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Fertility Marketing

202 Bootstrapping a fertility company. How Inside Reproductive Health has avoided taking outside money. Kim Abernethy interviews Griffin Jones


Tables are turned in this week’s podcast as guest Kim Abernethy, CCO of PC Alliance, interviews Griffin Jones about the origins of Inside Reproductive Health and his journey as a fertility entrepreneur.

Throughout the interview Griffin talks about:

  • How he built IRH without any outside funding (And if you should do the same)

  • The “Rising Stars” in the fertility field (And who he believes will be the big winners)

  • The complications of nailing product-market fit (And how doctor’s expect us to provide value)

  • What advice he would give to fertility entrepreneurs looking to make a name for themselves.


Kim Abernethy LinkedIn
PCA LLC
LinkedIn
Griffin Jones
LinkedIn

Transcript

[00:00:00] Griffin Jones:
Stop taking outside money. The learning curve is longer than is accommodating of having to return investment money, you can pile on tens of millions of dollars and they still don't have the product market fit to where it's scalable, reproducible, huge customer satisfaction and profitable by the end of that investment

Should fertility companies stop taking outside money. That's the theme we eventually get to in this conversation where I am not the interviewer But the interviewee. You might know Kim Abernethy. She's been the chief commercial officer for the PC Alliance for the last two years So she's still on the pharmaceutical slash pharmacy side of things, but she was with EMD Serrano for a very long time in a field where people sometimes jump around a lot and she's gotten to know many of you during that time.

Kim asked me why I chose the fertility field, how did I build my company with no investor money, no money from family and friends, and not even a commercial bank loan. She asked me about the direction of Inside Reproductive Health. How we're building a trade media company for everyone director level and above in the fertility field worldwide.

She asks me, which was more fun building an earlier version of my company or the version I'm building now. And I tell her. Oh, she asked me to name two interviews where I was totally caught by surprise. And even though I was totally caught by surprise by that question, two interviews that I've done did come to my mind.

And I tell you who both of those doctors were. She asked me to pick some rising stars of some of these companies that are growing and emerging in the fertility field and who I think are going to be the big winners. I am no fortune teller by any stretch of the imagination. But I name names. And as I promised, right after the interview, I thought of a couple more that I probably should have said, and I'm not going to say them now in the intro because I'll still think of more after this.

I'm sorry that I left you out. Keep kicking ass and I will be less likely to forget you next time. Finally, Kim asks me what advice I would give to fertility entrepreneurs. really trying to take their place in the field. And I wonder if the answer is to stop taking outside funding. I don't know, maybe I'm wrong and I'm not arguing it categorically, but I put forth a counter argument against taking outside funding.

Just bootstrap your damn business the old fashioned way. I tie it in to broader advice about how hard it is to provide value to fertility clinics and providers. How long and complicated it can be to nail product market fit in the fertility field. And how seriously doctors and others... Expect us to be able to provide value.

And of course, there's some fun, cute questions along the way. Thank you to Kim. She's a wonderful interviewer. As far as I know, this is the first time she's ever interviewed on a podcast. So if Kim, send her a LinkedIn message, send her an email, send her a text, tell her she did a great job as an interviewer and enjoy this episode where Kim Abernethy interviews me.

[00:03:04] Kimberly Abernethy:
I'm Kim Abernethy and today I will be interviewing our special guest Griffin Jones. It wouldn't be Fertility if we didn't mix things up, wouldn't you agree Griffin? 

[00:03:13] Griffin Jones:
I think so. This is the second time that I've been interviewed on my own show that it was four years ago that my friend Stephanie Linder did this and I was interested when you proposed the idea, hopefully I can make it interesting enough.

[00:03:29] Kimberly Abernethy:
Tell us, how does it feel to be in the seat of the interviewee after conducting so many interviews? 

[00:03:34] Griffin Jones:
I am hoping that it will be useful enough because I try to make the interviews useful to the audience who's fertility docs, execs, and I've gotten much better as I've gone along about making each interview more specific and I don't know if we'll go like an Oprah route today and we'll do like a Griffin human interest story.

You and I talked a little bit before we did this interview Or if we are able to tackle enough business to make it Transferable to the people listening. That's my pious. Hope that I can still do that even as a business owner in my type of business.  

[00:04:17] Kimberly Abernethy:
I think that it's always important when you are in your type of business to make sure that you never lose touch with the personal aspect of things.

So if we do go a little Oprah, I think your listeners will want to hear it. I've been talking to a lot of people since you and I originally spoke about doing this interview. And it's amazing to me how little most people know about you. 

[00:04:38] Griffin Jones:
What made you decide to want to do this? Because you proposed the idea to me, and I thought this is a cool person.

And that's sweet of her to think of me. What made you interested in doing this? In interviewing the host. 

[00:04:56] Kimberly Abernethy:
All right. So you're not supposed to be interviewing me, but I will answer this question for you because I do think it's interesting. I've been in the fertility space for 24 years and I remember when you started your business 10 years ago.

And it's actually leading into one of my questions for you. What on earth were you thinking when you had no fertility experience? You ran a media company, a social media company for three years. You'd worked in the media industry for nine years doing different sales executive roles. So what made you wake up one morning and decide I'm entering the fertility space and I'm going to be a subject matter expert in not only marketing, but the industry as a totality?

[00:05:38] Griffin Jones:
Do you ever see the movie Lone Survivor with Mark Wahlberg? I think it's, I think it's called Lone Survivor. It's about four army rangers, I believe, in Afghanistan and they are surrounded by Taliban and they're under fire and at some point they, they just have to jump off the cliff. It's not a good idea to jump off the cliff.

They just don't have any other option. I'm certainly not comparing myself to an army ranger. But from a career standpoint, I was at a point where it was like, I have to choose something. I was a D student growing up. I worked in radio ad sales, maybe as a result of that, I didn't learn anything in college.

I went to a state college that I would blow my nose with the degree that I got in. Communications and that found me in a 100 percent commission only sales job, which I got good enough at paid off my student loan real fast. I learned a little bit about the real world and talking to business owners and learning how to sell things, not just for myself, but for other people, for my clients.

So I got a bit of that experience over five years, but it was radio is 26. It was not. Something that was growing, like how the tech space is, and I could see the corporate ladder vanishing before me, and this is prior to the advent of remote work as we know it now, and there were very few advertising agencies in Buffalo.

There are zero fortune 500 companies headquartered in the city of Buffalo, where I'm from, and I knew that if I wanted to stay in my area that I had to. Sub specialized, or at least specialized, and so it was more about I, I knew that I had to find a niche and I had to go deep into the niche rather than I had some really bright idea.

The niche happened to be fertility because I started working with a fertility clinic in my area and and got some good results from them doing some really rudimentary organic social media and and got to know them a little bit and got to know a little bit about the field. But I was working with a number of different categories and because of the nature of when you're successful helping fertility clinics, they're successful helping patients.

That's pretty meaningful. And I talked to a number of patients that were very grateful that I was even trying to learn about what they're going through. And so I just said, okay, this one. It felt good and it made the business criteria of, it was high growth, it was recession resistant, and I knew that I needed to sub specialize.

[00:08:23] Kimberly Abernethy:
Alright, so you're working with a fertility clinic in Buffalo. You see some success, I'm guessing new patient visits are up, you're doing some social media, and you think... Recession proof, I get it feel good. People are getting through the door. There's a lot of surrounding areas in the Buffalo market that don't have a fertility clinic.

They have to drive to Buffalo to see a fertility specialist and you decide you're going to jump off the cliff. And you do, what do you do from that point, though? Because that's one customer in Buffalo. There's maybe four clinics in Rochester, maybe one or two at that time in Syracuse, maybe not. Like, how do you take that?

I'm jumping off the cliff. And being able to support yourself, specializing in marketing for fertility specialists who really weren't thinking about it 10 years 

[00:09:12] Griffin Jones:
I think I had already jumped off the cliff. I think jumping off the cliff came in 2012 when I quit my job in radio ad sales and then I went and started traveling here and there, went to Ireland for five weeks and later that year went to Japan for three weeks.

The things that I think a lot of people should do in their mid twenties. And I. Then moved into a studio apartment, the cheapest apartment I ever lived in, and lived like a pauper, and made the least money that I had made since I graduated college, and I moved to South America for a year and a half, and it was it.

It was while I was in South America that I started working with that fertility clinic in Buffalo, and that's what taught me Oh, I don't have to physically be in this person's area And so I knew that I could do that with anyone then and so before I started Before I even moved back. I started working with another clinic, which I think I can say is was Dr. John Fratarelli's practice in Hawaii. And so with two fertility clinic clients, I could say we served fertility clinics from New York to Hawaii. And that was in 2014, moved back to the U S in 2015 and just started cold calling. And so you asked, how did I support myself? I didn't, I made hardly any money in 2014 because I was living in South America.

I made, I don't know how much I made, like probably made 15 grand that year. And then probably something similar to the half a year that I moved back and then started. After that started really cranking and building the business. 

[00:10:48] Kimberly Abernethy:
So when you look back, so you're talking, 20, 2012, 2015, that era, like when did you decide, Oh my gosh, I'm going to make this work.

It's actually starting to pay the bills. And I think that this is going to be. successful. Do you remember when that moment 

[00:11:04] Griffin Jones:
There are two different questions because the question of I'm going to commit to this and make it stick versus this is paying the bill didn't happen at the same time. The sticking came first.

And it was like, I'm going to pick something and I'm just going to keep showing up and I'm just going to keep trying to learn more. And every time somebody says no, I'll try to ask somebody else. And and that's, that was in 2015. That was before I even moved back to the U. S. And when I came back to the U.

S., I moved back at midnight on a Saturday morning, and I started cold calling at 7 a. m. on a Monday, and I didn't stop. And so I didn't start making money until, by 2017, I could afford to Move out back out of my parents. How I moved back. I moved back into my parents house for a year when I was 30, Kim.

And that was in 2015. And then by 2016, it's okay, I'm making enough to where I can go out, get my own place in 2017. Okay, I'm making maybe what. What somebody would make in Buffalo, my age, just very middle of the road. And then 2018, 2019 is when I started. It's okay, this is, this feels pretty cool.

And at least I'm on the right track. And but I would say it was gradual. I don't think. The first was just a commitment I have to commit to this and trust that there will be a competence and the benefits that come from competence later. But the fruitfulness was a lot more of a long process.

[00:12:31] Kimberly Abernethy:
Okay. When you look back over the years. And you Monday morning quarterback yourself, what would you have done differently? 

[00:12:39] Griffin Jones:
Everything. So it's it's how far back would you go? Would I go so far back to, do I get to go back to senior year of high school?

It's if I could go back to senior year of high school, then I would never have gone to college. And I would have just gone, I would have found any really good business owner. and just shadowed them. I would have done anything for them, just learned from them. I would have gotten their coffee. It would have mowed their lawn.

I would have worked for minimum wage or less and just learn from that. It's like can you go far that far back? And so if I can't go far that far back, then I just don't feel like it's every mistake that I made as bad as it was necessary to Achieve a higher level of proficiency in business.

This is a really hard game because there's so much involved. It's hard to provide value in the marketplace. And if you want to do it, you got to get good at a lot of really hard things and getting good at a lot of really hard things. The price to do so is often looking and feeling stupid. 

[00:13:45] Kimberly Abernethy:
Interesting.

We're talking a lot about jumping off the cliff. We're talking about fertility bridge, like how you got there, but let's take a step back and share the vision of fertility bridge. You decide you're going to focus on the fertility space. You have success with a couple clinics and doing some social media, maybe some marketing.

When do you take a step back and say, okay, this is going to be my company and here's a vision? I. I'm assuming that you didn't just keep jumping off the cliff and there must have been a business plan that you finally said, this is what I'm going to do to make this company. Successful or maybe not, and that would be great to hear too.

[00:14:25] Griffin Jones:
That's very kind of you to give me that much credit. I, it all came in phases, but the, I really believe in the quote, I don't know if Zig Ziglar said it first or one of those. guys that one of the Ra guys that said it, or if he was just quoting someone else, but he said, go as far as you can see, and then you'll be able to see further.

And there are lots of people in this country, in this world that can't see that far. And I'm probably somewhere in the middle of the road. We have a lot of people in the audience that could probably see pretty far because they're really talented. They had really talented parents. They came from A highly competitive affluent background and they could see far and they're kicking butt now and and they're gonna get even further.

And then there's lots of people in this country that don't even know how to become a manager. at McDonald's, and I was probably somewhere in the middle of that really long spectrum, but I could see at least, okay, I can see at least how to make a client services firm. I can at least see how to make a profitable client services firm, even if I don't know how to do all of it.

I could see how we can return enough value for our clients and get people on board. And so that really just, that's, that started as a foggy vision, perhaps in 2015, 2016, and then by, by the end of 2017, it's okay, we're starting to make process, we're really starting to scope now the 2018, 2019, really refining the sales process, 2020, really refining operations and delivery processes.

And it wasn't until the end of last year where. I wouldn't say the end, but maybe the middle of 2022, where the opportunity to build a media company. So instead of Inside Reproductive Health being just a little marketing channel for Fertility Bridge, my client services firm, Inside Reproductive Health being the bigger of the two brands, being the one that scales and being the part of the company that I'm really growing.

And that wasn't until. Mid 2022 where all of the stars sort of line, it's this is exactly how it happens and the time is now. 

[00:16:46] Kimberly Abernethy:
So that's interesting. So you start as a client services firm inside for reproductive health, right? Inside fertility is a smaller portion of it. It's always co existed, would you say with your larger client services?

And now what you're saying is it's morphing and flipping and inside reproductive health is becoming. the larger of the two entities within FertilityBridge, fair? 

[00:17:14] Griffin Jones:
Yeah, it's, yeah, exactly. Now it is becoming the bigger of the two and in a couple years it will be much larger and it, they didn't always coexist.

I, so it was 2014 when I first started working with my first FertilityClinic client and then 2015 when I moved back to the U. S. and started building a firm. It wasn't until Early 2019, January of 2019, that Inside Reproductive Health launched. First is a weekly podcast, and then it wasn't until the very end of 22 where the Weekly News Digest launched one news article, originally sourced, written by a journalist about the business dealings of the fertility field that also comes out weekly.

And that was, so they didn't always co exist, but when it started, it was just let me get some more exposure for myself, sell some more client services, and then the audience grew way more than than just people that were ever going to buy. marketing services for me. And that ended up being the business that more people were asking for anyway.

[00:18:21] Kimberly Abernethy:
So what do you think caused this morphosis to happen? What do you think was a trigger that grew inside? Reproductive health and inside fertility at a greater pace, like what is it about that portion of the business that's attracting people? 

[00:18:37] Griffin Jones:
There's this, there's the part of where it was attracting people and then why it did.

The part of why it's attracting people is because there are a lot of business developments happening in the fertility field right now and generally no one reports on it. And so if you're an executive, you just want to be you want to be keeping up with what's happening. If you're a doctor, you want some kind of business education.

So too for nursing managers and practice managers. And so there was that void both on business education for those folks there. clinical or have scientific backgrounds. And then for those folks that have sales and business backgrounds, they want to be kept abreast of what's going on. The fertility field worldwide is estimated at a 23 billion industry, I think somewhere around there.

And there's no trade media outlet for it right now. If we were in another 23 billion industry, it's. It's very likely that there would be an established trade media outlet. And and so I could see the business model and I was at a point in my company, in my life where I thought this is, Definitely the more scalable of the routes that I could take.

Which business do you enjoy more? I enjoy building inside reproductive health more. And the reason is because I love being at the tippy top in the visionary seat. And I can't say that's the only seat in the accountability chart that I occupy. I still do occupy multiple seats. But I see myself getting out of them.

More easily and I am getting out of them more quickly. Part of the reason why I really decided to double down on this route was because in building a client services from there was no way that I was ever going to be able to take myself totally out of it. It was profitable. I never had a problem with money in those later years.

It was that it could never be something that totally functioned without me. It's too small of a niche to have both a consultancy and an implementation agency to serve, 400 fertility clinics in the U. S. Maybe 500 if you're counting all the U. S. And Canada. And whereas Inside Reproductive Health as a media company is...

Scalable. The more content I create about India, the bigger my Indian audience grows, and then the more valuable we are to genetics testing companies and pharma companies and other fertility solutions that sell in those parts of the world. And... And I can make more replicable systems more easily, and I can bring on people faster because they don't need so specialized of a background as when you're building consultancy.

If you're building a consultancy for fertility clinics, It's a really steep learning curve that is very hard to educate people on in the consultancy. They have to come with a lot of that institutional knowledge. And that's a very small pool to draw from. Whereas on the media side, on the marketing side, there's just a lot more people.

I can bring them, I can train them, I can put them in smaller seats, and we can do so a lot more rapidly. So I say Inside Reproductive Health that I enjoy more because I really feel like the business owner, Kim, like I'm working on the business, of course, I still am doing some working in the business, but I'm doing more working on than I was before, and I'm seeing the working in, I'm getting out of that faster.

With all of that said, I still do consulting for fertility clinics, and I love it because it keeps the saw sharp. I love talking with practice owners. I can give them so much value in a little hour, and I don't need to stick them on a recurring monthly engagement. They don't need to pay me thousands of dollars every single month where I've got to struggle so hard to keep up with the value that is required of that.

Instead, I can make it worth it my time because my hourly rate is high. I can give them a lot in that little bit of time. I can help them that other partners and help them put things into place without getting so sucked in implementation and without them having to be. They engaged in a big long term commitment and and they get a ton of value from it.

And I really enjoy it. 

[00:23:11] Kimberly Abernethy:
Where do you see Fertility Bridge going in the next five years? 

[00:23:15] Griffin Jones:
It's funny that you'd say Fertility Bridge and not Inside Reproductive Health because Fertility Bridge really is now the strategy consultancy and the content studio for the advertisers on Inside Reproductive Health.

So I'll start with Inside Reproductive Health because where I see that going is we have an audience of a couple thousand unique listeners and readers over the course of the year, and I think that can probably get up to 30, 40, 000. I'm just looking at. How many people are director level and above in the fertility field, whether it's industry side, clinic, lab, scientific, worldwide, I suspect it's around between 30 and so I think that we can get a majority of those people as members of our audience, even if they're not the people that read every week and day and listen every week and day that over the course of the year that.

They are part of the audience and right now, if you ask people, have you heard of Inside Reproductive Health? Some people will say, yeah, everybody has but that's not true because you'll then talk to the next group and they'll say, no, I've never heard of it. And my goal is for If you're talking to someone that's director level and above in the fertility field, almost anywhere in the world, and you ask them that question in five years, if they were to say, no, I've never heard of Inside Reproductive Health, you would look at them like, you've never heard of the Wall Street Journal?

You've never heard of the New York Times? It would be that ridiculous. Our goal is to grow Inside Reproductive Health. to that level of audience to build out the daily news to build out the news site, the level of frequency will be determined by how valuable it is being consumed. And then Fertility Bridge is now the strategy consultancy for the businesses that advertise through Inside Reproductive Health.

So when an advertiser is, wants to Sell to our audience when they want to get their message out there. We help them. We help them with the landing page We help them with the copy. We help them with linking those two things and linking that marketing effort to their sales team because We one we have the audience, but two we Have a lot of their behavioral data.

This is first party data. We can see what they're doing. We know what they're clicking on. We know what they're sharing. When a news article goes out, I can see what's really popular, what executives are sharing with their teams. And while we'll never share like, people's data, what we can say is we can strategize people on tailoring their message and putting their message into a place where it's gonna be something that.

Their decision makers who are really hard to reach are reached and want to consume the message very 


[00:26:07] Kimberly Abernethy:
nice So a lot of times when people are like you Very driven you're out there. You're Jumping off the cliff, I'm just going to use that analogy again. Do you ever take time to realize that you're everywhere?

And by that I mean you're interviewing CEOs, you're providing marketing support for centers across the country I've seen you emceeing at every conference or event that I'm going to. I feel like you're somewhere on stage. Do you ever take time to sit back and look at the impact that you're making on fertility Where you are today in this journey, 

[00:26:49] Griffin Jones: not really.

I'm just not wired to do that. So much. I think the nature of hungry people very often is to just think about what's next. And and sometimes I can do that to a fault. Sometimes you'll have team members that they want to celebrate something big. And all you can think about is This we always have to keep moving forward, and so I think sometimes to a fault. And then also I just also want to be humble is that I'm so grateful when people do say that. I also know that any one individual's impact will it's just a drop in the bucket in the grand scheme of things. And and I'm happy to be a part of it, but and hopefully I've, I make some really big connections happen and meaningful impacts over the course of my career, but yeah, and hopefully I'll live a long life, but at the end of it, people will probably mourn me for a couple of days, and then if that, and then they'll get back to their lives, like we all do, like when I, and so there's that part of it and and then it's yeah.

Being everywhere, I still just don't feel like we're everywhere yet. I feel like I'm, this is just a straw poll, but I'm thinking that maybe 20 to 30 percent of the field knows what inside reproductive health is and, I want it to be over 90. Okay. 

[00:28:14] Kimberly Abernethy:
Fair enough. So some fun questions.

You've worked with clinics across the country, out of curiosity, which clinic do you feel your services had the greatest impact on and 

[00:28:23] Griffin Jones:
why? Thank I don't want to put anyone on the, any one of the clinics on the spot. You don't need to name the clinic. I think, for among one of our first clinics one of our very first was, is still in some ways the most fun.

And that was when I was only doing organic social media, because it was like, I'm not doing anything. From a clinical perspective, but I get to benefit from the elation that's coming from their patient base because I'm just helping them get stuff on social media and then they're talking about how much they love the doctors and they're talking about, they're connecting with each other and then you see people a year after that say it.

And That are posting their baby picture. And they're like, we came in because we saw something on Instagram or Facebook. And so that's a, that was a ton of fun. There's also been a couple of times where you have clinics that are, they're just really good people. And they're in a position where they've started to lose some patients and you're like, I can help with this.

I know how to do this. And and. And those are, those have been really fun and then there's been some really big clinics that we've worked with and it's maybe they're so big that our impact is less memorable over the course of what their whole trajectory will be because we're just a small piece of it, but you do some like really awesome videos.

client that we had. I won't say who it was, but everyone knows them. And they already had a great brand. They had a really good patient acquisition system and they're just missing like some really important creative pieces that we did for them. And I remember when we watched their videos for the first time, we all screened it together on zoom and they watched from the, from their houses and.

It was like at nighttime. It was after work hours. It was like 9 p. m. My wife came and sat down with me and their kids were watching with them and they're crying. And I know it wasn't one answer, but there's been some really cool things over the years.  

[00:30:38] Kimberly Abernethy:
Now think about some of the interviews you've had and hopefully you can say this one, but which one surprised you the most when you were interviewing someone and what caused you to be so surprised?

[00:30:49] Griffin Jones:
Oh, gosh, this is putting me on the spot. I can think of two examples. One was with Dr. Amy Avazadeh and I was interviewing her about why does she have this gigantic patient acquisition funnel, like her social media presence, her brand. And she's just one practitioner in a small practice in the Bay Area that, and I kept asking her like do you want to grow?

Is it, do you want to, are you trying to get a bunch more docs under you? And she's no, really just want it to be me and have my own small operation. I'm like then why the heck do you have this whole big funnel? I couldn't figure it out. And it wasn't until afterwards that I realized, I don't remember if she told me or someone else told me, or I.

A lightbulb went off like in the detective movie, and they're just walking through the supermarket and they finally figure out who the murderer is that I was like, Oh, it's because she just does self pay patients. And yeah, so she's drawing from a much larger group. And that's something that I've always talked about in branding is that the bigger brand that you have, the more leverage you have, the more choices you have.

At different points of channel conflict, you can opt not to if you're getting a short end of the stick from insurance companies or cash pay. Pay, or excuse me. Yeah, employer carve out companies. You can choose to serve a segment of the marketplace if you have a big enough brand and a big enough presence.

And so that was something I didn't realize until afterwards. And so I felt like a dummy listening to that first interview. So I brought her back on to talk about that specific topic. Same thing with Dr. Rui Jelani had her on, we were talking about her patient acquisition funnel, and I knew that it was a really good presence that she has, and she's very good at getting new patients and moving them through the funnel.

But I never stopped to ask her like, how many is that bringing? And then find out afterwards, she did 1300 retrievals last year. I was like, okay. And then I brought it, it was like three weeks later, I brought her back on. So those were two interviews where I was like I, you want to be prepared as a host and sometimes you end up discovering a topic that you hadn't originally even set out to cover.

[00:33:05] Kimberly Abernethy:
Do you still get nervous when you interview people? 

[00:33:07] Griffin Jones:
Not really. 

[00:33:08] Kimberly Abernethy:
Thought I'd ask. 2022, you got engaged, you're married. What's going on with the Jones family today?

[00:33:16] Griffin Jones:
Maybe by the time this episode airs, baby Jones will be here. We don't know the sex of baby Jones yet, but we're excited either way and we're loving life in upstate New York and we're family oriented people.

We try to work a lot. We both work a lot and, we both exercise and then the rest of our time is spent maybe on a couple of the community interest things we have and with family, and we really try to kill anything in the middle. There's not too much Netflix or maybe a little bit here and there, I'm not I've never watched.

Breaking Bad or whatever's popular now. I don't know what it is. I haven't seen an episode. I don't care. And I don't play video games. And I don't go out to happy hour during the week. And I don't do any summer kickball leagues. We're pretty myopic in that sense. 

[00:34:18] Kimberly Abernethy:
Don't worry, that baby will change all of that.

Trust me. Yeah. Do you consider yourself a Bills part of the Bills Mafia? 

