Orthopedic practice workflow runs on referring provider networks, pre-op clearance coordination, surgical scheduling constraints, implant catalog tracking, and post-op outcome follow-up. Strkr ships a CRM shaped around the orthopedic motion with HIPAA posture and BAA on request.
An orthopedic practice runs a workflow that no generic CRM understands. The referral comes from a primary care physician, a sports medicine physician, or an emergency department. Pre-op clearance pulls from cardiology, pulmonology, and primary care. The surgical schedule depends on OR availability, implant vendor rep schedules, and anesthesiology coverage. The post-op outcome affects referring provider satisfaction and the next referral. The pain points below are what Strkr onboarding hears on every orthopedic practice intake call.
An orthopedic referral runs through intake, insurance verification, clinical review, pre-op scheduling, surgery, and post-op follow-up. The lifecycle has gates (insurance authorized, imaging received, pre-op clearance complete) that are not sales stages. Strkr models the referral as a first-class object with gate status, referring provider, injury or diagnosis, imaging status, and surgical candidacy.
Elective orthopedic surgery requires pre-op clearance from the primary care physician, often with cardiology or pulmonology sign-off for high-risk patients. The clearance workflow runs through faxes, phone calls, and email. The surgical scheduler spends 11 hours per week chasing clearance. Strkr ships a pre-op clearance workflow with reminder cadence, provider portal upload, and OR schedule gating.
An orthopedic surgery schedule depends on OR time availability, implant vendor rep scheduling (for total joint arthroplasty, spine implants, trauma), anesthesiology coverage, and surgeon preference block time. Strkr integrates with the OR scheduling system (Epic, Cerner, Allscripts, Meditech) through the webhook spec with HMAC signing so the surgical coordinator sees the full constraint graph on the referral card.
Orthopedic implants (hip stems, knee tibial trays, spine screws, trauma plates) ship with vendor-specific catalogs. The surgical coordinator maintains a binder of vendor contact info, implant SKUs, consignment inventory, and reorder lead times. Strkr tracks implant catalog as a first-class object with vendor, SKU, consignment status, and historical surgical usage per surgeon.
The post-op outcome affects referring provider satisfaction and future referrals. Most orthopedic practices send a one-time thank-you note and never follow up on the clinical outcome. Strkr runs a post-op outcome workflow with 6-week, 3-month, 6-month, and 12-month touchpoints, surgeon-approved outcome summary to the referring provider, and PROM (patient-reported outcome measure) collection.
Orthopedic practice patient data (PHI, imaging references, surgical history) requires HIPAA posture. Most sales CRMs treat HIPAA as an enterprise-tier gate. Strkr HIPAA compliance ships with a BAA available on request at any tier, audit log retention tunable to malpractice carrier requirements, and AI retrieval scope limited to non-PHI fields by default.
The default CRM schema does not map to orthopedic practice workflow. Strkr ships a tunable orthopedic schema with Patient, Referring Provider, Referral, Pre-Op Clearance, Surgical Case, Implant, and Post-Op Follow-Up as first-class objects. The practice administrator can rename or extend anything.
A patient in Strkr carries demographics, primary injury or diagnosis (ICD-10), insurance coverage, consent status (HIPAA authorization, imaging release, treatment consent), and surgical history. The record drives the pre-op workflow and the post-op follow-up cadence. PHI access is role-scoped by default.
A referring provider carries specialty (primary care, sports medicine, emergency department, pain management), referral volume history, outcome satisfaction, and relationship tier. The record drives the referring provider outreach cadence and the referral quality analytics.
A referral ties to the patient and the referring provider with primary diagnosis, imaging status (needed, received, read), surgical candidacy, insurance verification status, and gate status (intake, clinical review, pre-op scheduling, scheduled, surgery, post-op). The gate status drives the triage view and the chase cadence.
A pre-op clearance ties to the referral with the required clearance list (primary care medical clearance, cardiology for high-risk, pulmonology, dental, hematology). Each clearance tracks status (requested, received, waived), request date, received date, and provider name. The workflow enforces completion before OR scheduling.
A surgical case ties to the referral with OR time, primary surgeon, assistant, anesthesiologist, OR nurse team, implant plan, and vendor rep assignment. The case ties to the hospital EHR surgical schedule through the webhook integration.
An implant carries vendor (Stryker, Zimmer Biomet, DePuy Synthes, Smith and Nephew, Medtronic), SKU, size range, consignment status, surgeon preference history, and historical surgical usage. The record drives the implant selection assistance and the vendor rep coordination.
The post-op follow-up object ties to the surgical case with scheduled touchpoints at 6 weeks, 3 months, 6 months, and 12 months. Each touchpoint captures PROM scores (KOOS for knee, HOOS for hip, Oxford Shoulder Score, Neck Disability Index), complication status, patient satisfaction, and surgeon notes.
