Multi-Site Operations
A pain group's week is split between clinics and a procedure suite. Route callers to the site and the physician that actually performs what they need.
This is the multi-site failure specific to pain and spine: a group runs office consultations at one or two clinics and does its interventional work in a fluoroscopy suite or an ambulatory surgery centre elsewhere. The patient books both through the same phone number and remembers one address.
Physicians within one group differ in what they perform. Ablation, stimulator trials, intrathecal pump management and vertebral augmentation may each sit with a subset of the practice, and a pump refill in particular has to land on the provider and site your practice designates for it. Routing by service, not just by geography, is the only version of this that works.
Cover swaps, procedure days move, a physician picks up a satellite clinic for a month. When that information lives in the heads of two long-serving staff, callers get offered appointments that do not exist. You maintain the rota; the system applies it identically on every call, at every hour, across every site.
The common alternative is a caller passed between sites, repeating the story each time, and reaching voicemail at the third. Because every line is answered concurrently and the routing rules are shared, the sorting happens once, with captured detail travelling to whichever site owns the call.
Routed by service, not just by site
Enquiries reach the location and physician that actually perform the procedure
Every line answered at once
No caller queues behind another site's check-in rush or procedure morning
Your rota, applied identically
The same rotation rules on every call, at every hour, across every location
From a service matrix you maintain: locations, the services each supports, the equipment and staffing available there, and which physicians perform which procedures at which sites. The system executes that matrix. It does not infer capability from a procedure name or guess when a service is not listed.
Where scheduling integration is available for the system each site runs on. Integration is live and currently deployed on some platforms, available through API or FHIR on others, and available through secure workflow automation elsewhere. Where none exists, requests are captured and routed to the site's staff.
It can offer across sites according to your rules, including any travel or distance constraint you set and any restriction on which site should absorb overflow. If your practice prefers those callers to be handled by a person, that is a routing rule rather than a limitation.
Yes. Greeting, hours, holiday closures, after-hours behaviour and escalation destinations are set per site while the underlying rules stay shared, so a group-wide policy change is made once.
You update the rota and calls follow it from that point. Because one source drives every call, there is no window where a site's staff are working from a newer version than the phone. Anything your rules do not cover is routed to a person.
Yes, using transfer rules you define per site, per service and per time of day, with everything captured attached so the patient does not start again. Where nobody is available, the call is delivered to that site's queue rather than a shared voicemail.
Backfill
Backfilling Cancelled Pain Procedure Blocks
Why a released suite slot at one site cannot simply be offered to the clinic waitlist at another.
Referrals
Referral Intake for Pain and Spine Practices
Referring offices calling a group with several sites need one answer, not a transfer.
Escalation
Urgent Call Escalation for Pain Practices
How your practice's escalation protocol is applied consistently when the on-call physician is at another site.
Pillar guide
AI Receptionist for Pain Management & Spine
How a multi-site interventional pain and spine group handles its full call mix on any EMR.
See how MedReception AI handles after-hours calls, scheduling, intake, and patient communication for medical practices like yours.