[00:34:25] Griffin Jones:
It's too cheesy for me to say that. Also I think that I'm too much of a skeptic to be in the Bills Mafia. I'm a Buffalo Bills fan. I can't not be. It's not something that I really want to even be. I just am. And there was a number of years where it really made me so negative that I had stopped watching altogether and that's not something that someone in Bill's Mafia would do. In fact, I think you get whacked by Bill's Mafia if you do something like that. But I just don't like the blind faith and I was... Also, at a point in my life where, yeah, in my early 20s, it's fun to go to a tailgate and and get silly, but, by the time I was going in my late 20s, I would bring my little brother from the Big Brothers Big Sisters program because they would give us tickets and it'd be like December and raining and team would be getting pounded by Tom Brady and the Patriots and no chance of going to the playoffs and drunk dudes are like touching my little brother's hair.

It's Dude like almost like getting in fights to just like with drunk people and I'm like, I don't want any part of this. So the table stuff is funny. Like I do think it's funny. I do think that the mayor of Buffalo should do it only if they ever win the Superbowl, smash through a table like Bill's mafia does.

But I'm, yeah I'm a Bill's fan, but I'm not as, as. True blue as those guys 

[00:35:57] Kimberly Abernethy:
completely understand. So when you started your company, there were not a lot of disruptors in the industry. Progeny wasn't even around maybe 2016 they were just starting. So you were on the forefront with some of these new ventures thinking about all of the PE firms, the new disruptors in the market.

What advice would you give to those embarking on a new adventure today? New venture, not a venture, maybe both. 

[00:36:24] Griffin Jones:
I wonder if the advice that I would get, that I would give, is stop taking outside money. I don't know if that's good advice, but it seems to me like the learning curve is longer than... Is accommodating of having to return investment money.

And that sounds counterintuitive, even as I'm saying it, because that's the whole point of outside money is to extend your runway, to even have a runway. If you're bootstrapping, you might have zero runway, but I, it. It seems to me like no matter how much outside money people have, at least in some cases, this probably isn't universally true, but at least in some cases, you can pile on tens of millions of dollars and they still don't have the product market fit to where it's scalable, reproducible, huge customer satisfaction, and profitable by the end of that investment.

And I wonder if people won't have to take that advice because the... era of free money will be coming to an end. It seems like it's coming to an end. I, we'll see if it actually does or not, but that probably dovetails into broader advice where I think it takes a long time. to figure out how to provide value to fertility providers.

Part of the reason why that is, is that their workflow is so complicated and so variant from one another that it's difficult to come up with scalable solutions. And many of the solutions entering The marketplace now say that's exactly what we intend to solve. We know how busy fertility doctors are.

We know how variant their workflow is, and we seek to make it less complicated. My good friend, Dr. Eduardo Harriton gave me a book called the innovators dilemma, and it talks about. Why incumbents have such a hard time either innovating or adapting to new technology. And it's because they're already in a position, they have delivery and fulfillment commitments, and then anything else, even if it ultimately will streamline operations in the future, is still in the moment.

An extremely cumbersome task to undertake, and so I think it takes a long time to figure it out and and I'm grateful that I could do that at a pace where the only person that was really suffering was me, and if a client was suffering in engagement, It's client services. I can make it up to them. I can, I, we phased our engagements that if this phase wasn't as good as the last one, then I would just stop chart.

I would just make it easy for them to leave us and then provide value, continue to provide some value to them until they felt good about the whole thing again. And and I could do that because I, Okay. Didn't have this huge outside financial obligation to fulfill. I've never taken a penny from investors, never from family or friends.

The only loan I ever took was three P during COVID. And that ended up being a grant that wasn't alone. So I've never borrowed. And so I, I don't necessarily recommend that everybody do it. That way, to a tee, but I think that one, if people take less money, outsider money, they may be in a position to where they can go longer, which is the real advice of spend that long time iterating, reiterating of finding how how to provide value to fertility clinics because a friend of mine an REI who I won't name, but after this, I'll ask him if I can say his name in the future.

He said, it feels like we've got our pie and everybody's coming in and they're just taking a piece of our pie and our pie is getting smaller. And what that means is that. People, at least at a perception level, are taking more than they're contributing in value. And perception, to some degree, is reality.

And I want to provide value I've done it, and I've not done it, and I taste the difference, and I hate when I don't do it, and I love when I do it, and I can't sleep when I don't do it, and I feel like a thousand bucks when I do it. And, so my advice is, maybe try to be independent, but certainly...

Go the long haul of figuring out this value game.

[00:41:07] Kimberly Abernethy:
I think you said something really interesting in all of that When I used to work for a manufacturer we'd have new people come in all the time and they would say no fertility is exactly like dermatology or oncology or Cardiology and we would say no, it's not wait to get involved in it.

You will learn that it's not the same and When you talked about that patient journey in a clinic, like every patient's journey is different, and the way that every clinic responds to that patient's journey is different. So there's no two patients whose journey is identical, even if they're going to the same clinic, or to the same doctor, or they repeat a cycle at the same clinic with the same physician.

It's just never the same because there's so many variables that occur every single Cycle. It's, it was, it's really interesting that it's, there's a lot of things that people are trying to fix, but the challenge is that there's no one plug that's going to fix what's broken at any one time. It's, it was just interesting. 

[00:42:09] Griffin Jones:
It could be the case that. These companies finally do, especially these artificial intelligence companies, that they are able to account for all of these variables at such a scale because of AI, that they are able to streamline a lot more. And it's just so much ease that those human variables will still exist, but the AI will be able to account for them so rapidly and you will really be able to fulfill what.

Dr. Sable talks about of instead of doing 200, 000 cycles, we're doing 2 million and then 3 and then 4. It very well can be the case. I think we also would have thought that would have happened by now. So I think in 2002 we would have, Oh, 2003 they'll have this figured out. So it is, it's hard for me to picture not having it out, figured it out by 2045.

But. Here we are now. 

[00:43:00] Kimberly Abernethy:
Yeah. I'm with you. Okay. One last question. A lot of new companies in the market today, a lot of product services entering in. What are your top three? 

[00:43:09] Griffin Jones:
Oh, some people are going to be grumpy that I didn't put them on this list. And you did tell me you were going to ask me this question.

So I probably should have thought a little bit harder, but I'll just go with what I've been, what I've. I've thought about it at a cursory level. One is PsychoClarity, and I'm not just saying that because they were one of our earliest advertisers on Inside Reproductive Health, but I just like the way a company like that is set up right now.

I just I like how Dr. Schnoor is a true end user. I like that so far. He's doing this on his own. He's got a really small team. I've met two of them and they're sharp and they're committed and they're young. It's man, if you can keep that, I'm not a, I'm not a soothsayer. So I don't know if he'll keep that made by the time this happens.

I don't look into the future, but right now it's like I, I, it seems to me like that set up well because of not having that investor obligations yet, maybe, maybe that's what they're out for and trying to raise, I can't speculate on their behalf, but at least what they've done at the bootstrap level so far.

And really trying to figure this out of like, how do we help, how do we get this implemented? Like we have the value, we can sell it, but how do we get it implemented to where it's easy for clinics to do? And then it just becomes part of what they're doing. I think they're working on that in earnest without saying anything proprietary.

And then I think who else? Could be a big player. I still feel like my friends that engaged MD have a lot more up their sleeves and You're just plugging it's every but I can develop advertisers there. That's it's also who I know but I tend to bet on jockeys, even if I only know the horse somewhat, and the horse, most people I know really like Engaged MD most of my clients that have overlapped with Engaged MD really like it, and so I feel comfortable enough speaking on the horse, but just knowing Jeff and Taylor, I feel like these guys are there for me.

Or the true blue, then who would be three, and so many people are going to be pissed off that I didn't give them a compliment, I think. that I'm not totally sure who would be third, but I think if some people came together, like if Dr. Rui Jelani and Dr. Eduardo Harriton did a venture together, that it would probably be unstoppable.

And so there might be a couple of people like that. My friend, Dr. Dan, has a company called a future Fertility, not to be confused with future family and I don't know enough about the lab side to speak about future fertility, but that's another guy that I really believe in. And this is the Oscar speech that I never won and was never...

Prepared to deliver in terms of all the people that you forget. And of course, I'm gonna even though you told me you were gonna ask me this question, it's I'm gonna, when we hang up, I'm gonna be like, oh crap, should have said that person or that company. But that's who's, that's who's at the top of my head right now.

[00:46:27] Kimberly Abernethy:
Very nice. Anything you'd like to add before we conclude? 

[00:46:31] Griffin Jones:
I would like to say that I'm very grateful. I just listened to an episode that I did with my friend Stephanie Linder where she interviewed me four years ago, and that was how I concluded that episode, and I am really grateful. I've gotten to know a lot of people and when you have clients that invite you to their home and have dinner with their family and you have people that write You Handwritten thank you cards and and when you're in a session with somebody, a strategy consulting session and they're just lit up after that because they felt like they got a ton of value.

It lights me up and yeah, I didn't, I really felt like an outsider when I came in and I don't anymore and I'm grateful for it. 

[00:47:20] Kimberly Abernethy:
Very nice. Now what's the due date so we can all put it on our calendars? 

[00:47:24] Griffin Jones:
It's in August. And it's mid August. And so we'll see if this episode might even come out after that.

I don't do project management. That's part of working in the business that I don't do. And so I have no idea when this episode will air, but maybe baby Jones will already be here. 

[00:47:40] Kimberly Abernethy:
Very nice. Thank you, Griffin, for joining today. And it was my pleasure to interview you.


[00:47:44] Griffin Jones:
No, Kim, it was my pleasure to be interviewed by you.

You have a knack for it and I could tell when when I first met you that, that curiosity was, it's a humbling feeling. Something I can learn from because sometimes I have it and sometimes I want to hear myself be the smartest guy in the room. And I think you have less of the latter, more of the former that genuine curiosity.

And I appreciate you wanting to apply some of it to me.

[00:48:13]Announcer:
Thank you for listening to Inside Reproductive Health.

170 1300 IVF Retrievals In One Year, By One Fertility Doctor, & The Operation Systems That Got Her There Featuring Dr. Roohi Jeelani

Dr. Roohi Jeelani is back to share her operational tips about how she has grown to massive retrieval numbers, without compromising care. What does Dr. Jeelani do, that you could employ in your own practice?


Listen to hear:

  • Which critical touchpoints absolutely require doctor-patient contact.

  • How Dr. Jeelani’s workflow operates  and how she maintains personal contact with ALL of her patients.

  • What Dr. Jeelani does differently that is paramount to patient conversion and retention.

  • How she manages to see, treat, and connect with so many new (and established) patients.

  • Griffin question whether or not the sheer volume of patients and procedures compromises care, and what Dr. Jeelani has to say about it.

  • The place for virtual meetings in IVF care.

To listen to the precursor podcast with Roohi, click here: https://www.fertilitybridge.com/inside-reproductive-health/164jeelani

Company: Kindbody

Social Media: LinkedIn, Instagram


Transcript


Dr. Roohi Jeelani  00:04

Where we're really short sighted is how we schedule our patients and I think navigating your schedule fitting these patients in but also touching on these points at your new patient appointment has been key for me I think patient education's truly the biggest thing that helps one routine, and then rapid follow up


Griffin Jones  00:28

1300 Egg retrievals in a single year while seeing 50 to 60 new patients a month. Oh, that's it. Dr. Roohi Jeelani is an operational mastermind in my view, and you're gonna see why as we walk through this together. She's been on the show three, maybe four times. Now you might be thinking she was just on the show. She was we talked about the changing dynamics in fertility Patient Relations. So Dr. Jeelani is at the forefront of that and how it's been a major new patient recruitment generator for her. And that episode is really important to listen to, in order to be able to fully understand this one. So we did that episode. And I had Miss titled that because I meant to say, the REI that did more retrievals than anyone else in 2022. When we titled it, I left off the year by accident. But even if I hadn't left it off by accident, I also made an assumption that I assume that 1300 is the most we know what happens when we assume there may be another doctor that has done more than that. I don't know if if one provider has done that without other providers under him or her. I don't know if if Dr. Rob kilts or anyone else is either way, it's orders of magnitude more than most folks are doing. And people were very curious as to how she does that. So today we go through the workflow. We go through the virtual consults. We go through the testing, we go through the pre steps that people do with the financial counselor before their first appointment. We go through the scheduling of the follow up appointment before the workup and the tests are done. We go through the role of her scribes. We go through rules for pivotal touchpoints. The doctor Jeelani fields are absolutely necessary for good patient care. And from my experience, what are also very useful in retaining patients and converting them to treatment. We go over rules for your scheduling team so that they can maximize the use in the way that Dr Jeelani has. And I asked Dr. Jeelani, what she views is the biggest bottleneck to stop her from seeing even more patients that if those bottlenecks were removed for you, would you be doing 1300 retrievals. If they were removed for her, would she be doing 3000 4000 5000? I challenge as much as I can about how do you know that the standard of care isn't sacrificed. I'm not a clinician, so I can't totally judge. But that's why I think the first episode with Dr. Jeelani by the first one. I mean, the one that came out in January of 2023, or December of 2022 is necessary to fully understand because this is someone that really wants to provide that attention to her patients. Some of you are going to listen to this episode and say I already knew that shut up. Well, you just listen to the episode and pick out one thing that you didn't know before you listen to it. Dr. Jeelani is very generous with the processes that she shares with you. This is not vague. This is not high level stuff. This is very detailed, and there's almost certainly something that you hadn't considered or hadn't seen applied in that way. So enjoy this episode with one of the rising stars of clinical operations in your field. Dr. Roohi Jeelani, Dr. Jeelani? Really Welcome back to Inside reproductive health again.


Dr. Roohi Jeelani  03:54

Thank you for having me. Glad to be here.


Griffin Jones  03:57

Thank you for coming back on after recording another episode probably a month or so ago, not. Not too long ago, it was a very popular one. I got a lot of text messages. So did you got a lot of emails, and I have to take some culpability for being kind of allows the interviewer because after it was only after we stopped recording, that I was like, Oh, we started talking about how many retrievals that you actually did in last year. And you said 1300. And I said Holy crow. I said, did you not say that in the interview because you didn't want to say it or because I didn't ask him you were like, because he didn't ask me. I thought yeah, like Krav like this. That's this. I did something similar with Amy today where I had to have her back on where I'm asking her a whole bunch of questions during the show. And then afterwards, I'm thinking, Oh, that was the that was the thing that I was circling around and couldn't figure out because I didn't ask bluntly enough for didn't even think to do that. So, you know, but at least got it into the title of the episode and, and people became really interested in and I had said that, I suspect that was the most I said this era who did the most I made an assumption. I don't have I don't have hard data I, I think it could be the most, it could be the case that Dr. kilts, who's been on the show or someone else has done more, but I think that for one person without other providers, it, it very likely could be if not you on an on a very short list. And it is orders of magnitude more than the average person. And so people are fascinated about how it actually gets done. So last time, we were talking about the patient acquisition and Patient Relations funnel that led to it. This time, I want to talk more about the operation side of how this even happened. So can like let's start with maybe just a summary of the growth if 1300 was 2022, what did the lead up to that look like? What were the previous years volumes?


Dr. Roohi Jeelani  06:11

Always a couple 100. So I think the year before it was closer to six to 800, I think around 600. Between six to eight, I'm not quite sure I actually didn't keep tabs on it. This is just more of a personal guards. It's not necessarily a number. It wasn't like, this is what I want to do this what I'm gonna grow to it just became what it became as my presence grew and my social media grew. And then it came to light when I was looking at how many cycles do I do a month, then I started adding it last year, and I was like, Oh, wow, that's gonna equate to over 1000. So it wasn't intentional. I could be, I think close to 1000, the year before closer to a grew every year, proportionately. So I'm hoping it continues to grow as I kind of learn how to manage like you were saying, my staff, my support staff, my patients and kind of figure out things that work for me,


Griffin Jones  07:13

you must be figuring it out to some degree if you nearly doubled from 2021 to 2022. Without it being explicit goal, it was just happening from the things we talked about in the last episode, the new patient acquisition presents that you have from having such a presence in social media and a work ethic that we also talked about in that episode of that you like to work and you like to do it a lot. So you must be figuring some of it out on the operation side. How many new patients is that coming from? Like, if you're, if you're doing that many retrievals? How many new patients are you seeing


Dr. Roohi Jeelani  07:54

I see between 50 to 60 a month.


Griffin Jones  07:58

That's also more than the average. That's also more than the average doctor. So you're, it's very common to see, when you do see somebody seeing a lot of new patients, they very often have a lower IVF conversion rate because they'll see a lot of new patients one month and then they'll have to block off more of their schedule in the next month to do IVF and vice versa. So how can you see that many new patients and do that many retrievals


Dr. Roohi Jeelani  08:27

I think when I was sitting on the patient side, it would be seeing your doctor doing a workup than waiting on the doctor schedule for your next step. I think educating your patients on your next steps understanding what they're once again going back to long term short term goals or and also making sure at their new patient appointment. They have their next steps appointment plugged in instead of do your workup then call for your appointment then you really prolong I think we're we're really short sighted is how we schedule our patients. And I think navigating your schedule fitting these patients in but also touching on these points at your new patient appointment has been key for me, I think patient education truly the biggest thing that helps one routine, and then rapid follow up.


Griffin Jones  09:21

Very often people have the patient go back, do the workup, do the test and then schedule the appointment because they don't want to fill a slot and then have the patient not having done those things. So is how do you have patients in for a follow up and make sure that they have what's necessary for the follow up


Dr. Roohi Jeelani  09:41

at your first appointment right most most patients cycles are very predictable. These patients have been tracking their cycle doing op case. So at that appointment, you say okay, what's your next period do okay, well, this is when you're going to come in. Okay, this is when we do the saline okay tandemly we're going to do a semen analysis. Okay, your neck anticipated periods. Thus, let's regroup before this date to then put a treatment plan in place. So your new patient appointment you're leaving with all of your next steps, as opposed to call with your period or your office and an answer wasn't I was out of town. Oh, that's right, it becomes all frustrations. And then what happens? delayed treatment or you leave the clinic?


Griffin Jones  10:23

Are you doing Hmh and FSH during that time as well? Or is that happening either before at a different time,


Dr. Roohi Jeelani  10:30

at that time at your new patient workup?


Griffin Jones  10:34

How often do you have to reschedule patients because they booked that follow up, but then they haven't done all of those things.


Dr. Roohi Jeelani  10:42

Very rarely, most of the patients are the ones that are mandated like in managed care, where you have to do XY and Z, your Pap smear was a new year, we're not going to approve your diagnostics, but majority of patients now there, you know, these patients want next steps they want to plan they don't that wishy washy approach a feel like leaves them very lost. And then that's when you get why didn't call something got in the way. Now you're concise. This is what you're going to do this is when we're gonna regroup and this is when you get your next steps.


Griffin Jones  11:15

You're saying the majority of cancellations come from those that are mandated because they have something else that they have to qualify for.


Dr. Roohi Jeelani  11:22

Correct? Correct. If if there's cancellations or reasons why the system may not work, are cases of managed care where insurance didn't give authorization for testing or they were missing something before they needed testing. But otherwise, most of these patients will follow through.


Griffin Jones  11:42

When you say very few cancellations ballpark, are we talking less than 5%? Less than 25%? What are we talking for less than less than five to 10%? Wow. So that? So that is that is a small number? At what point do they talk to the financial counselor,


Dr. Roohi Jeelani  12:00

even before they see us so they get a verification of benefits before their new patient appointment. That also helps set the stage for us and them as to what they're walking into. Because a piece of their big pie in decision making is what is this going to cost me? Can I come in for testing? Do I need to do additional testing with my OB GYN before it comes to you?


Griffin Jones  12:23

This is really interesting, because we've approached this in different ways by recommending how people answer the question, how much does IVF cost? And very often, if people ask when people are calling and asking, How much does IVF cost? The answer that they get is not one that they're going to be satisfied with no matter how you answer, even if you give them our base cycle price is $13,000. If they need donor gametes, if they need a gestational carrier, if they're going to have to do multi cycle, it's going to be way more than that. And then you've price anchored them at a place where they are totally unprepared for when they see the actual numbers. Or if they just need timed intercourse, then you've anchored them at a price of something that made them afraid to even come in for the first console. And so we often direct people to to come in for that first console and and then determine the financial course of action. So what's that, like? If they're meeting with a financial counselor before they come in for their first visit?


Dr. Roohi Jeelani  13:34

Most of that appointment is just a rundown of what's covered what's not covered, and I think it helps them, put them at ease, like okay, I'm going to talk to the doctor. And then I'll start with testing and most insurance companies will cover diagnostics. I think it's a treatment where what you're talking about really opens Pandora's box as to what what am I doing? Am I picking and choosing. And I think writing that narrative with your patient or helping them understand that narratives important. So I counsel my patients that fertility and IVF. And time intercourse is not like any other type of medicine. It's not like you have high blood pressure, you do X, Y and Z and no cure, right? Everyone's treatment plan is very different. And it's based on your unique situation and your unique treatment plan. So these calls at the financial navigators who are not medical at all, give you as to give you a ballpark estimate of what it would be if you did X, Y or Z. From that point on, we'll understand and see what add ons you may or may not need. I also counsel them your first cycle is your most basic cycle but it's also your most diagnostic cycle. We understand a lot about what's going on what's causing your infertility what's causing us not to get pregnant or not to stay pregnant. So from that point on, you will typically expect me to do my add ons and recommend further treatment. Most of my patients From the get go, if you look at actually did this post on age and how many cycles most couples need. And I refer and I referenced that post a lot. And I say, depending on you guys and your long term and short term goals, you will see in this that no one is one and done. Could you be one and done, maybe, but that probability is very low. So if you are in a self paced day, if you are looking for a baby now and a baby in the future, most couples will end up doing a multi cycle plan.


Griffin Jones  15:30

The financial counselors are talking about those ballpark options before the first visit,


Dr. Roohi Jeelani  15:36

the financial counselors are giving them a gist of their insurance benefits of what's covered what's not covered. And then when we put a treatment plan in place, then they'll reach out with the specifics.


Griffin Jones  15:47

And then they're reconnected with the financial counselor at that point. When practices are really busy, that can determine where they put different requirements for the patients. In other words, if we have a practice with a 10 week waitlist for the docs, like many people had in early 2022, late 2021, then we can put all we can put everything in the front of the patient journey, meaning that even before someone's able to schedule, we can have them fill out their new patient forms, set up an account in the portal, even do their testing. And if patients, if practices have only a week or two weighed less than there's less that they are usually able to ask the patient to do before that first visit with you doing so much. And you finding that doing the doing the workups before the follow up and scheduled but scheduling the follow up before the workups are actually done. Even though it takes place after why not do the testing even before that first visit. A couple


Dr. Roohi Jeelani  17:01

of reasons. I think insurance won't cover it. But if you have testing done prior to an official consult with a physician, to it's scary to see these results, right. Ultimately, if you practice good medicine, good patient care, the NG bottle says everything else follows. So it's never for me kind of taking it back to why we're here. It was never do 1200 cycles to be the most right it was practice good medicine and everything else kind of rolls in. So as a patient, when you're drawing, you're a mage, and you're getting your partner's semen analysis and you're checking your tubes and you see all these things rolling at you. It's very scary to interpret. It's very scary to understand. So I think not knowing what you're doing or testing. And then getting these results without having a provider following it is intimidating for me as a patient. So getting in that console, understanding what you're testing, why you're testing what they mean briefly, help set the stage for saying okay, this is what I'm going to do. And then I'm going to see my doctor for follow up. We do I mean like most clinics, we do offer our pulse testing to get the pulse of your fertility without seeing Dr. Jelani or anybody where you can come in and check your a major sperm and ultrasound and that's followed up with a 15 minute quick consult to go over your results. But oftentimes, those patients do convert to actual patients saying, okay touched on this, but I want to learn more. I want to know more. So I guess whatever comes first a little bit of mandated by insurance, a little bit of it's mandated by you know, based off of what patient comfort is.


Griffin Jones  18:43

Are you at both you personally are you at both the new visit and the follow up? Yes. Some people use a Advanced Practice provider at one or the other. You are doing so many new patient visits and so many retrievals How are you able to be at both and and why have you not decided to have an EPP do one of those or at least up to this point.


Dr. Roohi Jeelani  19:11

We do have a PPS that help with the overflow and if need be when I go on vacation when I'm out. My patients have my number and I connect with them even before they get to that follow up most of the time. I would say 70 to 80% of the time I connect with the patient even before they get to that follow up appointment. It's I think it's important to have that personal touch. It builds trust and it also no one wants to wait for treatment, right you want it to be yesterday. So as soon as the workups done, I try to touch base with my patients as soon as their retrievals done. I try to touch base with my patients to understand and help them understand what their next steps are from that point.


Griffin Jones  19:57

Do you work with one HPP or are two that are part of your team or do you do you all cycle through the different APs in the group?


Dr. Roohi Jeelani  20:07

It is by region. So all the Chicago APS will see my patients and GS Levin's as they overflow.


Griffin Jones  20:16

How much support do you have there in Chicago from ABB? How many APs are in the Chicago region?


Dr. Roohi Jeelani  20:22

We have Stacey. For for?


Griffin Jones  20:25

How many IVF coordinators do you use?


Dr. Roohi Jeelani  20:29

A lot? Yeah. I think 10 it between eight to 10.


Griffin Jones  20:35

For the group or for yourself. For the group. I once met someone from a group on the West Coast large group did many of the providers did many cycles 678 100. And the person there told me that the providers doing the most at this practice had 15 IVF coordinators each, how many do you have for just you,


Dr. Roohi Jeelani  21:05

we practice as one big entity, so they are familiar with all of our patients? So they're all our IVF. So it's split in IVF coordinators, and then clinical nurses. So the IVF just manages IVF. And then the clinical nurses manage the clinic aspect of it.


