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Jessica Apel

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@japel

Active 1 year, 4 months ago
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  • Profile picture of David Joyce MD, MBA

    David Joyce MD, MBA started the topic in the forum Quality Leadership Discussion 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]

  • Profile picture of David Joyce MD, MBA

    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]

  • Profile picture of David Joyce MD, MBA

    David Joyce MD, MBA started the topic in the forum Quality Leadership Discussion 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]

  • Profile picture of David Joyce MD, MBA

    David Joyce MD, MBA added the topic to the Lesson Group logo of Johns Hopkins CME Business ProgramsJessica Apel 5 years, 1 month ago

  • Profile picture of David Joyce MD, MBA

    David Joyce MD, MBA added the topic to the Lesson Group logo of Johns Hopkins CME Business ProgramsJessica Apel 5 years, 1 month ago

  • Profile picture of David Joyce MD, MBA

    David Joyce MD, MBA added the lesson Welcome to Quality Healthcare Leadership to the course Group logo of Johns Hopkins CME Business ProgramsQuality Leadership for Physicians 4.0 CME #1 5 years, 1 month ago

  • Profile picture of David Joyce MD, MBA

    David Joyce MD, MBA replied to the topic in the forum Jessica Apel 5 years, 1 month ago

    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]

  • Profile picture of David Joyce MD, MBA

    David Joyce MD, MBA replied to the topic in the forum Jessica Apel 5 years, 1 month ago

    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]

  • Profile picture of David Joyce MD, MBA

    David Joyce MD, MBA started the topic in the forum Practical Tools of Leadership Discussion 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]

  • Profile picture of David Joyce MD, MBA

    David Joyce MD, MBA started the topic in the forum Quality Leadership Discussion 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]

  • Profile picture of David Joyce MD, MBA

    David Joyce MD, MBA replied to the topic in the forum Jessica Apel 5 years, 1 month ago

    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.

  • Profile picture of David Joyce MD, MBA

    David Joyce MD, MBA replied to the topic Discussion Question in the forum Quality Leadership Discussion Forum 5 years, 1 month ago

    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]

  • Profile picture of David Joyce MD, MBA

    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]

  • Profile picture of David Joyce MD, MBA

    David Joyce MD, MBA replied to the topic in the forum Jessica Apel 5 years, 1 month ago

    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?

  • Profile picture of David Joyce MD, MBA

    David Joyce MD, MBA replied to the topic in the forum Jessica Apel 5 years, 1 month ago

    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]

  • Profile picture of David Joyce MD, MBA

    David Joyce MD, MBA added the lesson Strategy and Decision Making to the course Group logo of Johns Hopkins CME Business ProgramsQuality Leadership for Physicians 4.0 CME #1 5 years, 1 month ago

  • Profile picture of David Joyce MD, MBA

    David Joyce MD, MBA added the lesson Tools of Leadership to the course Group logo of Johns Hopkins CME Business ProgramsQuality Leadership for Physicians 4.0 CME #1 5 years, 1 month ago

  • Profile picture of David Joyce MD, MBA

    David Joyce MD, MBA replied to the topic in the forum Jessica Apel 5 years, 1 month ago

    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]

  • Profile picture of David Joyce MD, MBA

    David Joyce MD, MBA added the lesson Leadership and Management to the course Group logo of Johns Hopkins CME Business ProgramsQuality Leadership for Physicians 4.0 CME #1 5 years, 2 months ago

  • Profile picture of David Joyce MD, MBA

    David Joyce MD, MBA added the topic Strategy Video Presentation Part 4 to the Lesson Group logo of Johns Hopkins CME Business ProgramsStrategy and Decision Making 5 years, 2 months ago

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  • Home
  • CME Program
    • MSD Leadership Institute
      • Quality Leadership for Physicians 4.0 CME #1
      • Finance Tools of Leadership 4.0 CME #2
      • Leading Improvement 4.0 CME #3
      • The Business of Leadership 4.0 CME #4
    • CME Courses
  • My Account
  • Testimonials
    • Ray Blackwell MD Chief Cardiothoracic Surgery Christiana Health System
    • David Levian Surgey Dept. Chief
    • Dr. Olivi Neurosurgery Faculty
    • Jon Kazillonis, DO Primary Care
    • Laura Herrera MD, MPH
    • Brooke Buckey , MD General Surgeon
    • Wade Chien, M.D. Otolaryngologist
    • Raymond Wittstadt, MD Hand Surgeon
    • Other Testimonials
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