An orthopedic practice cannot ship AI-drafted patient communication that sounds like a sales chatbot. Strkr AI drafts in the professional clinical voice an orthopedic coordinator uses, with retrieval scope strictly scoped to the patient and the referral. The jobs below land in every orthopedic deployment inside the first two weeks.
Strkr AI drafts the pre-op instructions letter with the surgery type, pre-op medication guidance (anticoagulation stop, aspirin, NSAIDs), fasting requirements, arrival time, and recovery expectations. The surgical coordinator reviews and sends. The letter lands in a professional voice tuned to the practice tone.
After surgery Strkr AI drafts an outcome summary for the referring provider with the procedure, intraoperative findings, implant placement, post-op course, and follow-up plan. The surgeon reviews and approves. The referring provider receives a professional update that strengthens the referral relationship.
Strkr AI drafts the pre-op clearance request to the primary care physician with the patient demographics, surgical plan, surgery date, and specific clearance questions (anticoagulation plan, antibiotic prophylaxis, cardiac assessment if indicated). The scheduler reviews and sends.
At the 6-week post-op touchpoint Strkr AI drafts a check-in email asking about pain level, function recovery, medication use, and open concerns. The patient response triggers the PROM capture workflow. The surgeon reviews the response in the weekly post-op review.
Strkr AI drafts the insurance pre-authorization medical necessity letter with the clinical history, failed conservative treatment, imaging findings, and surgical plan rationale. The practice administrator reviews and submits to insurance. Pre-authorization approval time drops as the letters land cleaner.
When a post-op complication occurs Strkr AI drafts the documentation note with the timeline, intervention, outcome, and recommended next steps. The surgeon reviews and signs. The documentation lands in the patient record for malpractice posture and quality reporting.
An orthopedic surgical coordinator managing 180 to 300 cases per year needs views that surface the right referral at the right time. The cards below are the views Strkr onboarding configures for every orthopedic coordinator.
The triage view surfaces new referrals by diagnosis category (hip, knee, spine, shoulder, trauma, hand, foot and ankle) and surgeon preference. The coordinator routes each referral to the correct surgeon panel for clinical review and schedules the initial consult.
Pre-op clearances outstanding past day 7 surface in the chase queue with the AI-drafted follow-up ready to send. The coordinator works the queue daily to close clearance gaps before OR scheduling slips.
The OR schedule view shows the next 60 days of surgical cases with implant plan, vendor rep status, and clearance status for each case. The coordinator confirms the vendor rep assignment and the implant catalog availability two weeks ahead.
The implant catalog view shows vendor inventory, consignment status, surgeon preference per diagnosis, and historical usage. The coordinator uses the view in the vendor rep call to confirm implant availability for the next week of cases.
The post-op follow-up view shows patients due for the next scheduled touchpoint with PROM capture status, surgeon review status, and referring provider update status. The coordinator runs the touchpoint cadence as a weekly workflow.
The referring provider analytics view ranks providers by referral volume, surgical outcome, PROM improvement, and satisfaction score. The practice business manager uses the view to identify referring providers for relationship investment and to catch declining referral patterns early.
Most orthopedic practices try a general CRM once and bounce because the schema does not fit referral workflow. The comparison below is Strkr orthopedic posture versus a generic sales CRM applied to the same practice.
| Feature | Strkr | Generic sales CRM for orthopedics |
|---|---|---|
| Referral as first-class object | With gate status, diagnosis, candidacy. | Deal with manual stage workaround. |
| Pre-op clearance workflow | Required clearances with chase cadence. | Manual spreadsheet or EHR silo. |
| OR schedule integration | Epic, Cerner, Allscripts via webhooks. | None. |
| Implant catalog tracking | Vendor, SKU, consignment as object. | Binder on the coordinator desk. |
| PROM collection | KOOS, HOOS, Oxford, NDI with cadence. | None. |
| Referring provider analytics | Volume, outcome, satisfaction per provider. | Basic contact record. |
| HIPAA with BAA | Available on request at any tier. | Enterprise tier typical gate. |
| Clinical-voice AI drafting | Tuned on medical conversation. | Generic sales chatbot voice. |
| Post-op touchpoint cadence | 6-week, 3-month, 6-month, 12-month. | Thank-you email once. |
The playbooks below are patterns Strkr onboarding sees across orthopedic practice deployments.
A 4-surgeon total joint practice in Phoenix ran its referral pipeline in a shared Google Sheet and the pre-op clearance workflow in Outlook. The surgical coordinator spent 24 hours per week on administrative chase. Strkr onboarding ran a 20-business-day migration configuring the referral schema with hip and knee workflows, pre-op clearance cadence, and post-op PROM collection. Coordinator time dropped to 12 hours per week.
