We just came from a talk, where I
- 2:34- was part of a panel discussing the role
- 2:36- of AI,
- 2:37- in health care, and that's a very hot
- 2:39- topic as well when it comes to making
- 2:41- decisions on softwares,
- 2:43- and other, implementation and things that we're working
- 2:45- on in our practice.
- 2:47- Recently, I would say, you know, we, recently
- 2:50- switched an EMR and went with a different,
- 2:52- company, upgrading, our,
- 2:55- medical record system. And that was something that
- 2:57- we had to have a lot of discussions
- 2:58- and, meeting not only on the clinical side
- 3:00- of everything, but on the back end and
- 3:02- business aspect of the practice.
- 3:04- So, making sure everyone has a seat at
- 3:06- the table, having buy in on that type
- 3:09- of,
- 3:10- of a major change was,
- 3:12- important for us. And so that was something
- 3:13- that we, recently did at our practice.
- 3:16- And follow-up to that, how did that type
- 3:18- of situation
- 3:19- challenge your assumptions, and what did it change
- 3:22- about how you approach decision making talent or
- 3:24- organizational readiness?
- 3:26- Yeah. I mean, when you have an organization,
- 3:28- whether it's, you know, five people, 500 people,
- 3:31- 5,000 people, I think it's really important that
- 3:33- you have the right decision makers in the
- 3:35- room, but also that those decision makers have
- 3:37- the right information.
- 3:39- And that comes from making sure that everyone,
- 3:41- whether literally or figuratively,
- 3:43- has some sort of not only skin in
- 3:45- the game, but a seat at the table.
- 3:47- And so from our, you know, perspective, what
- 3:49- we were doing at our practice and changing
- 3:51- over to a new EMR, it was important
- 3:53- for us to not only from the clinical
- 3:55- side understand how the interface was gonna work
- 3:57- for us on a daily basis when we're
- 3:59- documenting,
- 4:00- clinical notes and seeing patients. But how is
- 4:02- that gonna impact our, staff, you know, the
- 4:05- folks that aren't facing patients? So whether that
- 4:07- be in our scheduling side for scheduling surgeries,
- 4:10- and even scheduling our clinic visits as well
- 4:13- as on the billing, side of our practice.
- 4:16- So everyone needed to give their input to
- 4:18- us so that we can make sure that
- 4:19- we were gonna go with the right product
- 4:21- that was also gonna fit the best for
- 4:23- all aspects of the organization. Because I think,
- 4:25- you know, in an organization, again, no matter
- 4:27- what size,
- 4:29- the lowest common denominator being the least efficient
- 4:31- portion of your practice is going to always
- 4:34- dictate how things get done. And so that
- 4:37- was something we did. We went around and
- 4:38- made sure that everyone had a voice and
- 4:40- some input into how we were gonna do
- 4:41- this.
- 4:43- And switching gears slightly, when you think about
- 4:45- the forces reshaping health care right now, where
- 4:47- do you believe leaders need to be more
- 4:49- decisive, especially while balancing speed risk and having
- 4:51- the right teams?
- 4:53- Yeah. So,
- 4:55- I think first and most importantly, patient care
- 4:58- has to remain at the forefront. So right
- 4:59- now, as I mentioned earlier with the health
- 5:01- care landscape changing,
- 5:03- you know, that doesn't just include health care
- 5:05- economics. That also includes,
- 5:07- the ability for us to deliver health care
- 5:09- across organizations. So in private practice, of course,
- 5:12- you know, we also go to other hospitals
- 5:14- that are not necessarily part of our entity
- 5:15- or organization,
- 5:17- and then as well as ASCs.
- 5:19- But the other aspect of that is as
- 5:20- we are interacting with, changing technological aspect of
- 5:23- the landscape,
- 5:25- that we make sure that patient care remains
- 5:27- the number one priority. And I think, you
- 5:29- know, there's a tendency here,
- 5:31- perhaps, again, back to the AI component of
- 5:34- things that are developing. We need to be
- 5:36- cautious that the AI component of whether we're
- 5:38- using it for documentation,
- 5:40- for scheduling, billing,
- 5:42- that the AI is,
- 5:44- making sure not to hallucinate, that the may
- 5:47- the AI is not inventing things that don't
- 5:49- exist, and that it's, reflecting
- 5:51- real life facts. Because, you know, at the
- 5:53- end of the day, any decision that we're
- 5:55- making in health care is going to impact
- 5:57- a patient. So there needs to be safeguards,
- 5:59- checks and balances on that, and that's something
- 6:01- we need to keep kind of in our
- 6:02- minds as we go through all this change.
- 6:04- As we wrap our conversation,
- 6:07- uncertainty has become the norm. So what leadership
- 6:10- habits or mindsets have been most critical in
- 6:12- keeping your organization and your people moving forward?
- 6:15- Yeah. Uncertainty, you know, I don't know if
- 6:17- that is really
- 6:19- unique to health care. I mean, I think,
- 6:20- we could probably
- 6:21- take lessons from other, sectors of the economy.
- 6:24- But at least in our field, you know,
- 6:26- I think from a leadership perspective and when
- 6:28- it comes to leading teams and getting buy
- 6:30- in from your team to make sure everyone's
- 6:32- on the same page, it's important that we
- 6:34- approach uncertainty,
- 6:35- you know,
- 6:37- cautiously. Right? We shouldn't always just rush into
- 6:40- a decision. So,
- 6:41- my advice and kind of what we do
- 6:42- in our organization is if we're not certain
- 6:44- about something, just take a step back, relax,
- 6:47- take a deep breath, and sleep on it
- 6:49- overnight, you know, and and have that discussion
- 6:52- pick back up the next day or the
- 6:53- next week.
- 6:54- Very rarely do we need to make big
- 6:57- major,
- 6:58- organizational,
- 7:00- changes overnight. Right? So, that would be my
- 7:03- recommendation, and sometimes that uncertainty, I think, is
- 7:06- a sign of growth. It's not always a
- 7:07- bad thing. And so just take take your
- 7:10- time, think about the facts, and, again, most
- 7:12- importantly, keep patient care as the forefront of
- 7:15- your organization. I think your organization will do
- 7:17- very well.
- 7:18- Wonderful. Well, thank you so much for joining
- 7:20- me today on the Becker's Healthcare podcast, sharing
- 7:23- these thoughts and insights. Again, we are recording
- 7:25- live at the twenty third annual Spine Orthopedic
- 7:27- and Pain Management Driven ASC Conference. Thanks for
- 7:30- having me.