IMD Broward 2026 — Digital Maturity Index | Expansión
Expansion Research · Vol. 1 · March 2026

The definitive benchmark of
digital maturity
in plastic surgery
in Broward County

50 practices. 6 dimensions. 120 points. Real data on digital presence, technology, reputation and response capacity — the market map your practice needs.

IMD-120 · Expansion Research 2026

Digital Maturity Index
in Plastic Surgery —
Broward County, FL

63.3
Average market score
/ 120 points
0%
Practices at
"Digital Leader" level
42pp
Gap: presence
vs. actual response
68%
Never returned
a call within 48hr
🏥50 practices evaluated
📊6 dimensions · 27 subcriteria
🔍Active mystery shopping
📍Broward County, Florida
📅Data: March 2026

Investing in digital presence
without real conversion

Presence vs. Response Gap — Broward 2026
D1–D4: Passive Presence66.8%
D5–D6: Active Response24.8%
⚠️ 42 percentage point gap between what is seen and what is responded to
D5: DM Response32.5%
D6: After-hours phone17.0%
  • The phone: the biggest blind spot

    50% of practices have no active phone system outside business hours. The patient calls — and no one answers or captures the lead.

  • Unanswered messages = lost patients

    24% of Instagram DMs received no reply in 72 hours. Only 12% followed up within 7 days.

  • Automation: near-zero adoption

    Only 2% have phone AI. 8% have basic autoresponders. The market is in pre-adoption phase.

  • 52% ignores Spanish-speaking patients

    Broward County is 31% Hispanic. Yet over half of practices have no Spanish content whatsoever.

The 6 dimensions of the IMD-120

A standardized instrument measuring both passive digital presence and real operational response capacity — with active mystery shopping in this market.

D1 · Passive
Digital Presence
15.5 / 20
Website, SSL, Google Business Profile, basic SEO, social media and Spanish content. 52% with no Spanish in a 31% Hispanic market.
D2 · Passive
Tech Infrastructure
10.7 / 20
Online booking, chatbot, CRM, payments and automation signals. Chatbot reached only 26% of maximum possible.
D3 · Passive
Content & Engagement
12.1 / 20
Content frequency and quality, Instagram engagement rate, video and format diversity.
D4 · Passive
Online Reputation
15.0 / 20
Google Rating, RealSelf, Healthgrades, Yelp and negative review management. The market's main passive strength.
D5 · Active
Digital Response (DM)
6.5 / 20
Instagram DM mystery shopping. Response time, system type, quality and 7-day follow-up.
D6 · Active
Phone Response
3.4 / 20
After-hours call (Monday 6–8 PM). Active system, IVR, professional voicemail, AI and 48hr callback.

What the market
doesn't know about itself

Measured data, not estimates. Real market behavior in Broward County, March 2026.

0%
Practices at Digital Leader level (≥96 pts)
None reached the top category
54%
Classified as "Basic" (48–71 pts)
Presence without operational automation
68%
Never returned a call within 48 hours
No manual or automated process
42pp
Gap between presence and response capacity
The largest gap identified in the study

D6: After-hours phone system

  • 30% with generic voicemail, no name or alternatives
  • 18% with IVR + basic professional voicemail
  • Only 2% (1 practice) with 24/7 phone AI
  • 68% never returned the call within 48 hours
  • Only 8% mentioned the specific procedure when calling back

D5: Digital response via Instagram DM

  • 24% never responded in 72 hours — lead completely lost
  • Only 2% showed AI + human integration
  • 8% with basic autoresponder; 90% manual response only
  • 30% offered an appointment in the first response
  • Only 12% sent a follow-up in 7 days — 88% no nurturing

Know your position
in the market

Data that lets you decide with real information, not intuition. Choose the level of analysis your practice needs.

Individual diagnosis
Individual IMD Scorecard
For your practice
Discover exactly where your practice stands across 27 subcriteria vs. the average, median and Top 10 of the Broward market.
$1,000
· personalized evaluation
What's included?
    Total IMD-120 score + 6-dimension breakdown vs. average and Top 10
  • Ranking across all 27 subcriteria (#X of 50 practices)
  • Comparative radar chart + city benchmarks
  • 3 main strengths identified with evidence
  • 5 priority improvement areas with action plan
  • 30-minute consultation to review results with the team
  • 4-page personalized report in professional format
  • Includes the complete IMD-120 study ($100 value)
Request My Scorecard — $1,000 →

Only available for practices evaluated in this study · Limited spots

Your practice vs. the market,
dimension by dimension

Scorecard IMD-120
Illustrative example
57
/ 120 · #28 of 50
D1 Presence
16/20
D2 Tech
11/20
D3 Content
7/20
D4 Reputation
17/20
D5 Digital Resp.
4/20
D6 Phone Resp.
2/20
#28/50
Global ranking
57
vs. 63.3 average
82
Top 10 average

The Individual Scorecard converts aggregate market data into a specific analysis for your practice — with exact ranking across each of the 27 subcriteria.

  • 01

    Your real score vs. the market

    Visual comparison across 6 dimensions against the average of 50 practices and Broward's Top 10.

  • 02

    Ranking across 27 subcriteria

    Knowing your average is 63 is not enough. The Scorecard tells you where you rank #3 and where you rank #45.

  • 03

    Prioritized action plan

    5 improvement areas with the impact × effort framework so you act where it matters most first.

  • 04

    30-minute 1:1 consultation

    Review results with the Expansion team to convert data into concrete operational decisions.

Request My Scorecard — $1,000 →

From data to action

The study identifies 8 concrete interventions organized by impact and complexity. Some require $0 and can be executed this week.

⚡ Week 1–2 · No cost

DM Autoresponder

90% of practices respond manually. An instant autoresponder retains 20–30% of leads that would otherwise be lost. Implementation: 15 minutes.

★★★
⚡ Week 1–2 · $0

Professional Voicemail

30% have a generic voicemail. Include practice name, hours and web/SMS alternative. Cost: $0. Immediate impact on D6.

★★★
⚡ Week 1–2 · Low

Spanish Content

52% without Spanish in a county that is 31% Hispanic. Translate services page and contact form. Direct capture of an ignored segment.

★★★
📅 Month 1–2 · Medium

24/7 Website Chat

Average of 1.02/4 for chatbot. 28% with none. A basic chat captures leads outside business hours without requiring constant staff availability.

★★
📅 Month 1–2 · Medium

Callback Process

68% never returned the call. A simple process: review missed calls at 8 AM, return before 10 AM — eliminates the market's biggest lead leak.

★★
🏗 Month 2–6 · High impact

Centralized CRM + Phone AI

The 42pp gap indicates channels operating in silos. Centralizing conversations with 24/7 phone AI in EN/ES closes the market's greatest vulnerability.

The market has data.
Do you have yours?

The complete study gives you market context. The Individual Scorecard tells you exactly where your practice stands and what to do first.

Secure payment via Stripe · Immediate access · No subscription