Griffin Jones  21:21

What are the pros and cons to doing it each way? What's the Pro to having it for everyone, and everyone's using all of the same IVF coordinators versus a provider having their own specific IVF coordinator or team?


Dr. Roohi Jeelani  21:36

I think it helps break down silos because right, you're in a very busy big center, we're a very busy practice with high volume. And it's harder for your ancillary staff to learn my way and then Angie's way and then loud in this way. So I think when you're unified as a big practice, it really helps them understand one that you're one, one that there's one way and it really breaks down silos, they can cross cover each other, they understand all of us, they're comfortable with all of us. I like it.


Griffin Jones  22:09

Does it unify the practice more like is it more causative of unifying the practice as opposed to being a product of it, because I think of some groups that we worked with not as large as yours. But you wouldn't even know that the partners were in business together. In some cases, it is not the practices nurse it is that doctors, nurse and everybody knows it, and they let you know it and their processes for each provider are very different. Does having every all of the providers use the same staff and use the same advanced practice providers? Does that make you get on the same page with Dr. Loudon and Dr. Bell? So it's more?


Dr. Roohi Jeelani  22:55

Yeah, I think so. Right? Because you want to be one standing friends, like having two parents, you don't want to say opposite things. So it unifies us and helps us have a great relationship, but also then creates less confusion, and then loyalty and commitment they have to all of us equally.


Griffin Jones  23:13

How many of these folks, are you giving your invite folks? I mean, patients, how many patients? Are you giving your cell phone number? Every single one, how often do you get a phone call? Or a text message?


Dr. Roohi Jeelani  23:25

Not that often? And why not? Because I think people really respect it. And I think it's not reactive, right? It's more proactive. When you get insane like Portal messages or upset patients as when you can't get in touch with them. They have a simple question that's not answered, and they're frustrated. But it from the get go. They know this is where you reach me. This is where you reach a nurse. This is what I help with your you're setting expectations. And they don't usually bother you for stuff that they know you don't you can't control.


Griffin Jones  23:56

So you're seeing over the course of the year five by 600 or so. Somewhere between six and 700 new people you're giving every single one of them your cell phone number, how many a month Do you think you get a text message or a phone call from?


Dr. Roohi Jeelani  24:14

Most people don't call text text here and there a lot.


Griffin Jones  24:19

Is it here or there? Is it a lie?


Dr. Roohi Jeelani  24:22

Maybe very different than other people's opinions? Your


Griffin Jones  24:24

addition of a lot is probably way more than my definition a lot. How many? How much texting? Or how many? How many patients text you in a given month? Do you think


Dr. Roohi Jeelani  24:35

I talked to all my patients and


Griffin Jones  24:38

how do you keep that streamlined with with with with what the care team needs to know.


Dr. Roohi Jeelani  24:45

I have a scribe that I think that is my secret tool if anyone wants to know I ascribe all of my text messages into my notes and send them as orders to the nurses. That is like my right hand. How I send her sauce. I'll talk to a patient. So I'll text saying, Hey, are you available, your retrieval was yesterday. This is what the results are. And we want to let's talk about next steps. So I'll we'll hop on a call or FaceTime or zoom zoom, usually, we do a quick call, that is a console converts into a treatment plan in order which my scribe helps me translate to, and sends it to the nurse.


Griffin Jones  25:27

I don't want to put your scribe out of a job, but I'm going to have Dr. Ravi gata on the show later in the season, and we're going to talk about chat GPT. And talking about the different applications for this new open platform artificial intelligence, and how different people are using it now and how they may be able to use it. And one of those is going to have to do with I don't think we're gonna see medical scribes in the future, I don't think we're gonna see medical translators. In the future. I don't know how far off and I'm gonna leave that topic to speculate with Dr. gada. But it makes me think of what we're really talking about is access to care. And you are doing so many more retrievals and cycles than the average person partly because of the operational systems that you have in place. And then it will become well, how much can we really scale that when we take these already efficient operational systems and are able to automate it or reduce steps because of some of the new AI technology that


Dr. Roohi Jeelani  26:39

you're speaking my language? I want to hear that episode, I literally was like, that would be the next step. Because all of this, you can automate it right? That's truly, you want to know, I think that the biggest part about how you get busy and stay busy like this, is patient intervention at the most appropriate time when when does the patient want to hear from their doctor? Right? It's crucial after their new appointment for next steps, post retrieval, post field cycles, miscarriages, so soon as you identify these key pivotal points and automated AI them, I think everyone can do these cycles.


Griffin Jones  27:18

So your scribe is taking these conversations, putting it in the EMR, putting with the patient's records is that but then I imagine that I, when we do interviews, for example, I don't do the screening interviews for candidates, my HR folks do that. But I look at their notes. And even when they leave good notes, I often have questions. How are what gaps are happening when you there's conversations that you're having with patients, and then the care team is reading through the notes afterward,


Dr. Roohi Jeelani  27:54

my scribes on my calls with me. So it's very easy for her to translate it now if I'm training and use crave if they're newer, and they're not as familiar with my terminology and my protocols and my next steps. And you see that little discrepancy. But also then knowing that the nurses can reach out to you if they're confused, I think really helps, right? That fear factor of like, oh, gosh, I don't want to ask a doctor because then they're gonna think I'm stupid, like, just eliminate that. And they know like, it's open door. Text me Call me whenever if you're confused, come up, come ask me, then I'll explain it to you, as opposed to just second guessing or not doing it. And I think that really helps.


Griffin Jones  28:32

How often are the nurses contacting you for things like that?


Dr. Roohi Jeelani  28:37

My nurses talk to me all the time that I talked to them constantly.


Griffin Jones  28:42

So anybody that's listening to this episode, they have to listen to the other episode too, because they go hand in hand, you won't fully understand the context of this conversation. If you don't if you haven't heard the other conversation, your your work ethic, you're constantly communicating. And in order to support an operational system, like the one we're talking about today, has to be based in something like that, at least for for this kind of volume. So when you when you went from maybe six to 800, retrievals in 2021, to about 13 120 22. You weren't sitting on your hands and 2021 You were busy as heck, what got eliminated or automated or delegated that allows you to scale.


Dr. Roohi Jeelani  29:36

I think figuring out what when's crucial. When do you touch base with your patients? What are these pivotal points of decision making? Intervening sooner than later? Right? It's moving up patients like you said, I bet you anyone listening or any fertility clinic has a waitlist of at least a month. So one of the things that I do and I'm really good about is saying okay, well done. bulking out until March. That means these patients also wanted to be pregnant yesterday don't want to wait till March, but they're waiting for March because of me because of my schedule my limitations, right. But if I have an opportunity, like Tuesday finished cases early, hey, I have four hours where I'm not doing anything. Hey, new patient call center, can you pull up these people who are ready to be seen or who want to be seen earlier? Just kind of owning your schedule and really, really thinking about what is that patient feeling? I think I really understood that when our hands were tied, right? Like what happened in 20, from 2019 to 2021, was the world changed. Most of the most of the reason I started understanding this is because a lot of the noise was cut out. You couldn't really go anywhere, do anything. So then I started saying, Okay, well, let's start moving patients up. Let's start understanding what they want. We don't know what the future holds. Let's understand what your future where you want, right? Egg freezing patients who now can't go out on dates, because everyone's masked and distancing. What does that look like for you? So just, I think those three years were really pivotal and understanding how to practice. Practice martyr,


Griffin Jones  31:16

I want to talk to you about touching your schedule like that. But I also want to ask about the pivotal touch points, every patient is different. There's so many different considerations of what might be pivotal to a particular patient. But if I'm putting you on the spot, and having you think of patterns of these, these are the characteristics of a touchpoint that I need to have. And when what are the common patterns,


Dr. Roohi Jeelani  31:41

post retrieval, no one knows their next steps. 100 times as you may have told them, You don't understand them, you forget, you change your mind. I think that's key. positive pregnancy negative pregnancy miscarriage rate, you want to celebrate their wins their losses, their tough times, I wanted someone to celebrate all of those with me. So always reach out to my patients, no matter what that test results shows, they will get a text or a call for me that day. Key PGT I don't understand half of the numbers and letters that come out. I highly doubt any of my patients, they're super confused as what those mean, always reach out to have to wait for your doctor post retrieval, then post PGT 10 For FET is like three to four months of time that no one has. So I'm very intrigued by this system that you're talking about with Ravi but I really think AI eventually for right now I use my notes, my scribe my ancillary support staff to help me as reminders to when to call, who to call and where to call. But I would love to see how AI can interface with this and help us recognize these. Okay, this is where you need to intervene in one.


Griffin Jones  32:57

Do you have a workflow system for yourself other than the EMR? Do you use like a project management system like Asana or or do you use any kind of CRM like Salesforce or HubSpot? What are you using?


Dr. Roohi Jeelani  33:11

I do? Jared Robbins will tell you I'm the most organized disorganized person ever. I make lists every day I have a list. I'm old fashioned, or I'm too old. I write down all my day ones, my day sevens to calls, I have ridiculous amounts of paper and pens right next to me with checkboxes. I call these patients on a daily basis. I've been meaning to try and no, I heard it's fantastic and it's searchable. just haven't gotten around to it.


Griffin Jones  33:41

So you're using old fashioned pen and paper to remember when to I mean, of course you have your scribes that remind you but you're not you don't have like, ping in the EMR for contact this patient at this time after their retrieval of these 1300. Folks, how many of them are you contacting after retrieval? Every single one,


Dr. Roohi Jeelani  34:09

every single one. So one, that's


Griffin Jones  34:11

probably that's partly why you are that you convert so well. Again, you have to listen, the first conversation or else a lot of you'll you won't get all of this one. Because you have to build the lead up in the base and set the expectations to have something this efficient long before you can actually have people go through something so efficient. You've got to be prepared for it. That's what the first conversation is about. But also touch points are the number one thing that get people to make a decision that when they want to make the decision, but they're just afraid they're just they don't know what to do or they don't feel like well, why would I go back there if nobody cared after I talked to them that last time and so we often try To help people automate that, that conversion by giving them a workflow, and it's a ton of work, if it's not, it's a ton of work when you're trying to replicate it with medical assistants when you're trying to replicate it with nurses, when you're trying to make it a workflow in the EMR or the project management system or the CRM, and you're just doing it for every single one of them. Trying to in the most organized, disorganized person, how many virtual consults? Are you still? Are you doing? Some people are doing 100%, almost for new visits? Some people are they're they're straight up back to 2019, no virtual consults. And a lot of people are somewhere in between. What is it for you?


Dr. Roohi Jeelani  35:50

Oh, virtual. So if


Griffin Jones  35:54

that was and then are the in person are they all excuse me is the for the follow up. So they all in person. All virtual, the follow ups are all virtual too. So you're meeting patients for the first time when they come in for the retrieval? Yes, cases? What do you lose with that? If anything?


Dr. Roohi Jeelani  36:17

I don't think anything. I think patients love it. I think everyone's really busy. I think they love the ability to talk when they want at their convenience in the comfort of their home. I think it gives them a lot of flexibility. I don't I've never had a patient say I wanted to see you in person before this retrieval. I always get I'm so glad to meet you. So happy to meet you. But I never had anyone say wish I would have met you sooner.


Griffin Jones  36:46

I think about this a lot that over the course of my career, I have both paid and been paid millions of dollars by from people that I've never met in person before. And I don't think it would be possible if they didn't already know me in some way, if it wasn't from the content that I've created, or maybe they've seen me speak or, and for the folks that I'm hiring that I'm paying, if I didn't know something about them, and at the very least if I wasn't able to see them on video, I don't think it would be the same. If it were if I were interviewing people on the phone. I would say that in person is the best, but video is the second best. So I think a lot of people are going to hear this and they're going to think No way I have to see my patients for that first visit in person or second person or I won't have that rapport with them. And I think they could be right, because they don't have what you have in terms of how many times you've connected with patients on social media, by how many videos they've watched of you how many reels they've watched of you how many pictures they've seen how many long posts they've they've seen from you, could you do this, in your view? All virtual if you didn't have that rapport built up front?


Dr. Roohi Jeelani  38:08

I don't think so I don't think my volume would be my volume without having that


Griffin Jones  38:13

report. Not even not even the volume. But could you could you have the same level of engagement from your patients from just a virtual new visit? And just a virtual follow up if they weren't already really familiar with you?


Dr. Roohi Jeelani  38:29

I think so I think there's practices, let's use CCRM, for example, or another big practice where people would fly in, and they don't know the doctor, they've never met them. That's the Zoom console and they fly and start treatment. I think it's very, or New York has another center that does that. I think I think when it comes to fertility, people just want to go to a place where you're cared for network. So I don't think that, you know, I've had patients say I didn't like the doctor, but I love what they did. So I will stay. I'm gonna go there. So I, I do think it's a piece of the pie, but I don't think you absolutely need an in person when it comes to fertility. Right? It's it goes so fast. It's like tearing off a band aid is 10 days of your life that you don't like I didn't even know when I started or stopped most of my cycles.


Griffin Jones  39:19

Let's talk about testing your schedule a little bit that you figured out during the pandemic, well, how do I move things around to make this more effective? Now, if you're going in every time and say, Well, I just had a Friday afternoon, open up now, call center, go ahead and find people that are on the waitlist that can come in earlier. If you're doing that every time that'll be inefficient. So I assume that you've given some rules to your schedulers to that if this then book vessel, what are those rules? Yeah.


Dr. Roohi Jeelani  39:52

So I started using identified a person that really knows me well and knows my schedule and what I do instead. putting a lot of my personal stuff on there as well. So if there's an open area, there's nothing personal, as well as patients and they know, okay, that's a green light to add stuff on.


Griffin Jones  40:13

Many doctors whenever there is suggested process improvement, or a new technology or an increase in volume, many doctors worry about the sacrifice of the quality of care. And, and so it, I imagine that a doctor that is doing 250 retrievals a year and maybe seeing 500 new patients a year is thing 600 new patients and 1300 retrievals. There's no way that something doesn't get lost in translation, there's no way that someone can give that level of attention to the patient, something's being lost, something's gonna go wrong, some quality is being sacrificed. What quality do you expect they that they expect might be sacrificed? And how do you know it isn't.


Dr. Roohi Jeelani  41:12

So if you, if you expect to, if you try to take a square and fit it in a circle, it's not gonna work, right? If you say, This is my boxed approach, this is how I practice nurses aren't allowed to contact me, patients aren't allowed to contact me, you have to wait for your next appointment to follow up, then you're going to fit that box. But if you want to think outside of the box, and you want to do something revolutionary, then you practice outside of the box medicine. So nurses know it's an open door policy, they their interests align with your interests, which is optimal patient care, your patients know that you understand their goals, their family goals, their short term goals, their long term goals and their timelines. And then they know you're rooting for them. There's not one single patient that delivered pregnant that I still don't touch, but it's not, I'm going to do a retrieval and be done. It's your forever part of my life. Like you're very intimately connected to me. My patients whose babies are five, six year olds, still follow me on Instagram and send me pictures. So it is a relationship. So what I vest in, I think, I don't think quality is being compromised. I think quite the opposite. I think this was way better care than I've received up until I saw Angie. But you know that that's one of the main reasons I switched so many clinics with my son, it was I wasn't getting the answers or the treatment or the follow up that I really felt like I needed. And that's something I promised myself that I would never do to a patient. And I'm this only started because I wanted to hold true to my promise that I don't want someone to feel like me.


Griffin Jones  42:54

And I will let the folks know we've worked with groups of all sizes, we work with 40 dot groups before we work with single practitioner groups. And I have to tell you from doing people's reputation management, it don't matter what size, the practice is, on average, or what kind of volumes they're doing. I've seen small practices get reviews, like it's a baby factory in there, all they care about is money, they just pack the waiting room, it's like man, they're not doing that much volume compared to another place. And I recall seeing a presentation, I wish that I could remember the date, if anyone was at the SRA AI meeting, it was probably 27 tene that I spoke at the Esrei retreat, whoever was there. I remember sitting next to Dr. Liu Exene. So Lou, if you still listen to the show, and you remember where this data came from, please let me know. But it showed the number of complaints or the level of patient satisfaction per volume in there was kind of a J curve. So there was a higher level of satisfaction among smaller boutique practices. And then it bottomed out for a bit for those that were in the middle size, like let's say five to 10 providers, and then it went up as the group got larger. And it's partly because well, if you're if you're real small, there, you can get away with not having a lot of efficient processes, because it's very intimate, just you people often understand. And if you're larger, you should have really established systems like the ones that you're talking about. And it's the people in the middle at the bottom of that J curve that often have lower patient satisfaction because they're not boutique and they don't have the systems. So while we're on the topic of growing pains for those that are growing into that larger group or more efficient or having systems, you're a person that I bet all of the AI can Bernie's and everyone else wants to talk to. Because if you could, if you could see even more patients with the level of care that you're giving them, I know that you would What do you view as the biggest bottlenecks, like, what do you think when you're going through your week is like if I could just automate this or eliminate this or delegate this? What are the biggest bottlenecks that you see?


Dr. Roohi Jeelani  45:24

I'm right now I wish I could, I there was a way to notify when the patient next period is and to make sure that follow up consult was sooner I feel like right now I'm hitting it right where their cycle is, and then getting the meds and starting their cycle is delayed by a week or so. But if I could find out how after because I can do it up until workup. But then from workup to treatment is when they're out of my control and they go to the nurses. So either I work on teaching my nurses and make sure that they see me before their next period. So I can talk treatment to them well in advance. So then they have time to refill their meds, sit on it, think about it do consents, or AI to say, okay, you know, like, based on when they're putting in their LMP, and how often they're getting their cycle. And this is when their treatment, anticipated treatment date should be and they need to follow up well before then. That would be awesome. But that's my bottleneck currently.


Griffin Jones  46:29

I'm gonna let you conclude. And I will preface it with saying this because people usually like that I asked tough questions on the show, I feel like I've been tough enough with you making you prove that nothing's being sacrificed, at least to the extent that I can ask some a clinician, of course, could probably grill you harder. I'm not a clinician guy. Sorry, I can't I can't grill harder. I've asked how do you know nothing's being sacrificed? How do you know that you're actually giving the quality of care? I'm satisfied with the answers. And if anybody watches the British Bake Off Great British baking show, I think it's has to be called in the US now. The judge Paul, Hollywood occasionally gives a handshake to one of the contestants. And it's like, the biggest status because he doesn't usually do it. And he's normally pretty hard. I would rather be if I had to be perceived as one, I would rather be perceived as being more skeptical than somebody that likes to woo. I will say this, though, really, you impress the crap out of me, I have known for a long time that you're really smart. I've known for a long time that you have a new and better dynamic for Patient Relations. I've known for a long time, that you have a crazy work ethic. And it's probably because of those three things that I am satisfied with the explanation that I've gotten today on the fourth, but now I know that you are also an operational mastermind. And and I think it's really useful for those that even if it's like, Man, I don't even want to see 600 new patients or AI or AI will decide how many new patients that you're going to be able to see within a certain timeframe to some degree and all of the technologies that come but people will say, Well, I Yeah, but I don't want to work 80 hours a week or whatever. It's like, okay, that's fine. But think about how much more you can do effectively, even with the volumes that you do want to do and the time that you want to do and be able to give this quality of care, some people are going to say, I knew that stuff already. I doubt it. I doubt you knew every little piece of that you've been so generous today with the level of information out but hope your employers don't get pissed off about it because you were you really gave valuable information they should thank you because of the marketing that it's giving you all and and you've been so generous with it. So I'm gonna let you decide how do you want to conclude about being able to see as many new patients and provide treatment for as many patients as possible without sacrificing patient attention or quality of care?


Dr. Roohi Jeelani  49:25

First, I want to say thank you, that was a lot. I'm very flattered. So honestly, thank you. I think just a practice with my heart and try to do what's best and everything else kind of follows suits. So that's why I can confidently say I'm not compromising any patient care. I have my my nurses teas that you have your patients memorized. I do have my patients memorized because I'm just as vested in them and their family as you know, they trust me with that it's a very intimate process to be true. I started with so I think just genuinely caring really optimizes everything that's, I know it's hard. I know everyone out here cares, right? Everyone did this for a reason no one went to school for 15 years for fun. And I think just remembering why you did this really helps me keep going every day.


Griffin Jones  50:19

Doctor Roohi Jeelani, thank you very much for coming back on the show. Thank you.


Sponsor 50:25

You've been listening to the inside reproductive health podcast with Griffin Jones. If you're ready to take action to make sure that your practice thrives beyond the revolutionary changes that are happening in our field and in society, visit fertility bridge.com To begin the first piece of the fertility marketing system, the goal and competitive diagnostic. Thank you for listening to inside reproductive health


164 Meet The REI Who Does More Retrievals Than Anyone In The US

1,300 egg retrievals in 2022. That’s not one practice. That’s Dr. Roohi Jeelani.

Dr. Jeelani joins the discussion this week to share how her unending work ethic and incredible social media presence has changed her practice, improved patient relations, and why she believes this paradigm shift is here to stay. 

How did this REI end up doing more retrievals than any other doctor in the country? Tune in to this week’s episode to find out.

Listen to hear:

  • How changes surrounding patient contact evolved during the COVID lockdown era, and why they may be here to stay.

  • How social media has opened the door to a new world of direct contact from patient to provider, and what that paradigm shift means for both patients and their providers. 

  • Griffin question whether this change is a good AND a bad thing at the same time, whether or not it has the potential to thwart the chain of command throughout the treatment process.

  • How Dr. Jeelani uses her social media presence to increase productivity through patient education, and how she believes that empowering patients with information is the key to success. 


Dr. Jeelani’s info:

Instagram: @roohijeelanimd

LinkedIn: https://www.linkedin.com/in/roohijeelanimd/

Website: https://kindbody.com/team/dr-roohi-jeelani/


Transcript




Dr. Roohi Jeelani  00:04

I recently did a series of reels where it spoke about like age and how many embryos it takes for one baby based off of your age group. So not necessarily 38 to 37, but 30 to 35. What should you expect? How many IVF cycles leads to one baby 35 to 40? What should you expect? And I think knowing that it's not, it's not saying okay, we're we're gonna do our workup and then we're going to do IUI is for three months, and then we're gonna get you pregnant with one Oh, crap, you're gonna come back for number two. Now, you're 40? What am I gonna do? It's more of what is your family look like? And how do I complete your family, not just treat your infertility.  


Griffin Jones  00:43

My guest today did her fellowship at Wayne State. And that's as far back into her bio as I'm gonna go because it just don't care about that in the same way that nobody cares that Tom Brady went in the sixth round, or that this professional athlete was a D3 prospect. And now they're a Hall of Famer. I'm blown away by what Dr. Jeelani has done. And you could tell that I'm not winning this Walter Cronkite Award yet, as an interviewer. I ended up having to bring her back on because the whole time I'm poking around the show and figuring out okay, why are you scaling this if you're not scaling? The operational system is much like why do you have this super powerhouse? audience to be able to reach that many people as Oh, it's because you have this system for self pay patients. And it's almost like I did the same thing in this episode, where I'm talking to Dr. Jeelani, and I'm, you know, you're like, like Jeff Bezos say, You are so intrinsically motivated to do this. You're using it to generate more new patients and you the idea of getting you busy vanished really quickly, because you got so busy, but I never like actually hit the nail on the head of asking how busy Dr. Jeelani is going to do more IVF retrievals than anyone else in the country. By the time this episode airs, as far as I know, unless somebody else can prove otherwise, I don't think most people are in the neighborhood of 1300 IVF retrievals. And it's because she really fits into this paradigm of changing Patient Relations in a way that's about as native as you can get. And I say in the episode, I don't think that most of you can replicate it. But there are some things that you can do. And we break that out. We talk about the changing paradigm shift, we talk about different business opportunities for physicians, we talk about beyond patient acquisition, using the change in communication to set expectations with patients so that they're more loyal, more adherent to your expertise as to last to make persuasive arguments in cases in education for patients so that they follow the treatment process more easily. And don't have that undermine just because the paradigm is changing, taking advantage of it. So enjoy this episode with Dr. Roohi Jeelani, Dr. Jeelani Roohi. Welcome back to Inside reproductive health. 


Thank you. Thank you for having me. 


