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David Joyce MD, MBA replied to the topic Welcome to the Discussion Forum in the forum Quality Leadership Discussion Forum 7 years, 9 months ago
I agree it does sound like the military except when dealing with small units like the squad level of Marines and Navy SEALS, Quality Leadership is in full view. The members of those teams are given a general framework to accomplish a task and then they are left with the ability to plan and then alter the plan as they see fit. It is a, giving b…[Read more]
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David Joyce MD, MBA replied to the topic Welcome to the Discussion Forum in the forum Quality Leadership Discussion Forum 7 years, 9 months ago
Hi Louis, thanks for the reply. You know that theory X is like 60 years old leadership theory, maybe older. Yet it has been the most common description our students characterization of the leadership style they have experienced. Why is healthcare so slow to adapt more a modern and clearly more productive leadership style? I have my own idea…[Read more]
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David Joyce MD, MBA replied to the topic Welcome to the Discussion Forum in the forum Quality Leadership Discussion Forum 7 years, 9 months ago
Wow Velma, you sound like you are channelling Deming. He ran into the same type of thinking when he attempted to bring his data driven improvement ideas to the American auto industry in the 1950s. The rebuttal he received ended up almost bringing down that same industry when he went to Japan and found a country with a dismal industrial e…[Read more]
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David Joyce MD, MBA replied to the topic Welcome to the Discussion Forum in the forum Quality Leadership Discussion Forum 7 years, 9 months ago
Beware of your categorization. Deming would likely never accept that method. In our world, rarely do we find an employee with low intelligence. On the contrary we find many who we perceive to be of unequal intelligence who are really just suppressing their contribution. Our jog is to empower even those people and provide a working en…[Read more]
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David Joyce MD, MBA replied to the topic in the forum Katelin Haley, DO 7 years, 9 months ago
You have hit the nail on the head. The very first thing I would do is initiate a practice improvement program. You do not need management to do this. You begin with a small project, small team, do something easy yet meaningful and when you realize improvement, make sure your results are seen by all. The methodology for this will come in ses…[Read more]
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David Joyce MD, MBA replied to the topic in the forum Katelin Haley, DO 7 years, 9 months ago
You have hit the nail on the head. The very first thing I would do is initiate a practice improvement program. You do not need management to do this. You begin with a small project, small team, do something easy yet meaningful and when you realize improvement, make sure your results are seen by all. The methodology for this will come in ses…[Read more]
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David Joyce MD, MBA's profile was updated 7 years, 9 months ago
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David Joyce MD, MBA started the topic in the forum Quality Leadership Discussion Forum 7 years, 10 months ago
Welcome to the Business of Medicine Program. Remember going to the new school and having to stand up and introduce yourself. Now is your chance!
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David Joyce MD, MBA started the topic Welcome to the Discussion Forum in the forum Quality Leadership Discussion Forum 7 years, 10 months ago
Describe the leadership style in an organization in which you were a member. How would you characterize the leadership style? Did it work?
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David Joyce MD, MBA started the topic in the forum Healthcare Reimbursement Discussion Forum 7 years, 10 months ago
Let’s hear your thoughts about the employment contract discussed in Part 2 of the video presentation. Is it fair? Would you like to change anything? Was it confusing? How does it compare with other contracts you have come across. Do you take part in making sure that reimbursement from payers is efficient and fair?
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David Joyce MD, MBA started the topic in the forum Negotiation for Healthcare Providers Discussion Board 7 years, 10 months ago
We enter into many negotiations every day. Please share a negotiation that you led or were a participant. How would you characterize the results as, win/win, win/lose, lose/win or lose/lose. If the results were less than optimal, what was the cause?
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David Joyce MD, MBA started the topic Financial Communication Course Pretest in the forum 7 years, 10 months ago
We always plan for the future, although sometimes not so much. Please share an experience from your practice where you purchased a piece of equipment, hired a new provider, or started a new service. What was the extent of planning behind the decision? Was there a written business plan available to all to review?
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David Joyce MD, MBA started the topic Welcome to the Discussion Board in the forum ACA and PCMH Discussion Forum 7 years, 10 months ago
How are you preparing for health care reform and the changes that PCMH and cost ranking may bring to the market. If you haven’t considered it at all, it is OK, you are not alone for a long shot.
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David Joyce MD, MBA started the topic Welcome to the Discussion Forum in the forum Leading Improvement Discussion Forum 7 years, 10 months ago
Tell us about your most frustrating, time consuming, keep me up at night problem in your practice. What metrics would you chose to measure that characterize the problem?
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David Joyce MD, MBA started the topic Financial Communication for Nurses CME Requirement in the forum Clinical Practice Improvement Discussion Forum 7 years, 10 months ago
Think about the most frustrating, expensive, keep me up awake at night problems that affect your ability to deliver care to your patients and share them here. Comment on the metrics that you would choose with which to base your process improvement project.
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David Joyce MD, MBA started the topic Welcome to the Discussion Froum in the forum Capital Discussion Forum 7 years, 10 months ago
What is your experience with asset acquisition in your practice? How do you go about requesting a technology that your patients need? What is your feeling for the process that the capital budgeting decision makers use to prioritize asset purchases?
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David Joyce MD, MBA started the topic Welcome to the Discussion Forum in the forum ICD – 10 Discussion Forum 7 years, 10 months ago
We are well into ICD-10, yet full scrutiny of claims is going into effect during 2017 and 2018. Is there a process in your practice to monitor billing at the higher level of scrutiny of coding by Medicare? If so what metrics are you following.
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David Joyce MD, MBA started the topic Welcome to the Practice Improvement Discussion Board in the forum Leading Improvement Discussion Forum 7 years, 10 months ago
Tell us about your most frustrating, time consuming, keep me up at night problem in your practice. What metrics would you chose to measure that characterize the problem? Think about it, these are your subjects of data collection, not possible solutions.
If you have not taken the course yet, tell us how you would normally approach the p…[Read more]
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David Joyce MD, MBA started the topic Welcome to the Discussion Forum in the forum Healthcare Leadership Discussion Forum 7 years, 10 months ago
Share a story about either good or bad leadership that you have experienced in your career? How would you characterize your present leadership style? Are there any changes on the horizon?
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David Joyce MD, MBA started the topic Welcome to the Discussion Forum in the forum Business Planning for ACOs Discussion Forum 7 years, 10 months ago
Are you currently a member of an ACO. If so, has your practice been changed. If not, what are your concerns about the ACO movement.
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