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- Smart Operations in High-Cost Markets! (RTS Newsletter #11)
Smart Operations in High-Cost Markets! (RTS Newsletter #11)
PT Louis Ezrick on running an efficient practice that doesn't sacrifice quality, AOTA announces partnership with FDA's Health Care Hub Idea Lab, and much more!

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Community Spotlight ☀️ Smart Operations in High-Cost Markets: A Practice Management Case Study
![]() Louis Ezrick, PT | Meet Louis, owner of Evolve Physical Therapy in Brooklyn, where he delivers comprehensive treatment targeting underlying conditions rather than just managing pain symptoms. After witnessing the "churn 'em and burn 'em" approach in physical therapy, he founded Evolve in 2010 with a vision for dedicated one-on-one care in an inspiring environment. His patient-first approach has grown to five highly-regarded locations across New York. Welcome to the RTS community, Louisis 👋 |
In an in-depth discussion with Louis Ezrick about the future of healthcare delivery, one theme emerged clearly: the need to fundamentally rethink traditional models while maintaining quality care.
"From the beginning, I've always wanted to make something super elevated and nice," Louisis explains, describing his vision for modern healthcare facilities. Breaking away from traditional clinical settings, his practice emphasizes creating welcoming environments that enhance the patient experience.
"Physical therapy was birthed out of medicine, where offices had to be sterile. But we don't have those same requirements," Louis notes. "Yet the mindset persists." His practice has intentionally moved away from traditional clinical aesthetics, opting instead for wood floors and soft fabrics to create a more inviting atmosphere.
Technology Integration
The practice has embraced a comprehensive digital transformation, implementing multiple innovations:
CLouisd-Based Solutions: "Once everything's remote, it doesn't matter where your team is located. The world has gotten used to it at this point," Louis explains. This shift has enabled seamless collaboration and improved efficiency.
Smart Process Documentation: Implementing tools like Tango for process documentation and Loom for training has streamlined operations for onsite and remote resources. "These tools are great for creating clear, consistent processes that everyone can follow, even remotely."
Business Intelligence: "You need to understand what's really happening when phones are ringing in your office - who's converting, how many leads, conversion rates." The practice uses sophisticated analytics tools to track performance metrics and make data-driven decisions.
Data-Driven Decision Making
Modern healthcare requires sophisticated analytics capabilities. Louis's practice has implemented comprehensive tracking systems that monitor:
Patient outcomes and satisfaction
Operational efficiency metrics
Revenue cycle performance
Marketing effectiveness
"Without proper data analytics, you're flying blind," Louis emphasizes. "Every decision needs to be backed by solid data."
Focus on Patient Experience
"I don't like how traditional practices view healthcare. They don't make the connection between what people like and what they offer," Louis notes. His approach prioritizes:
Modern facility design with warm aesthetics
Streamlined patient communication
Enhanced digital engagement
Efficient scheduling and follow-up
Automated reminders and updates
Strategic Resource Management
Operating in high-cost markets like New York requires innovative approaches to resource management. Louis's practice has revolutionized its administrative operations through strategic allocation of resources and technology:
Market-Driven Innovation: "When you're in New York, you have to think differently about operational costs," Louis explains. "You need to find creative solutions to maintain quality while managing expenses."
Remote Operations: The shift to remote work opened new possibilities. "Once everything's remote, it doesn't matter where your team is located," Louis notes. The practice leverages remote administrative staff around the U.S.A. for non-clinical tasks, achieving significant cost efficiencies while maintaining service quality.
Technology Integration:
Digital document management
Automated insurance verification
Integrated billing systems
CLouisd-based team collaboration
Smart scheduling solutions
"By strategically allocating administrative work and leveraging remote teams, we've been able to control costs in one of the country's most expensive markets while improving our service quality," Louis emphasizes. "It's about being smart with resources and using technology to bridge any gaps."
"When you optimize your operations through both technology and smart resource allocation, it frees up your team to focus on what really matters - patient care," Louis explains.
Looking Forward
As healthcare continues to evolve, Louis sees tremendous opportunity in emerging technologies:
Artificial Intelligence: "AI will help reduce administrative burden and improve decision-making processes."
Enhanced Integration: "The future is about getting all these systems talking to each other seamlessly."
Improved Analytics: "Better data means better decisions and better patient outcomes."
Marketing Automation: "EMRs have largely ignored marketing. We need to meet patients where they are, with the information they need."
"Physical therapy practices need more technology," Louis concludes. "When we see practices using tech in innovative ways, it benefits everyone because that's still something lacking in our world. The key is implementing technology that enhances both operational efficiency and patient care - without sacrificing the human touch that makes healthcare work."
The practice continues to invest in new technologies and processes that will further streamline operations while improving patient outcomes. As Louis emphasizes, "Technology enables efficiency, but it has to be focused on creating a better experience for the patient."
World of Rehab 🌐
[Speech] In 2024, ASHA secured major advocacy wins including expanded telehealth coverage, improved Medicaid benefits in multiple states, and saw five new states join their Interstate Compact, while their members sent over 58,000 messages to elected officials, representing a 154% increase from 2023.
[Physical] APTA’s annual learning roundup covering their most popular courses in 2024 including payment, pharmacology, telehealth, and screenings.
[Occupational] AOTA announced its partnership with FDA's Health Care Hub Idea Lab in January 2025, contributing expertise to their virtual reality prototype Lilypad™ which helps visualize how medical technologies can be better integrated into home healthcare settings.
See you in two weeks!
-Eddie
P.S. Have questions about how to navigate all the information being thrown your way about technology and AI? I'd love to hear from you - reply to this email!
![]() | Eddie Czech, founder and CEO of Indie Health, created the RTS Newsletter. With over a decade of experience building technology for various businesses, including health and wellness, Eddie was inspired by a family member with ALS who received incredible rehab therapy. He's dedicated his career to improving outcomes for patients and providers. |
Last Laugh 🤣

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