Again, I want to talk to you today about Patient Relations. Last time, we talked about access to care more specifically, more specifically advocacy from Doc's. And we touched on Patient Relations a bit, but I think you are qualified to speak on the changing landscape of Patient Relations as a phenomena as much or better as anybody, because I've seen how crazy you have grown in a short amount of time, when did you leave fellowship? Was it 16, 17? Okay, so we're five and a half years out now. And I remember that, you know, the first sign with your group, and you know, for the first slide, it's like, Okay, how are we going to get Dr. Jeelani busy. And then after a couple months, it's like, we on to the next thing, don't have to worry about that anymore. And so I want to talk to you about what you see as the biggest changes, but let's just start for from how long you've been in the field, we could go back further and talk about generational changes, and maybe we will end up zooming back a little bit more. But in the five and a half years, since you have been a practicing Rei outside of fellowship, what changes are you seeing, I think, access to your patients and then for patients access to your physician has really changed specially. Now don't even take it back from 2017 Take it back from pre cold


Dr. Roohi Jeelani  05:00

The to COVID to now. And I think that's that transition has has is something that stayed. And I think it excuse my analogy, but it's like almost like an Amazon, right? Like what happened when COVID hit, everything shut down, everything became behind the screen and everything like that six feet distance, but everything's at your fingertips. I almost feel like patient care has followed that trend. And it's very much like that, like having the ability to talk to your provider, having the ability to do that rapid turnaround is something that transpired during COVID, but has stood and it's an expectation as a patient of patients. How much of it do you think was COVID? versus how much of it was happening before that? And has some of it gone back to pre COVID? Are you think this is fully permanent? In my clinical practice, I think this is here to stay. I think a great example of it is social media, right? Like even pre COVID. A lot of people were skeptical about why should they be on there, this is ridiculous, I don't want to go on social media. But then you see COVID Everything is technology, that's the interface, that's where our patients lives. And then we would have patients doing second opinions and stopping at that, because a lot of people follow you. And then it that principle of going to your doctor, no matter where they are, because you resonate, or you, you know, have a relationship built with that doctor was almost foreign, it was just, I'm gonna touch base with you to talk to you to see what your thoughts are, and I'm gonna go back to my doctor. But now with post COVID, all those boundaries have kind of gone down, it's almost become a, you're gonna take care of me from there. And then at come retrieval come transfer Come what may have you I'm gonna come see you. And that's, I think it's become like, Oh, this is feasible, this is easy. And that mindset has really shifted, and they don't think it's gonna go back. So you talk about access to patient and access to provide our I want to ask you more about the access to provider that patients now have, but what access to patients? Do you feel like, providers now have more of, I think expectation that, like I call my patients all the time I communicate via text with them. And I think that they respond to me, right? It's not like, Oh, this is so foreign, it's so different. And yes, of course, they get a little bit of that. But it's almost like, Oh, this is expected, I'm going to touch base with you because I want to know, my next steps, even before I get my period, I want to set that expectation. And know instead of do treatment, wait for an outcome, wait for a consult, and then start again. So that delay in treatment and patient care, that gap is closing, but also expectations that it's okay that your doctor will reach out to you and it doesn't necessarily have to be this scheduled official follow up X number of weeks or months out. I was thinking this as I was emailing you because you know, figuring out this damn technology of texting each other it's like I'm in I'm in we were words, for some reason, we're not in the same link. And so when I go to email you, you know, I'm just doing it from this platform. So I'm not looking at my contacts. But I think in many practices for a long time, the doctor didn't even give out their email in many cases, or they'll have like a different naming structure for their email, I'm in sales, I figure out people's emails for a living. And you know, they'll have the, they'll have something like different but yours it's like, you know, because you're in this structure. It's like, you know, if you know, the first name, last name and email structures, uh, you know who you're getting. That's the expectation now, like, it isn't like Dr. J 147. And so that only a few people can have that doctor's email, or the doctor doesn't even have an email to the practice URL when the rest of the staff does. That type of structures is changing. Yeah, I really, Dan, I think it's present better, right? Like, ultimately, we want good outcomes, my patient retention from a doctor from a practice standpoint. And I think what patients really want is to know that they're cared for and someone's watching them that as a patient, that delaying treatment, or that wait for your next steps appointment was truly the point where I would leave the practice because I didn't want to wait even though like common senses. Well, by the time you take your record, you set up another console, you do that, right, you're delaying your treatment even further than you would have by just waiting. But at least as a patient. I knew I'm taking proactive measures to get to my end goal as opposed to waiting for someone on their time, which yes, it doesn't make sense as a as a practice provider as a doctor saying, what's going to take you longer to see someone else as opposed to waiting for me but also, I think it's unfair, it's unfair to sit around and wait, I didn't want to wait


Griffin Jones  10:05

is a lot of patient volume to be able to respond to that many people, and nobody wants to wait, everybody wants answers now. And we're used to to your points, having the conveniences that technology has brought us the last decade, especially expedited by COVID, Instacart. And my groceries are here in two hours, Airbnb, and I have all of the world's potential vacation, lodging, booked in a second with the easiest user experience that there is, et cetera, et cetera, et cetera. And to have that in healthcare, where we have a bottleneck of limited clinicians, workflow that is often cumbersome and demanding. How realistic is it to actually be able to meet these experts, you seem to be able to do it. But how


Dr. Roohi Jeelani  11:02

I really believe in counseling and setting expectations on the front end, right? A lot of these calls lollies upset emails, is because you haven't put a plan in place for the next step. All patients want is telling me what to do. And I will do it right. You want a baby, I wanted a baby yesterday. And I don't want to wait around for you to tell me after I failed because now I'm angry. Now I'm thinking of the what ifs. So what I really believe is educating your patient, right? That's the whole premise behind my social media. And then setting expectations from the front end, knowing Hey, this is your age, what are your long term goals? What are your short term goals? What is having a family look like for you. And then my follow up appointment after we do our testing is okay, these are your long term goals. These were your short term goals. This is what you want for your family size. These are what your numbers look like. This means doing X, Y and Z, right? Like taking our textbook, our papers, everything that we study day in and day out, and laying it out for them in a treatment plan. So that way, when they have the No boss Development at 40, it's not a 42. It's not a shocker, or when they don't get to euploid. And they're 39. It's not a shocker. They knew it was coming. And they prepared for it because they're already in another treatment cycle. That really helps transform my practice. So them having access to me, no longer becomes an emergency. I don't know what I'm doing. But it becomes like, hey, you know, like, Thank you for warning me. We're glad we're in another cycle. Because it's all these expectations are set. So that access, then I'm not overburdened? Because no one's really texted me because I've already said, this is what we're doing from the get go. Right? And of course, there's outliers. There's people who don't want to follow that plan. And then hopefully, things work out. And if not, they've already touched base with me that this is what I recommend. And this is why I recommend it.


Griffin Jones  12:58

Is that really the case, though? You use the analogy of textbook and papers, most people suck at instructions. I think of just going to the grocery store, my wife tells me as I'm out the door what to get, and I get them calling. What did you want me to pick up? And so Aren't you getting some of that from Eve in perhaps even more of it? If you when you're giving people a plan? And they're like, Yes, I got it. I'm here, they get home? What was I supposed to do? Does it really alleviate communication? How does it not just make more of it?


Dr. Roohi Jeelani  13:30

I'm in the logistics part, right? I don't do that the nursing team does. They? Yeah, they may forget what they they be assigned. They may forget what medications I said they may forget that but they will never forget how many embryos it takes for a baby. They will never forget how many babies they wanted. Because I'm not teaching them anything new. I'm just giving them a path forward. So if you and your wife said, Look, we want to kids were X number of years old, she's busy, I'm busy. What does that landscape look like? For me? It would be okay. She's 30 something she's this it may require each cycle yields us X number of embryos, somebody in their mid 30s needs three to four cycles for one life birth, this may mean four to five cycles for you, you're going to bank and you're going to transfer my take home message. It's not the first time they've heard it. It's me kind of stating it again. And then the good thing is my Instagram states it over and over and over again. So a lot of this doesn't come as a shock to them. It comes as that sucks. He really didn't want to but this is what we're gonna do to get to our family.


Griffin Jones  14:35

I wanted to ask you about that chain of command when you said in the nurses are the ones that are providing that logistical guidance at that point. But when they have that level of access to you, they being the patience and they're used to that and they have some familiarity with you prior to social media and then you're a responsive communicator. Do they tend to break Because the chain of command from in the beginning for us, I would have clients texting me, I mean email and texting me, what? What's this thing on our website? Or when are we doing this video? She'll be like, I don't know, you have a project manager, email her. And eventually once they build the relationship with the project manager, yeah, they, they know that it's way quicker to go to them. And they're going to get a much more complete answer. But I would still get those texts. And every once in a while I still do. And I'm like, I don't? I don't know. And so I like, but when you have that level of rapport with the patient, are they more tempted to break the chain of command? Or go outside of scope to you because they view you as being at the top?


Dr. Roohi Jeelani  15:48

Sometimes? Not all? Not a lot, I think. I think people really respect and appreciate that they have that direct line of communication to me. And most of them try not to abuse it. Of course, there's outliers and yes, randomly they'll have can you help me make an appointment? And if it's like, a Saturday, and if it's something I instructed them to do, because I want to see them immediately? Yes. Most of the times, they know I don't really know how to do that. And I truly don't say like, you know, I don't really know, I can try. But no, I don't think anyone really abuses I think I get really like the you know, have a negative pregnancy, I'm sad or get new embryos, I'm sad, but I expected it, it's more of those points that I really want to be informed of. And when you're doing high volume, it's harder to hone in on those. So I think they really know when to reach out to me and when I will reach out to them. You talk


Griffin Jones  16:41

about sometimes when they're going through something really hard, they reach out to you. And you mentioned earlier, that there aren't as many boundaries as there used to be at least there's not the technological boundaries that there used to be. And so what does that do for boundaries for providers right now? And is that healthy?


Dr. Roohi Jeelani  17:04

You're asking the wrong person?


Griffin Jones  17:07

What does what does that mean? You don't have you don't have any, any? You answer any text anytime?


Dr. Roohi Jeelani  17:12

I do, I actually do. But I think that's what social media does, right? Like, I have patients in different countries, their time zones are different, their days are different. I'm up all the time, I I also have a baby that is four months old. So I am up and I do check my phone a lot. That doesn't necessarily mean that everyone should be like me, this is just how I function, right? Everyone can make their boundaries, what's right or wrong for them. I have partners that say, this is where you contact me, this is my email, but I communicate from 95. The biggest thing is setting expectations. Because when you set expectations, then you prevent disappointments. I think that's the main thing that I always try to tell people that how, how can I keep going like this? How do you keep this patient retention and patient satisfaction? It's because you set that expectation from the beginning.


Griffin Jones  18:08

I think there's also something to be said for somebody's natural ability to be able to be that responsive, that frequently that I think many people simply cannot do I think of a lot of the areas that I know. And they couldn't do that even if they wanted to just to be able to, like respond to that many people that frequency. I always say a joke that if there if somebody had a gun to my head and said you have to text someone right now and get a response back from them. In 30 seconds or less, I'm gonna blow your brains out that person for me is Serena Chen. If I had to text one person, it's like boom, and but she's not just doing that for me. She's doing that with her patients. She's doing that with her staff. She's doing that. Like she's like that that's a capacity that she seems to have that you seem to have. And do you do you think like, do you attribute most of it to your personality? Did you develop some of it over time? No, I've


Dr. Roohi Jeelani  19:08

always been like this. I am very much like Serena that's where we are like this. We get along really well. Because we share similar interests. We like to be our hands on multiple parts and doing multiple things all at once. I joke and I say it's like playing chess for me, right like making very strategic fast moves and not stopping so and that includes texting my staff talking to my partners talking to my patients charting doing stuff like this my social media, it's a game of chess, meet moving pieces when they need to be moved at the right time.


Griffin Jones  19:43

You don't get burnt out. You if


Dr. Roohi Jeelani  19:45

you love what you're doing. I mean, I feel like it's such an honor to be doing this like the types of messages right like the gratitude is like a drug it keeps you going. I mean, I literally and I will never forget this. And I always tell this patient that she had gone to multiple people had really bad outcomes, and finally came to me was monitoring somewhere else was told that she's going to have a really crappy outcome not to trust what I'm doing, has now three beautiful babies. And she sent me a card and said, Every time I talk to my kids, and I tell them about superheroes, it's not you know, I'm not talking about anyone else. But you You are our superhero, but like to get that honor is, I mean, I don't know how anyone can get sick of it. At least I can't.


Griffin Jones  20:35

What you're describing is the highest honor that you could possibly hear from someone and it's validation of your values. It's validation of the connection that you've had with people. It's validation of the expertise that you've built. As a physician, I would still get burnt out. I'm somebody that loves validation. I love I love Yeah, I just had a great consulting call today. And it's like, man, it feels so good when I can just add that value and, and the clients so grateful, and you feel so even I couldn't do it all that it amazes me that you can and on an episode about work life balance that I did probably two years ago, it may have been before COVID that I did with Dr. Stephanie Gustin, we talked about work life balance boundaries, and I said, I think there's a class of people like Jeff Bezos, Elon Musk, Sara Blakely, those type of people that are just there all the time. They're intrinsically motivated to be doing what they're doing for the rest of us. I think it's like there's there's almost no time in our lives where we can just be present in the moment have the phone out of the way only think about the people in front of us and what we're doing at that time being totally unplugged. And so if if you don't get burnt out from it, because you are of that Blakely Bezos type of DNA, do you still does just being unplugged then make you feel like Oh, I'm not not doing what I'm meant to be doing?


Dr. Roohi Jeelani  22:13

I go crazy. I literally go crazy. I just had a baby in July. And Angie was like, you cannot come back to work in a week as like, if I don't come back to work in a week, I will go crazy at home. My husband and I will be divorced. Please let me come back. I love doing this. It's truly I can't describe it. Like I love growth. I love change. I love being able to make a difference. And yes, I don't know if you follow Grant Cardone. But he says something like how whitespace on your calendar is the devil. And I truly do not want any whitespace on my calendar, I want to breathe, eat, fertility and change. And I love it.


Griffin Jones  22:56

Because he's also like that he lives breathes, eats business development sales. And what I try not to be prescriptive, because I've come to realize that some people really are fulfilled by that. I don't think that that's the majority of people. So when I see Grant Cardone, Gary Vaynerchuk, it's hustle, hustle is I get it. Like I think for the vast majority of us, there has to be more balanced, more preservation from unplug. But I've, I've, I've come to appreciate that there are some people that that's not the way that they're going to be fulfilled that they are machines that are go go go and you appear to be one of them. Yeah, I do. So I am very I want the people listening to this episode to email, if they if they're on the newsletter, just reply to the newsletter, or just text me or email, whatever I'm really interested to know how people feel like they break out, I'm dubious that most people can do what you do, I think it's a natural, if not a natural talent, then just a natural personality disposition. I'm dubious that most of us can do that most of the time, but our guys are pretty type A in general, they're not a they're not a normal cross section of the population. And so I'm very curious as to how many of your colleagues are in that type of mode where it really is more fulfilling to just be doing this all the time. And versus those that are like, eff that I want to I want to totally go off the grid sometimes I'm curious about who that might be. But so Alright, so you you're using this as a strength because your patients adore you. You have I'm just looking at Instagram right now. 324,000 followers, so I want to talk about that a bit because you referenced that as as part of how you set xspec Patients early and often in in this changing landscape of Patient Relations, but just walk us through the timeline.


Dr. Roohi Jeelani  25:07

Yeah, it started actually, thanks to Hannah Johnson. I have a huge family in Chicago, I actually converted my fellowship in 2016 2015. To ofour. Her it's a woman's yeah falls 2015. It's a woman's reproductive health research grant of K 12. That focused on Uncle fertility chemotherapy impacts on all of this, and I was on track to get an MD PhD. And then like three years, then it hit me that this is not the path I want to live, I want to do research to make an impact. I don't want to do research just for the sake of doing research. I want to be able to then implement that in patient care. And I didn't have access to a robust patient volume. So then I met very Angie, very coincidentally, Shin started bioscan. And we went out for coffee. And I decided this with it. So I was going to finish off a year of my or her and then move to Chicago, moved to Chicago, where I have a huge family, and then realized, while I still don't have a robust patient volume, I'm very new here at a very new practice. How do we build it? And then in 2017, Instagram was the new and it thing. And when I was like, Well, you have a big following you have big family, just change it into a public platform and talk about fertility. Talk about your journey. I sucked at it. Let me tell you, I was horrendous because a typical doctor goes to PubMed and then takes that information and puts it on Instagram. And patients don't relate at all to what you're saying. And they don't know how to translate that into lay language, or what does that mean clinically, or how that's relevant to them. So eventually, over time, I found my kind of like, what made me unique is an area and it built over time. And I think it really grew during COVID. And then I kind of highlighted my fertility journey over the past two years on it as well. And it kept growing and amplifying.


Griffin Jones  27:11

So it started off as a new patient generator. A lot of people say that social media doesn't bring in new patients. And I think for a lot of people it doesn't, is a What does hockey puck do for somebody that isn't Wayne Gretzky, while certainly not as much as it did for Wayne Gretzky, and some people get more return on investment from social media than others. But when you have a following is massive and as loyal as yours, I think you would have to, you would have to try not to get patients from it at that point, was it? Was it? Did it start pretty early on the patients that you started getting? Or did you find like, Well, only some of them are in Chicago, there's a lot of people in Boston in Florida, and and it wasn't that effective in the beginning.


Dr. Roohi Jeelani  28:04

They come from everywhere. No, because when I first started, it was the same year as Natalie started, you started a couple months before me. So it's just Natalie and I both started in 2017. And I think she would say the same that she got patients from all over, I think, I don't know how she practices but my patients would do their monitoring there and fly in to do treatment. I remember my very first out of state patient said that she was looking at shoes, and my picture came up. I love shoes. And she said that it was a sign from God that I love shoes, and I popped up that she had to come see me. So she flew across state lines to do her IVF care with me. That was my very first out of state page because I was so curious as to why she picked me and across the country.


Griffin Jones  28:52

It's funny that you say that because as you mentioned that I know someone from my life that went to see you as a patient from a different state because of following you on social media. And this is a paradigm shift, isn't it not just on the Patient Relations side, but on who has the biggest share of voice to patients. And it's a paradigm shift in a lot of ways. When you say Natalie, you're referring to Dr. Natalie Crawford in Austin, Texas. When I first came into the field, I didn't know anything about fertility. I didn't I barely knew what IVF was, I thought Rei was a camping store. I didn't know any RBIs. And my first clients were the ones that said, this person is big. He's big. He's big. He's big. And you'll notice that I'm saying he they were all they were all men at that time. And some of it has to do with we're just we have a transition in generations. There's way more female physicians than there was 20 years ago. And so some of it is that but some of it is also now the people that have the biggest platforms are mostly younger female El RAS. You have a couple 100,000 followers. Dr. Crawford, I don't I don't even know how many. She's up to now. And then there's a few others like Dr. Shaheen and some others that have really big followers. And then I'm thinking like, who's the? Who's the male Rei with the most followers? Do you even know?


Dr. Roohi Jeelani  30:24

They don't, they don't actually.


Griffin Jones  30:26

Like maybe it's Eduardo. Maybe it's my good friend, Dr. Harrison. He doesn't even have he doesn't even have 5000. And he might be in the lead, you know? Like Dr. Eric foreman, he has, he has a really loyal following really great physician that offers a lot of value on social media. He's like, you know, they're all fractions of yours. The the physicians that have the largest followings on social media, are the female physician, the younger female physicians are orders of magnitude more than the fellas. So is it even worth it? For people that don't feel like? Well, I'm not I'm not a younger woman. I didn't grow up with this. I don't maybe I don't fit the that. Maybe it's because I don't match the demographic. And that's why they're successful on social media. Is it? Is it worth it for your peers? To do that, if they're a 60 year old physician, or if they're, especially if they're a 60 year old? Male physician?


Dr. Roohi Jeelani  31:30

I think so. So if you look, I think you, I think Eric foreman, we don't know how many he has, but he has super loyal following, right? It's all about quality, not necessarily quantity. I think the ones that you named Laura Natalie reduction. And Dr. Crawford, me, we were one of the few of the first to join social media, and it was easier to grow. There was no other competing network or channel, it was just Instagram, everyone was Instagram. That's where you grew. But now there's tick tock, and some people are really big on tick tock, and some people are really big on Instagram. I think there's more variations of platforms, there's variations of how we present data. So I don't think there's no value, your patients will follow you. So even if it doesn't bring in new people in the door, that's an opportunity for you did touch base with your patient to tell them, teach them, right? Because if you're not out there teaching them someone else's, and it does may not necessarily be an RA. So why not get that information out there? And it doesn't matter how old you are, I just think that it was easier for younger female physicians, because initially, it started off as pictures, right? Who likes pictures? For younger females, males always shy away from taking pictures or posting a picture of themselves. Now it's a whole different, it's transformed into videos and all sorts of stuff. It's not just a still picture with a whole bunch of captions


Griffin Jones  33:01

will probably be weird if the things that normally work on Instagram for males were used by male Rei is like if we had a male Rei with Jack mussels and a Lamborghini. And like, probably probably wouldn't be the one they would want to tap into anyway. But you mentioned what you were talking about is arbitrage like the land grab of social media, because you got in at a time. And I think it's been it's, it really is amazing that if we asked people who are the household names of fertility specialists, in most cases, we're still a small field. I don't know, we could say that there's household names, but in the but in the infertility community, there absolutely is. And it when we ask people that, I don't think we're we're hearing necessarily the same people that are giving poster talks or maybe leading this debate and, and, and sometimes they are, but we are having a different class of RBIs that people see as the authority. Is that a good thing or a bad thing?


Dr. Roohi Jeelani  34:17

I think it's a good thing. It's giving us a platform, not to say like I mean, I'm equally vested in research and equally invested in giving talks, but I think they're different audiences right, I don't think it goes hand in hand and I don't think they're mutually I think they can coexist. I think you can be this amazing Instagram influencer doctor, and you can get up there and give a serious talk on or debate on like to resect a fibroid not to receptor fibroid PGT not to PGT I think you can mutually have those interests. But while we were talking, Bob Celts actually has a really big social media Yeah, following, not for fertility for other stuff, but he does have a big social. I was trying to think of like an older male. But yeah, I've killed


Griffin Jones  35:08

there you go I so I'll shout out to rob because he does and, and and that that's a good point. But you deserve credit and you and the other doctors that we talked about and others that I'm forgetting and shouldn't be forgetting deserve credit for taking advantage of that arbitrage and deciding, you know, this isn't something that just has to be in an NPRM. ASRM talk. It's not just a plenary topic. It's not just a poster, there's a way for me to reach the masses. Now, with this. I wrote, there's an article that I wrote in 2015. People can look it up that was Instagram, you guys have to get on Instagram. This is this is this is life changing. The infertility community is there, there's so few doctors or there's a huge land grab possible for you. And everybody just kept asking me like, what's the next thing like, what's the next thing come and say, this is the thing right now you're not doing it, go do it. And the people that did it like yourself and the other Doc's we talked about, you all didn't do it, because of May you were doing it because you were doing it. I don't think I don't think I moved anybody on the other side that much like maybe I got him to start an account. But I think there was a lot of people that took the past on that massive chance to get to the eyeballs while the eyeballs are flooding in before the advertisers saturate the place before the fake influencers saturate the place. I think Dr. Shaheen did that with Tiktok better than anybody. And now we have now we have a bit of a paradigm shift. But I've done enough episodes on on that topic. I don't want to go too far down the social media rabbit hole other than how you've used it to really move Patient Relations forward. And you said something earlier in our discussion, where you talked about how patients have seen a certain expectation from you on social media. So can you talk about how you're using it to set expectations, either about the process or what they can expect on your approach? Yeah,


Dr. Roohi Jeelani  37:19

I usually talk a lot about me in Chicago, most of my patients are older. So what it means to be an older parent that not all embryos make a baby. And I think a lot of times what I'm trying to really do is shift the mindset, which was episode was all about that IVF is no longer the last resort. Right? If you're older, I use it as a first resort, like you're meeting your partner at 38. You're getting married at 40. And you want to have three kids like how am I going to make this happen for you? Right? How do I counsel you so you understand that? So I recently did a series of reels where it spoke about like age and how many embryos it takes for one baby based off of your age group. So not necessarily 38 to 37, but 30 to 35. What should you expect? How many IVF cycles leads to one baby 35 to 40, what should you expect? And I think knowing that, it's not it's not saying okay, we're we're going to do our workup and then we're gonna do IUs for three months, and then we're gonna get you pregnant with one. Oh, crap, you're gonna come back for number two. Now, you're 40? What am I gonna do? It's more of what is your family look like? And how do I complete your family, not just treat your infertility?


Griffin Jones  38:32

Does it ever backfire at all? So you're establishing a ton of credibility, you're establishing a ton of authority as an expert. But does it ever undermine authority in the sense of, Well, now, I feel so familiar with this doctor that I, you know, I just treat them like a charm. Like, do people come in and in your office and be a Roohi instead of instead of Dr. Jeelani? Like, does it ever backfire?


Dr. Roohi Jeelani  39:05

Very rarely, I mean, there's of course there's, you know, Stan, there's outliers from the standard, but it doesn't really. I guess I earned my doctor title. I'm Yes. I'm Dr. Jeelani, but people don't define me. You can call me whatever you want. Like because you call me rude. He doesn't change the fact that I'm your doctor. Right? I don't. That would piss


Griffin Jones  39:24

me off. Yeah,


Dr. Roohi Jeelani  39:26

I mean, I define me like, you can. I guess it also I have said no one ever knew, like no one you had to say my name before I got married. My last name was like 15 letters. One. Everyone called me a variation of everything. And I responded to everything. So I don't I don't know. I don't. I guess people not defining is a good and bad thing. Also. It truly just doesn't bother me.


Griffin Jones  39:51

But for the most part, you are establishing your authority, not authority of like, This is who I am, but rather just like I I'm the expert. And you can tell that I'm the expert because I've shared all of this content with you. I've shared my school of thought with you and, and so people are coming in, can you tell the difference between somebody who has, who has really almost no experience with you on social media versus someone who is geeked out on every last post, you've done 100%,


Dr. Roohi Jeelani  40:21

you can 100% You can tell because they will come with notes and information. And with a plan. It's so crazy, they have a plan that we like, when you said this, this is what I want to do. Because you said this, this is what I want to do. I know this will take X, Y and Z. I mean, it's insane. It cuts my consult time what talking business from like an hour long new pet patient thing, take a 30 minute, like, okay, like you know what you're gonna do, I'm glad you listened.


Griffin Jones  40:48

I never really got this across to people when, especially when clinics and Doc's got so busy the last two or two and a half years and that we don't need we don't need more new patients. We got 10 week waitlist is like Yeah, but it's not just about new patient acquisition. It's about getting people in the door for I don't, I don't need new clients. But this podcast format, the other media that we do, just helps me get into business deals more when when I am it's not about necessarily getting more deals. But when people come to me, it's like they want to get my thoughts and process. They don't just want to pick out a marketing guy and it makes helping them easier. It makes the relationship so much better. And is that something that's replicable in other places, then then social media, like you said, you feel like this trend will go on for a long time? Do you see us doing a lot more of this where almost everybody knows so much about their physician before they end up coming to see one?


