#HCLDR Transcript
Healthcare social media transcript of the #HCLDR hashtag.
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See #HCLDR Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | HCLDR Moderator @hcldr Hello Everyone! Welcome to the weekly Health Care Leadership Tweet Chat #hcldr |
| HCLDR Moderator @hcldr Tonight on #hcldr we’re talking about Independence + Physician Practices – our blog has more info https://t.co/ETXyr1h4SX https://t.co/3g85szdZgP |
 | Joe Babaian 🇺🇦 @JoeBabaian RT @hcldr: Tonight on #hcldr we’re talking about Independence + Physician Practices – our blog has more info https://t.co/ETXyr1h4SX https://t.co/3g85szdZgP |
| HCLDR Moderator @hcldr Behind this blue circle is @Colin_Hung, community builder, marketer, #pinksocks, #TheWalkingGallery, #HITMC #HITsm and #HealthIT true believer from Toronto, Canada #hcldr |
| HCLDR Moderator @hcldr Helping to keep the chat flowing is wingman extraordinaire Joe @JoeBabaian #hcldr https://t.co/gWXpLTA2mA |
 | Colin Hung @Colin_Hung RT @hcldr: Helping to keep the chat flowing is wingman extraordinaire Joe @JoeBabaian #hcldr https://t.co/gWXpLTA2mA |
 | Robin Roberts @RRobertseHealth @hcldr @JoeBabaian Good evening gentlemen! #hcldr |
| HCLDR Moderator @hcldr Let’s start off with introductions! Tell us your name, what you do and where you are based #hcldr |
| Colin Hung @Colin_Hung @RRobertseHealth @hcldr @JoeBabaian Hello Robin! So nice to see you in #NOLA Thanks for being here on #hcldr tonight |
 | Michael Petersen 🇺🇦 @MPETERSEN_MD The man...the myth! |
| Joe Babaian 🇺🇦 @JoeBabaian @RRobertseHealth @hcldr Hello Robin! #hcldr |
| Robin Roberts @RRobertseHealth @Colin_Hung @hcldr @JoeBabaian Likewise #hcldr |
| HCLDR Moderator @hcldr For those new to #hcldr every week we gather at 8:30pm ET to discuss interesting & timely healthcare topics |
| HCLDR Moderator @hcldr Our #hcldr chat lasts 1hr. It's designed to educate & promote professional development, critical thinking & spur action |
 | Eric Goldberg, MD @DiagnosisMD @hcldr Eric Goldberg, Internal Medicine, #NYC #hcldr |
 | Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba Hello all. I'm Shereese here in Maryland. Let's do this. #hcldr https://t.co/yUOaplvwbc |
 | Charlotte Blease, PhD @crblease Thrilled to be part of the mighty OpenNotes movement @cmd418 @TheLizArmy @MariaHagglund @tomdelbanco |
 | Nathan Grunewald MD MBA FACS @NathanGrunewald Good evening #hcldr team! Innovation Officer and Hospital Employed Urologist checking in. Hi @Colin_Hung and @JoeBabaian 👋👋! |
| Joe Babaian 🇺🇦 @JoeBabaian @DiagnosisMD @hcldr Welcome! #hcldr |
 | Michael W. Roberts @michaelwroberts Good evening, #hcldr! Michael here in New Orleans. We work with orthopedic practices for marketing. |
| Colin Hung @Colin_Hung @DiagnosisMD @hcldr Hello Eric. Thank you for joining #hcldr tonight |
| Joe Babaian 🇺🇦 @JoeBabaian @NathanGrunewald @Colin_Hung Hi Nathan! #hcldr |
 | Mario Amaro 🐶 (The Private Practice Doc) @MarioATX_MD Hi #hcldr. Mario out of Houston. Go Stros! |
| HCLDR Moderator @hcldr You can read more about each week’s topic on the #hcldr blog https://t.co/ZeXP9qYIgJ |
| HCLDR Moderator @hcldr While intros continue, let’s go over some #hcldr tweetchat guidelines. |
| Colin Hung @Colin_Hung @ShereesePubHlth Helloooo Shereese. Always a pleasure to see you on #hcldr |
| Nathan Grunewald MD MBA FACS @NathanGrunewald @ShereesePubHlth Hi Shereese! #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @ShereesePubHlth Welcome! #hcldr |
| Colin Hung @Colin_Hung @NathanGrunewald @JoeBabaian Hello Nathan. Appreciate your ideas and tweets on #hcldr !!! |
| Robin Roberts @RRobertseHealth @michaelwroberts Hi 👋🏻 #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @michaelwroberts Hello Michael! #hcldr |
 | Sally James @jamesian Hi #hcldr, I'm a journalist in Seattle. |
| HCLDR Moderator @hcldr We assume all tweets during #hcldr express your own personal opinions & not those of your employer (unless specified) |
| HCLDR Moderator @hcldr Watch this blue #hcldr avatar for the 4 questions we’ll be discussing. They are labeled T1, T2, T3 and T4. |
 | Gigi Peterkin (she/her) 🎙♣️🏠🍷 @Gigi_Peterkin @ShereesePubHlth I know you're in Maryland, but this Philly girl loves your eye shadow, which can only be described as Eagles green. seriously fantastic. #hcldr |
| Robin Roberts @RRobertseHealth Robin, Health IT strategist here in Charlotte, NC #hcldr |
 | Bingle @TheBingle Bingle joining in from New York. Hello JB, Colin & all in #hcldr ! |
| Joe Babaian 🇺🇦 @JoeBabaian @TheBingle Hi Bingle! #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @NathanGrunewald Hey, doc! How's urology? #hcldr https://t.co/UiSjQWZixP |
| HCLDR Moderator @hcldr Please mark your answers with the appropriate T1, T2, T3 or T4 label so that people will know what you are responding to. #hcldr |
| HCLDR Moderator @hcldr Dissenting comments and opposing views are perfectly acceptable. Personal attacks, vulgar language and negative tweets directed at an individual are not tolerated. #hcldr |
| Colin Hung @Colin_Hung @TheBingle Hello Bingle! Thanks for being online with us tonight #hcldr |
| Bingle @TheBingle @JoeBabaian Glad to join in JB! #hcldr |
| Robin Roberts @RRobertseHealth @michaelwroberts We did thank you lots of fun in #NOLA #hcldr |
| Colin Hung @Colin_Hung @Gigi_Peterkin @ShereesePubHlth Evening Gigi. Thanks for being on #hcldr. Should be an interesting discussion tonight |
 | Beth Steckler (she/her) @purplemamabear Beth here. Hello all. #hcldr |
| HCLDR Moderator @hcldr Let’s get ready for T1 in just 1 minute #hcldr |
| HCLDR Moderator @hcldr This chat usually goes VERY quickly & lots of ideas will be shared, so please try to stay on topic. #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @Colin_Hung Hi Colin. Are we finished jet setting for the year? #hcldr https://t.co/3sXmp7sOla |
| Colin Hung @Colin_Hung @michaelwroberts Hello Michael. Your son's dinner dish looked delicious #hcldr |
| Bingle @TheBingle @Colin_Hung Hi Colin.... My pleasure to learn... #hcldr |
 | Jon McBride 🌴 @jamcbride Distracted by @astros tonight, but waving hello from the Space Coast of Florida. I’m a health technology nerd, love helping out wherever I can. #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @hcldr: This chat usually goes VERY quickly & lots of ideas will be shared, so please try to stay on topic. #hcldr |
| Gigi Peterkin (she/her) 🎙♣️🏠🍷 @Gigi_Peterkin @Colin_Hung @ShereesePubHlth Hi Colin. here I thought i was flying under the radar. #hcldr |
| Nathan Grunewald MD MBA FACS @NathanGrunewald @ShereesePubHlth Yellow and mellow. #HCLDR |
| Michael W. Roberts @michaelwroberts @Colin_Hung He’s almost 12 now, and he’s diving in to the whole cooking experience. I’m one proud (and full) parent! #hcldr |
| HCLDR Moderator @hcldr T1 Is the ownership structure of a physician practice a factor in deciding whether or not to be a patient? (ex: large group owned by partners vs hospital owned)? #hcldr https://t.co/8uatt2Qi09 |
| Colin Hung @Colin_Hung @ShereesePubHlth Not yet. I'm off to #IBAnalyticsSymposium tomorrow (90min drive) then a couple more conferences on the road before I'm done for the year. You? #hcldr |
| Colin Hung @Colin_Hung RT @hcldr: T1 Is the ownership structure of a physician practice a factor in deciding whether or not to be a patient? (ex: T1 Is the ownership structure of a physician practice a factor in deciding whether or not to be a patient? (ex: large group owned by partners vs hospital owned)? #hcldr https://t.co/8uatt2Qi09 |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @Gigi_Peterkin Thanks. And I'm an @Eagles fan. Ask @ebukstel #hcldr |
| Colin Hung @Colin_Hung @jamcbride @astros Hello Jon. Good luck Astros! Should be a great world series. #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @Colin_Hung I speaking at NYC's Blockchain weekend next month & then I'm done. #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @hcldr: T1 Is the ownership structure of a physician practice a factor in deciding whether or not to be a patient? (ex: T1 Is the ownership structure of a physician practice a factor in deciding whether or not to be a patient? (ex: large group owned by partners vs hospital owned)? #hcldr https://t.co/8uatt2Qi09 |
