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Practice · Neurosciences & Spine

Time-critical pathways. Sub-36-hour admissions.

Stroke, complex spine and functional neurosurgery need a compressed admissions clock. We rebuild your inbound to hit it — every time.

For Chiefs of Neurosciences, Spine Program Heads and Managing Directors of neuro super-specialty hospitals.

Lead → Admit SLA

< 36 hrs

Median across 4 units

MIS Spine Surgeries

+186%

12-month cohort

Stroke Pathway Cases

+94%

Golden-hour intake

OT Utilization

82%

Spine + neuro combined

Procedure-level demand engineering

We target the procedures that move your P&L, not the ones that fill the OPD queue.

CATCHMENT TIER · PRICE RESTATEMENT

ARPU differs materially between Metro, Tier-2 and Tier-3 catchments. Switch tier to restate every procedure band against the payer mix and package ceilings we observe in that market — not a single all-India number.

Viewing Metro / Tier-1 · Representative catchments: Delhi NCR, Mumbai, Bengaluru, Chennai, Hyderabad, Kolkata, Pune.

Neuro-interventional (Stroke)

₹4.0 L–8.0 L

Golden-hour pathway, EMS referral

Minimally-Invasive Spine

₹2.4 L–5.5 L

Chronic back pain → surgical funnel

Endoscopic Spine

₹1.8 L–4.0 L

Day-care surgical intent

DBS & Functional Neurosurgery

₹9.0 L–16 L

Parkinson's / movement-disorder KOL funnel

Complex Craniotomy

₹4.0 L–12 L

Second-opinion & tumor-board

Epilepsy Surgery Program

₹6.0 L–14 L

Long-cycle diagnostic funnel

Methodology. Base bands reflect RDV's engagement dataset across 47 super-specialty hospitals, reconciled against CGHS/ECHS package rates, state-scheme ceilings (Ayushman Bharat PM-JAY, CMCHIS, YSR Aarogyasri) and empanelled TPA grids. Tier multipliers applied: Metro 1.00× · Tier-2 0.72× · Tier-3 0.55×. Actuals swing with payer mix, consultant-fee split and implant/consumable choice — the written Blueprint restates every band against your own HIS billing history before any spend is committed.

Clinical referral pathway

Intent → triage → consult → admission. Instrumented at every gate.

  1. 01 · Symptom-led intent

    Stroke symptom, sciatica, tremor and headache intent capture.

  2. 02 · Clinical triage

    Neuro-nurse triage; MRI/CT upload before consult.

  3. 03 · Time-boxed handoff

    Stroke: sub-60 min door-to-needle protocol. Elective: 36-hr consult SLA.

  4. 04 · Multi-disciplinary review

    Complex cases routed to neuro-tumor board or spine MDT before admission.

Case snapshot

Median 36-hr consult SLA; +186% MIS spine volume.

A representative RDV engagement in the Neurosciences & Spine practice line. Individual results vary by catchment, clinical capacity and payer mix.

Setting
Neuro super-specialty, 4 units across South India
Duration
12 months
Cohort
n = 2,140 neuro-symptom enquiries
Outcome
Median 36-hr consult SLA; +186% MIS spine volume

Figures engagement-verified against hospital HIS. No outcome guarantees implied; per NMC advertising guidelines.

Why Chiefs of Neuro & Spine choose RDV

Trust is earned in the operating logic, not the pitch deck.

Door-to-needle instrumentation

Stroke intake integrated with EMS dispatch and neuro-IR pager alerts. We measure the clinical clock, not the marketing one.

MIS spine as its own funnel

Chronic back-pain intent segregated from open-spine cohorts. Right patient, right surgeon, right first visit.

DBS candidacy screener

Movement-disorder screener built with your neurologist — filters candidacy before the OPD burns time.

Second-opinion MRI protocol

Imaging-review workflow that positions your spine surgeon as the plan, not another opinion.

From an engagement

"The 36-hour consult SLA looked aspirational on paper. Six months in, it's our default. Our stroke pathway now runs like a clinical protocol — because it is one."

Head of Neurosciences · South India 4-unit neuro super-specialty

Attribution anonymised per client confidentiality; engagement code verifiable in the founder-led review.

