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

    The case study involves a few different areas of what you are now learning.  The is a group of 9 medical sub-specialists, all hospital employed on a 100% production based contract.  They joined the hospital about 7 years ago after being in private practice more than 20 years.  Some docs retired and some new faces.  They are all smart, they thi…[Read more]

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

    Case Study: Mayo Clinic Experience Leadership and Burnout

    Good leaders have employees that are highly engaged resulting in low turnover and a stable practice environment for the patients. We all know the benefits of employee engagement. Patients become engaged, they are healthier and require less resources. In a value based care setting this is…[Read more]

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

    Case Study: Mayo Clinic Experience Leadership and Burnout
    Good leaders have employees that are highly engaged resulting in low turnover and a stable practice environment for the patients. We all know the benefits of employee engagement. Patients become engaged, they are healthier and require less resources. In a value based care setting this is…[Read more]

  • Many physicians are looking for new revenue streams during COVID 19 and beyond.  Medicare is making it easy.

    1. Medicare CCM – one of the biggest barriers to patients is the copays.  Even the $15 – 20 they pay stands in the way.  Those copays can now be waived.  It ends up being lower compensation but provided needed volume.

    2.  Medicare Adva…[Read more]

  • Great questions, I love that you want details.  I wanted them as well, so I was able to obtain both of the physicians in question P/L statements.  Here are the differences.

    We can break it down as an income statement.

    Revenue

    wRVU – approximately the same

    Revenue – approximately the same

    Collections – the partner’s department uses their own d…[Read more]

  • David Joyce MD, MBA started the topic in the forum 5 years, 1 month ago

    An academic faculty surgeon was called into a meeting with the department chief. She was told she would have to see patients in a peripheral facility, 45 min drive one way, 3 times per month because her numbers were down. Normally she would have followed orders. Three days away from her regular job, and 6 extra hours in the car/month. Except she…[Read more]

  • David Joyce MD, MBA started the topic in the forum 5 years, 1 month ago

    Hello everyone. It seems like many of you have passed through the strategy planning section of the program so I thought it might be fun to take a very pertinent subject and run it though the process. Alternatives to in office patients visits must be employed to keep the revenue flowing. Medicare has loosen the rules for non in person E/M CPT…[Read more]

  • Hi Dennis, you must be kidding.   Small world.  I grew up in Needham and my wife is from Natick.   I went to Needham High School and lived near Eliot Elementary School.  I am very pleased you have joined the class.  Expect me to reach out often.

  • Wow!!  Clearly a major leadership deficit in that organization.  The negotiation course, the last in the program, addresses sizing up an organization and deciphering its culture among other things.  I am so sorry that happened to you.  I can’t imagine how vulnerable you felt at that point in your pregnancy.  One thing for sure, as a woman phys…[Read more]

  • David Joyce MD, MBA started the topic in the forum 5 years, 1 month ago

    This cartoon pretty much sizes up cost in healthcare.  It is the only industry in the U.S. where we feel there is a right to have the absolute best all the time no matter the cost.

    What is your experience with value based care and how is your unit approaching it.  The answer can be anything from denial to full on strategic thinking and ahead of t…[Read more]

  • Was the  decision to  close for 2 weeks made between you and your partner or was it the product of a team that had access to all of the same information as you?  What is the decision making process now and who is represented?

  • The solutions you suggest here have “Quality Leadership” written all overt them.  Candor and transparency should be embraced.  Decisional teams should be small but representative and if given the chance can be very nimble in response to a rapidly changing environment.  Granted there will be some delay but a decision coming from the team will ha…[Read more]

  • Good Morning everyone on this sunny Sunday here in Maryland.
    I sent you a leadership case study last week and wanted to provide some follow up. The clinic in question has added screening outside the facility that includes temp measurement. It is being preformed by a med tech, not a nurse but they are using a script as a basis for the screening. .…[Read more]

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