Announcement

Mira x Orthopaedic Specialty Institute Partnership

How a rerouted first meeting with OSI's operations lead turned into a practice-wide partnership, and why a physician-owned group decided to put money behind its software.

Orthopaedic Specialty Institute Medical Group of Orange County

A physician-owned orthopaedic group serving Orange County for more than two decades, with main offices in Orange and Irvine and a network of affiliated subdivision practices.

Specialty
Multispecialty orthopaedics & sports medicine
Size
Physician-owned group · 2 main offices + subdivisions
Surgeons
56
Location
Orange County, California

The first time we met Ruth, we were not supposed to. One of OSI’s physicians had set up the meeting, got pulled to a different office that day, and sent us to the practice’s operations lead instead. So we drove up, last minute, to pitch someone we had never met, and Ruth greeted us the way every practice leader greets another AI vendor. “I went into the conference room, I sat cross-armed, and was like, all right, here we go, let’s hear another pitch.”

We love that she tells the story this way, because everything that followed came from that room.

Winning over the person who says no for a living

Ruth’s job includes protecting 56 surgeons from software that wastes their time. Vendors reach out near daily, and she has tried plenty: half the group was on Dragon, half still dictating to transcriptionists, and leadership was mid-search for a standard. What moved her was not a slide. “As they were talking and showing, it was just so different from any other AI engagement or scribe type platform that we’ve seen.”

By then, two of OSI’s own physicians, Dr. Daniel Gittings and Dr. Adam Rivadeneyra, had already proven Mira in their clinics and championed it upward. The practice’s usual proving ground runs top-down; this ran the other way.

We’ve tried other platforms for AI, and things work, but not like this.

Working with leadership, in person

The product earned the trial. The working relationship earned the rest. We learn a practice’s pain points the unglamorous way: sitting with the billing team, walking clinic hallways between patients, asking operations what actually breaks on a Tuesday. When something needs eyes on it, we drive down, sometimes on hours’ notice, the same way that first meeting happened.

Ruth describes the difference better than we can: “You’re not stuffy. It’s actually like you’re having a conversation with good colleagues or friends.”

That is the playbook. Ruth and OSI’s leadership team tell us where the hours and dollars leak, we build against their list, and every visit adds to it. Today Mira is in the hands of 34 providers across the practice, with 500+ hours of documentation time returned and $61K identified through more accurate coding.

The practice put money on it

The partnership is now official, and OSI went one step further: as a medical practice, OSI has invested in Mira. For a physician-owned group that watches every line item, that is the strongest signal a practice can send about its software.

From a rerouted meeting and a crossed pair of arms to a practice that owns a piece of what we are building. Cheers to some top tier early partners.

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