Talk directly to the founding partner who ran this engagement.

Request a Neuro & Spine Blueprint →

48-hour founder-led review. Fixed-scope. No lock-in.

Clinical authority

Content your clinicians will co-sign.

  • Neurosurgeon-narrated case walkthroughs (imaging → outcome)
  • Spine second-opinion library with MRI review protocol
  • DBS candidacy screener developed with movement-disorder specialist

Compliance posture

Every asset, every claim, medically reviewed.

  • NMC norms + time-sensitive claim review
  • Radiology-report DPDP handling
  • No comparative surgeon volume claims without empanelled review

Catchment note: Catchment optimization for stroke networks (city + 60km EMS zone) and elective spine corridors (Tier-2/3 India, Bangladesh, Nepal).

The 21-day diagnostic

What the fixed-scope engagement actually contains — for Neuro & Spine.

No mystery, no scope creep. Each week is instrumented and delivered against a checklist your MD and Chief signs.

  1. Week 1

    Door-to-needle and door-to-groin baseline audit; EMS relationship map.

  2. Week 2

    Spine OPD-to-OT leakage teardown; MIS vs open cohort split.

  3. Week 3

    DBS / epilepsy long-cycle funnel design; referring-neurologist mapping.

  4. Week 4

    Founder-led SLA blueprint with Chief of Neurosciences and Spine Head.

Where we compound

The unfair edge — for Neuro & Spine specifically.

  • Only intake stack that fires neuro-IR pager alerts from a call-centre event
  • Spine MDT and neuro tumor-board routing built into the CRM
  • Long-cycle DBS and epilepsy funnels instrumented across 12–24 months

Practice guarantees

What we commit to in writing.

  • Fixed-scope diagnostic — no retainer, no annual lock-in
  • HIS-verified attribution — every claimed admission traceable to source
  • No media markup — you see raw platform invoices at cost
  • Founder-led — the partner who scopes the engagement does the work

Objections we hear

The three questions MDs ask before signing.

We keep our answers on the record. If yours isn't here, ask it in the qualification form — the founding partner replies personally within 48 hours.

Stroke is EMS-driven, not marketing-driven.

The clinical event is EMS-driven. The catchment awareness that makes your unit the default EMS destination is not. We build the second — measured in EMS-routed golden-hour cases, not enquiry counts.

Our spine surgeons disagree on MIS positioning.

Then we don't publish until they agree. We facilitate a positioning workshop with your spine team before any patient-facing content ships. Clinical alignment is the deliverable, not an assumption.

DBS volume ramps too slowly to justify spend.

Correct in year one. Year two onward, a movement-disorder screener compounds — because Parkinson's and dystonia patients enter your ecosystem years before candidacy. We build the pipeline where it actually starts.

FAQ

The questions Chiefs of Neuro & Spine ask us first.

If yours isn't here, put it in the qualification form — our founding partner will answer it in the 48-hour review.

How do you compress the lead-to-admission time for stroke?+

By integrating your call center with EMS dispatch, pre-populating the neuro-interventional team via SMS/CRM alert, and gating intake on a 60-second nurse triage rather than a full-form capture. We measure door-to-needle and door-to-groin, not enquiry count.

Is MIS spine a real market or a marketing category?+

It's a real market with distinct patient intent — chronic back pain sufferers actively seeking day-care alternatives. Our content strategy separates it from open-spine content, which targets a different clinical cohort.

How do you build a DBS program from scratch?+

DBS is a KOL-led, long-cycle diagnostic funnel: movement-disorder screener → neurology consult → multidisciplinary DBS candidacy meeting → surgery. We build all four stages and instrument each.

Do you help with epilepsy surgery programs?+

Yes — these are 12-24 month diagnostic funnels requiring video-EEG capacity and epileptology depth. We build the referring-physician network and the patient-education arm in parallel.

Next step

Model your neuro admissions clock — then request a founder-led SLA audit.

  • 48-hour founder-led review
  • Category exclusivity by catchment
  • Fixed-scope diagnostic, no lock-in
  • Max 3 engagements per quarter