Spine Center Equipment and Staffing

Step 3: Review and Purchase Equipment
State of the art technology is a key attribute of the Spine Center. Based on physician preference and the services provided, a listing of the basic instrumentation and technology needs is provided below. Most manufacturers are interested in “partnering” with Spine Centers and may offer a package of value added programs/benefits to support purchase of their technology. Stereotactic guidance can be used for a variety of specialties outside of the Spine Center so the costs of purchase can often be defrayed across two or more specialties on staff at the hospital.

Initial Equipment List:
1. Stereotactic Image Guided System
2. Fixation Instrumentation
3. Graft Implants
4. Neuro Microscope
5. MIS System, including Electronic Medical Records
6. Outcomes Data Tracking System
7. Fluoroscopy
8. X-ray, Imaging and MRI Equipment
9. Specialty Surgical Instruments

Step 4: Recruit and Hire
When developing a Spine Center, two key positions should be recruited and filled. These are the Director and the Clinical Coordinator/Case Manager. During the first12 months, the administrator or director of the Spine Center performs marketing functions, however, in year 2, a director of marketing should be recruited. The Director will have numerous responsibilities within the center, including, but not limited to the following:

  • day-to-day operations
  • administration
  • contracting and business development
  • preparation of the annual budget and tracking performance against budget and operational targets established by the board of directors

As the primary interface between the hospital and the physician members of the Spine Center, prior experience in the medical environment, strong business skills and excellent communications are required for this position.

The Clinical Coordinator/Case Manager serves as the clinical hub of the center. This person directs each patient’s treatment throughout the entire length of care, including the diagnostic work-up, and the pre-, intra-, and post-operative phases. Strong clinical and management skills are required for this position.

Exhibit A - Direct/Indirect Costs Direct Costs for Center/Physicians

  • Outcomes Software and System
  • Standardized Protocols and Guidelines
  • Capital Equipment, Instrumentation and Technology
  • Physical Plant Renovations, Purchases, Furniture

Indirect Costs for Center/Physicians

  • Staffing - Full or Part-time
  • Clinical Nurse Specialist/Case Manager
  • Receptionist/Patient Care Coordinator
  • Administrative Operations Director for the Center


  • Patient Exam Rooms
  • Block Time/Designated Operating Rooms
  • Bed Allocation and Dedicated Spine Unit

Updated on: 12/09/09
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Spine Centers of Excellence: Marketing

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