| Colin Hung @Colin_Hung T1 I don't think who owns a practice would impact my decision. Ownership conflicts of interest are not high on my list of must-knows. Much more concerned about #ptexp quality of care, etc. #hcldr |
| Robin Roberts @RRobertseHealth T1 Ownership structure of a practice can be factor - I often feel the large groups truly care less at all operational levels and don't go the extra mile. My family and I have felt treated like a number at times. On the other hand I have met brilliant MDs that are employees #hcldr https://t.co/72SmLCntyW |
| Eric Goldberg, MD @DiagnosisMD @hcldr T1 I think how the patient experiences the practice - red tape, hassle or ease matters more than ownership structure. Unless practice in a large setting, hard to tell - small office can be part of a huge owned network #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @jamcbride @astros Hi Jon! #hcldr |
| Mario Amaro 🐶 (The Private Practice Doc) @MarioATX_MD @hcldr T1: Absolutely. Think of it as a customer service issue. When it’s a large hospital or healthcare organization you’ll have multiple friction points that limit a direct response to a time sensitive problem. #hcldr |
| Nathan Grunewald MD MBA FACS @NathanGrunewald T1 Doubtful. Most patients have no idea on the ownership structure of most practices. They are most interested in the best care possible. #hcldr |
| Beth Steckler (she/her) @purplemamabear T1 personally a number of situations have me very interested in finding a #DPC in our state. A decision was made re my son’s HC at a administrative level . They did not know his hx, what other options tried, what he had been thru. We ❤️ physician working w #hcldr 1/ |
| Joe Babaian 🇺🇦 @JoeBabaian RT @NathanGrunewald: T1 Doubtful. Most patients have no idea on the ownership structure of most practices. They are most interested in the best care possible. #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba T1 I'm biased here. My favorite clients are a group of 4 physicians & I helped build their model. That said, hospital owned tends to be, IMHO, the most inefficient model. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @NathanGrunewald Agreed. Bottom line for most people :) #hcldr |
 | P3 Practice Marketing @p3practicemktg T1: For me personally, yes. as a patient, I would prefer the group, (large or small), owned by doctors over a hospital. I will always trust the doctor over the corporation. #hcldr |
 | Hazel Chappell @ishcahealth @hcldr I don’t believe patients know enough of the benefits of both setups to make thatdecision. My understanding is they choose to be a patient based on reputation of the practice, staff and other patient experience. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @RRobertseHealth: T1 Ownership structure of a practice can be factor - I often feel the large groups truly care less at all operational levels and don't go the extra mile. My family and I have felt treated like a number at times. On the other hand I have met brilliant MDs that are employees #hcldr https://t.co/72SmLCntyW |
| Michael W. Roberts @michaelwroberts I don’t necessarily think of it in terms of large vs. small, but the name on the facility makes a difference. Am I going to get thrown into the “system,” or will I get personalized attention? #hcldr |
| Robin Roberts @RRobertseHealth @MarioATX_MD @hcldr Totally this #hcldr |
| Colin Hung @Colin_Hung @JoeBabaian @NathanGrunewald T1 It's also pretty difficult to find out. It's not like practices all post it on their website one way or the other. Some do, but most don't #hcldr |
| HCLDR Moderator @hcldr Repeating T1 Is the ownership structure of a physician practice a factor in deciding whether or not to be a patient? (ex: large group owned by partners vs hospital owned)? #hcldr https://t.co/iUdD2awgMk |
| Colin Hung @Colin_Hung RT @esteckler2: T1 personally a number of situations have me very interested in finding a #DPC in our state. A decision was made re my son’s HC at a administrative level . They did not know his hx, what other options tried, what he had been thru. We ❤️ physician working w #hcldr 1/ |
| Nathan Grunewald MD MBA FACS @NathanGrunewald @JoeBabaian I suspect patients don't ask who owns Mayo Clinic, Cleveland, MSK, etc. #hcldr |
| Robin Roberts @RRobertseHealth @NathanGrunewald Good point. Unfortunately many patients do not know. Just like all the patients who think an EOB is a bill. #hcldr |
| Michael W. Roberts @michaelwroberts @DiagnosisMD @hcldr Very good point. If the local practice has what I need, I don’t have to be concerned with the other locations. #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @RRobertseHealth @NathanGrunewald I want to laugh but it's so true that it's not funny. #hcldr |
| Colin Hung @Colin_Hung @MarioATX_MD @hcldr T1 I can see that. It may be more LIKELY that a hospital owned practice is burdened with inefficiencies b/c of the organization's size. But I'm sure there are independent practices that have horrible #ptexp too. #hcldr |
| Colin Hung @Colin_Hung RT @RRobertseHealth: T1 Ownership structure of a practice can be factor - I often feel the large groups truly care less at all operational levels and don't go the extra mile. My family and I have felt treated like a number at times. On the other hand I have met brilliant MDs that are employees #hcldr https://t.co/72SmLCntyW |
| P3 Practice Marketing @p3practicemktg @HAZHealthcare I agree. The reputation of the doctor online is certainly a key factor with many patients. T1 #hcldr |
| Colin Hung @Colin_Hung RT @p3Inbound: T1: T1: For me personally, yes. as a patient, I would prefer the group, (large or small), owned by doctors over a hospital. I will always trust the doctor over the corporation. #hcldr |
| Mario Amaro 🐶 (The Private Practice Doc) @MarioATX_MD @HAZHealthcare @hcldr Marketing has a lot of influence as does proximity. If cost is not an issue. Name association is often synonymous to quality. But for those who are cost conscientious. Whatever is open or the cheapest is their choice. More than often it’s an ER or urgent care. #hcldr |
| Jon McBride 🌴 @jamcbride T1 for my family we researched & selected a small practice so we could get to know her & the staff. But being in healthcare I knew what to ask. #hcldr |
 | Penelope Zahn @PenelopeZahn RT @esteckler2: T1 personally a number of situations have me very interested in finding a #DPC in our state. A decision was made re my son’s HC at a administrative level . They did not know his hx, what other options tried, what he had been thru. We ❤️ physician working w #hcldr 1/ |
| Colin Hung @Colin_Hung @HAZHealthcare @hcldr T1 I'm with you. I think they might care more if there is clear evidence one way or the other in terms of outcomes, #ptexp etc, but neither seems to have a clear advantage on those dimensions #hcldr |
| Colin Hung @Colin_Hung RT @michaelwroberts: I don’t necessarily think of it in terms of large vs. small, but the name on the facility makes a difference. Am I going to get thrown into the “system,” or will I get personalized attention? #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @Colin_Hung: @MarioATX_MD @hcldr T1 I can see that. It may be more LIKELY that a hospital owned practice is burdened with inefficiencies b/c of the organization's size. But I'm sure there are independent practices that have horrible #ptexp too. #hcldr |
| P3 Practice Marketing @p3practicemktg BTW - Hey, this is Scott Z. behind the P3 logo. #hcldr Sorry for not introducing myself tonight. |
| Joe Babaian 🇺🇦 @JoeBabaian T1: The issues are often clear - large / corp owned: more access to innovative care & therapies, more red tape. Small / indep: less red tape, sometimes more personalized care, possible less access to latest & greatest / digital health tools / avenues for collaboration. #hcldr |
| Eric Goldberg, MD @DiagnosisMD @Colin_Hung @MarioATX_MD @hcldr Practiced in both types of systems - a small group that can't answer the phones is not a better #ptexp and patients love that I have their results from a specialist in the hospital system #hcldr |
| Colin Hung @Colin_Hung RT @JoeBabaian: T1: The issues are often clear - large / corp owned: T1: The issues are often clear - large / corp owned: more access to innovative care & therapies, more red tape. Small / indep: less red tape, sometimes more personalized care, possible less access to latest & greatest / digital health tools / avenues for collaboration. #hcldr |
