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    Pursuing Medical Practice Success: The Big Picture

    Posted by Katrina Slavey and Dale Gentz on Apr 24, 2018 11:16:00 AM
    Part of the Pursuing Medical Practice Success series:
    1. An Hour a Month Could Save You Many Sleepless Nights
    2. The Practice Manager as Change Agent
    3. The Heartbeat of Your Practice
    4. The Building Blocks for High Performance
    5. The Big Picture

    The first four parts of our Pursuing Medical Practice Success series have focused on practice operations. Do the lessons learned so far also apply to a medical group or network and not just to an individual practice? Yes, they do. Here’s how:

    Like individual medical practices, high performing medical groups and provider networks engage their providers in the operational governance of their group. We use the expression “physician led, professionally managed” to reflect the important role providers must play in achieving organizational success.

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    Topics: Operational Governance, Engaging Employed Physicians

    Pursuing Medical Practice Success: The Heartbeat of Your Practice

    Posted by Dale Gentz and Katrina Slavey on Feb 15, 2018 2:29:00 PM
    Part of the Pursuing Medical Practice Success series:
    1. An Hour a Month Could Save You Many Sleepless Nights
    2. The Practice Manager as Change Agent
    3. The Heartbeat of Your Practice
    4. The Building Blocks for High Performance
    5. The Big Picture

    If you’ve been following along with our Pursuing Medical Practice Success blog series, you know why an hour a month can save you many sleepless nights. You also understand how important it is to hire and train a savvy practice manager whose main priority is to implement initiatives and follow through on performance objectives.

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    Topics: Operational Governance, Physician Practice Management, Medical Practice Consulting

    Pursuing Medical Practice Success: The Practice Manager as Change Agent

    Posted by Dale Gentz and Katrina Slavey on Feb 8, 2018 9:58:00 AM
    Part of the Pursuing Medical Practice Success series:
    1. An Hour a Month Could Save You Many Sleepless Nights
    2. The Practice Manager as Change Agent
    3. The Heartbeat of Your Practice
    4. The Building Blocks for High Performance
    5. The Big Picture

    In our recent post, we discussed the need for medical practice managers and providers to meet regularly in what we refer to as a Practice Operations Council (POC) setting. During these meetings, council members address medical practice challenges and opportunities and make decisions about practice operations.

    Identifying challenges and opportunities is only part of what is needed, however. For a practice to move from average to superior, someone must take responsibility to follow through on the decisions made in the POC meetings—to pinpoint and carry out the tactics needed to implement change and achieve results.

    Most often, especially in a small practice, this person is the practice manager.

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    Topics: Operational Governance, Physician Practice Management, Medical Practice Consulting

    Pursuing Medical Practice Success: An Hour a Month Could Save You Many Sleepless Nights

    Posted by Dale Gentz and Katrina Slavey on Feb 1, 2018 9:56:00 AM
    Part of the Pursuing Medical Practice Success series:
    1. An Hour a Month Could Save You Many Sleepless Nights
    2. The Practice Manager as Change Agent
    3. The Heartbeat of Your Practice
    4. The Building Blocks for High Performance
    5. The Big Picture

    Staying current in today’s rapidly changing medical environment is a challenge. The ever-present need to understand and implement new regulations, maintain patient satisfaction, and achieve fiscal responsibility can lead to many sleepless nights.

    So, what do you do?

    The answer is simple: Create a culture of accountability where all the stakeholders are partners in the solution.

    Medical practices that perform better than their peers don’t do so by accident. Their providers, management, and staff optimize medical practice operations because they are purpose-driven and focused on success.

    This is the first post in a multi-part blog series on how you, too, can move your practice from average to superior.

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    Topics: Operational Governance, Physician Practice Management, Engaging Employed Physicians, Hospital Leadership, Medical Group Consulting

    Physician Integration Strategies for Value-Based Care

    Posted by Lauri Miro on Dec 7, 2017 11:55:34 AM

    With the evolution from volume-based to value-based care, healthcare organizations have been viewing the service experience through a new lens—one that puts the patient at the center of the universe and calls for a more coordinated, integrated approach to care. As a result, many hospitals and health systems are taking a closer look at physician integration strategies that can help them grow market share while providing high-quality services at lower cost across the healthcare continuum.

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    Topics: Operational Governance, Engaging Employed Physicians

    High Performing Provider Networks: Do Your Hospital-Owned Medical Practices Measure Up?

