David Joyce MD, MBA

What is your experience with Advanced Care Planning in your practice?  Do you have a formalized practice?  Is it every provider for themselves?  Do you view it as a profit opportunity?  Do you see value in it as a practice activity?  Do you have a “best Practice” to share?

Do you have a formal mentoring program in you practice for new hires?  Did you get mentored and if so what was the value to you? 

Do you have a process in your practice or practice unit for large capital expenditures.  How do you decide on bring on a new provider?  What goes into the acquisition of new technology?  I am looking at the process from idea to purchase.  Who makes the decision, what is the basis for the decision?

Think about your prescription process.  I was a write and forget.  I assumed everyone took their meds.  What are you doing at the present time with respect to medication adherence and compliance?  Is their anything special in your prescribing process that draws attention to this issue?

Think about your prescription process.  I was a write and forget.  I assumed everyone took their meds.  What are you doing at the present time with respect to medication adherence and compliance?  Is their anything special in your prescribing process that draws attention to this issue?

Please introduce yourself to the class.  It is always nice to know who is in class with you.

Please introduce yourself to the class.  It is always good to share a little about yourself with your classmates.

Do you spend any time thinking about patient engagement?  Is it something discussed in your practice?  What do you do to improve engagement among your patients? 

Understandably maybe you are too busy to even worry about it.  I know, there were many days I was just worried about getting through the schedule and not making a mistake.  We cons…[Read more]

Welcome to the class.  I must admit, when I was in practice I felt my responsibility ended after I had written the prescription.  I believed it was my job to figure out the diagnosis,and propose a solution.  It was on the patient to carry out the solution, take their medicine.  I assumed most people did.  You are at the beginning of the cour…[Read more]

As you continue your career you shall be involved in capital budgeting decisions.  At my practice, at the end of the year we looked at how much money we had and then decided what to buy.  One year it was a mammogram machine to implement a new service line that we thought would be profitable for us and engage our patients.  The decision took ab…[Read more]

What do you think about variations.  My first practice locations was Ft. Hood In Texas.  There were 10 OB/GYNs in the practice, all trained at different places with different ways of doing the same thing.  I thought it would be a great environment because I could learn from them.  Was that the best for the patients?  How about costs, what effe…[Read more]

Has the concept of Value Based Care been introduced to you?  What have you heard?  How do you connect financial decision making with a volume to value change?  What are your thoughts about how this concept will affect your life as a physician?