Subject: Practice Success

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May 26, 2023
Dear Friend,

Monday's blog post was Why the Middleman? You can follow the link to read the post online, or just keep reading for the rest of the story.

Teslas aren't sold at dealerships. There are none. They're sold at the manufacturer's stores and then built and delivered.

Throughout most industries the middleman is disappearing. Cut out the middleman, create more profit for the producer and a lower price for the consumer.

Yet in healthcare, middlemen are being created. Why the disconnect?

What opportunities does this create for the entrepreneurs who actually deliver the care?

Wednesday - Employment Insecurity - Medical Group Minute

Watch the video here, or just keep reading below for a slightly polished transcript:

Have they got a deal for you.

As a physician, you're concerned about increasing competition, declining reimbursement, and, of course, the continuing impact of the ACA.

So, you've been thinking, as have many, many of your colleagues, that it's time to give up independent practice, whether truly solo practice or as a member of a group. There's so much more security in hospital employment and a regular paycheck. Or so you and they think.

But what security is there in an agreement with a one or two year term? Or even a 7 year term...with a 60 or 90 day termination without cause provision? There is none.

Across the country, employees in many industries are just days away from a layoff or termination. Or, because they have no control over the decision, they fear that they are, which is just as bad.

Hospital employment? Sure, it's security . . . in some alternative universe.
Listen to the podcast here, or just keep reading for the transcript.

Many of the acts, actions and activities within the scope of your group's members' daily duties are manageable as they relate to your group's business strategy. They impact the success or failure of your group.

For instance, consider the conduct, comments, and other communication, verbal and nonverbal, between members of your team and patients, referring physicians, hospital staff and hospital administrators.

When untoward events occur, even the quickest action to ameliorate any damage is not the same as undoing the damage. Although I am all in favor of taking action to make the most out of an unfortunate situation through a Situation Transformer™, once the bell has rung, it can't be un-rung.

It's not enough to simply adopt strategies and implement tactics on the management level. You must train your group's members on policies and procedures consistent with the group's interests. And, you must implement both incentives and disincentives to best ensure compliance.

If not, "stuff" will happen which will lead to the bell ringing.

When that happens, you won't have to wonder for whom the bell tolls. It will be tolling for you.
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Books and Publications
We all hear, and most of us say, that the pace of change in healthcare is quickening. That means that the pace of required decision-making is increasing, too. Unless, that is, you want to take the “default” route. That’s the one is which you let someone else make the decisions that impact you; you’re just along for the ride. Of course, playing a bit part in scripting your own future isn’t the smart route to stardom. But despite your own best intentions, perhaps it’s your medical group’s governance structure that’s holding you back.
In fact, it’s very likely that the problem is systemic. The Medical Group Governance Matrix introduces a simple four-quadrant diagnostic tool to help you find out. It then shows you how to use that tool to build your better, more profitable future. Get your free copy Free.
Whenever you're ready, here are 4 ways I can help you and your business:

1. Download a copy of The Success Prescription. My book, The Success Prescription provides you with a framework for thinking about your success. Download a copy of The Success Prescription here.

2. Be a guest on “Wisdom. Applied. Podcast.” Although most of my podcasts involve me addressing an important point for your success, I’m always looking for guests who’d like to be interviewed about their personal and professional achievements and the lessons learned. Email me if you’re interested in participating. 

3. Book me to speak to your group or organization. I’ve spoken at dozens of medical group, healthcare organization, university-sponsored, and private events on many topics such as The Impending Death of Hospitals, the strategic use of OIG Advisory Opinions, medical group governance, and succeeding at negotiations. For more information about a custom presentation for you, drop us a line

4. If You’re Not Yet a Client, Engage Me to Represent You. If you’re interested in increasing your profit and managing your risk of loss, email me to connect directly.

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