Dr. Roohi Jeelani  41:57

I would hope so because they think you're trusting like you're, I appreciate that. Like my patients are trusting me with such an intimate part of them right? They're essentially letting me into a really a spot that they don't they're not comfortable with. Most people don't want to see a fertility doctor, shoot, I don't want to see a fertility doctor and I do this for a living. So I think it builds this trust and relationship that's just everlasting. I have patients who have graduated now, that's still follow me that send me pictures of their babies that always say like, I sent my friends to you, I redirected your post to teachers. I mean, what have you everyone, I have parents who follow me on social media of their kids going through their fertility journey and texting me thanking me like, I have a grandkid because of you. And it is just that touch that you can have that impact that you can have. And once again, it's not a social media talk, but it really does. It translates to patient retention, new acquisitions, and a lifelong like impression. I don't think it's going anywhere.


Griffin Jones  43:02

It's not just about it's not just about patient acquisition, I think about this in so many ways where I'm making purchase decisions. Now. People are doing it with my firm. We're we're doing it as we look for financial planners and stuff like that. It's like, I want to know so much about how they think and how they work, before I decide that, that's who I'm going to go with. And then when we do have those initial sales conversations often like the decisions already been made, this is like that, that sales conversation is just or in this case, initial console, there's just kind of like, confirmation of that or, or even the beginning of the process. But yeah, there's so much that used to be set up after the, the the initial information. If the public facing information, there was so much that was set up after that that just happened in the one on one consults that happened in the office, there was a huge information asymmetry. And now that information asymmetry doesn't exist anymore, because the patient can learn a lot about you about other fertility doctors and the process as a whole. And they can and you instead of letting that hurt, you are taking full advantage of it and you have a massive following. And I went on that rant is decide what where do I want to pull this thread next? Do I continue on to talk about Patient Relations? I do. But I also want to talk about how this can be a career opportunity in many other ways for our eyes because when you have 300 something 1000 followers, you're getting put in front of all kinds of people, venture capitalists, tech people, scientists, peers, colleagues, what other opportunities is it open for you?


Dr. Roohi Jeelani  45:00

So many right? Because everyone who's interested in Rei is from every aspect, Farmar. Alarm techniques. Gosh, everything everything industry that you see at ASRM is now interested in you, right, for whatever reason. And it helps build new relationships, it helps you get in front of new technology, you start developing ideas, because you see how can I take this and apply it to fertility, I just think it just opens up the landscape for you to do so much more than just be a doctor. I love being a doctor. But I think I can do a better job of learning these different technologies and having access to the stuff and serve my patients better. But at the end of the day, all of this makes me a better doctor.


Griffin Jones  45:51

So how do you vet those opportunities, then? Because you're getting them because you have a huge following of people who really hang on to what you have to say. And because of that, that's, that's a big responsibility. And so how do you vet the opportunities that come your way?


Dr. Roohi Jeelani  46:11

I try to step away from social media and really think like, Would I utilize this? Do I think it's resourceful for my patients, and then present it? I? This is not like social media is a amazing platform. But that pre pre meme pre my life, I used to model right? And it's very similar to that. So when you're modeling, you start thinking is this campaign is this brand in alignment with my morals, my ideals, because now you're going to be plastered as this brand's face? So social media is very similar to that. When you get vetted to do something for a company, do you think well? Do my morals and ideals aligned with this brand? And if they aligned do they do? Do they help my patients as much as they helped me? And if the answer is yes, then I say yes. If like, doesn't really sit well with me demand answer's no.


Griffin Jones  47:04

Talk to us a little bit about how you figure that out. Because I'm thinking in a parallel industry. And in the financial field. We talked about Grant Cardone one of the people that I follow, though, is Graham Stefan, because I think he's just a trustworthy, empirical kind of guy doesn't really Hawk his financial prescriptions. He presents what he sees his the evidence and talks about what he's doing and, and he's, he's just a guy that has a natural credibility to him. He was one of these folks that got into this trouble with the the crypto Ponzi scheme, that guy and his company's name is escaping me right now. But the BT X or whatever it is, and they had a ton of sponsors, really credible people, because they came in says, Hey, we're changing the world in this positive way. And we have a ton of money and all these other people are on board. Don't you want to be a part of it? And a lot of people got caught with egg on their face, because it's like, oh, maybe I shouldn't have locked up with them so soon. And i i peddled this Ponzi scheme to my people. I don't I don't see anybody doing Ponzi schemes right now where we are but but the principle is there nonetheless. So talk about how you dig into it.


Dr. Roohi Jeelani  48:22

Usually the type of people that approach you when you are on or when you have a larger platform is that that's been around great. As young as our field is it still as big in young as it is, we pretty much know everybody so everyone who approaches me, I already know what they're about what they're doing. I very rarely get stuff outside of fertility. My other love is for fashion. So I do get a lot of fashion stuff. And I don't necessarily the thing that I use with my social media. And if you look at everyone's social media that's on there, they they have a thing that they hold on very near and dear to them, right like for Dr. Crawford, it's about like the pride and joy of being a woman being a mom, that's very important to her. So throughout her fertility, it's intermixed. Her pride and joy. Dr. Shaheen, she's an author, right. She's amazing at being an author. So intermixed with her fertility is her book and recurrent pregnancy loss and what it means to her Dr. Chen, intermixed with fertility, advocacy, she has really really good about access to care advocacy, you know, being paired up with resolve. For me, it's, you know, my history like what makes me me, it's my family, my fertility journey, my fashion, like, I love it. So it's every, whoever approaches me is kind of aligned or parallel with that and a lot of that stuff is not new. It's people that I already know. I don't think I've ever been approached for something outside of my interest or outside of my page. So


Griffin Jones  49:50

I think to be us that we know everybody or that you know, so many people have been in the field for a long time. So I agree with you, we all kind of know each other, I always say that fertility is like one big high school, and, but you also know who you are. So you know who the new kid is when there is a new kid. But there's lots of new kids, I was one short time ago, there's plenty of others. And if you look at a lot of the VC backed companies, a lot of the PE backed companies, look at those board of directors or the, rather than the Board of Directors really like people that are VP level, often in the C suite to, there's a lot of people at those levels that have never worked in fertility before. And many of them are coming with good ideas and things that do need to be brought in and shake this thing up a bit. But some people have no idea what they're doing or complete charlatans are in it for the money, all of those things will and do happen when entrepreneurial change is at hand. So is it just enough to know your stuff? Or do you also have to get to know the people?


Dr. Roohi Jeelani  51:09

I would say know your stuff more? Because people you don't think you truly ever know anybody? Right? Like I've been with my husband for 19 years, they learn new stuff about him all the time. Yeah, now you're going deep, deep, right? You people evolve, they don't really think you have to really know that people, I think you really have to know, the idea. I still consider myself I feel like I'm very new to this, I learn new people, new things, new ideas daily. And people will always, always approach you with something that they think is brilliant. And I really think that we're at a really pivotal point in our field where, like you mentioned, there's a lot of people who want and they're all very new, and you have to vet the idea. And if you really believe in the mission, then you align yourself with them. And if you don't, then that's okay. I, I think with the limited fertility doctors that we have, you will get approached whether or not you're on social media, you're gonna get approached, and I think the one tip that I've learned is, does that idea line with you? And if it does, then do it.


Griffin Jones  52:19

Right. I suspect that it's harder for you, because there are a lot more opportunities. And people do want to see change in the field, and you want to help bring that in. In my case, I'm not qualified to give an endorsement for the vast majority of people that want to reach my audience. So we build an advertising structure where it's not an endorsement for me simply them advertising in inside reproductive health, the same way an advertiser would advertise on any media company, the endorsements, when you become the face of something is different. The only one I ever did was with engaged MD. And I did that only because it is close enough to what we do that I could see how much it helps people. So many people that I talked to over the years, vetted it, including people that I've worked for, for years. I knew Jeff and Taylor really well for years before we did that, that if there ever was a complete 180 Like you're talking about, like you've known your husband for years and years, it's like how well do you still know some that if ever was a 180, we found out Jeff VISTA is a straight up axe murderer that I could say, hey, it may be an Axe Murderer. But I did my homework. And I talked to the guy and I'm as surprised as anybody I loved him and knew how great he was. And I'm totally floored. And I don't think that happened in the case of the Bitcoin, not the Bitcoin, the other crypto scandal, and you'd seem to have a system for for doing that I do. I do probably issue the word of caution to other Doc's that may be don't let FOMO dictate what you end up doing. That. There's a lot of things where it's like, Oh, I gotta get in on this now. It's like, if it's not right, you might just wait a while and it's not meant to be it's not meant to be Yeah,


Dr. Roohi Jeelani  54:16

I think really just aligning yourself with if you if you hold true and stand with what why you do this why you do what you do, then I don't think you'll ever stray wrong. Right? I think Michael goal is to get as much information out there and my goal is for everyone to have a family and my mission or whoever I aligned myself with kind of believes in the same thing like how do we how do we get there? How do we make this happen?


Griffin Jones  54:46

I want to let you conclude how you want to conclude, but I do want to go back to Patient Relations for something because I wonder if the position that we used to be in has toe totally changed. Or if it's just morphed into something else where the doctor was the authority. I'm the doctor, you're the patient, I talk you listen, I prescribe you do. And it seemed that that was going away for a long time. And then during COVID, not I'm not talking about the fertility field, I'm just kind of talking about general, that kind of came back in a different way where it's like you, you take the damn vaccine, you do this, because I'm the doctor. And I was like, I don't think that's the right message. It's even if when you're giving the right advice, if you're giving the right advice about something, it's not because I'm the financial planner, therefore, this plan makes sense. I'm the mechanic. Therefore, what I'm doing to your car makes sense. I think we reverted back to that a bit of instead of making the persuasive argument, in many cases, it was, listen, dummy, this is what it is. And I'm the person to tell you what it is to have, have we overcome that? And if it is something that we should even overcome?


Dr. Roohi Jeelani  56:08

That's so interesting that you look at it like that, I look at it, as we use the persuasive argument, like all those stickers that we put up, I'm vaccinated, are you looking at what I'm doing? Look at what my kids are doing. But I'm also looking at it from the lens of social media. Those are my colleagues, right? Not just fertility colleagues, those are just my colleagues. And I don't, I don't think I can't remember a single person saying you have to do it, because I said, so it was more. So this is the data behind it. This is why I'm doing it. This is why my kids are doing it. And this is why you should do it. And that's how I present my fertility. That's how I present my data to my patients, right. And I always tell them, like, ultimately the choice is yours. But this is your age, this is the age of the sperm, this is your end goal. If we do this, your chance of success is XYZ. If we do this, your chance of success is XYZ. Here are the pros. Here are the cons for both, which one would you like to pick? And I think that autonomy is really important. And I feel like the vaccine was presented like that. I don't think it ever I think we even tried right like not to bring completely Goten John Doe but bring like surrogacy and third party. It never went away never became. If you're not vaccinated, you can't be a GC if you're not vaccinated, you can't be a donor I always became, we prefer this but ultimately the call is yours. I really think that mode or that treatment modality is here to stay. I think patients really want autonomy. They're seeking that autonomy.


Griffin Jones  57:46

I think that is the proper course to take. And I'm glad you took it. I think there was a ton of the One Way finger wagging on social media and some of the most persuasive doctors that I think out there I want to give a shout out to Dr. Zubin de Manya Z Dawg MD for any of you physicians that are familiar with Him, follow Him Dr. Vinay Prasad, Dr. Monica Gandhi, Dr. Marty mCherry, who were extremely persuasive. And when I looked at their YouTube comments, versus a lot of the comments of people that were doing finger wagging, I could see them changing hearts and minds, because they were doing it in a way where they approached it with the same healthy skepticism and made persuasive arguments that you just described. So we you've you've laid the groundwork for us and the change in Patient Relations, as you just described, to where it's educational, and inviting for patients. You talked about. We talked about the paradigm shift that this means for new opportunities for doctor, we talked about those opportunities in the form of business, we talked about the change not just in patient acquisition, but also how patients move through the treatment process by having a two way access to information and multi channel. How do you want to conclude right?


Dr. Roohi Jeelani  59:10

It's I think it's key that you are very proactive and educate in whatever format. They're thirsty for education, you educate them and they'll make well informed decisions with your guidance.


Griffin Jones  59:25

You are leading the charge in my view, as far as I can tell, and people are wise to follow you. We will include your handles in the show notes and of course, we will tag you and they should follow you because they should see the changes happening in Patient Relations through your eyes and through your patient's eyes. Dr. Jeelani, thank you very much for coming back on inside reproductive health. 


Thank you for having me.


59:54

You've been listening to the inside reproductive health podcast with Griffin Jones. If you're ready to take out mission to make sure that your practice thrives beyond the revolutionary changes that are happening in our field and in society. Visit fertility bridge.com To begin the first piece of the fertility marketing system, the goal and competitive diagnostic. Thank you for listening to inside reproductive health




145 Two Founders Trying to Flip The Script in The Challenging Fertility Start-up Space: Abby Mercado and Kristyn Hodgdon

On Inside Reproductive Health this week, Griffin Jones chats with Rescripted founders, Abby Mercado and Kristyn Hodgdon about their business model, how it came to be, and what risks they have in this space. How has Rescripted’s capital been invested? How do they keep content fresh? Will they survive and thrive in this space, even though so many others before them have failed- despite having massive capital? Listen now and join the conversation, with Griffin Jones on Inside Reproductive Health.

Listen to hear:

  • Griffin point out that pharmacies missed the boat- they could’ve seized the direct to consumer route, but did not.

  • Abby and Kristyn break down their business model, why it works, and what they won’t allow in their space.

  • Griffin discuss raisers of capital who had the cash, but ultimately failed, and question whether or not Rescripted has what it takes to beat the odds.

  • Abby and Kristyn explain why, and how, Rescripted was founded, and where it hopes to go in the future.

143 Tips and Tricks to Publishing Your Book: An Inside Perspective with author and IVF Doctor, Dorette Noorhasan

This week on Inside Reproductive Health, Griffin talks with Dr. Dorette Noorhasan, fertility doctor (and patient) as she shares her journey to publishing not one, but two books in the fertility field- with a newborn at home. Always considered writing a book? What is stopping you? Listen as Dr. Noorhasan shares her experience writing and publishing her self-authored books, and find out what she wishes she knew sooner.

Listen to hear:

  • How the book writing process truly takes place, and how you can expedite it.

  • What you need to do first to save yourself time and energy in the publishing process.

  • Who you need on your side, and how to find them, in the publishing world.

Ep. 142 When the pretty lady in green comes to the fertility field: 4 Competitive Disadvantages for Fertility Business Owners

This week on Inside Reproductive Health, Griffin Jones explains how reputation and brand overlap, how they are both born of positioning and culture, but are not equally synonymous. “Brand is about relevance and differentiation. Reputation is about legitimacy”.

In this week’s podcast, Griffin shares four competitive disadvantages for fertility business owners.

Listen to hear:

  • What four things brand can do that reputation cannot.

  • How impactful recognition is in your brand, and how to improve it.

  • How your brand can align with peoples’ individual expression of self.

136: 6 Pillars for your IVF Center’s Killer First Impression

Episode 136 IRH cover photo

This week on Inside Reproductive Health, Griffin shares the 6 pillars to generating the best first impression for new patients, and how that can directly impact both your bottom line, and the patient experience. Listen to hear how you can build a successful New Fertility Patient Concierge Team. 

Listen to hear:

  •  How (and why) to put the right people in charge of your patient’s first impression 

  • Griffin explain how to emotionally incentivize your Concierge team.

  • How to measure the Team’s impact on your practice’s bottom line.

The Fertility Website Rip Off: 6 Tips to Protect Doctors

By Shaina Vojtko and Griffin Jones

Let’s just hope fertility doctors aren’t paying attention

Most fertility practice owners redesigned or built a new website in the last decade, and they might be getting hosed.

The website development-marketing problem isn’t unique to fertility doctors. If you’re the executive of a fertility company or any business for that matter, these tips are equally relevant to you. There’s just an established category of marketing companies that takes advantage of physicians and some of them have concentrations of fertility doctors.

The problem: paying for website maintenance with a big marketing markup

Your new website project is finally complete and search engines are starting to reap the fruits of your labor.

Now, regular updates and maintenance are crucial to keeping your site running at full capacity. In most cases, the first touchpoint a prospective fertility patient has with their provider is their website.

Security is the primary reason that website maintenance is so important. When you don’t make website maintenance a priority, it’s easy for hackers to find vulnerabilities. With a few clicks, they can easily target an outdated site.

As a marketing tool, your website was designed to provide information and turn visitors into new fertility patient inquiries. An up-to-date site and content management system (CMS) demonstrates credibility and communicates that it is safe for visitors to submit their information to you.

And because security and maintenance are such a need, some marketing companies take advantage. They bundle in low return marketing services and mark up what should be a low cost expense.

We’re not talking about small firms with good hearts that struggle with keeping the mission (scope) from drifting, while not being so rigid that they fail to help the client when they could meaningfully do so. That’s a natural tension that all client services firms face.

No, we’re talking about large medical marketing agencies whose business model is undeserving doctors by scaling their overpriced packages, including arbitrary blog and social posts, or ambiguous ongoing Search Engine Optimization (SEO).

Make investments, pay expenses, and know which is which.

Remember a $10,000 expense that generates nothing is more expensive than a $2 million investment that generates $5 million. Return is more important than cost, though the higher cost the bigger the problem if there’s no return.

The best way to keep your fertility company’s website updated and protected from hackers, while not overpaying for it, is to have a website maintenance package that is separate from hosting and from your marketing investment.

Here are six tips to help you:

1. Your marketing agency can hire a developer, but don’t hire a development agency to do your marketing

Digital marketing agencies and website development agencies were usually one in the same in the early days of the internet. Because each has become so specialized, it’s far more effective for them to partner than to try to do it all.

Fertility Bridge, for example, has done, and will do, plenty of website builds and redesigns…but we are not a dev firm.

For the convenience of our clients and for the continuity of branding and messaging, we have preferred developers on our contract team with whom we’ve partnered on many successful fertility websites. We can use them and include the cost of development in a one time project. Or we can use the client’s developer while we provide project management and design.

2. Quote maintenance separate from build

Ask for the cost of ongoing website maintenance, including security and routine updates to be quoted separately from the site build.

You may need continuous improvement in marketing and business development but keep those separate from the maintenance of a new site. Again using Fertility Bridge as an example, after we redesign or build a new website, the minimal maintenance agreement is between the developer and the client, completely untethered from the client’s engagement with us.

3. Budget for both website hosting and website maintenance

While both have associated costs, web hosting and web maintenance are two separate functions. Both are necessary for the health and existence of your website. The main purpose of web hosting is to get your website live on the internet so people can access it.

4. Keep the hosting cost the smallest

When budgeting annually for maintenance fees, don’t forget to budget for hosting costs, too. You can expect to pay anywhere from $25-75 per month for hosting with an annual contract from WP Engine.

In order to keep your website online, you’ll need a reliable web host. While there are plenty of options for hosting providers, make sure to pick one that is designed for speed. A fast loading website is key to a strong user experience and good Google rankings. We recommend WP Engine or DreamHost but strongly encourage you to take the advice of your developer as they are well versed in the specific needs of your website.

5. Use this checklist to select a good maintenance plan

A good maintenance plan covers security but should also take into consideration routine content updates and changes to website pages.

  • WordPress Core Updates

  • Theme and Plugin Updates

  • Security, Uptime Monitoring, and Hack Clean-up

  • Regular Back-ups

  • Access to Support Resources

  • Content Management*

  • Performance Optimizations

While package costs can vary significantly based on the level of customization and care needed to handle your individual site, it is reasonable and typical to see costs that range from $500 annually for lean updates to $5,000 or more annually for robust updates.

6. *Have someone on your team that can update content

Minor content updates are a tension point between fertility companies and their agencies. Minor updates are those like

  • Adding office hours for satellite office on location page

  • Removing staff member from about us page

  • Changing PGD to PGT-M on old blog post

  • Deleting Zika pregnancy warning from home page

Sporadic requests like these are not a good use of the developer’s time to receive, nor yours to send.

You don’t need an employee to create major pieces of content, a marketing agency can do that. You need someone inside your organization who can make content updates to your website. If you’re a giant fertility company you may have a whole team, but even a small REI practice needs at least one person who can access your website’s CMS.

*Being able to make content updates is not the same as having the relevant skills to properly maintain a website. If your team member causes an error while updating a page, you need to have someone retained that can fix it.

INVEST FOR RETURN, KEEP FEES SEPARATE

Sometimes fertility companies have to invest a lot in marketing, but it should be for the return of future value. Don’t buy services you don’t need because they’re bundled with something you do need. Keep website maintenance separate from build, hosting, and marketing. Train someone in your organization to make minor updates to your website. Follow these six tips instead.

If you think your fertility website is preventing you from reaching your business goals, consider Fertility Bridge’s strategic guidance to determine how it plays into a greater market or brand strategy.

Start your business assessment with our Goal and Competitive Diagnostic for just $597 here.

5 Steps To Improving Your Fertility Clinic’s Online Reputation

By Griffin Jones

Yikes.

It’s no different than what many of us do when choosing a new hair salon or restaurant, they search online. 

Years ago online reviews of doctors were scarce, and even fewer considered trustworthy, but times have changed.  

 According to a survey from MobiHealthNews, 95% of U.S. adults believed online ratings and reviews to be reliable.  Even more interesting, 70% of those surveyed said online ratings influenced their choice of doctor. 

With the increase in prevalence and weight of online reviews, today it’s more important than ever to take action and proactively manage your clinic’s reputation by following the 5 steps to improving your fertility clinic’s online reputation.

  1. Provide Concierge Service

  2. Claim & Maintain Listings

  3. Request Reviews

  4. Manage Reviews

  5. Market Reviews

Let’s break down each component. 

1). Provide Concierge Level of Service 100% of the time

While putting systems and services in place to improve and maintain an online reputation is necessary, your clinic must first have a concierge level of service written into the fabric of its DNA.  The clinic leadership team must have an unwavering commitment to offering a concierge-level of service at every turn, and mandating its employees to do the same. 

Offering concierge-level service is thinking about the small things and asking yourself, What Can I Do To Remove The Patient’s Pain In This Moment? Examples include, but are not limited to: 

  • Using the patient’s name during conversation 

  • Having call center / new patient coordinators use the patient’s name immediately 

  • Always remaining calm and using a pleasant tone of voice

  • Providing patients with support/messages of hope during the two-week wait.

 If this belief and level of customer service is not woven into the fabric of your culture or expressed within you as a physician, it will affect how your staff treats their patients.  

2). Claim & Maintain Listings 

Once offering the concierge level of service has been addressed, the next step is to organize your listings.  Local Listings are a directory with your business's key information. When people search for your business (or the service you provide), your listing is usually displayed in the search results.  The most important listings are:

  • Google My Business (GMB)

    • Physicians should be tied to the clinic listing, but owned by the physician 

    • Each clinic location should have a listing, including satellites so reviews can be left

  • Facebook

  • Yelp

    • Yelp is important because it is also integrated with other listings sites, like Bing and Apple Maps 

  • Fertility IQ

    • Fertility IQ has skyrocketed as an influencer platform over the last few years, and the length, depth, and detail of the reviews have it becoming a recognized source of patients’ trust. 

Once Google & Facebook are at a minimum of 4.5 and 60+ reviews, begin to focus on Yelp & FertilityIQ

3). Request Reviews 

Patients will always leave reviews when left up to their own devices, but if you want to achieve and maintain a rating of 4.5 and above, you need to be proactive about asking and automating review requests.  

Asking 

When you’ve treated patients right, they want to help you.  Therefore, ask the right patient for a review and give yourself and your staff permission to do it.  While verbal requests are necessary, asking also includes creating marketing materials that advertise where to leave reviews and post the requests on social media.  Bottom line: Don’t be afraid to ask with the right patient!  In your waiting room, use video to ask satisfied patients to like you on Facebook, rate you on Yelp, or fill out a patient satisfaction survey.  Seek patients who give your practice high marks and ask them if they’d be willing to give you a testimonial. 

Automation 

Using a service that automates repeat requests to reviews and pushes them to the four most important platforms in Reproductive Medicine (Google, Facebook, Yelp, FertilityIQ).  The software element helps ensure the patient is reminded and the review is pushed to the platform where you need it most.

4). Manage Reviews 

It’s critical to respond to 100% of reviews - both positive and negative.  While it’s also helpful to have a foundation of scripts to utilize so that responding on every platform is not tedious, slight customization is necessary to ensure the consumer’s needs are being addressed.  Something as simple as “Thank you for your feedback. We’re committed to a better patient experience and are in the process of reevaluating all staff communication” will show the patient you take their feedback seriously.  And to the prospective patient who hasn’t yet chosen your practice, it lessens the harshness of the review.

5). Market Reviews 

You’re collecting the reviews, now it’s critical to share the positive patient feedback with other prospective patients still in the decision-making phases.  Our internal data shows that at least 50% of patients will conduct an online search of the clinic, often landing on your website, to evaluate a practice.  Highlight positive reviews and testimonials right on your home page so they aren’t missed. And if your center does not have amazing, professional patient testimonials that blow folks away, it’s time to get that changed right now by consulting with the creative team at Fertility Bridge.  

By taking charge of your online reputation, you will impact the number of new patient appointments, retrievals and ultimately, revenue.  