| Bingle @TheBingle T1 Definitely a factor. It is the overall experience that decides things. One example: going for heart check-ups. Quite honestly I trust my Dr. implicitly. I had a "sub" and I did not care for that "sub" one bit. Part of a group; my Dr. off that day. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @p3Inbound No worries Scott! Welcome! #hcldr |
| Nathan Grunewald MD MBA FACS @NathanGrunewald @2healthguru @HealthcareBorg Assimilate. #hcldr |
| Colin Hung @Colin_Hung RT @TheBingle: T1 Definitely a factor. It is the overall experience that decides things. One example: T1 Definitely a factor. It is the overall experience that decides things. One example: going for heart check-ups. Quite honestly I trust my Dr. implicitly. I had a "sub" and I did not care for that "sub" one bit. Part of a group; my Dr. off that day. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @jamcbride: T1 for my family we researched & selected a small practice so we could get to know her & the staff. But being in healthcare I knew what to ask. #hcldr |
| Beth Steckler (she/her) @purplemamabear T1 I do believe patients and caregivers are becoming more savvy. Maybe they don’t know who owns or who leadership but often imho cognizant or more aware of culture and 2 me that can tell one a great deal. #hcldr |
| Colin Hung @Colin_Hung RT @DiagnosisMD: @Colin_Hung @MarioATX_MD @hcldr Practiced in both types of systems - a small group that can't answer the phones is not a better #ptexp and patients love that I have their results from a specialist in the hospital system #hcldr |
| Colin Hung @Colin_Hung RT @esteckler2: T1 I do believe patients and caregivers are becoming more savvy. Maybe they don’t know who owns or who leadership but often imho cognizant or more aware of culture and 2 me that can tell one a great deal. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @2healthguru @HealthcareBorg Welcome Gregg! #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @Colin_Hung @MarioATX_MD @hcldr True but it's easier to tackle those inefficiencies if you're small. Hospital-owned takes a lot to get things done. I've done the legwork #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @DiagnosisMD: @Colin_Hung @MarioATX_MD @hcldr Practiced in both types of systems - a small group that can't answer the phones is not a better #ptexp and patients love that I have their results from a specialist in the hospital system #hcldr |
| Sally James @jamesian T1 The ownership of a hospital or system of hospitals matters to me https://t.co/G3LcpkIGkP #hcldr #womenshealth #WomensRights #hcldr |
| Mario Amaro 🐶 (The Private Practice Doc) @MarioATX_MD @Colin_Hung @hcldr It’s a lot easier for a pt to fire a small owned practice for poor pt experience or for the practice itself to make changes in pt experience to maintain retention. Can’t say that for large organizations. #hcldr |
| Colin Hung @Colin_Hung @RRobertseHealth @DiagnosisMD @MarioATX_MD @hcldr Well done on that GIF Robin! #hcldr |
| Colin Hung @Colin_Hung RT @MarioATX_MD: @Colin_Hung @hcldr It’s a lot easier for a pt to fire a small owned practice for poor pt experience or for the practice itself to make changes in pt experience to maintain retention. Can’t say that for large organizations. #hcldr |
| Colin Hung @Colin_Hung RT @jamesian: T1 The ownership of a hospital or system of hospitals matters to me https://t.co/G3LcpkIGkP #hcldr #womenshealth #WomensRights #hcldr |
 | PF Anderson @pfanderson@disabled.social @pfanderson RT @JoeBabaian: T1: The issues are often clear - large / corp owned: T1: The issues are often clear - large / corp owned: more access to innovative care & therapies, more red tape. Small / indep: less red tape, sometimes more personalized care, possible less access to latest & greatest / digital health tools / avenues for collaboration. #hcldr |
| Penelope Zahn @PenelopeZahn RT @esteckler2: T1 I do believe patients and caregivers are becoming more savvy. Maybe they don’t know who owns or who leadership but often imho cognizant or more aware of culture and 2 me that can tell one a great deal. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @2healthguru @astros @Nationals Definitely! Don't tell me how it's going!! :) #hcldr |
| Robin Roberts @RRobertseHealth @Colin_Hung @DiagnosisMD @MarioATX_MD @hcldr Great minds think alike #hcldr |
| Michael W. Roberts @michaelwroberts @esteckler2 Totally agree on increasing savviness. Review sites open up the conversation in new ways! #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @MarioATX_MD: @Colin_Hung @hcldr It’s a lot easier for a pt to fire a small owned practice for poor pt experience or for the practice itself to make changes in pt experience to maintain retention. Can’t say that for large organizations. #hcldr |
| Mario Amaro 🐶 (The Private Practice Doc) @MarioATX_MD @DiagnosisMD @Colin_Hung @hcldr The key point in this tweet is interststem interoperability. You can have the best of both worlds if large systems weren’t so hostile to private practice. This is IF you really want to improve the patient experience. #hcldr |
| HCLDR Moderator @hcldr An amazing T1 discussion. Let’s get ready for T2 in just 1 minute #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba T1 The experience from door-to-floor makes the difference. Smaller practices have a unique opportunity to build from the patient experience. with hospital-associated models, it's a long walk to improve the journey (pun intended). #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @MarioATX_MD @Colin_Hung @hcldr Truth. Small and nimble makes for innovation and responsiveness. UNLESS they are the only game in town, such as small practices in some rural locations. #hcldr |
 | Holly Kirkland-Walsh @KirklandWalsh RT @hcldr: Our #hcldr chat lasts 1hr. It's designed to educate & promote professional development, critical thinking & spur action |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @hcldr: T1 Is the ownership structure of a physician practice a factor in deciding whether or not to be a patient? (ex: T1 Is the ownership structure of a physician practice a factor in deciding whether or not to be a patient? (ex: large group owned by partners vs hospital owned)? #hcldr https://t.co/8uatt2Qi09 |
| Colin Hung @Colin_Hung @michaelwroberts @esteckler2 T1 On both sides. For physicians and practices, rating sites can be the opening to have some honest conversation. Not saying all feedback reflects the practice but it is how someone FEELS about the practice. We can ALL improve #hcldr |
| Colin Hung @Colin_Hung RT @ShereesePubHlth: T1 The experience from door-to-floor makes the difference. Smaller practices have a unique opportunity to build from the patient experience. with hospital-associated models, it's a long walk to improve the journey (pun intended). #hcldr |
| HCLDR Moderator @hcldr T2 In your opinion, would owning a practice, being an entrepreneur help or hinder a physician’s ability to care for patients? #hcldr https://t.co/Zghz35yXYX |
| Eric Goldberg, MD @DiagnosisMD #Interoperability is the equalizer! But it is just as much the #EHRVendors as the large systems. |
| Robin Roberts @RRobertseHealth T2 IMO there are trade offs agency in medical practice and standards with ability to dictate admin and operational burden is a pro. Loss of negotiating power, possibly smaller referral network, and fewer resources may be cons. #hcldr |
 | Edward Bukstel @ebukstel @Gigi_Peterkin @ShereesePubHlth @Eagles Yo. In order to recover the emotional effects of the #FlyEaglesFly situation. I decided to to standup #comedy in #philly. #HCldr https://t.co/vu0fRZO3B9 |
| Mario Amaro 🐶 (The Private Practice Doc) @MarioATX_MD @pfanderson @Colin_Hung @hcldr Excellent point. It’s why we must make it easier for practices to start and stay in business. #hcldr |
 | Bonnie C. Sheeren, BCPA @bonniesheeren Got carried away by Astros game + my Crawford Bock beer! Forgot it was #hcldr Tweetchat night! https://t.co/YJ9b4oKSKy |
