• Welcome the the class.  Start here and share something about yourself with your classmates.  After that start a comment thread of your own and talk about your experience with the Lenis NFSS or some insight that would help your fellow trainees.  Thanks!

  • David Joyce MD, MBA started the topic in the forum 5 years, 8 months ago

    Share a negotiating experience and how did you feel about the result?  How does your practice or organization make capital budget decisions.  How do you make a purchase request and what is the framework for that request to be approved?

  • David Joyce MD, MBA started the topic in the forum 5 years, 8 months ago

     

    What access do you have to financial information and decision making that occurs in your practice or organization?  If you had access to all of the information, what is your level of competency to read, interpret and analyze?

  • David Joyce MD, MBA started the topic in the forum 5 years, 8 months ago

    Share your experience leading up to your decision to have Total Hip Replacement.  Your story can certainly help others as they progress through the process of getting well.

  • If you search the internet you will find plenty of information on how sleep apnea affects those in the transportation industry.  Just search YouTube and you we find everything from conspiracy theories, to Sleep Apnea as fake news to legitimate testimonials of people who are being successfully treated.  What do you feel about the condition?  Do yo…[Read more]

  • David Joyce MD, MBA started the topic in the forum 5 years, 9 months ago

    My dog Sugar, a yellow lab, suddenly took ill at the grand old age of 12.  I was not sure what the problem was but she was having urination issues, lethargy, and would not eat.  Now a Lab who does eat, that is extremely concerning.  We took her in and the Vet diagnosed a urinary tract infection that I thought, being a physician, had probably as…[Read more]

  • I think you have an idea for a PDSA project.  Problem , time involvement of MIPS.  Consider KQC.  One must be the estimate time requirements.  That can be as easy as keeping a pad and pencil on you to using your dell phone to capture the time requirement.  Create a small team of stakeholders, no more the 4 and go through the process.  Your Cause…[Read more]

  • Welcome, it is our pleasure to see you in class.  You nailed it, we are expected to learn business and leadership skill from those senior to us when their skill level is developed mainly through experience and not formal training.  You are willing to break that cycle and will discover a new way to approach issues you face everyday, from how to l…[Read more]

  • David Joyce MD, MBA replied to the topic dog 1 in the forum Howard Savage M.D. 6 years ago

    Thank you so much for your contribution to the class.  Others will read this and they will be comforted by your words.

    I am sure you will do well, you have a great physician.

  • David Joyce MD, MBA replied to the topic in the forum Howard Savage M.D. 6 years ago

    Great comment Kelly.  You have described the essence of “Quality Leadership”.  Problem is we see this form of leadership all to rarely in healthcare.   Having the confidence to give up control is a key feature of leadership although not so easily done by those of us trained in the healthcare system.  My favorite article on the subject is in the…[Read more]

  • David Joyce MD, MBA started the topic in the forum Course Objectives 6 years ago

    I have observed a hospital based practice for years.  Same leaders over that period of time.  The physician director keeps a low profile.  He follows the lead of the hospital CMO and rarely interacts independently at the department level.  His chief administrator (CA) is a nurse who has no formal business training but lots of experience.  Her lead…[Read more]

  • OK, I will start this thread.  One thing was consistent throughout my entire time in practice, and it did not matter what setting, private, HMO, military, hospital employed.  We generally improve things in two ways.  The first was the sidewalk improvement technique.  Staff would approach me with a problem, outline it quickly, after all who has tim…[Read more]

  • David Joyce MD, MBA replied to the topic in the forum Howard Savage M.D. 6 years ago

    I agree Tamy. The quickest way to achieve engagement of your team members in any meeting is to insure their is a democratic culture. The reason someone is on the team in the first place is that they have a valuable contribution to make. That contribution can be suppressed by poor meeting dynamics. Both brainstorming and brain writing idea…[Read more]

  • David Joyce MD, MBA replied to the topic in the forum Howard Savage M.D. 6 years ago

    This is from Tamy, moved from the comment section.

    “I will definitely apply what I learned regarding brainstorming and brain writing. We hold monthly staff meetings and there are several staff members who are more vocal than the majority. Brain writing will be incorporated in my next meeting and it will be interesting to see if the more…[Read more]

  • Hi Tamy

    Welcome to the class.  I love Chestertown, they had a 100 mile bike thing for MS i did several years ago.  Plus we got out black lab Stella from a family in your town.

    This class will fill in many of the business gaps from you MPH.  We designed it as much much more than a class on healthcare leadership.  We aim to provide a “Pocket MBA…[Read more]

  • David Joyce MD, MBA started the topic in the forum 6 years, 1 month ago

     Sleep apnea is probably the most unrecognized health condition.  Most of the people who suffer from sleep apnea are never diagnosed and treated.  Why do you think this is the case?  Is it a concern of yours?

  • Hi everyone, I am David Joyce.  I used to be an OB?GYN physician and then I went to get my MBA at Johns Hopkins.  After my second class my head almost exploded with the knowledge I was receiving and how I has so wished I had available to me through the time I was caring for patients.  The presentations will have several examples of the bad me an…[Read more]

  • David Joyce MD, MBA replied to the topic in the forum Howard Savage M.D. 6 years, 1 month ago

    Very nice Cheryl!  It sounds like you have already embraced a concept that sounds pretty much like creating and engaged team.  The first step is having each team member value their contribution to the team.  That can happen in a variety of ways with intrinsic and extrinsic motivators.  You will see the difference between them as you progress in…[Read more]

  • David Joyce MD, MBA replied to the topic in the forum Howard Savage M.D. 6 years, 1 month ago

    Thank you for joining us in class.  I hope the course was of value to you.  It represents a new way to help patients gain an improved understanding of what is happening to them.  We hope to continue its use as an addition to the information provided by your physicians and staff.  Fell free ths share the course with family and caregivers.  It give…[Read more]

  • David Joyce MD, MBA started the topic Thank You! in the forum 6 years, 1 month ago

    This course is your homework to protect the income you produce both personal and that which funds your practice operations.  I am interested in your opinion before you began the course. 

    To tell you the truth, when I was a resident, I had a friend approach me with a referral to her financial advisor.  I kept the appointment and did a lot of no…[Read more]

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