If you’d like Fertility Bridge’s help in improving your online reputation, we can assess your situation in the Goal and Competitive Diagnostic.

127: Leadership vs. Delegation in Marketing

On this week of Inside Reproductive Health, Griffin Jones shines a light on what responsibilities should be handled by the principal of an organization and what should be delegated. This is something that all business owners struggle with but is especially unique in the fertility industry due to the nature of being a doctor and a business owner. 


Listen to the full episode to understand: 

  • What roles should principals not delegate.

  • How involved should the integrator role be in the core operations.

  • What do the best brands have in common. 

  • When to do a brand refresh

For all the details and visuals go to our blog

Brand vs Reputation: 4 Competitive Disadvantages for Fertility Business Owners

By Griffin Jones

“Our reputation speaks for itself,”

Does it?

Young, massively funded companies are entering the reproductive health space and developing widely recognizable brands to a population that had been generally unfamiliar with the field.

Established fertility companies often attempt to counter these branding advantages with their reputation. 

Reputation is extremely valuable for all of us business owners in the reproductive health space, but especially for fertility specialists. Even when process complaints and negative outcomes make an REI’s rating less than five stars, you still have a proud reputation. You’ve dedicated your career--one which very few other people can do--to help people have families. Your reputation deserves respect.

Still, reproductive health companies that make little distinction between brand and reputation are at a competitive disadvantage.

Brand and reputation overlap. They can work with or against each other. But they are not the same.

In the absence of the intentional formula ‘reputation plus brand’, a fertility business suffers from the default equations of ‘reputation minus brand’ or ‘brand minus reputation’.

“Brand is about relevance and differentiation. Reputation is about legitimacy” 

A strong brand helps communicate that the company and its offerings are relevant and uniquely able to meet customer needs. A solid reputation is desirable because all businesses ultimately depend (either directly or indirectly) on the goodwill of the governments and communities in which they operate”. From 'Don’t Confuse Reputation With Brand' by Richard Ettenson and Jonathan Knowles

In the case of your fertility practice or reproductive health company, your reputation amounts to what is said about you by these five groups

  1. Patients/clients

  2. Peers

  3. Employees

  4. People you do business with

  5. Media

Patients

On social media, on online review sites like Google and FertilityIQ, in patient support groups like RESOLVE and Fertility Matters. Through patient satisfaction feedback platforms like Press Gainey or Net Promoter Score.

Peers

If you are a physician this includes colleagues in the field, but also includes aspiring providers, referring providers, and competitors. At ASRM and other conferences. In private conversation

Employees: 

On LinkedIn and sites like Glassdoor. At networking events and your own office.

People you do business with: Your vendors, expert advisors. How you treat them and pay them gets around, too.

Media: 

The coverage that you do or don’t have from reporting outlets.

Reputation isn’t always fair. It is what it is. It doesn’t matter if one negative story in the press is a stain on your search results. It doesn’t matter if competitors drag your name through the mud, if a few former employees have an ax to grind, or if some former IVF patients take a negative outcome out on you. A sterling reputation is hard to come by.

A strong reputation is not necessarily equatable to a strong brand, either. And vise versa.

BRAND IS WHAT YOU SHOW OF YOURSELF

While reputation is what your five constituencies perceive and say about you, brand is what you give them to recognize you and associate with you (or not). Reputation is sometimes reactive. Brand is meant to be proactive.

Brand does at least four things that reputation does not do. It 

  1. Multiplies 

  2. Differentiates

  3. Expresses, and

  4. Promises

  1. Multiplies
    The simplest definition of brand is simply, a mark. No; logos, slogans, taglines, and ambassadors are not in and of themselves, a brand. Nowhere close. Still, these symbols allow companies to scale their message and perception to a magnitude and readiness that reputation cannot.
    “Brand functions as a multiplier” -Mark Di Somma, Brand Strategy Insider.

  2. Differentiates
    The purest form of differentiation is recognition. A successful brand allows each of the aforementioned groups  to recognize an organization’s position and differentiate it from its competitors instantly. An artisan coffee shop may have a wonderful reputation, but you recall Starbucks’ mocha lattes, the way they name the sizes of their drinks, and how they write your name on the cup just by seeing their logo.

  3. Expresses
    We’ve chosen to split the concept of brand identification into the two concepts of differentiation and expression because differentiation allows consumers to identify you out of a crowd, while expression allows them to use you as part of how they identify themselves.

    There is an abundance of research, including this study from Elsevier, that shows how “consumers seek new ways in which they can express their personal identity through brands”. The more our field serves and works with newer generations, the more they use brands to express themselves. 

    The core of Gen Z is the idea of manifesting individual identity. Consumption therefore becomes a means of self-expression.” - (From McKinsey & Company,  ‘True Gen’: Generation Z and its implications for companies’  byTracy Francis and Fernanda Hoefel

  4. Promises
    Reputation is the judgment of your promise. Brand is the promise. Patients and clients set their own expectations in the absence, and sometimes in spite, of a clear promise. The more strongly your brand reinforces your promise, the more you are able to impact the measure by which you are judged.

REPUTATION PLUS BRAND

When fertility companies fail to distinguish the difference between brand and reputation, they are at a competitive disadvantage because of how reputation and brand bolster or undermine one another. 

Reputation and brand overlap because they are both born of positioning and culture, but they are not equally synonymous.

In the absence of the intentional formula ‘reputation plus brand’, fertility business owners are left with the results of ‘reputation minus brand’ or ‘brand minus reputation’.

Consider the four advantages that a robust brand is meant to secure for your company. The last two, expression and promise, are particular vulnerabilities for reproductive health companies.

If you would like to further explore the brand and reputation potential of your fertility business, we address that in our Goal and Competitive Diagnostic.

Why Fertility Businesses are Positioned as Commodities

 The shift in buying behavior that has discounted many to vendor status

WHO PAYS FOR DINNER?

Do your fertility clients reach for the bill when your check arrives after dinner? Or is it a forgone conclusion that you’re picking up the tab?

My Account Manager told me this was one of the aspects of working for Fertility Bridge that was most unusual to her. She had previously worked on the “industry side” of the fertility field where vendors are often viewed as food and beverage procurement.

I don’t necessarily want my clients to pay for my food and drinks. Sometimes I just want to treat them because I like to. Still, I really appreciate that our clients always want to pay because it’s one subtle indicator of who they view as a vendor and who they view as an advisor. 

And that got me thinking about you. 

JUST ANOTHER FERTILITY VENDOR

How is it that a tiny firm like mine has been able to move from vendor to advisor in just a couple of years, when established or well-funded groups are being discounted as a commodity? It wasn’t capital or medical or scientific expertise, that’s for sure.

As far as I can tell, the shift from vendor to advisor is correlated with the shift from sales to marketing. Many fertility companies are viewed as commodities and vendors because they are still trying to fulfill positioning needs in the sales process that now take place in the marketing process.

Every time I skip steps and try to accomplish positioning requirements in the sales process that should have been established in the marketing stages, I regret it. Comparing the results of an outbound campaign at the end of 2020, vs the effectiveness of publishing a clear and firm point of view on every segment of our sales and delivery process, (I hope) I’ve learned my lesson for the final time. When I over-invested in the sales process, I often made our firm appear as a vendor. When I do the positioning work ahead of time, we are viewed as advisors and the sales process is easier and more genuine.

POSITION AS VENDOR OR ADVISOR~POSITION IN MARKETING OR SALES

Consider the shift in the sales and marketing funnel as illustrated by Steve Patrizi. 

fertility marketing funnel

Representatives and indeed entire fertility companies are positioned as vendors by practice owners and executives because the companies are doing too much in the sales stages and too little in the marketing stages, to position their value. They are mixing tactics and skipping steps.

The result is being overinvested in the awareness stage and undifferentiated in the sale. If you’re not following the concept, a couple of examples may be familiar enough to click.

  1. Massive industry sponsored parties at fertility conferences~overinvestment in brand awareness

  2. Expensive dinner bills and overpriced field reps~undifferentiated in sale

Neither are categorical mistakes. Large events and expensive salespeople can be a tremendous competitive advantage. Still, even when they are strategically sound, there are concerns about each. 

Conference parties need careful positioning in and of themselves because they are a major public relations (if not legal) liability. Yes, you could tone it down, but conference parties are typically a zero-sum game. They’re either a grandiose affair where everyone shows up, or they get little traffic because everyone’s at the big party.  


The best reps are worth their weight in crypto, but many of the others do nothing to drive sales. Too many payroll, travel, and entertainment expenditures are wasted because reps are doing the job that well produced content is supposed to do. Furthermore, the best reps are drawn to and enhanced by good positioning. 

HOW TO POSITION FOR EXPERTISE AND VALUE

If over and underinvestment in certain stages of the sales and marketing process cause fertility businesses to be positioned as dispensable commodities, how do they position their value or expertise so that they are not easily substituted? 

Consider the Business to Business Fertility Marketing funnel here.

It’s a mistake to treat the funnel merely as a checklist. You may do webinars, have client testimonials, and even a brand video. If they’re the same as everyone else’s and if they don’t fluidly set up the sale, it doesn’t matter. The telos of a salesperson is to sell. A salesperson that cannot sell is not a good salesperson. The telos of a marketing system is to set up the sale. If a marketing system cannot set up the sale, it doesn’t matter how much you spent or what title you gave it.

NO, I SAID DIFFERENTIATION.

What differentiates your fertility company from the others? If you said, personalized customer service, we’re off to a bad start for two reasons. First, the delta between companies’ opinion of their experience and the customer’s perception is tenfold. According to research by Bain, 80% of companies say they provide a superior experience but only 8% of customers say so. 

The cause of the delivery gap has been summarized by Dr. Francisco Arredondo and others as 

Satisfaction=Perception-Expectation.

The cause for the high expectations that drive the delivery gap is the second reason that attempting to use superior customer experience as a differentiator is a bad idea: it’s undefined so no one knows what it means.

Here’s the litmus test: If I read your differentiation statement in a room of your competitors and ask who can say the same about themselves, how many will raise their hands? If you put me in a room with all of the agency owners and marketing and business development advisors in the world, how many would say they get results for their clients? Millions.  How many would say they “really get to know you” or they have an “arsenal of resources”? Most. How many could say they have served more than a dozen fertility companies? Four or five. How many raise their hand when asked if they are exclusively devoted to bridging sales and marketing for fertility companies and have a published point of view on every segment of the fertility patient marketing journey? 

One.

REARRANGE SALES AND MARKETING, GRADUATE FROM VENDOR STATUS

Failing to adapt to the shift in buying behavior from sales to marketing has left many fertility companies undifferentiated in the sale. When one corrects too many expectations in the sales process, they’re viewed as a pain in the rear. When one corrects expectations in marketing, they position themselves for an advisory role in the sale. By not differentiating their positioning early on and throughout the marketing journey, fertility companies are frequently positioned as vendors or commodities by fertility practice owners and executives. Marketing isn’t just the promotion of your company’s position, it's the continual reinforcement. You need a clear and firm point of view about everything you do, and that point of view needs to be reinforced and distributed by content before your sales reps ever have to repeat them. Who knows, maybe your customers will even buy your next dinner.

Read about how we help B2B fertility companies differentiate themselves and increase sales here.

The Diminishing Returns of Fertility Business-to-Business Marketing

It’s just B2B fertility sales. How many challenges could there possibly be?

Oh, not many, just...

  1. Fewer qualified prospects 

  2. Limited time and access

  3. More gatekeepers

  4. Long sales cycle

  5. Short sales window

  6. Detached point of sale and

  7. High regulation

Other than that, I can’t think of a single reason why it would be harder than ever for companies to sell to fertility centers. In other articles, I'll address why lack of change has relegated many B2B fertility companies to commodity status. Here, I will attempt to define the principal challenges that fertility companies face in marketing and selling to fertility centers. I will also try to explain why these very challenges inhibit fertility organizations from investing in alternative approaches to solve them.

1. Fewer prospects

Stat News reports more than twice as many private equity affiliations were made among REI and OB-GYN groups from 2017 through 2019 than were made in the previous seven years. For some companies, this means huge customer growth. For others, in certain cases, it means half as many potential customers when networks negotiate exclusive deals with other vendors. 

2. Limited time and access

When the groups are larger, the dynamic usually changes to an enterprise sale where there are more decision-makers (though many small fertility practices have the characteristics of an enterprise sale). Even when there is still one principal decision-maker, she or he frequently needs the blessing or inclusion of many others. When committee decision-making takes over, it only takes one skeptic to derail the verdict. Most of them are gatekeepers.

Among independent fertility practices, who are often the most viable prospects, the senior partners’ responsibilities as physicians almost always take priority over their responsibilities as business owners. I agree with Dr. Paco Arredondo that physicians have the intelligence and training that can set them up to be entrepreneurs, but I agree by Dr. Andrew Meikle’s definition, that most of them are not. I won’t go into why--I wrote a four part series about why most fertility practices are not entrepreneurial ventures--but this business owner-physician tension greatly reduces the time that they have to make business decisions. When they have so little time to focus on the core responsibilities of a business, they often delegate the duties without the autonomy. Also, gatekeepers...

3. More gatekeepers

Fertility sales reps often view gatekeepers as administrative assistants or receptionists. Here is a more encompassing definition of gatekeeper that will better direct your attention to the access you need. A gatekeeper is anyone who cannot say “yes”; they can only say “no”. 


4. Long sales cycle

It can take months and sometimes years from first meeting to when the client is actually ready to purchase. They have construction delays, breakups with partners, and sometimes they wait for the pain to hurt worse. It usually takes a long time to get in the door, wrangle stakeholders for follow-up meetings, get the yes, the signature, and finally get the payment. 


5, Short sales window

It’s “hurry up and wait”... until it’s “hurry up again”. A practice is opening up now. They won’t need another office for years. They may never need another lab. They only buy this type of equipment every several years or even a couple of decades. They just got out of a network affiliation and hopefully, they’ll never have to do that again. The short sales window is the yin to the long sales cycle’s yang.

6. Detached point of sale

You don’t buy an IVF lab at the click of a button. There isn’t a single digital point of sale for many business dealings in the fertility field. Because of the long-term relationship dynamics of the enterprise sale, single-source attribution of marketing efforts is sometimes impossible.

7. High regulation

For some segments of the “fertility industry” the disclaimers have to be longer than the content. There are some limits to interactions, joint ventures, and messaging with and to physicians and practice owners.This difficulty may be obvious but the challenge compounds because it prevents many companies from making the necessary move to being a media company.

CAUSE OR EFFECT?

These seven challenges have certainly made your job more difficult. Still, it’s the (not so) strategic response to these challenges that compound the sales pain many fertility companies are feeling. The solution involves brave decisions in positioning and the activation of the position by putting forth oneself as a media company. I’m not talking about putting out a couple of webinars. Be sure to subscribe to Inside Reproductive Health and Fertility Bridge to be alerted about the coming content that describes the solution in more detail. 

Read about how we help B2B fertility companies differentiate themselves and increase sales here.

113: Building Out an Effective Referring Provider Strategy

IRH Episode Cover Image (12) (1) (1).png

In the latest episode of Inside Reproductive Health, Stephanie and Griffin explore if MD & DO referrals are still king or have been overthrown by internet resources as top referral sources. Knowing where most referrals come from can help you build an effective strategy to capture more new patients and convert those referrals at a higher rate. We also layout 6 pillars for an effective referring provider strategy that you can either give to your physician liaison to start implementing or outsource to a company like Fertility Bridge. At the end of the day, if your PL does not have a system, you are leaving money on the table.

Listen in to the full episode to learn:

  • The 6 pillars of an effective referring provider strategy

    • Make sure your reporting is in line and cohesive

    • Ancillary services

    • Building the right content

    • Having the right events

    • Outreach of referring sources

    • Converting referrals that come to you

  • The % of patients actually referred by a doctor (and what that means for your clinic)

  • If a physician liaison is needed

  • How to attribute referral sources properly

Additional Resources:

Referral Pattern Blog Post: https://www.fertilitybridge.com/inside-reproductive-health/the-6-pillars-of-the-fertility-referring-provider-system

To learn more about our Goal and Competitive Diagnostic, visit us at FertilityBridge.com


Transcript

Griffin Jones: [00:00:40] On today's episode, Stephanie's on, we talk about our six pillars for referring provider strategy. It's important to get these right before you hire a PL if you're thinking about that, if you're a big company, you've got dozens of PLs, it's important to get this right. And in working in this framework to make sure that you're getting the results that you want before I get into this topic, today's shout out, goes to Dr. Paul Lin from SRM in Seattle, because go Bills, that's why in today's show, we talk about these six different pillars of why it's even important to still address physicians as the referral source that they are, but not to put them on the pedestal of being all or nothing. Talk about the facts beyond that and then we break down each of the six pillars even more finitely. So I hope you get a lot of actionable advice from this episode. Let me know if you need any help and enjoy.

Hi, Stephanie. 

Stephanie Linder: [00:01:38] Hi Griffin. 

Griffin Jones: [00:01:39] Welcome back to talk about referring providers. But before we get into that topic, I do have to tell you that I got a call from someone that I'd never met before. A doctor on the complete other side of the world who listens to the show. And we were talking about other topics, but one of our more recent episodes came up and he said that he agreed with you about the referring wellness providers being listed on the website. And I knew most people were going to agree with you. I even said that in the episode, but I also knew that it would stroke your ego if I brought that up. 

Stephanie Linder: [00:02:15] Yeah, it does. So thank you for sharing that. That's a good start to the podcast.

Griffin Jones: [00:02:18] Yeah, well, now I have to find something to ruin it for you and be pedantic about something to be right about and catch you off guard later in today. But we are in your wheelhouse about referring providers. So I might have my work cut out for me. The reason why we're talking about referring providers is because I've seen the attitude shift from  even when I first started talking to people in 2014, 2015, still many people thought that referring providers were everything that all the good patients came from referring providers, that it was like, it was almost singular as a referral source. And now I'm hearing people say that it doesn't matter anymore. And that's just not true either. I've kind of seen the pendulum swing here and we have some facts. We were doing an abstract.

And then in spring of 2020, when the world started to go, we were going to submit it to ASRM 2020. And then when the world took a turn, I decided that was not anywhere near the top of our concerns at the time, but we did get 250. Responses from REI patients, all people who had done at least one consult at an REI practice from all over the U S and what were the facts that we learned from them?

Stephanie Linder: [00:03:38] Yeah. So we asked these patients several questions and one of the first questions was, were you referred by a physician? Yes or no. And 60% of the REI patients said, yes, they were referred by a physician now that's still a lot, but it's still very far, of course, from a hundred percent. So then we asked another question, okay of all the different ways you can learn about a practice, so physician referrals, online search, you know, online reviews, there was seven or eight options, which of these were the most influential? And what was really interesting MD referrals while still number one, only 21% of people said that was the most influential and what was number two and three was also really important data.

So it, number two was location coming in at 20%. So neck and neck with the MD referrals, and then number three was recommendation from a friend or relative coming in at 19%. So very interesting to look at this data in this way.

Griffin Jones: [00:04:41] So Step another way, 40% of your patients on average are not being referred by a doctor at all.

And that's huge, but it still is really important. It's still 21% of people say that it's the most important physician referrals are the most important influence. Their decision of an REI practice. So that's still important, but it just a lot closer and a lot more segmented than we may have otherwise thought.

And I know that I have to make an important disclaimer here, which is when Stephanie and I say MD referrals. We mean physician referrals. We mean MD and DO referrals. There's a couple of DOs listening that are like, what the hell, man? Sorry. That sometimes really. It's just quicker than saying MD and DO referrals.

And then we don't have to say physician referrals, doctor referrals all of the time. So that's an important distinction to make you have multiple reasons that people are selecting the practice. You do need to know which is the single most influential. And that's why you have to do multi-source attribution.

So many people listening are doing single source attribution. You're asking people, how did you hear about us? I'm sorry. That's a very dumb question. I've talked about this on the podcast before I've argued with Rob Taylor about it. Who's an amazing marketer and you should listen to his episode, but single source attribution is like saying which beer got you drunk after you've had 12 beers. It was the 12th beer that got me drunk. Well,  sorta, but not really. And so when you get the best of both worlds in multi-source attribution He's asking people binary. Did you see or hear us  hear yes or no? What about here? Yes or no. And then all of those different options become the options where you ask of all of these, which is the most influential in making your decision.

And when you do that, you can start to see your patient's referral patterns change over time. So you don't swing from MD/DO referrals are everything to, now the internet is everything. You can see the nuance and the truth is that people  are coming to you from a lot of different ways.

And they're making the decision from a lot of different ways, but they tie in together and you need to be able to see that now that we've shown you, that it's not the most important, but, or it's not exclusively important. It's irresponsible to view it as exclusively important. Physician referrals still are super important.

We're here to talk about that strategy because of it. What are the six pillars that build a referring provider Strategy. 

Stephanie Linder: [00:07:24] So the six pillars that build our strategy around referring providers are number one. You have to make sure that your reporting is in line and cohesive. And we'll talk about that.

Number two is all the ancillary services. That's inclusive of things like semen analysis and HSGs and getting those ready to go. So OB's or any kind of physician can refer very easily to you. We'll talk about that as well. Number three is building the right content and number four is having the right events to promote and support that content.

Number five is the outreach with all of the referring sources and number six is actually making sure and following through that, those referrals actually come to you and convert. 

Griffin Jones: [00:08:10] We're going to go through these six different pillars. And it's important to do that because one of the questions we get asked all the time is should I hire a PL or not?

And that's a secondary question first is that you have to have the system. Then you can decide if you need one person, if it's worth it, having one person working that system most PLs will not be able to just set up a system like this. Some will, some PLs are worth their weight in gold. I think that many PLs are walking billboards and you're straight up wasting your money on them, but some of them are true physician liaison. So they are actually the liaison of the relationship between yourself and the other physicians in your area. They should be treated like gold. They should be compensated well. And if you're listening and that's not, you come work for Fertility Bridge because we're going to be, we're going to be opening up that client operational marketing seat to be its own position.

I might even already have that commercial in this podcast. I don't know if it's done. But Steph gotta be busy managing accounts. So if that's you and you want to do that for multiple clinics, you can come work for us. But for most people, I just don't, they're just not good at they're walking billboards.

So first before we hire somebody to go do that, we have to have them in a functional system. And then you don't have to worry about the walking billboard part, either fulfill the system or they don't. So what is reporting built from Stephanie?  

Stephanie Linder: [00:09:38] So when we look at reporting, we want to be sure there's very specific KPIs that are enjoined with it.

So here, we're looking at two specific KPIs. So what is your new patient volume and what is the total number of referrals, but within that number of referrals, we also want to look at the percentage of attribution, so the patient reporting. So these are the things that we'll focus on and you want to make sure that everything ties up to these two things. I guesse.

Griffin Jones: [00:10:07] And if somebody is listening, Hey, that's three KPI's. It's like, well, oh, well there's two main ones. And one of them gets split. So if your practice or your goals, aren't large enough to do a lot of outreach. Then you just need to measure these two things you need to know, okay, what are my new patient volumes easy?

And then I need to know the number of referrals, but they should be measured against each other in the ways that Stephanie says, if you don't have such big goals for growth, you can more or less stop there. You don't even necessarily need to do the rest, but before you put any substantial effort and resources into outreach, you should be reporting on activity across a few different categories.

So, okay. So we've got the main things to report on volume referrals and how referrals are split up. But once we decide we're going pass, what we're actually going to be doing enough outreach. Then we need to be monitoring the results of that activity. And you could break that up into six categories, which are what Stephanie?

Stephanie Linder: [00:11:14] So there's really three main reports. You will, of course, want to look at the people that are referring to you. And within those that are referring to you, you've not want to, not only want to look at the practice level, but you also want to look at your top 20 providers. So I say top 10 practice, top 20 providers.

And the reason is that there will be some folks that there's only an, a practice of 10 OB GYN, maybe only one is referring. And so they would normally fall down to the bottom of the practice lists.  But if you also look at it for providers, you can target and, you know, change your strategy a little bit to get that top referring provider, to start speaking to their partners and kind of spread the referral, use them to spread the referral patterns within that OB practice.

So that one is the most important, but I was the second most important is who are your targets for those that don't refer so same strategy. We need to look at the top 10 practices that don't refer. And then who are the top 20 providers that you want to target, whether they're in or not in that practice?

The next one is something that I don't see our clients do very often, so I wanted to bring it up. Who do you share patients with, but they have not referred? So all of your patients that get pregnant will need to, well that most will need to be sent back to an OB GYN for care and graduation. Very often those folks that you send back to, if they're pregnant, if they have successful pregnancies, you're naturally having a word of mouth referral and building your brand and reputation.

Hopefully your patient is speaking highly of you. But I was always shocked that people don't look at this list more often, because for me that would be the lowest hanging fruit. Hey, I'm sending patients back to why aren't we starting kind of a circle of referrals. So that would be the third, a report.

Looking at it again in the same way, both at the practice level and then also at the provider level. 

Griffin Jones: [00:13:23] I want to make that distinction for the listener too, because it wasn't immediately obvious when you and I were first talking about this, the referring targeting, not I thought, well, what's the difference between the non referring target at first?

And of course you could use this non referring patient sharing group to inform your target list, but it is kind of different, it's you have people that are, because we know that 40% of people are not being referred by a doctor. Well, they're still going to an OB when they have to deliver, they probably have a gynecologist, and those are the people that you share patients with.

And so if they're not referring to you, you still have that common patient that you can use to build that referral pattern. That was an important distinction. That you made that I think makes sense. If people want to see this visually go to the Fertility Bridge blog, you can see this article where we put in the different columns.