| PF Anderson @pfanderson@disabled.social @pfanderson @MarioATX_MD @Colin_Hung @hcldr The problem is with insurance. Many small practices struggle to follow and interface with large insurance companies; patients choose the big practices because that's where insurance is supposed to be easy. It all comes down to who has the money, or power, or both. #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @ebukstel @Gigi_Peterkin @Eagles No way! How'd you do? #hcldr |
| Bingle @TheBingle As a patient I agree. It's also hard depending on insurance you have. That limits you sometimes. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @hcldr: T2 In your opinion, would owning a practice, being an entrepreneur help or hinder a physician’s ability to care for patients? #hcldr https://t.co/Zghz35yXYX |
| Michael W. Roberts @michaelwroberts @Colin_Hung @esteckler2 Agreed! I’m always encouraged when I see practices take reviews / feedback to heart and work to investigate the issue and fix it if necessary. #hcldr |
 | Dolvin Speight @DolvinSp8 RT @DiagnosisMD: @Colin_Hung @MarioATX_MD @hcldr Practiced in both types of systems - a small group that can't answer the phones is not a better #ptexp and patients love that I have their results from a specialist in the hospital system #hcldr |
| Robin Roberts @RRobertseHealth @MarioATX_MD @pfanderson @Colin_Hung @hcldr Recently moved to NC and the corporate practice of med laws are infuriating #hcldr |
| Gigi Peterkin (she/her) 🎙♣️🏠🍷 @Gigi_Peterkin @ebukstel @ShereesePubHlth @Eagles nice! I'll have to come check out your set. need some #humor in #philly for sure! #hcldr |
 | Mary.eth 💫 @mgriskewicz @NathanGrunewald Totally agree #hcldr we are in the field so we understand the difference most patients do not understand until they get receive a professional services charge or a change in their bills. |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @ebukstel @Gigi_Peterkin @Eagles I was on the other side of the ball on Sunday. Dallas is my absolute favorite team. My dad raised me on them. But the Eagles were in my heart. #hcldr https://t.co/cA4QFtpu1Q |
| Colin Hung @Colin_Hung RT @michaelwroberts: @Colin_Hung @esteckler2 Agreed! I’m always encouraged when I see practices take reviews / feedback to heart and work to investigate the issue and fix it if necessary. #hcldr |
| Colin Hung @Colin_Hung RT @pfanderson: @MarioATX_MD @Colin_Hung @hcldr The problem is with insurance. Many small practices struggle to follow and interface with large insurance companies; patients choose the big practices because that's where insurance is supposed to be easy. It all comes down to who has the money, or power, or both. #hcldr |
 | Regina Holliday @ReginaHolliday RT @Colin_Hung: T1 I don't think who owns a practice would impact my decision. Ownership conflicts of interest are not high on my list of must-knows. Much more concerned about #ptexp quality of care, etc. #hcldr |
| Edward Bukstel @ebukstel @JoeBabaian @2healthguru @astros @Nationals Spoken like a dude from #Houston. #HCldr |
| Mario Amaro 🐶 (The Private Practice Doc) @MarioATX_MD @hcldr T2: This is where tech can improve the entire process of practice ownership. It’s extremely complicated for clinicians of all specialities to navigate the practice formation process. We should make it easier to maintain a business so that clinicians can focus on pts. #hcldr |
 | Heather McCullen @H_SalemOaks T2: Less bureaucracy, but the rest would all depend on them hiring a good team. #hcldr |
| Michael W. Roberts @michaelwroberts @RRobertseHealth Agreed. We spoke to a client that is creating an arrangement with several other practices to retain independence internally but pool together purchasing / negotiating power. Interesting to see how practices are evolving. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @hcldr This is a mixed bag. It will depend VERY MUCH on the individual! There's a lot of overhead, practice management time, logistics. Are the partners just as good? Can you get good locums? Can management responsibilities be divided, and still managed well? Is there TIME 4 pts? #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @RRobertseHealth: T2 IMO there are trade offs agency in medical practice and standards with ability to dictate admin and operational burden is a pro. Loss of negotiating power, possibly smaller referral network, and fewer resources may be cons. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @pfanderson @MarioATX_MD @Colin_Hung @hcldr Well said. I need the process to meet me where my family is at. We are covered by employer provided insurance. I don't have the choice to "go it alone" any more than those w/o coverage can just pay cash for things they can't afford. #hcldr |
| Colin Hung @Colin_Hung @bonniesheeren Hello Bonnie. No worries. I'm sure @JoeBabaian has got the game on too! Cheering for Astros this year. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @pfanderson: @hcldr This is a mixed bag. It will depend VERY MUCH on the individual! There's a lot of overhead, practice management time, logistics. Are the partners just as good? Can you get good locums? Can management responsibilities be divided, and still managed well? Is there TIME 4 pts? #hcldr |
| Colin Hung @Colin_Hung RT @hcldr: T2 In your opinion, would owning a practice, being an entrepreneur help or hinder a physician’s ability to care for patients? #hcldr https://t.co/Zghz35yXYX |
| Joe Babaian 🇺🇦 @JoeBabaian @pfanderson @hcldr Great seeing you tonight Patricia! #hcldr :) |
| Edward Bukstel @ebukstel @ShereesePubHlth @Gigi_Peterkin @Eagles Noooooooooooooo. 😜😜😜 #HCldr |
| Colin Hung @Colin_Hung RT @MarioATX_MD: @hcldr T2: @hcldr T2: This is where tech can improve the entire process of practice ownership. It’s extremely complicated for clinicians of all specialities to navigate the practice formation process. We should make it easier to maintain a business so that clinicians can focus on pts. #hcldr |
| Robin Roberts @RRobertseHealth @michaelwroberts OooOh we should team up! #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba That's a good idea but sometimes a hard sell to some independents. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @bonniesheeren Hope to see you again soon! :) #hcldr |
| Eric Goldberg, MD @DiagnosisMD T2 It all depends on the market you are in. To the extent you are tied to insurance rules for payment, you can only innovate so much - unless you have another revenue source to underwrite the new ideas #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @DiagnosisMD: T2 It all depends on the market you are in. To the extent you are tied to insurance rules for payment, you can only innovate so much - unless you have another revenue source to underwrite the new ideas #hcldr |
| Nathan Grunewald MD MBA FACS @NathanGrunewald T2 Being your own boss, so to speak, affords non-system employed physician likely more flexibility in their daily operations. Don’t have data, but would suspect some #burnout related causes may be improved in the "independent" scenario. Hopefully, that improves #ptexp. #hcldr |
| Gigi Peterkin (she/her) 🎙♣️🏠🍷 @Gigi_Peterkin @ShereesePubHlth @ebukstel @Eagles that's a lot to reconcile! #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @MarioATX_MD @Colin_Hung @hcldr I'm a fan of creating more of a mosaic of health care options and opportunities, rather than monoliths. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @ebukstel @2healthguru @astros @Nationals Yes! I mean, I know we'll win it all, but I want to act like I am not sure :) :) #hcldr |
 | Dr. Sylvia “Voice” Bollie, MD, DABOM @EmbraceYouMD Hi #hcldr! Interesting topic! Lurking from Silver Spring MD 👀👀 https://t.co/jkBKk8gEJp |
| Michael W. Roberts @michaelwroberts @RRobertseHealth Haha. Yup. The strategy in a nutshell. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @pfanderson: @MarioATX_MD @Colin_Hung @hcldr I'm a fan of creating more of a mosaic of health care options and opportunities, rather than monoliths. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @TheBingle: As a patient I agree. It's also hard depending on insurance you have. That limits you sometimes. #hcldr |
| Michael W. Roberts @michaelwroberts T2 I think there’s arguments to be made either way. We talked with a surgeon who’s a part-owner of an ASC. He argued strongly for ownership as a way for surgeons to increase efficiency and bring down costs. #hcldr |
