Subject: Practice Success

View this email online if it doesn't display correctly
April 5, 2024
Dear Friend,

Frustrated. Trapped. Duped, maybe.

That's the subject of Monday's blog post, It’s Not Hotel California, But Many Physicians Feel Trapped. You can follow the link to read the post online, or just keep reading.

According to 2023 reports, by 2021, nearly 70% of physicians were employed by hospitals or investor-owned corporations.

And now, they complain about the loss of autonomy, the imposition of workplace rules, less income potential, and (no) surprise, less job security.

According to a University of Chicago survey, approximately 61% say they have from no to only moderate freedom to make referrals outside of their employer’s system. Close to 50% say that they change their patients’ treatment to reduce costs, either to comply with their employer’s policies or because of financial incentives.

Stripped of their own patient relationships, of in-bound referral relationships, and of any independent business process, many believe that they’re trapped. They’ve checked out of their future, and fear that they can never leave.

From experience working with both office-based and hospital-based specialists in these situations, I can tell you that there is a functional exit door and that many have found it.

Other hospital/corporate-employed physicians are likely to be pushed out of the exit door as a result of the increasing number of healthcare entity failures and bankruptcies, such as the 2023 closure of American Physician Partners, which employed more than 2,500 physicians and other medical professionals.

Whether the exit is voluntary or involuntary, unhappily employed physicians and those that are laid off, are either going to leave practice, decide to take an entrepreneurial medical practice route, or, as good news for physician-owned medical groups, seek a medical practice future with an organization that views them as professionals, not as cogs in a system.
Tuesday - Who Comes Next? Medical Group Succession Planning - Success in Motion

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

Let’s talk about succession, as in leadership succession inside your medical group.

Merging onto a large highway made me start thinking about bringing others into leadership roles within medical groups. The object, of course, is to make sure that things don’t just stop when one of your current leaders, well, stops.

Often, we don’t think about succession until it’s too late. We tend to think about succession as an all or nothing sort of thing. Sometimes no one is being groomed to become the next group leader. Other times, a group member is just thrown all at once into the role when somebody resigns or dies. Or, perhaps there’s an election to fill the vacant leadership role without any available process for the outgoing person, assuming he or she is still around, to train his or her successor. Only very seldomly is there a formal process to train and mentor potential successors before they're needed.

Think about working with younger members in your group to slowly introduce them to governance concepts, to your group's business operations, and allow them to slowly take on leadership duties, all to prepare them for potential senior leadership roles. Over time, you can sort and sift through them to see who has the aptitude for the role and the interest in the role. Then, in case they don’t all stick around, you’ll have more than one person in the leadership pipeline.

I’m sure there are other approaches to this as well, but the key is to start thinking about succession before it’s too late. Then, start taking action on a formal process to train the future leaders of your group. 

Succession leads to your group's long term success.
Wednesday - The Only Thing the Hospital Has to Fear Is Fear Itself - Medical Group Minute

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

Psychologists and direct marketing experts (who really are applied psychologists) tell us that the fear of loss is a greater motivator of human behavior than is the prospect of gain.

Are you applying fear as a tactic in connection with your relationship with hospitals and other entities with which you have a Relationship Contract™ in place?

As you’ll recall if you're a regular reader, a Relationship Contract is an agreement that, as of the closing, creates an ongoing relationship between the parties. Its opposite is a Transactional Contract™, a deal that once it "closes," the parties go their separate ways – think of the purchase of a home.

Note that when I talk of “fear,” I’m not addressing the use of threats.  Instead, I’m speaking of fear of loss as an underlying current to a broader publicity push in favor of your group – a part of laying the groundwork for contract renewal.

In the context of your group's relationship with, for example, a hospital pursuant to an exclusive contract, the fear that can be harnessed includes the fear that your group will no longer desire to provide services at that facility, and the fear that you will pull back the added value services which you delivered over and above any contractual obligation in the course of your creation of an Experience Monopoly™.

When deploying fear based tactics, it’s important that you focus on an already existing fear, one that hospital administration is empowered to act upon, and one that is relatively soon to occur or to be avoided. But on the other hand, the fear can’t be one that causes the hospital administrator to freeze like a deer in headlights – he or she will be too paralyzed to take constructive action.

Last, fear alone isn't enough to spur positive action in your group’s favor:  You also have to drive home, hard, the fact that your group offers the complete solution to allaying those fears.
Listen to the podcast here, or just keep reading for the transcript.

I remember, as a kid, walking around Disneyland, noticing yellow "no parking" size signs labeled Kodak Moment. They indicated a great vantage point for taking a photo.

When Kodak was challenged by Fuji for dominance in the sale of photographic film, Kodak succeeded by changing the value proposition. They were no longer in the photo business, they were in the memory business. And who better to protect your memories, the cheaper alternative, Fuji, or the company synonymous with photography, Kodak? The answer was obvious.

But by 2012, Kodak was in bankruptcy, its core film business gutted by the digital camera.

What's darkly funny about this is that Kodak invented digital photography, yet chose largely to ignore it. Perhaps Kodak was too large to truly innovate. Perhaps it was too focused on film to make the switch to digital. Perhaps its employees, from executives to those working in its manufacturing plants, were economically handcuffed to film photography.

The same phenomenon is common in healthcare.

Many medical groups, especially hospital-based medical groups, choose, sometimes intentionally and sometimes simply by default, to ignore the fact that unless they establish an identity separate and apart from hospitals, their businesses will soon be obsolete.

Of course, their medical specialty will likely continue – but it will be controlled by someone else, whether by hospitals or by other groups which disrupt their business relationships.

Start taking action now to avoid having your own Kodak Moment.
Help Us Help You With Helpful Content

What tailored content would you most like to see during this
time? How can we focus on solutions to your most pressing strategic concerns? 

Please fill out our confidential survey to ensure we best serve your needs!
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.

, 926 Garden St., Santa Barbara, California 93101, United States
You may unsubscribe or change your contact details at any time.