So you can see the different axes between practice and provider and then referring non-referral target, non referring and sharing patients. And so. If you're doing all of these things, you want to record them in you want to record your activity in a CRM. If you have somebody that's out there calling on these people and they are actually working a top 20 and top 10 lists for all of these, that's a lot.

You want to record that activity in a customer relationship management, a HubSpot  or Salesforce, you record the results, meaning who's actually referred in the EMR that, so if you've got your reporting set up, then we can start to look at other things that bring in referrals and what comes next on our pillars.

 


Stephanie Linder: [00:17:44] So the second pillar is ancillary services. And I want to share a statistic that I love sharing with our clients and really is kind of an aha moment is that 30% of patients that see your practice or a referral semen analysis or HSG will return to your practice for fertility consult within one year.

So this is a huge opportunity to get a referring MDs used to your practice. A lot of clinics don't do these ancillary services very well. Painful. So if you can make this process seamless, you will win over a new physician and it's a great entry point to get them to build trust and start referring for that initial consult.

 Griffin Jones: [00:18:27] So what are the steps in order to build that offering? 

 Stephanie Linder: [00:18:32] So we broke this down into four steps. The first thing is you just have to begin accepting outside semen analysis and HSG referrals. Most clinics do this, but I'm always surprised at folks that don't have an HSG machine or don't necessarily have andrology on staff.

So first make sure that's available and offered at your clinic. Second you want to promote that separately separate from, you know, the typical marketing brochure or patient facing brochures you drop off, you need specific content, and we'll get into that a bit later that promotes these services.

How do you send a semen analysis patient? What's the turnaround time? Make that very clear and contents. The third would be to provide a really good service. So your turnaround time at maximum to get these results back to patients. Should be 72 hours, if not sooner. And the fourth is educating these referring providers on what to do with these results.

And this can come in a lot of different ways through content, through events, through consults. I see a lot of people use our advanced providers to share this information back with the referring providers clinics. But it's clear that you educate them and be that source of education so they can begin to build trust and credibility.

So you can begin to build trust and credibility with these referring provider sources. 

Griffin Jones: [00:19:53] Okay, so we've talked about reporting, we've talked about ancillary services. What's the third pillar? 

Stephanie Linder: [00:19:57] So the third pillar is content. So once you've identify these ancillary services, you need a way to promote them as I referred to.

So you need to create this content, but even before jumping into the content, you need to make sure your foundation is set and you know, your brand guidelines are set. If that is not established, you need to work with fertility range, our work with your marketing team to make sure those brand guidelines are crystal clear.

But if that is establish, what you want to do is make sure that you pull out there were the three unique differentiators of your clinic, be of interest to the referring provider. Now I'm not talking about the same three differentiators that you talk about with patients, although it's quite possible they can overlap, but the three differentiators will fall into three categories.

And these three categories are your performance. This is an encompassing of success rates. What unique technology do you do? What happens differently in your lab? Is there anything unique with embryology? The second one will be all about the patient care. So this is where you get a chance to talk about your staff.

You as a physician and the way you communicate with patients. And then the third is the access to care. So are there financing options? Is it easy to get an appointment? Do you take a wide variety of insurance or if you don't, why don't you? So those. Differentiators are he to pull out again that are different from just the unique differentiators that you talk about to your patients.

 

Griffin Jones: [00:24:08] And this is where you can get really creative with things too. It's not just the pamphlet anymore. And I think you've all gotten the idea now that you're seeing so many of your colleagues destroyed Tik TOK and destroy Instagram that oh, doctors really are using this social media platforms. The rest of you that aren't doing that are using LinkedIn, like it's 2010 Facebook.

And so your doctors are in these places, this word is where you use your creative, because you're going to put them in different places, your referral pads, your referring provider page, which should be on your website. You should have a differentiator checklist, a preconception panel, and then how to interpret the essay guide.

And if you want to talk about that last one, I'll yield the floor to use absence. You said often find that's something that's missing. 

 Stephanie Linder: [00:24:59] Yeah, absolutely. So what often happens, not every clinic, but a lot is that they'll send the results of the seam and analysis back to the provider. And the patient is just unsure where to get the interpretation of the results.

Every REI listening to this podcast will agree with this when, how many times does a patient call you and can you give me my results of the semen analysis and your staff is tasked with no, you have to go to your OB for that. And that patient is very confused and that I've seen that lead to bad reviews on the fertility clinics page when it's not the responsibility of the REI, it's a responsibility of the person who ordered the semen analysis.

So the point of this all being is that if you can educate your OBS through written content through a guide, Through a video that says, this is how you talk about the semen analysis results with your patients. This is what a total modal count means. That will just prevent that from happening, which has such a ripple effect into your community, your referrals, your online reputation, et cetera.

So when Griffin talks about, you know, the pieces of content. That one is one of the most key ones that is not really done well in most clinics.  

Griffin Jones: [00:26:17] Should all be cogent with the rest of your marketing. You shouldn't be here's doctor outreach over here. That's just something we do to, we call on people. We invite them out to dinner every now and again, it's part of your brand.

It's part of the content that you create and getting creative is really important to have creative people and in messaging. These things is what helps you get apart from the herd that is doing the exact same things and having the same diminishing returns. So once we've got our content, now we can use that as a baseline for events, which is our fourth pillar, when you've got really good content, then you can create events about that. About those. And so what are some of the different events that people can build upon beyond lunches and dinners? 

Stephanie Linder: [00:27:10] Right. And I'm glad you made that caveat Griffin, because I think a lot of folks just think, you know, for sales reps or PLLs or physician liaisons that, oh, they just do lunches all day long.

And with the advent of COVID, all of a sudden folks are like, oh, there's no access. And they've given up, well, it's time to get creative. It's time to stop using lunches can be good strategically, but it's time. You know, just throwing $400 at the window and seeing what sticks. So the four events that you can leverage is the provider to provider meetings.

One-on-one I know we want to be useful of your time as a provider, but that sometimes they'll go further. Even if it's a virtual meeting than a lunch with 30 staff and no doctors. The second is provider to group visits. This can absolutely happen. And where a lunch strategically would make. But also a lunch does not always have to be done.

It could be something coffee in the morning, a snack people also just want to come and meet the provider for educational value. So if you can come and give them some kind of value or something, they'll learn that they can take to their patients. That's where you'll see the most ROI. The third is open houses.

I know Griffin, you challenged me on this a little bit. People want to see what happens behind the curtain, AK in the lab. And if you have a beautiful space, you have a lab with really cool technology. It's a huge opportunity to show this off, now this would be strategically used with a new doctor, a new location opening.

But I still think they are very useful and the last would be single topic, educational events. So it ties back to what I said is that OB's and you know, sometimes primary care providers, wellness providers are desperate for education around fertility. So if you can say, look, we're doing a virtual event, an in-person event, we're going to talk about, you know, the five markers that you need to look at for your fertility patients, people want to come to that. They want to learn and they want to meet you. So make it valuable. 

Griffin Jones: [00:29:09] All four of these can be turned into they can all be in person, they can all be virtual and go ahead and turn them into a lunch and dinner. If you want to. All I'm saying is the content of each of them should be good enough that you don't have to be buying somebody lunch or dinner if it's not relevant.

Okay. So we're making our way through our six pillars. We've talked about reporting. We talked about ancillary services like HSG and essay. We've talked about content. We've talked about the events that you build. Upon and beyond that content. So what is the actual outreach like? 

Stephanie Linder: [00:29:42] what's important to know as even with the best physician liaison in the world, especially as a newer practice, new location, new doctor, no one can replace the true REI and their relationship with a physician.

So your reputation must be trusted in order to really build and accelerate the referral network. Bottom line is you need to be accessible. You need to be present and you do need to communicate with these referring providers. So there are some places where the PL just can't fit in for you or replace you.

And so this would be allowing residents to do rotations. Just this, the relationships you have with medical schools, shadowing, and coming to visit your practices because eventually those. The OBS of the future. All the relationships that you made in residency are so valuable as you go into your future practice, our into your practice.

And the third would be your memberships in the specialty society. You need to show up to those. That's crucial to make those relationships after hours. And then also it's the grand rounds and the journal clubs. Again, you're educating the doctors of the future. And so what you do now does pay off three, four years down there.

Griffin Jones: [00:31:03] It's this ties into the content via events and everything else. Because as a referring as a physician who is referring, it was being referred to by other physicians. It's your relationship. And the more that you have to build upon and include the rest of your team and the rest of your practice, the more you are extending that relationship of which someone else can be the liaison.

And even though it's not your field, you can kind of get the example from what Stephanie and I do. Many people bought  Fertility Bridge for Griffin because people heard me on the podcast, et cetera. But guess what? I don't manage accounts at Fertility Bridge, Stephanie does and part of the reason that we're able to make that transition is one Stephanie's in the first sales call with people.

So even before somebody becomes a true client or at least in the goal diagnostic, She's in there. And so people are meeting her. If we decide somebody's going to move forward, we bring our project manager into this second meeting so that they're meeting these folks before we even move on. And since you haven't been on the podcast, Stephanie people are prospects. Oh yeah Stephanie, she's on the podcast with you. And so it's even more familiar to people. So you were including these other people with you in the content so that you can distribute the relationship. 

And it's almost like a boomerang with the content, because not only are you  being featured in the content, you're also contributing to it. And you're also getting your orders as far as our philosophy from it. So you're contributing, you're receiving and that's should be true for the entire group.

So all of our points of view, we are really firming out as you've been able to see. So when. Stephanie's talking to somebody there's a lot more for her to go off of Fertility Bridge knowledge than just, oh, this is what I think Griffin would say. And so by you really participating in the content in the events, you're creating a cannon, a Bible, or an authority for which your people can both contribute and they also have their orders to go off of from there. So I harped on that for a little bit, but I just don't think it can be stressed enough. You are the person from which people have the relationship. They don't want to make the substitute if you just drop it on them. But if you bring in the other people and they trust them, then it's a much smoother transition and you can do it too.

From the ways that we talked about the ways that your PL is going to do this is through total office calls, updating the target accounts, they should be also updating the wellness providers. They should be touching these people twice a month. They should be doing the coordination of the content and events, and they should also be checking up on those referrals after those events.

So that brings us to our sixth and final pillar. What is referral? Follow-throughs Stephanie? 

Stephanie Linder: [00:34:13] Yeah. I want, we'll get into that in a second, but Griffin, I want to make a point too, is that when you say, you know, your senior physicians bringing in. There are supporting staff. It's of course it's a physician liaison or the marketing team if they have it.

But this is also great for when you have a new physician, join your practice, you as the seasoned physician or a medical director, bringing the new physician in almost as to say together. Like you can trust them, just like you trust me. And that's also how you start to build a book of business and see the ROI on that new fellow or that new position.

And you almost give your blessing. I think that's really important because that's a really important thing to any medical director that is hiring new doctors. Like they need to get them busy as quickly as possible. And that's one way. But going on to the referral follow through is, okay, great, we're getting people to refer to you now. It's how can I, how do we keep them happy? So there's four key things that you need to do to make sure that this follow through happens. Kind of going old school with the first one is sending a thank you note for that first referral. Now we're talking about people who have never referred to you before and start referring.

So the old school written thank you, notes, Griffin. I know you're a big fan. But it goes a very long way and people just don't do it anymore. So Hey, Dr. Jones, thank you for the referral. The second is just making sure that you are tracking your semi monthly touch points twice a month in your CRM. And you're checking in, you know, this is what's updated with your referral.

This is some new collateral we have, et cetera. The third is the  post console or referral note that is sent back to the OB or primary care doctor immediately following the patient's console. 

Griffin Jones: [00:35:53] Talk a little bit about how that's different from the thank you note? 

Stephanie Linder: [00:35:57] So thank you. Note comes after, you know, you get the referral, let's say, you know, your PL or you as a physician or whomever, it shouldn't be checking weekly to say, okay, Dr. Jones sent me a patient for the first time it's marked in the EMR. Great, I'm sending them a thank you note right away to say this patient booked their console, thank you so much, you know, you don't have to get as detailed, although some people do to say the consult actually in six weeks, we'll keep you updated.

But the post consult referral note six weeks later when that console it happens with the physician. It's the physician's duty to say, okay and they have their specific criteria, again, we don't want to get too clinical, but there's specific criteria that say, okay, this is what they were diagnosed with, this is what we discussed. This is their plan of treating. And maybe they even less, like some of the genetic testing that they're planning to do, each clinic will be a little bit different, but it's basically a note to update the OB so they can keep it in their records to say, okay, my patient, I referred them.

They actually had the console. This is what they're moving forward with, whether it be IVF, third party services, et cetera. So it's a way to keep them updated on their patient. And then a way for them to know that eventually they'll be coming back to them for pregnancy care. So very easy to do this when you're a new practice or you're not busy.

This one often gets pushed to the side as a practice gets busier. And so the key is to create a workflow in your practice that this is templated a bit, or this becomes a part of your operations and it doesn't get pushed to the side. Once you get busy. 

Griffin Jones: [00:37:34] There you go, there are your six  pillars for referring provider strategy, reporting, ancillary services, content events, outreach, and the referral follow through. You need this system before you hire a PL if you're thinking about doing that, if you have a PL or multiple PLs, and you're not seeing the results that you want, or you have no idea what the results are its because one or more of these pillars are broken in the system. If you would like Stephanie and my help and Fertility Bridge's help, we can talk about that in a gold diagnostic, $600. It's quick, it's easy. You can make sure your people are on the right track. And hopefully this podcast was $600 of value just listening to it, Steph, thanks for coming on and going over this with us. And I look forward to getting into more detail in future episodes.

111: Stay Culturally Relevant by Learning from All Generations with Dr. Angie Beltsos

Dr. Angeline Beltsos on Inside Reproductive Health.png

This week on Inside Reproductive Health, Griffin Jones and Dr. Angeline Beltsos go down a thread of the multi-generational value that happens from colleagues mingling with each other. It’s important for an organization to learn from both the young and old to gain fresh perspectives. Organizations that do this well have many short-term and long-term benefits like being able to recruit well and staying culturally relevant long-term.

In this episode Griffin interviews Angeline N. Beltsos, MD. She is the CEO and Chief Medical Officer of Vios Fertility Institute. She is double board-certified in Obstetrics and Gynecology and in Reproductive Endocrinology and Infertility (REI). Dr. Beltsos is also part of the Clinical Research team at Vios and participates in a number of research projects and scientific publications. She has received numerous awards in teaching and has been honored as “Top Doctor” from Castle Connelly for several years. Dr. Beltsos is the executive chairperson for the Midwest Reproductive Symposium International, an international conference of fertility experts.

Topics discussed include: 

  • Learning from different generations

  • Principles of leadership

  • Leading as an executive

  • Recruiting younger doctors

  • How to be culturally relevant while aging

MSRI Conference: https://www.mrsimeeting.org/


Dr. Angeline Beltsos’s Information: 

LinkedIn: https://www.linkedin.com/in/angie-beltsos-b33a846

Facebook: https://www.facebook.com/angeline.beltsos

Website URL:  https://www.viosfertility.com


Transcript

Griffin Jones: [00:00:00] [00:00:00]Today. I talked with Dr. Angeline Beltsos about what it's like to start a meeting in the field. Hers is the Midwest Reproductive Symposium. What that entrepreneurial venture is like, and the benefits that come from that collegiality and from the networking that allow people to do business. Before I get into this topic with Dr. Beltsos. Today's [00:01:00] shout out, goes to Hannah Johnson, my friend, who's the chief strategy officer at  we're speaking together at MRS. So she gets this shout out. Hopefully she hears it in today's interview with Dr. Beltsos. We go down a thread of the multi-generational value that happens from colleagues mingling with each other, learning from different generations and the principles that, that takes into leadership in leading as an executive and also following by learning from the next generation, this turned into be a lot more philosophical than I was necessarily thinking, but we talk about the short-term benefits, like recruiting docs. It's going to be a lot easier. For you to recruit doctors and staff doing some of these principles, but also the longer-term headier stuff of being culturally relevant well into old age. I hope you enjoy this discussion with Dr. Angeline Beltsos.  Dr.  Angie welcome back to Inside Reproductive Health. 

Dr. Angie Beltsos: [00:02:04] Thank you for having me.

I'm so excited to be here. 

Griffin Jones: [00:02:07] The first time you were on, we talked about your entrepreneurial tendencies. We're going to talk about those same tendencies today, but applied to a different venture. Last time we talked about the Vios empire, what it was like to start a group, but this time I want to talk about a different venture that you started as far as I remember, and that is the Midwest Reproductive Symposium. That is an in-person now a hybrid in-person and virtual meeting, but it had been in person for years. And I want to talk about how that got started and what possessed you to do it. So let's start with what possessed you to do. 

Dr. Angie Beltsos: [00:02:47] Well, I had just started career after fellowship. It had been a few years and varying pharmaceuticals. One of the reps came and said, why don't we do a meeting in Chicago? We had the ASRM meeting, of course the national meeting. And then, California. We have the Pacific coast fertility society. And they said, why don't you do a meeting in the Midwest? And we can call it the Midwest Reproductive Symposium, the MRS meeting. And, here we are several years later .

Griffin Jones: [00:03:24] But why did you want to do it? I mean, reps probably come to you with half-baked ideas all the time. I've come to you with half-baked ideas before, so you could turn around, turn away or launch into any of them, I suppose. Did this one seem good enough to you? 

Dr. Angie Beltsos: [00:03:39] It seemed like filling a void. Although a lot of people go to a big meeting, like the ASRM meeting or SRA with thousands of people. And we get to see all our friends and learn the latest. It's also ironic that when you're in a big meeting, sometimes you don't get as much out of it. You don't get to. Actually speak with some of the thought leaders and, make new friends. And so the idea of having some of the thought leaders, not only in Chicago, cause we called it the Midwest meeting, but it was actually the place where it was held, not where all the attendees came from. And we had , immediately a national attendance and really some of the thought leaders in the world. It's an intimate setting. One in which we. Do have it at the Drake hotel where we have probably a max of around four or 500 attendees with that though you have a certain vibe that comes with that. There's a lot of opportunity to not only learn science, which is very important and be motivated to take some of that. Back home, really to change how people practice fertility and keep it modern and fresh and forward-thinking, but also to make a friends and colleagues that last not only for that meeting, but for a lifetime. So when they came up with it, that was sort of. Be relevant. 

Griffin Jones: [00:05:15] And you're right. People do come from all over. That's a nice thing about it being in Chicago is it's kind of easy to get to Chicago from anywhere if you're in the U S Chicago central. And then if you're not in the U S well, it's only an hour or two more for you probably than it would be any of the other major cities at most. So it's really central place. You got people from all over, but at what point did you realize that this was gonna be. You taking it on.  Did you know that from the beginning or were you thinking that, okay, Faron, go ahead and do this. I'll come and be the token REI. And what point did you realize that this was your baby. 

Dr. Angie Beltsos: [00:05:53] T minus,  six to nine months when the whole thing started, it was going to be something that I organized. With the, you know, some of the faculty that was with us and some of my colleagues, but they were like, all right, you're in charge of this, go at it. So we, I went around and I was like, who's really a heavy hitter today. And who are some of the thought leaders in the United States? And they were like, well, call them all up. See if they'll speak. So one by one, I called each person and everybody said yes, which was really surprising. I was like, hi, I'm Angie, do you want to speak at my meeting? They're like, sure. Hold on a second. I was like, Hey Richard, Scott, will you speak at my meeting? They were like, one moment, please. This is Richard. Like, yes, I will. I'm like, oh, okay. Bill Schoolcraft, will you speak at my meeting? Yes, I will. I was like, okay, then see you in June. 

Griffin Jones: [00:06:53] So this was 2003. That was the first year? 

Dr. Angie Beltsos: [00:06:58] This was. I guess it was '03. Huh? 

Griffin Jones: [00:07:01] That's what the website tells me that's before my time here. So I'm going to take the website for its word now, at what point did you start to build like committees and have recurring people in the beginning? It's like, okay, I'll call the people I know and ask them to be speakers how did that turn into like you have other people planning specific. 

Dr. Angie Beltsos: [00:07:24] Parts of it. Yeah, you know, it's a great question. We started with a meeting planner and me, and then she said, well, why don't you ask,  you know, some of your friends and colleagues who they think would be really important and relevant, so there was sort of this informal committee that she and I talked about and an organized, and she guided me for the first five years, Ferring was exclusive as a sponsor and they were. You know, an unrestricted educational grant. So they weren't really involved in the topics at all.  And you know, very much saying, find the best speakers, the best topics. So really high quality, I think. Things that were coming out as new things to consider doing in, in our field. And we had we had a blast, but over time, I would say the first year we had some of the speakers like Barry bear and bill Kerns, they said, why don't you ask them to be part of your committee? So we were about three or four people in the first, several years that started to help think through this. And then the people that were involved also came up with great ideas. They said, well, why don't the nurses don't have anywhere to go? Why don't you have a nurse program here? So we started the nurse practicum and then, a lot of the business minds in industry said you don't have really anywhere for business people to meet.

Why don't you do a business program? So we came up with a business minds. And this one , person was really interested in mental health and said, there's no place for mental health in any of these programs please. Can we add it in? So we started the mental health program and we thought there's no better place.

If you've got all these incredible people together, why not have some of the students of fertility? So we added in the. Reproductive endocrinology and infertility the REI fellows program. And they've been a strong part presenting their research and getting to know them. And it's funny because in the beginning, the students are they're learning, but then soon the student becomes the master.

Griffin Jones: [00:09:52] So, how do you get some of these people to keep coming back and chairing their specific segments? Because some of the people you've had for years and years. So how do you keep reeling them back in? 

Dr. Angie Beltsos: [00:10:04] I think that when you want something to be sticky in your life and you want to keep people engaged, it can't just be about black and white things.

There's some very important things about a meeting and. Only what you're saying, not only what you're doing, but how you make people feel like the Mio Angelo quote. And I think that becomes very important. So we are so intentional to make sure that people like Griffin Jones when they come to the meeting.

Yeah. You learned a lot, you made some new connections, but you also. Had a blast, hopefully, and music and time to socialize is very intentional people often say, oh, well, you know, why do you have all that in the meeting? But it's so important to make people feel good about coming back. 

Griffin Jones: [00:11:03] I think it's one of the things that binds all of that together.

Like you said, there's a fellows track. There's a business minds program. There's a nurse practicum there's for program for doctors and scientists and the size of MRS, and the social events bring it all together. It's a very good place to build relationships. I love ASRM. You can get more business done in four days of ASRM than you can four months on the phone.

In many instances, that's true for almost everybody across the field, but there's something about MRS. Where it is very good for building relationships. When I think to some of the strongest relationships that I have with docs and with other people across the field, it started there in Chicago. And I think it is this.

It is because you can go to one of the mental health talks and then you can jump over to another track if you want. A lot of people do the same track the whole day, but there are, there is so much programming for everyone. And then it's all tied in at the end of the day and Chicago. In June when it normally is in fantastic this year, it's going to be September, which is the other end of fantastic for Chicago weather is why you're not having it in June.

So let's talk a little bit about the changes that you saw. COVID happened. I mean, I imagine in early March you were kind of like everybody else, oh this isn't going to affect us. It's too far off. And then two days later you're like, 'no' it's definitely gonna affect this one in the next one. What was that like adjusting for COVID? 

Dr. Angie Beltsos: [00:12:38] I think like we were at Vios. ,sometimes it's good to be lucky. And we had thought very importantly about being nimble, being able to switch gears and pivot quickly. So when. All of this started to unfold. We didn't know if it was going to be two days, two weeks, two years, you know, sitting here talking to patient by patient, but for the meeting, we also felt it was going to be very important to be relevant and to continue.

So we were the first meeting to go in the fertility world to go into a virtual setting. And we just said, pivot and go. So we did our meeting in June. By zoom or by a video conferencing. And it worked out beautifully.  All things considered. We had great attendance and really used our program that we had anticipated.

And you used pieces of it. You can only get so much done. That is video sitting at your desk compared to being in person. So what we did is broke it into three parts and divided the typical conference into three parts of the year. The first one was during the meeting itself, but just not at the Drake and then play that out through the year.

So I think our sponsors really supported us as well to say, just go at it and continue to use our funds to produce. Meeting and do it virtual. So we did all of that for 2020. We did the whole program. 

Griffin Jones: [00:14:17] What's it going to be like this year in 2021? 

Dr. Angie Beltsos: [00:14:19] This year, the date of our usual program that like you said, it's usually in June, we are going to do virtual, just the board review course, which is going to be amazing. It'll be June 11th through the 13th, all virtual, but this is going to help people that are students, medical students, residents, but particularly the fellows who are preparing to become board certified. And during that program, we'll be diving really deep into the science and our real program for the Midwest Reproductive Symposium International 2021.

We'll be in person September 21st through the 24th, we will have also a virtual component to it. So it will be hybrid. And we're really excited about that as well. 

Griffin Jones: [00:15:10] What do you think. Should be virtual as we move beyond COVID, as we move beyond like the, that forced shutdowns. Right? What should be virtual moving forward?

2022 and beyond. And what should be in-person 2022 and beyond. 

Dr. Angie Beltsos: [00:15:29] You know that's a great question. We were talking with some of our brilliant board members. And like you said, are what started as our small group has now turned into, really amazing people that are part of our organization. And we talked that we wanted international, component with Scott Nelson.

He's our international board member, who is at the University of Glasgow in Scotland, but we have board members from coast to coast and. What we realize is that in different locations? And different time zones in private practice and academics. You have to now have this virtual component because people may not be able to attend, but they want to hear key lectures.

So there's going to be a couple of different options. One are just being able to get like a little appetizer, some key lectures. And then there's also the ability to watch the whole thing from around the world. And we expect that we'll have people from different continents participating now. And I think that's, what's really cool about it, but like everything else, there's nothing, that people don't enjoy more than being able to see each other.