| Edward Bukstel @ebukstel @pfanderson @hcldr Well said. 💯 #HCldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @ebukstel @Gigi_Peterkin @Eagles I hate when they play each other. #hcldr |
| P3 Practice Marketing @p3practicemktg T2: I think that a self-owned practice that has more control over its own patient care is better empowered to manage the tug of war between care and profit. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @pfanderson @MarioATX_MD @Colin_Hung @hcldr T-Shirt moment! What a way to think and express what we should all be aiming towards. Let's get there! :) #hcldr |
| Bingle @TheBingle As a patient I've been to Big & Small HCP's. I don't get hung up on the Big or Small. I get perturbed by the "wrongs" of a practice. And the fact that some "large" seem to have time limits for the revolving door. #hcldr |
| HCLDR Moderator @hcldr Repeating T2 In your opinion, would owning a practice, being an entrepreneur help or hinder a physician’s ability to care for patients? #hcldr https://t.co/tDlP06W5E9 |
| Regina Holliday @ReginaHolliday RT @pfanderson: @MarioATX_MD @Colin_Hung @hcldr The problem is with insurance. Many small practices struggle to follow and interface with large insurance companies; patients choose the big practices because that's where insurance is supposed to be easy. It all comes down to who has the money, or power, or both. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @TheBingle: As a patient I've been to Big & Small HCP's. I don't get hung up on the Big or Small. I get perturbed by the "wrongs" of a practice. And the fact that some "large" seem to have time limits for the revolving door. #hcldr |
| HCLDR Moderator @hcldr RT @JoeBabaian: T1: The issues are often clear - large / corp owned: T1: The issues are often clear - large / corp owned: more access to innovative care & therapies, more red tape. Small / indep: less red tape, sometimes more personalized care, possible less access to latest & greatest / digital health tools / avenues for collaboration. #hcldr |
| HCLDR Moderator @hcldr RT @pfanderson: @MarioATX_MD @Colin_Hung @hcldr I'm a fan of creating more of a mosaic of health care options and opportunities, rather than monoliths. #hcldr |
| Michael W. Roberts @michaelwroberts @ShereesePubHlth Yeah, I certainly don’t think it’s for everyone. Also, increased competition helped motivate these groups to collaborate. #hcldr |
| Mario Amaro 🐶 (The Private Practice Doc) @MarioATX_MD @pfanderson @Colin_Hung @hcldr 💯. I think where we lack is true advocates outside of employers to help pts choose the best coverage, plans, or models that work best for them and their families. I can see social workers moving into this space creating a new category of service to help fill this gap. #hcldr |
| HCLDR Moderator @hcldr RT @pfanderson: @hcldr This is a mixed bag. It will depend VERY MUCH on the individual! There's a lot of overhead, practice management time, logistics. Are the partners just as good? Can you get good locums? Can management responsibilities be divided, and still managed well? Is there TIME 4 pts? #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @MarioATX_MD @hcldr We all know Amway was a complete nightmare, ethically, but there are lessons from their very successful structure that could potentially be implemented in a healthier way to support healthcare structures, networks, relationships. Could we take good from pyramid schemes? #hcldr |
| HCLDR Moderator @hcldr RT @pfanderson: @MarioATX_MD @Colin_Hung @hcldr The problem is with insurance. Many small practices struggle to follow and interface with large insurance companies; patients choose the big practices because that's where insurance is supposed to be easy. It all comes down to who has the money, or power, or both. #hcldr |
 | Jeremy Coleman @jeremycoleman @ShereesePubHlth That's where #IPAs should help these docs buy at scale. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @michaelwroberts: @RRobertseHealth Agreed. We spoke to a client that is creating an arrangement with several other practices to retain independence internally but pool together purchasing / negotiating power. Interesting to see how practices are evolving. #hcldr |
| Colin Hung @Colin_Hung RT @pfanderson: @MarioATX_MD @Colin_Hung @hcldr I'm a fan of creating more of a mosaic of health care options and opportunities, rather than monoliths. #hcldr |
| Colin Hung @Colin_Hung RT @JoeBabaian: @pfanderson @MarioATX_MD @Colin_Hung @hcldr T-Shirt moment! What a way to think and express what we should all be aiming towards. Let's get there! :) #hcldr |
| Michael W. Roberts @michaelwroberts Argument for physician-owned ASC: https://t.co/eW60zZ7hHq #hcldr #shamelessplug |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba T2 Private ownership intuitively should help but that would in some ways depend on the intent of the owner. There's also #insurance affiliations to consider that may not care for your attention to patients. #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @michaelwroberts: @ShereesePubHlth Yeah, I certainly don’t think it’s for everyone. Also, increased competition helped motivate these groups to collaborate. #hcldr |
| Colin Hung @Colin_Hung RT @NathanGrunewald: T2 Being your own boss, so to speak, affords non-system employed physician likely more flexibility in their daily operations. Don’t have data, but would suspect some #burnout related causes may be improved in the "independent" scenario. Hopefully, that improves #ptexp. #hcldr |
| Robin Roberts @RRobertseHealth @MarioATX_MD @pfanderson @Colin_Hung @hcldr Agree but that also know how busy the social workers are too. #hcldr |
| Colin Hung @Colin_Hung RT @p3Inbound: T2: T2: I think that a self-owned practice that has more control over its own patient care is better empowered to manage the tug of war between care and profit. #hcldr |
| Colin Hung @Colin_Hung RT @hcldr: Repeating T2 In your opinion, would owning a practice, being an entrepreneur help or hinder a physician’s ability to care for patients? #hcldr https://t.co/tDlP06W5E9 |
| PF Anderson @pfanderson@disabled.social @pfanderson @michaelwroberts @RRobertseHealth YES!!! I love this idea! Networking! Collaboration! Partnerships! Kind of like a Small Business Administration for healthcare? #hcldr |
| Heather McCullen @H_SalemOaks RT @ShereesePubHlth: T2 Private ownership intuitively should help but that would in some ways depend on the intent of the owner. There's also #insurance affiliations to consider that may not care for your attention to patients. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @pfanderson @MarioATX_MD @hcldr I worry about the cult-like aspect that creeps in and effectively limits individual critical thinking for those on the inside - even with some good take aways. #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @michaelwroberts: Argument for physician-owned ASC: Argument for physician-owned ASC: https://t.co/eW60zZ7hHq #hcldr #shamelessplug |
| Joe Babaian 🇺🇦 @JoeBabaian RT @michaelwroberts: @RRobertseHealth Agreed. We spoke to a client that is creating an arrangement with several other practices to retain independence internally but pool together purchasing / negotiating power. Interesting to see how practices are evolving. #hcldr |
| Mario Amaro 🐶 (The Private Practice Doc) @MarioATX_MD @RRobertseHealth @pfanderson @Colin_Hung @hcldr That’s why we have to invent newer models to navigate older systems and laws that were implemented to maintain market share. And in order to be viable and actually compete with incumbents this model must be ultra lean. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @RRobertseHealth: T2 IMO there are trade offs agency in medical practice and standards with ability to dictate admin and operational burden is a pro. Loss of negotiating power, possibly smaller referral network, and fewer resources may be cons. #hcldr |
| Jeremy Coleman @jeremycoleman It can only help. Patients need to know their providers are aware to the economic impact of care. Care you cant afford is the same as care not offered. #hcldr |
| Colin Hung @Colin_Hung T2 Although there are headaches with owning/running your own business, I also think that for some it can be extremely satisfying which in turn helps them maintain their energy while with patients #hcldr |
