Louis Costa

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!

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?

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?

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]

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 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]

 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]

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]