Now, having some, coffee together, cocktails, you know, and like you said, building up relationships in person. So that's also going to be available. And I think that hybrid approach will be what we do with our patients. It's what you're going to see in business going forward, as well as,  these meetings.

Griffin Jones: [00:17:06] Do you ever see the hybrid programming shifting so that certain programs are all digital and then certain programs are all in-person. 

Dr. Angie Beltsos: [00:17:19] I think what there is in life, there is about 80, 75, 80% that you can communicate through an entire digital approach. And that includes some of the relationships we have and then the water cooler kind of effect, or the in-person contact will be missed if a hundred percent of it is done digitally.

So I think you can get a lot accomplished, with the video conferencing, but I think. That doing everything a hundred percent video, you will also miss some important things that happen when the cameras shut off. 

Griffin Jones: [00:18:05] I think so too. I wrote an article about this, right? As everything was shutting down, I wrote it in March, 2020.

It was like soon as they canceled PCRS, I fired it out. And it was an article about what I think should be in person. What I think should be video because our company has been remote since you've known me. We've always been remote, but I will tell you. It hurt even in, COVID not being able to get together, even though my project managers in Memphis, my operations managers in Nashville, my digital strategist is in Colorado, a account managers in Miami everyone's everywhere, but we still normally get together a couple of days a year.

In-person to do the stuff that we need to do in person, which is the major long vision strategy and the personal bonding, all of the execution we can do over video. So I wrote in that article, this is what I think should be in person. This is what I think should be done. Video. I think a lot of the speaker stuff in the future can be done via video.

I think the in-person workshopping and and the networking, is what the in-person meetings have to offer. So why don't we just start building those programs,  around that way? What do you expect to see this year in 2021, knowing that it's people have kind of gotten the habit of all, it can do it from zoom, but they've also, they're also kind of starving though.

So what do you expect to see this?

Dr. Angie Beltsos: [00:19:36] Well, we hope that some people will. Be able to, come from around the world and participate via zoom and via video conferencing. So I'm very excited about that. And I think that some of the key lectures you can present that. On a screen. But I think the dialogue that happens back and forth and seeing the audience in person is,  is also priceless.

We do workshops, which I think is also unique where we break the whole audience into groups that dialogue into kind of a small group, a round table kind of discussion on different topics. And I think that would be you know, better done. I think those kinds of things could be better done in person. 

Griffin Jones: [00:20:27] So those types of things, I see that as the future of,  in-person events.

And I sometimes think that events like yours are better poised than some of the larger ones for that reason, because it's kind of built for that. It's built for that in person, that in-person. Type of relationship building and yeah, I, you know, like I said I'm, I'm a hundred percent pro-zoom pro doing anything that can be done electronically.

Electronically, Fertility Bridge has never had a home office that said, I also don't think I ever would have built the relationships that I did had it not been getting to meet in person, even if I, sometimes there's lots of relationships that I have. Digitally first, but then I meet them in Chicago. I meet them at MRS and that puts a certain icing on the cake that is irreplaceable. 

Dr. Angie Beltsos: [00:21:19] Irreplaceable.

There's a great book called The Art of Gathering by Priya Parker. That was a gift from Hannah Johnson and it's how we meet and why it matters. It's a great book for those of you listening, who do care about meetings and how we meet and whether it's your family, whether it's your business, whether it's a big conference, it really is important to consider the elements that allow it to be successful and how you want that flavor.

To be what you want to accomplish. And I really appreciate you, Griffin inviting me to talk about, our meeting, but what the elements are. I think that intimacy is very important and people start to become more open in certain size groups , and numbers. So there are certain things we accomplish in the big symposium, and there are things that you get out of it by being able to speak and dialogue with your colleagues.

 Howard Jones God rest, his soul had, said some really important things to me about the MRSI meeting. And for those listening, he was one of the fathers of IVF in the United States. He had the 13th IVF baby, born, in the world, but he. He was saying that when you have a meeting, make sure that most of the meeting is your Q &A and talking, let the audience talk to each other.

Don't spit out all these lectures and, you know, we invite these brilliant people to give lectures with 75 slides in 20 minutes, but they really, you know, that, that idea of throwing out the topic, the latest. It's points of what's relevant and then let people talk about it. And that's when you really take things home.

Griffin Jones: [00:23:18] And do you have the opportunity to do that? Especially as a breakout speaker at MRS people always come up to me after MRS. Specifically. And it's great too, because if I need to talk to one person because they got to me first, say, Hey, I can see you at the cocktail hour later. They don't just, they can't just, they don't just lose me in the ether.

And that's. Maybe that's the Je Ne Sais Quoi of MRS 'cause I'm thinking I love PCRS. I love CFAS. And those two are smaller meetings that are very collegial and I really liked them. And I'm thinking, what is the Je Ne Sais Quoi of MRS? And I think it's partly Chicago. I think it's partly you Angie. And I think it is, multi-disciplinary focus, which isn't is true for the other meetings, meeting the size, meeting the social events. And I was talking with one of my employees today who's really advancing in their career. And I said to them, Part of being a senior person is even when you're in your role, you know, how you play into the rest of the picture.

So I think even if you're a mental health professional, and that's your thing, knowing what the doctors and scientists are up to right now is really important. Even if you're a doctor, knowing what the nurses are up to right now is really important. Even if you're a nursing manager, knowing what the business minds are up to right now is really important.

So I hope that you. Continue that streak at MRS as it evolves. 

Dr. Angie Beltsos: [00:24:48] Well, I appreciate that. And I think,  the other piece of all this, as we try to play a lot of music during our meeting before, during and after, and, when we talk about , you know, what makes things attractive is that people learn really well.

If you activate both sides of the brain, the right and left, and there's a lot of scientific studies, how important music is. So, you know, The music, in the very beginning, between every speaker and it activates that side of that art side of the brain the other , relaxing side. But then you throw in some hardcore science and it's supposed to really help with, feeling really good about things and having fun, but also learning.

  Griffin Jones: [00:27:50] So now that it's established and now that you also have an established practice group, what do you think you get out of it? 

Dr. Angie Beltsos: [00:28:00] This has it's a really great personal question for me. It changed my whole stratosphere. My the course of my, my career. It changed the whole direction of who I am and how I practice medicine, who I talk to in a moment I wasn't doing, you know, I was just. One of a new grad of doctors in the country. And suddenly I was friends with the thought leaders. And from there you get invited to give a lecture in Canada and then you meet, go end up in Europe. And in Europe I met people from Australia, the president of the Australian fertility, and then all of a sudden you're in, I was in.

Australia giving lectures and from Australia met someone and I was in China. So I literally went from being this little. Chicago doctor organizing a meeting and through it, I became, I made friends with people all over the world. People that showed me the backside of the kitchen. You know, you go to these great speakers, the, and they take you home and they invite you into their world and they teach you how to run your business and things to do and mistakes they made.

So. This out of all the things in my career, as far as fertility goes, this hands down changed the whole course of my life. 

Griffin Jones: [00:29:31] It's funny because you're talking about the history of you getting plugged into other people through this. My experience is you plugging in other people through this, like myself included, but I think of, you know, not to blow up your spot, Angie, but you are better at your fair share of you get more of your fair share of younger docs in recruitment than many people do.

And I think part of the reason for that is. Accessibility.  And I think  MRSI just a megaphone of accessibility. 

Dr. Angie Beltsos: [00:30:06] Yeah. It's been a, it's been a gift. I've been very blessed to have been given this opportunity to fund. I mean, the money that. Came through to, to organize, had to be properly managed. And through that you create a, hopefully a platform and the younger people that participated as fellows have become friends of mine.

And some of them  have joined Vios and some have been. You know, colleagues in the country and in the city and it's been awesome. So I think that was correct to that. We've had a chance to make new friends in a variety of age groups, not just the older , genre of thought leaders and people that invented what we do, including Louise Brown, the product of, thought leaders, but also the younger group.

We've become,  had that opportunity to get to know. So you're right. It's been a gift. 

Griffin Jones: [00:31:10] Well, let's end this thread of cultural relevance for a second, because I'm obsessed with it. I stay up thinking about how I'm going to be culturally relevant when I'm 88 years old, it's something that I really obsessed with.

It's like longevity meets sustainability meets just something I intrinsically really enjoy. And I see some of the advantages playing out for you. And I think that might be a gateway drug for the people that might not just geek out on it as much as I do, but if they can see yeah, you are the perfect case in point.

So, but if they can see the tangible benefits of what you've done, I think so many people are having a hard time recruiting doctors right now, recruiting younger staff and. One of the ways that you've been able to do that. As you give fellows a platform, you, they always, they know that they can call you.

They know who you are. That's really important. They see you. Content. And so maybe we can extend some of this to other people. They're not going to go off and start their own meeting because it's way too much fricking work. But even if they were a chair for one of your programs, even if they were a speaker at ASRM, that's more accessibility.

So maybe we could just talk about how that accessibility to the younger generation helps you stay relevant to them as they start to take over the reins. 

Dr. Angie Beltsos: [00:32:36] Yeah, I think that's such a fascinating topic of cultural relevance. You know, it's like a moment ago, sick was kind of a bad thing, but you know, that is so sick really.

Is that a good thing or a bad thing? Oh, I guess it's a really cool thing. And in the moment you become, you know, all of a sudden the words people use and the way that they approach life, but you're, You've got to be a little willing to always change. And human nature is the opposite of that. Don't get stuck in, you know, your old ways.

Try to learn, try to be a chair and take that stuff home and be a little uncomfortable. I think that's really important. Remember that when we lead the group, That we have to have humility and we have to be part of the group and let the group also have opinions and decision-making and feel valued and appreciated.

And it is a, very delicate balance. Isn't it. 

Griffin Jones: [00:33:43] Tell me more about that balance. What makes it so delicate? 

Dr. Angie Beltsos: [00:33:48] Because as the. Leader of an organization. You may be the medical director, some of the audience members, they may be trying to hire or keep, you know, these young, vibrant physicians. And they're going to be people that come and go for a variety of reasons, but we have to look in the mirror.

We have to be accessible. We have to be, a teacher and a student. That dichotomy has to exist. You have to be a leader and you have to be allow the others to lead you. And so there's this, this balancing act and your people in your life will be your witness, good, bad, or ugly. And they're going to talk and social media today.

It's just like our customers. They're talking about us. They're  explaining, you know, the day to day activity. And so you have to listen to people's dreams and their aspirations and support them. And we're not perfect at it. God knows. There, there is intent there, and you have to figure out what you believe in , and how you're going to do this.

You know, the MRS is a charity to me and Nelson Mandela says the most powerful way to change the world is education. And so many people helped us get to where we're at and I cannot repay them. You know, the people that believed in me and gave me a chance. Those, I can't give them money. I can't give them something to help them do what they did for me. The only thing I can do is turn and give forward, right? So we give to the next generation, the next people and the people that are attending to, provide the best care to people that want to have a family. If you just go back to your mission of why do you exist?

Why do you do what you do?  Trying to create a team around you and that cultural relevance is,  is always to be open minded, I think, and open your heart and your mind be accessible. And I think. Wanting to listen and be friends with people from all different walks of life. 

Griffin Jones: [00:36:04] I'm going to push back on one thing you said, of course, like I'm just like riding the lightning of 90% and I choose the one thing that I'm gonna push back on.

But one thing, the one thing that you said. Is that I can't pay them back. And for some of them, that's probably true. Maybe some of them are gone or some of them, you just won't have something to offer that they need in the rest of their careers or lives. But I think many of them, you are in a position to pay back that those that helped you get to where you are now.

Some of them may be being put out to pasture. Oh, we've heard from him. We got it. We don't need his ideas anymore. And you're in a position now to say, no, I really remember this person helping me out. I'm going to give them a platform. I'm going to help them maintain their cultural relevance because they helped me and they are still relevant to me.

So I see that happening and I see that. I remember the people that put me on in the beginning. And now that my cohort is, and we're not in our early twenties anymore. Angie, now that we're in our mid thirties, late thirties, and we're starting to be the executives and at the very least the director level and the owners of companies, the people that it's not just returning a favor either.

It's hey, I learned a lot from this person and I think they still have that value to teach. I think you can repay some of them. 

Dr. Angie Beltsos: [00:37:29] Yep. You know, I think about, the opportunities that we got at all levels. I remember. The person who gave me a scholarship to college, you know, the, like you said being thoughtful about that and reciprocating can be very powerful all the way to someone who spoke at my meeting and gave me, knowledge that helped me hopefully get one more person pregnant, that I tried something new and different and being grateful to them and honoring them is , is really important. 

Griffin Jones: [00:38:06] This is so meta because the topic that I'm speaking about at MRS this year is how to manage millennials and gen Z in the workforce in so Meta, because , at least some of what I've learned has been through interactions at MRS. And you're talking about this balance of leadership and following

I'm not a new agey person that says, oh, just listen and do whatever they say no, at the end of the day leaders lead, but leaders. Based on information that they see and they get that information by asking and interacting MRS is an awesome place to do it. And a good exercise that I do every year is it started with your kids.

Angie 1: because I just think your kids and their friends are really well raised. And anyone that wants to talk trash on how kids are raised the other day. Listen, most of the time, I might even [00:39:00] agree with them, but there's always examples to the contrary. And that's your kids and their friends and looking people in the eye taking.

 Ownership of whatever they're supposed to be doing there. You put them to work there at the conference and they're doing work and I love taking your kids and their friends and whoever the interns are out to lunch every year. That's a tradition. I started a couple years ago and. If they're there, I'm going to do it again.

Well, I enjoy it too though. Angie, like I, I just watched them. I watched what they go out. Like I watch what they go out on the dance floor too, versus what we got on the dance floor to, I watch how they interact with each other. I watch my own, my one rule for them when I take them out, is I, and they all.

Cause you and Nikki tell them before I've even taking them out. I say, what's the rule. They said, no cell phones at the table. I go. Right. And so, so then I just get to talk to them and, and see what they're interested. And the reason why I'm saying all of this in regard to your lesson about leadership and following is because iIf I want to be able to lead this cohort, when they're in the workforce in eight years, I need to know their language and I'm not just going to learn their language. If I start the moment that I need to learn the vocabulary, if I'm a bit invested in how they're growing up and how they're finishing high school, going through college, entering the workforce, picking up the things that they're doing along the way, I'm going to be able to speak their language.

A lot more fluently and be able to tell them no, shut up young person and listen in the way that they'll actually understand and doesn't come across like that. And a lot of that I get from MRS. 

Dr. Angie Beltsos: [00:40:43] Well, thank you. That's a funny part and a funny story I had, you know, these were always so careful we get as a charity.

Basically sponsorship and donations to try to run the meeting. And people don't want to go to kind of a small, simple hotel cause they want to be able to enjoy the space, but that all takes money. So I called one of the meeting organizers at a company and they said, I said, how much would it cost for someone to come and check people in and hand them their badge?

And they were like, that's $45,000 and I go, you gotta be kidding me. I was like, all right, kids get dressed. And I thought, you know, what a great way to have for a high school student. To have some exposure to a professional event, be responsible for the happy customer and the customer. That's being a little difficult.

And one of them. You know, they still quote today was one of the doctors that said, this does not say doctor on the top of it can make me a new badge. And I was like, yep, this is customer service. You know, people want to make sure that they're honored and they're whatever. And they had, and I want you to greet people and welcome them.

And so we ended up, Having the high school interns have their exposure. A lot of them put them on college applications and they said when they were applying, they used it as some of the things that they wrote about their experiences. But also for us, it allowed us to, have some young people be very kind and welcoming and hang out with Griffin Jones, but also was a lot less expensive than the, the company that wanted a big chunk of change to greet people. So. 

Griffin Jones: [00:42:38] Well, I'm glad that economic way pushed that forward because they have a lot to learn, but there's also a lot that we can learn from them. That's one of the multi-generational values of, I encourage other people to do it as well. You have to be able to speak the language, or you're going to get put out to pasture? There's another episode that I did with this. Almost on this theme with Hannah Johnson, who I'm speaking with at MRS. This year on millennials and gen Z, but it's the flip side of the coin too. Dr. Beltsos how do you want to conclude on MRS and collegiality and, or multi-generational collegiality in the field and tying that all together.

I'll let you put the bow on that with final thoughts. 

Dr. Angie Beltsos: [00:43:28] Thank you for inviting me to speak at your podcast. It's always an honor and a privilege. And in that same context, I think the Midwest Reproductive Symposium International that I at the end is supposed to cross boundaries.  It's supposed to take us that are wanting to be taught from the learned to be open to different ages, approaching similar topics.

Different perspectives. So we hope that the audience that is listening will bring themselves and their friends and their colleagues to our meeting. Not only this year, hopefully in 2021, but in the years to come. And that the meeting allows us to grow, stand on the shoulders of giants. Be a little uncomfortable with taking some of the stuff home and trying something new and continuing to be open to growing.

And I always ask people no matter where, how old they are is what do you want to be when you grow up? You know, as , we look to the future and, I think. That spirit is embodied in MRSI, so with that, I appreciate again, the opportunity to be with you to be,  motivated and inspired. 

Griffin Jones: [00:44:59] Angie, I'll see you at MRS, in September Inside Reproductive Health listeners. We hope to see you at MRSI in September. We'll have a link in the show notes, and we'll send that out with the email Dr. Angeline Beltsos thank you very much for coming back on to Inside Reproductive Health. 

Dr. Angie Beltsos: [00:45:15] Thank you.

The 6 Pillars of the Fertility Referring Provider System

By Griffin Jones and Stephanie Linder

Give referring providers some credit.

Not all of it..but some.

RP_1.png

Contemporary thinking about the impact of physician referrals on the REI practice tends to be polar. On one end, MD/DO referrals are responsible for the lion’s share of new patients. On the other, MD Referrals are dead and everyone finds their practice on the internet. Bent to their extremes, each pole is factually incorrect.

These are the facts as produced by a 2020 Fertility Bridge survey of over 250 REI patients from across the United States

  • 60% of REI patients are referred by a physician 

    • That’s a lot, but it’s far from 100%

  • 21% of REI patients say their MD referral was the most influential factor in choosing their REI

    • That’s the #1 slot, but 21% is far from a majority, and it’s almost neck and neck with location (20%) and recommendation from a friend or relative (19%)

RP 2.png

While it is remiss to favor a referring provider strategy to the exclusion of all others, it’s equally irresponsible to forgo a system for reliably growing and nurturing referrals and relationships. In order to sustain and grow referrals, your Referring Provider Strategy is built from six pillars. 

  1. Reporting 

  2. Ancillary Services

  3. Content 

  4. Events 

  5. Outreach

  6. Referral Follow-Through 

By systemizing these six pillars, IVF centers are able to grow and sustain referrals without always adding the overhead of an additional physician liaison. 

1. Reporting


Reporting is the first pillar of the referring provider system because time and money are wasted whenever it isn’t correctly established. Three key performance indicators measure your referring provider efforts.

  1. New Patient Volume

  2. Number of Referrals

    1. Total referrals-EMR

    2. % of attribution-patient reporting

If your practice or your goals for growth aren’t large enough to do much outreach, then you only need to measure these two KPIs. Before you put substantial effort and resources into outreach, however, you must report on activity and results across these six categories.

Chart.png

It’s important to consider both practice groups and individual providers for two reasons. 

  1. Your top referring physicians may not be accounted for in your top referring practices

  2. If you have served a provider’s patients very well, the earned trust can readily leverage a relationship with their partner

If 60% of patients are referred to your practice by a physician, that means 40% are not.  But 100% of pregnant patients are sent back to a physician for OB care.  Therefore, a powerful way to focus your target list is to look at the OBGYNs to whom you’ve returned pregnant patients but have not referred to you.   

Roughly 25% of physicians that provide OB care for fertility patients are never recorded as a “referral” in most IVF centers’ systems.  However, if they’ve heard good things from your graduated patients, and seen the results of your care, they have reason to engage you.  

Activity is recorded in a CRM. Results are recorded in the EMR. 

2. Ancillary Services

30% of patients that see your practice for a referral Semen Analysis  or Hysterosalpingography, will return within one year for a fertility consult.  SAs and HSGs are not just useful tests; they’re powerful lead generation tools.  Offering them creates a very low barrier for outside providers to refer. 

  1. Accept outside SA or HSG referrals

  2. Promote services separately (content) 

  3. Return results for SA and HSG to providers within 72 hours of the service performed 

  4. Educate referring providers on how to interpret results (events, content)

3. Content 

Once you’ve identified your targets and solidified your ancillary services, you need captivating content to reach and promote them.  As before creating any content, it’s important to establish brand guidelines. Beyond the look and sound of your brand, referring provider content must include three differentiators

  1. Performance (Success Rates, Technology, Lab, Embryology)

  2. Patient Care (Staff, Physicians, Communication) 

  3. Access To Care (Finance, Ease of Appointments, Insurance)

These differentiators appear across five key pieces of content: 

  1. Referral pads

  2. Referring provider page 

  3. Differentiator checklist 

  4. PreConception panel

  5. How to Interpret Semen Analysis guide 

Checking these items off of a to-do list does nothing to ensure their effectiveness. Messaging and design is paramount for helping the message to be received and this is where good creative comes into play.

4. Events

Thorough and poignant content makes for cogent event agendas. The return on traditional outreach had diminished for years prior to COVID-19. The pandemic only accelerated the need to rethink the same fruitless methods of calling on doctors and clinics. 

Four events increase provider referrals and positively impact relationships. Each of them can and should be done both virtually, and in person. Feel free to turn them into lunches and dinners when appropriate, but the content must be good enough that you don’t have to.

  1. Provider to Provider Meetings

  2. Provider to Group Visits

  3. Open Houses

  4. Single-Topic Educational Events

5. Outreach

Even among groups with excellent physician liaisons, no one can supplant the REI’s ability to build physician relationships. Your reputation as a trusted educator is crucial to building a referral network.  REIs must be accessible, present, and communicative.  

Four forms of outreach in which the fertility specialist has an irreplaceable advantage are

  1. Residency rotation

  2. Medical school and residency relationships

  3. Membership in local medical and specialty societies

  4. Grand Rounds / Journal Clubs 

 Once a trusting relationship is cultivated,  leveraging other staff becomes far more effective. When REIs are unable to participate, outreach to referring providers should be delegated in this order:

  1. Advanced providers

  2. Nurses

  3. Physician Liaisons and Marketing personnel

  4. Front staff 

The Physician Liaison supports these efforts strategically: 

  1. Total office calls

  2. Updating target accounts, including wellness providers

  3. Semi-monthly touchpoints

  4. Content and event coordination

  5. Referral follow-through coordination

6. Referral Follow Through 

Good News: You’ve gotten people to refer to you

Bad News: Now you have to keep them happy

Once a referral has been made, maintaining and growing the relationship requires follow-through in these forms: 

  1. Thank you note for initial referral 

  2. Semi-monthly touchpoint 

  3. Post-consult referral note immediately following the patient’s consult 

  4. Graduation update. If the patient is successful in achieving pregnancy, provide medical records, note and inform OBGYN that the patient will be returning to their practice 

WORK THE SYSTEM, GROW THE RELATIONSHIP

Though MD/DO referrals are not the overwhelming source of REI patients that they once were, they still do account for the most common influential factor in choosing a fertility specialist. Growing physician referrals isn’t about hiring a “door knocker” to distribute pamphlets and drop off bagels. A Physician Liaison may be an incredible investment or a complete waste of money for you.  First, invest in your system, considering the six pillars of reporting, ancillary services, content, events, outreach, and follow-through.

Should I Fire My Fertility Center's Marketing Director?

Should I Fire My Fertility Center's Marketing Director?

If your fertility marketing team isn’t returning the results you want, it might be entirely their fault. But what if it isn’t? REI partners and IVF executives need to be able to free themselves of most marketing responsibilities. Yet they can only fully walk away when someone else is completely in charge of the outcomes that grow the business. When outcomes are not explicit and enumerated, each party is left to fill in the blanks. You expected success in sales or IVF numbers, but your marketer judged their performance based on their input? There’s the mismatch in action.

102 - Understanding the Fertility Marketing System: Part 2, with Griffin Jones

On this episode of Inside Reproductive Health, Griffin goes through all the frequently asked questions we get about working with us and about the Fertility Marketing System. So, if you’ve ever considered working with us, but have been wanting to know more about how we work, this is the episode for you. In addition to answering all the frequently asked questions we hear, Griffin also elaborates on who is the ideal Fertility Bridge client and shares exactly what you need to do to get started working with us.

101 - Understanding the Fertility Marketing System: Part 1, with Griffin Jones

Since the inception of Fertility Bridge, our Fertility Marketing System has helped dozens of fertility clinics and businesses across the world. Our proven system of diagnosis (Goal and Competitive Diagnostic), treatment plan (Fertility Marketing Blueprint), application of treatment (Execution, Oversight, Advisory), and ongoing treatment can be applied to any business in the fertility field.

On this episode of Inside Reproductive Health, Griffin breaks down the Fertility Marketing System, outlining each step of our process, what is involved, and can help you decide which path might be best for your fertility clinic or adjacent business.

98 - Bridging the Gap Between Fertility Marketing and Sales with Griffin Jones

We’re taking a break from our usual show today! On this episode of Inside Reproductive Health, our own Griffin Jones talks about the Fertility Patient Marketing Journey, a recap of a recent blog post he wrote that can be found here: https://www.fertilitybridge.com/inside-reproductive-health/2017/10/17/fertilitymarketingfundamentals2018. From the initial touchpoint with potential patients (strangers) to how to continue patient delight post-treatment, Griffin offers his tips on how to make the most out of each phase.