| Michael W. Roberts @michaelwroberts @pfanderson @RRobertseHealth Yeah! This group wasn't going as extensive as that, but a small business admin group in healthcare would be amazing! #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @MarioATX_MD: @hcldr T2: @hcldr T2: This is where tech can improve the entire process of practice ownership. It’s extremely complicated for clinicians of all specialities to navigate the practice formation process. We should make it easier to maintain a business so that clinicians can focus on pts. #hcldr |
| Colin Hung @Colin_Hung RT @pfanderson: @michaelwroberts @RRobertseHealth YES!!! I love this idea! Networking! Collaboration! Partnerships! Kind of like a Small Business Administration for healthcare? #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @JoeBabaian @MarioATX_MD @Colin_Hung @hcldr Same here. But let me tell you, when insurance goes wrong in a monolithic organization, you are pretty much screwed unless you have powerful friends. In a small organization, they will fight for you, if they can. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @michaelwroberts: Argument for physician-owned ASC: Argument for physician-owned ASC: https://t.co/eW60zZ7hHq #hcldr #shamelessplug |
| Bingle @TheBingle RT @bonniesheeren: Got carried away by Astros game + my Crawford Bock beer! Forgot it was #hcldr Tweetchat night! https://t.co/YJ9b4oKSKy |
| Joe Babaian 🇺🇦 @JoeBabaian @pfanderson @MarioATX_MD @Colin_Hung @hcldr Very good point! Indeed. Can add this to the mix of pros/cons. #hcldr |
| Bingle @TheBingle RT @Colin_Hung: @bonniesheeren Hello Bonnie. No worries. I'm sure @JoeBabaian has got the game on too! Cheering for Astros this year. #hcldr |
 | Nick Dawson @nickdawson @hcldr T2: #HCLDR unfortunately, we’ve crossed the rubicon. small practice enables autonomy, relationships, and quality of life. But we’ve consolidated advanced billing, technology, and coordination at the enterprise level. Not sure the conundrum is as simple as an ‘either, or’ anymore |
| Joe Babaian 🇺🇦 @JoeBabaian @nickdawson @hcldr Welcome Nick! Two weeks in a row?! Humbled - thanks for joining us my friend :) #hcldr |
| Mario Amaro 🐶 (The Private Practice Doc) @MarioATX_MD @pfanderson @Colin_Hung @hcldr Same. There’s no one solution or one organization. We have to empower every clinician with the tools to find their patient fit and grow a business where they can feel proud of. Build a new supply. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @nickdawson: @hcldr T2: @hcldr T2: #HCLDR unfortunately, we’ve crossed the rubicon. small practice enables autonomy, relationships, and quality of life. But we’ve consolidated advanced billing, technology, and coordination at the enterprise level. Not sure the conundrum is as simple as an ‘either, or’ anymore |
| HCLDR Moderator @hcldr RT @nickdawson: @hcldr T2: @hcldr T2: #HCLDR unfortunately, we’ve crossed the rubicon. small practice enables autonomy, relationships, and quality of life. But we’ve consolidated advanced billing, technology, and coordination at the enterprise level. Not sure the conundrum is as simple as an ‘either, or’ anymore |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @Colin_Hung T2 It may surprise you that private practice docs have higher concerns with burnout. Statistically, the longer you're in private practice, the greater the chances of burnout (Kareo, 19) #hcldr |
| Edward Bukstel @ebukstel @ShereesePubHlth @Gigi_Peterkin @Eagles They laughed at me. 🤣🤣🤣 Sometimes when they weren't supposed to. It's of @JimBeam before I jumped to grab the mic 🎤 #HCldr. Thinking about throwing axes at @UrbanAxes in #philly to relieve @Eagles stress. 🤣🤣🤣🤙🤙🤙🤙 https://t.co/ps5iKbz4R7 |
| PF Anderson @pfanderson@disabled.social @pfanderson @JoeBabaian @MarioATX_MD @hcldr That's the bad part. Definitely don't want that. But can we use a structure of consultancy and expertise and referrals to support a healthcare network that functions like a fishing net, distributing weight & tension & resources & skills so nothing breaks? #hcldr |
| Michael W. Roberts @michaelwroberts RT @jeremycoleman: It can only help. Patients need to know their providers are aware to the economic impact of care. Care you cant afford is the same as care not offered. #hcldr |
| Mary.eth 💫 @mgriskewicz #HCLDR My PCP is now part of a larger health system. She said to me "if they change the way I practice I am done"It may matter more to the physician. She is an excellent doctor & spent 30 minutes with me in my last visit for a routine follow-up. |
| HCLDR Moderator @hcldr Really interesting tweets on #hcldr right now. Let’s get ready for T3 in just 1 minute! |
| Edward Bukstel @ebukstel @JoeBabaian @2healthguru @astros @Nationals Joe. Don't look at this tweet. #HCldr https://t.co/Wwy5iMbSfa |
| Colin Hung @Colin_Hung RT @mgriskewicz: #HCLDR My PCP is now part of a larger health system. She said to me "if they change the way I practice I am done"It may matter more to the physician. She is an excellent doctor & spent 30 minutes with me in my last visit for a routine follow-up. |
| Bingle @TheBingle RT @nickdawson: @hcldr T2: @hcldr T2: #HCLDR unfortunately, we’ve crossed the rubicon. small practice enables autonomy, relationships, and quality of life. But we’ve consolidated advanced billing, technology, and coordination at the enterprise level. Not sure the conundrum is as simple as an ‘either, or’ anymore |
| Mario Amaro 🐶 (The Private Practice Doc) @MarioATX_MD @RRobertseHealth @pfanderson @Colin_Hung @hcldr I worked with these heroes for 3 years in case management. Tons of respect. Their level of making something out of nothing is unmatched. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @pfanderson: @JoeBabaian @MarioATX_MD @hcldr That's the bad part. Definitely don't want that. But can we use a structure of consultancy and expertise and referrals to support a healthcare network that functions like a fishing net, distributing weight & tension & resources & skills so nothing breaks? #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba T3 Burnout, time spent on EHRs top challenges for independent practice leaders | FierceHealthcare https://t.co/ecbUD8cfGw #hcldr |
| Sally James @jamesian @nickdawson @hcldr I'm rejecting the binary nature of the question. #hcldr Like that you are seeing some other ways. |
| HCLDR Moderator @hcldr T3 Do independent physician practices need to remain part of the healthcare ecosystem? Or would it be okay if they merged into larger organizations? #hcldr https://t.co/A2Azjma82q |
| Joe Babaian 🇺🇦 @JoeBabaian RT @hcldr: T3 Do independent physician practices need to remain part of the healthcare ecosystem? Or would it be okay if they merged into larger organizations? #hcldr https://t.co/A2Azjma82q |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @hcldr: T3 Do independent physician practices need to remain part of the healthcare ecosystem? Or would it be okay if they merged into larger organizations? #hcldr https://t.co/A2Azjma82q |
| Robin Roberts @RRobertseHealth T3 Consolidation is pervasive, the feedback I hear from docs includes reduced rates, regulatory burden, lack of negotiating pwr., industrialization of med., lack of autonomy etc. The loss of independent MDs = less pt. choice, regulated costs rates + continued admin waste #hcldr https://t.co/i7McrXjnE8 |
| PF Anderson @pfanderson@disabled.social @pfanderson @Colin_Hung I have a good friend who owns her own practice. She is quite a warrior, and steady, even-keeled, expert, always learning new things. Devoted to patients. Quite a wonderful person, doctor, community resource. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @ebukstel @2healthguru @astros @Nationals :) :) #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @nickdawson: @hcldr T2: @hcldr T2: #HCLDR unfortunately, we’ve crossed the rubicon. small practice enables autonomy, relationships, and quality of life. But we’ve consolidated advanced billing, technology, and coordination at the enterprise level. Not sure the conundrum is as simple as an ‘either, or’ anymore |