    Posted by Lauri Miro on Mar 15, 2016 3:50:01 PM


    Implementing an effective operational governance model is a galvanizing first step on the pathway to developing a high performing physician network. Once this model is in place and physicians are taking an active role in the governance process, it is time to take a closer look at your medical practice network’s level of operational performance.

    Below we’ll examine four key questions that can help your physician and executive leaders gain valuable insight into how your physician network measures up to a high performance standard in today’s demanding healthcare environment.

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    Topics: Operational Governance, Engaging Employed Physicians, Network Evaluation

    Hospital-Owned Medical Practices: Managing for Performance

    Posted by Marc D. Halley, MBA on Dec 15, 2015 8:30:00 AM

    This post originally appeared on the MedCity News website on December 6, 2015.

    On a recent assignment, we encountered a hospital client who had built up a bureaucratic maze of medical directors and executives tasked with steering both the business and clinical sides of the hospital’s owned medical practice network. Unfortunately, rather than facilitating smooth operations, the additional layers of management slowed the decision-making process, created confusion for providers and support staff, and produced inconsistent operating performance from clinic to clinic.

    At the client’s request, we provided training on operational governance and introduced our council model to the physician network. As they began to implement our training, the physicians and other providers became engaged as peers and as partners, providing the positive peer pressure and clinical direction necessary for day-to-day operations within each individual practice and across the entire medical group.

    In implementing this new system of operational governance, our hospital client noted that many of their traditional medical director roles had become superfluous. As a consequence, they asked for our help in creating a streamlined and effective implementation management infrastructure that would support the new operational governance model and perhaps even allow for the elimination of these unnecessary director roles.

    Such a request is not uncommon; we have interim managers out in the field who are seeing similar situations on a regular basis. What we’ve learned from being on the ground is that, as we mentioned in the previous article, hospital-owned physician networks can benefit greatly from studying successful independent practices and applying what they learn to their own infrastructure.

    Let’s take a look at some of the principles of management that work well for independent practices and examine how those principles can apply in a medical practice network setting.

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    Topics: Operational Governance, Interim Management, Physician Practice Management, Engaging Employed Physicians

    Engaging Employed Physicians in Your Hospital's Success - Part II

    Posted by Marc D. Halley, MBA on Oct 5, 2015 10:00:00 AM

    In Part I of our post on engaging employed physicians in your hospital's success, we discussed engaging with physicians as business partners. In this post, we explore a successful model for decision-making, performance improvement and accountability.

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    Topics: Operational Governance, Physician Practice Management, Engaging Employed Physicians

    Engaging Employed Physicians in Your Hospital's Success - Part I

    Posted by Marc D. Halley, MBA on Sep 21, 2015 10:00:00 AM

    A few years ago, a client engaged us to conduct an evaluation of their multi-specialty, multi-site group practice, which was organized as an integrated component of a local health system. This multi-site network suffered from high physician turnover and annual financial losses in the millions. As we began to delve into the everyday workings of the practices, we found that the physician CEO who managed this network had an autocratic leadership style, and the providers had little input into decisions that affected their daily lives. The practice management team gave inadequate attention to clinical or service quality. Performance expectations were unclear. Provider productivity varied dramatically, and no one was held accountable for performance improvement. As a consequence, the individual providers felt no concern for practice or enterprise performance.

    We’d seen this scenario many times, and we quickly zeroed in on the fact that the providers’ indifference to the success of the organization was hindering performance improvement for the entire network.

    In fact, this lack of physician engagement had become one of the most critical barriers keeping the practices from reaching individual, network, and organizational goals.
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    Topics: Operational Governance, Interim Management, Physician Practice Management, Engaging Employed Physicians

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    Industry Insights from Leaders at Halley Consulting Group

    Halley Consulting Group has a proven track record of building high performing medical practices. We can show you how to continue to benefit from the downstream revenue provided by your owned physician network, while at the same time, diminishing the losses. If this type of measurable performance improvement would be of interest to you, please contact us! We would be delighted to visit with you. 

    Check our blog regularly for industry insights on many topics, such as:

    • Enhancing physician-hospital relationships
    • Improving performance through operational governance
    • Managing medical groups
    • Evaluating revenue cycle
    • Planning physician compensation
    • Facing changes in the healthcare industry

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