An 11-surgeon multi-site orthopedic group across three Texas cities ran Athenahealth for EHR and nothing for referral workflow. Strkr onboarding ran a 28-business-day migration integrating with Athenahealth for patient demographics and the hospital Epic for OR scheduling. The post-op outcome summary to referring provider feature lifted referral volume by 22 percent in six months.
A 6-surgeon spine specialty practice in Minnesota ran complex insurance pre-authorization workflow with high denial rate. Strkr onboarding configured the AI-drafted medical necessity letter with the clinical history, failed conservative treatment, and surgical plan rationale. Pre-authorization approval time dropped from 11 days to 5 days.
A 3-surgeon sports medicine practice served professional and collegiate athletes with same-day MRI, same-week surgery turnaround. The pace required tight pre-op coordination. Strkr onboarding configured an accelerated pre-op workflow with sub-24-hour clearance chase, OR schedule integration with the surgical hospital, and vendor rep coordination for athlete-specific implants. Average time from referral to surgery dropped from 11 days to 5.
An 8-surgeon trauma practice served two level-one trauma centers with high-acuity cases. The pre-op clearance workflow needed to run inside 48 hours. Strkr onboarding configured an expedited clearance workflow with surgeon paging integration, implant rapid-order with trauma vendor reps, and the post-op complication documentation workflow that satisfies trauma registry reporting requirements.
Book a 30 minute call. We will walk through the referral schema, the pre-op clearance workflow, and the post-op follow-up cadence with your actual surgical case mix and referring provider network.
Strkr integrates with every major EHR through the standard webhook spec with HMAC signing and the published OpenAPI spec. For Epic the integration ties into the referral workflow (Referral Work Queue) and the OR scheduling (OpTime). For Cerner it ties into SurgiNet. For Athenahealth it ties into the patient demographics and the scheduling API. For Allscripts, Meditech, and NextGen it ties through the FHIR R4 standard. The typical EHR integration takes an engineering sprint of two to three weeks. The result is bi-directional sync between the referral record and the EHR.
Strkr is HIPAA compliant with a BAA available on request at any tier, which is a lower gate than most CRM vendors (who typically require the enterprise tier). The AI calls run with retrieval scope limited to non-PHI fields by default, and the admin can tune scope per workflow. The audit log captures every record read, record write, and PHI access with 90-day default retention tunable per tenant to the HIPAA-required 6-year retention. User access to PHI is role-scoped by default and can tighten further for break-glass access scenarios.
Yes. The implant object in Strkr carries vendor, SKU, size range, consignment status, surgeon preference history, and historical surgical usage. Multi-vendor catalogs (Stryker, Zimmer Biomet, DePuy Synthes, Smith and Nephew, Medtronic, NuVasive) configure as separate vendor records with linked implant catalogs. The surgical coordinator sees the full implant plan for each case 10 days ahead of surgery. The vendor rep coordination (consignment confirmation, loaner tray delivery, rep attendance) runs as a scheduled workflow with reminder cadence.
Strkr ships PROM collection as part of the post-op follow-up workflow with support for the standard orthopedic PROMs: KOOS for knee, HOOS for hip, Oxford Shoulder Score, Neck Disability Index, SF-12, VR-12, and PROMIS instruments. The PROM capture happens at scheduled touchpoints (6 weeks, 3 months, 6 months, 12 months post-op) through a patient-facing survey link. Scores store on the surgical case record and roll up to the surgeon analytics view. For practices participating in CMS quality programs (Comprehensive Care for Joint Replacement, MIPS) the PROM data feeds the quality reporting workflow.
Strkr runs flat per seat at $29 Starter, $59 Pro, or $119 Scale per user per month with a 14-day trial. For a 10-user orthopedic practice on Pro the monthly spend runs $590 for seats plus $49 for Strkr AI Enhancement. Modernizing Medicine EMA prices approximately $650 per provider per month. Nextech runs similar. Strkr sits significantly lower on seat price while delivering the orthopedic-specific capability for referral workflow, pre-op coordination, and post-op follow-up. For teams that need a full EHR replacement, Strkr is not the right fit (Strkr is CRM, not EHR). For teams that run an EHR and want CRM-style workflow around it, Strkr delivers.
Strkr is HIPAA compliant with a BAA available on request at any tier (relevant for all orthopedic practices), GDPR and CCPA compliant today, and SOC 2 Type II is in progress with a target of 2026-Q4. Integration tokens live in AWS KMS, platform credentials live in AWS Secrets Manager, and the audit log captures every record read and write with 90-day default retention tunable per tenant to the HIPAA-required 6-year retention. SSO via SAML or OIDC is live on Scale tier through Clerk, MFA with TOTP plus text-based verification is live across all tiers, and Verified Domains are live on Scale tier.
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