| Joe Babaian 🇺🇦 @JoeBabaian RT @RRobertseHealth: T3 Consolidation is pervasive, the feedback I hear from docs includes reduced rates, regulatory burden, lack of negotiating pwr., industrialization of med., lack of autonomy etc. The loss of independent MDs = less pt. choice, regulated costs rates + continued admin waste #hcldr https://t.co/i7McrXjnE8 |
| Colin Hung @Colin_Hung @nickdawson @hcldr T2 Valid point Nick. Healthcare is so complex - not easy for someone to be independent AND small now. #hcldr |
 | Heather CPP Extraordinaire🤘🤣🕯 @HeatherLinda11 RT @esteckler2: T1 personally a number of situations have me very interested in finding a #DPC in our state. A decision was made re my son’s HC at a administrative level . They did not know his hx, what other options tried, what he had been thru. We ❤️ physician working w #hcldr 1/ |
| Nathan Grunewald MD MBA FACS @NathanGrunewald @ShereesePubHlth @Colin_Hung Interesting. Would not expect that. Though I could see how PP has changed over the years which may impact #burnout now. #hcldr |
| Bingle @TheBingle RT @jamesian: @nickdawson @hcldr I'm rejecting the binary nature of the question. #hcldr Like that you are seeing some other ways. |
| PF Anderson @pfanderson@disabled.social @pfanderson @nickdawson @hcldr Bingo. As with everything worthwhile, it's ... complicated. And I am becoming utterly heartsick with complications these days. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @ShereesePubHlth: @Colin_Hung T2 It may surprise you that private practice docs have higher concerns with burnout. Statistically, the longer you're in private practice, the greater the chances of burnout (Kareo, 19) #hcldr |
| P3 Practice Marketing @p3practicemktg T3: It really depends on how they are "merged" into the system. Ultimately - who is in control of patient care? #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @Colin_Hung @nickdawson @hcldr There is ONE Doctor who that can do it all. @Colin_Hung - you see what I did there? :) #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @pfanderson: @nickdawson @hcldr Bingo. As with everything worthwhile, it's ... complicated. And I am becoming utterly heartsick with complications these days. #hcldr |
 | Franklin Loachamin @FranLoachamin RT @NathanGrunewald: T1 Doubtful. Most patients have no idea on the ownership structure of most practices. They are most interested in the best care possible. #hcldr |
| Heather CPP Extraordinaire🤘🤣🕯 @HeatherLinda11 RT @esteckler2: T1 I do believe patients and caregivers are becoming more savvy. Maybe they don’t know who owns or who leadership but often imho cognizant or more aware of culture and 2 me that can tell one a great deal. #hcldr |
| Colin Hung @Colin_Hung @JoeBabaian @nickdawson @hcldr LOL. That's the solution we need...more blue police boxes :) #hcldr https://t.co/wphiOs6766 |
| Nathan Grunewald MD MBA FACS @NathanGrunewald T3 I think independent practices have much to offer in the healthcare landscape and I view the business diversity as important to the success of medicine and healthcare. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @NathanGrunewald: T3 I think independent practices have much to offer in the healthcare landscape and I view the business diversity as important to the success of medicine and healthcare. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @ShereesePubHlth @Colin_Hung This does not surprise me at all. They carry the whole load. They don't have a lot of clout or power or influence for fixing larger healthcare problems. They don't have as big a team to carry the weight. They care more, and feel more responsible. #hcldr |
| Colin Hung @Colin_Hung RT @pfanderson: @Colin_Hung I have a good friend who owns her own practice. She is quite a warrior, and steady, even-keeled, expert, always learning new things. Devoted to patients. Quite a wonderful person, doctor, community resource. #hcldr |
| Colin Hung @Colin_Hung RT @hcldr: T3 Do independent physician practices need to remain part of the healthcare ecosystem? Or would it be okay if they merged into larger organizations? #hcldr https://t.co/A2Azjma82q |
| Michael W. Roberts @michaelwroberts T3 There are certainly benefits to merging and consolidating, but I compare this scenario to big business versus small businesses. Small businesses aren’t as common, but they fill a useful niche. #hcldr |
| Eric Goldberg, MD @DiagnosisMD T3 More important to have engaged doctors and patients in the ecosystem. You can make a big practice feel small if your team acts like cogs on wheel or your team can make the patient feel that an entire enterprise is behind them! #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba T3 Independents need to survive & thrive outside of larger systems, They serve the community and social needs. They also provide choices. There are concierge models and free independents. We need them. #hcldr https://t.co/ddTEnPS255 |
| Colin Hung @Colin_Hung RT @michaelwroberts: T3 There are certainly benefits to merging and consolidating, but I compare this scenario to big business versus small businesses. Small businesses aren’t as common, but they fill a useful niche. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @DiagnosisMD: T3 More important to have engaged doctors and patients in the ecosystem. You can make a big practice feel small if your team acts like cogs on wheel or your team can make the patient feel that an entire enterprise is behind them! #hcldr |
| Colin Hung @Colin_Hung RT @DiagnosisMD: T3 More important to have engaged doctors and patients in the ecosystem. You can make a big practice feel small if your team acts like cogs on wheel or your team can make the patient feel that an entire enterprise is behind them! #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @DiagnosisMD Mike drop. Right on the mark Eric. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @michaelwroberts: T3 There are certainly benefits to merging and consolidating, but I compare this scenario to big business versus small businesses. Small businesses aren’t as common, but they fill a useful niche. #hcldr |
| Edward Bukstel @ebukstel @MarioATX_MD @pfanderson @Colin_Hung @hcldr Mario. I tried helping people a while back. It's hard work in #digitalhealth. #HCldr https://t.co/7zjlqzmFhN |
| Beth Steckler (she/her) @purplemamabear RT @DiagnosisMD: T3 More important to have engaged doctors and patients in the ecosystem. You can make a big practice feel small if your team acts like cogs on wheel or your team can make the patient feel that an entire enterprise is behind them! #hcldr |
| Michael W. Roberts @michaelwroberts RT @NathanGrunewald: T3 I think independent practices have much to offer in the healthcare landscape and I view the business diversity as important to the success of medicine and healthcare. #hcldr |
| Jeremy Coleman @jeremycoleman @NathanGrunewald I firmly believe that independent docs will be the pioneers for value based care. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @ShereesePubHlth @Colin_Hung Is this it? > Addressing physician burnout one step at a time https://t.co/i66zZTl7lj Medscape National Physician Burnout, Depression & Suicide Report 2019 https://t.co/5XCI4CxZsU #hcldr |
| Mario Amaro 🐶 (The Private Practice Doc) @MarioATX_MD @hcldr T3: I think most want to be but it’s difficult when you’re seen as a competitor and not an ally. There is so much benefits to patients and continuity of care. Wish we could go back to when it was acceptable for primary care clinicians to have inpatient privileges. #hcldr |
| Eric Goldberg, MD @DiagnosisMD @JoeBabaian Thanks Joe! #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @ShereesePubHlth: T3 Burnout, time spent on EHRs top challenges for independent practice leaders | FierceHealthcare https://t.co/ecbUD8cfGw #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @jamesian: @nickdawson @hcldr I'm rejecting the binary nature of the question. #hcldr Like that you are seeing some other ways. |
| Robin Roberts @RRobertseHealth @jeremycoleman @NathanGrunewald #hcldr https://t.co/LOmJG6nSZm |
| Michael W. Roberts @michaelwroberts @DiagnosisMD Intentionality and attention are the keys, regardless of org size! As patients, my family has had great experiences with large and small groups. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @NathanGrunewald: T2 Being your own boss, so to speak, affords non-system employed physician likely more flexibility in their daily operations. Don’t have data, but would suspect some #burnout related causes may be improved in the "independent" scenario. Hopefully, that improves #ptexp. #hcldr |
| Bonnie C. Sheeren, BCPA @bonniesheeren T3: My IM MD owns her own practice. I had an appointment close to lunchtime, so my doctor, her nurse and I all ate some beef stew they were cooking in their kitchen in a Crockpot? Not sure that would happen in a huge practice.... #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @jamesian @nickdawson @hcldr THERE IS NO BINARY!!! Millennials generally have infused this understanding into their world view. Us old folks gotta adopt and adapt to move along in the world. ;) #hcldr |
| HCLDR Moderator @hcldr Repeating T3 Do independent physician practices need to remain part of the healthcare ecosystem? Or would it be okay if they merged into larger organizations? #hcldr https://t.co/XLGT5MWdxv |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @hcldr: T3 Do independent physician practices need to remain part of the healthcare ecosystem? Or would it be okay if they merged into larger organizations? #hcldr https://t.co/A2Azjma82q |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @bonniesheeren I'm pretty sure it wouldn't, lol #hcldr |
| Bingle @TheBingle T3 I like the choice as a patient. The trend today has been Bigger Is Better.... The little guy has virtually been eliminated. That goes from corner markets to independent grocery supermarkets. The Big Boxes are In. Is Healthcare any different? #hcldr |
| Colin Hung @Colin_Hung @jeremycoleman @NathanGrunewald I certainly think independent docs will be more willing to try new innovative models like DPC and others that will come along. Harder for large orgs & groups to pivot their biz models #hcldr |
| Franklin Loachamin @FranLoachamin RT @NathanGrunewald: T2 Being your own boss, so to speak, affords non-system employed physician likely more flexibility in their daily operations. Don’t have data, but would suspect some #burnout related causes may be improved in the "independent" scenario. Hopefully, that improves #ptexp. #hcldr |
| Edward Bukstel @ebukstel @jeremycoleman @NathanGrunewald IDK. 😐 some people say this #MACRA #MIPS stuff costs a lot of $$$ #HCldr |
| Bonnie C. Sheeren, BCPA @bonniesheeren T3: My MD, solo practice, is all up on the local community MDs as well as many in the TX Med Center-so I feel like I’m getting good referrals. #hcldr |
| Mario Amaro 🐶 (The Private Practice Doc) @MarioATX_MD @ebukstel @pfanderson @Colin_Hung @hcldr Tell me about it. Anything in digital health is tough. Had a random Twitter investor attempt to dunk on me with an Avatar replacement for docs. I’m all for tech but let’s focus on improving inefficiencies first. The doc-pt relationship needs to be salvaged not replaced. #hcldr |
| Colin Hung @Colin_Hung RT @bonniesheeren: T3: T3: My MD, solo practice, is all up on the local community MDs as well as many in the TX Med Center-so I feel like I’m getting good referrals. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @hcldr "Under what conditions is decentralization of facilities rational for a client-centered system ...?" p. 842 https://t.co/4WAXlAeXgg Decentralization, 1973, Manfred Kochen https://t.co/8mV0aTGtLI #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @MarioATX_MD: @hcldr T3: @hcldr T3: I think most want to be but it’s difficult when you’re seen as a competitor and not an ally. There is so much benefits to patients and continuity of care. Wish we could go back to when it was acceptable for primary care clinicians to have inpatient privileges. #hcldr |
| Robin Roberts @RRobertseHealth @ebukstel @jeremycoleman @NathanGrunewald This is just one payers version of VBC all commercial payers have a similar program MIPS is the lowest common denominators value-based care #notjustmedicare #hcldr https://t.co/AKZp1Fc10e |
| Sally James @jamesian @bonniesheeren Sometimes your doc gets you in to see the specialist (who has a front desk that says "she's not taking pts" ) and isn't that the MOST important thing in the world? #hcldr |
| Colin Hung @Colin_Hung @TheBingle T3 Certainly think we are in a wave of consolidation. The gain in back-office efficiency seems like a draw...as is the elimination of admin headaches (like payroll) for docs. But is it better? Not sure. #hcldr |
| Edward Bukstel @ebukstel @MarioATX_MD @pfanderson @Colin_Hung @hcldr Keep the faith Mario. We need you and others like you. Rock n Roll. 🎯 #HCldr |
| Colin Hung @Colin_Hung RT @pfanderson: @hcldr "Under what conditions is decentralization of facilities rational for a client-centered system ...?" p. 842 https://t.co/4WAXlAeXgg Decentralization, 1973, Manfred Kochen https://t.co/8mV0aTGtLI #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @ebukstel @jeremycoleman @NathanGrunewald The programs are not popular, with many practices only yielding in the 1.6% range, even when they score 100. CMS may need to rethink how to measure quality w/o the carrot dangling programs #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @hcldr If we merge all small practices into a megamonolith, we have lost the values of democracy and flexibility and a structure to support innovation. On the other hand, we can force everyone to obey the same rules, preventing some kinds of harm. #hcldr |
| Bonnie C. Sheeren, BCPA @bonniesheeren T3: Then again, my GI doc is solo & had to have their own surgery-so it was either no appts or find another MD & start from scratch? 🤔 #hcldr |
| Michael W. Roberts @michaelwroberts @bonniesheeren Seems like it’s easier to be a primary care MD referring out than an independent specialist that depends on referrals. Have seen that become an issue for some practices. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @RRobertseHealth: T3 Consolidation is pervasive, the feedback I hear from docs includes reduced rates, regulatory burden, lack of negotiating pwr., industrialization of med., lack of autonomy etc. The loss of independent MDs = less pt. choice, regulated costs rates + continued admin waste #hcldr https://t.co/i7McrXjnE8 |
| Joe Babaian 🇺🇦 @JoeBabaian RT @pfanderson: @hcldr If we merge all small practices into a megamonolith, we have lost the values of democracy and flexibility and a structure to support innovation. On the other hand, we can force everyone to obey the same rules, preventing some kinds of harm. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @bonniesheeren Tough one. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @pfanderson: @hcldr "Under what conditions is decentralization of facilities rational for a client-centered system ...?" p. 842 https://t.co/4WAXlAeXgg Decentralization, 1973, Manfred Kochen https://t.co/8mV0aTGtLI #hcldr |
 | @healthprivacy @HealthPrivacy RT @coffeemommy: THIS. It's not just cancer drugs that induce #FinancialToxicity. This newly approved drug is effective for 90% of individuals w/ #cysticfibrosis (WOW!) Yet, at these #drugprices, completely out of reach for most families. Healthcare accessibility includes affordability. #hcldr |
| Edward Bukstel @ebukstel @ShereesePubHlth @jeremycoleman @NathanGrunewald This is why I totally love you Shereese. Even though you're a @dallascowboys fan. Always awesome information to think about. #HCldr ❤ |
| Joe Babaian 🇺🇦 @JoeBabaian @bonniesheeren You sure jumped in! Nice!! :) #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @JoeBabaian @Colin_Hung @nickdawson @hcldr Are you so sure? ;) #hcldr https://t.co/yD6bnl18ht |
| Robin Roberts @RRobertseHealth @ShereesePubHlth @ebukstel @jeremycoleman @NathanGrunewald Meanwhile @UHC premium designation and similar programs are making billions and no one is talking about their VBC initiatives #hcldr https://t.co/2QKr9kL3y8 |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @ShereesePubHlth: T3 Independents need to survive & thrive outside of larger systems, They serve the community and social needs. They also provide choices. There are concierge models and free independents. We need them. #hcldr https://t.co/ddTEnPS255 |
| HCLDR Moderator @hcldr Almost time for our final question. Let’s get ready for T4 in just 1 minute! #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @ebukstel: @MarioATX_MD @pfanderson @Colin_Hung @hcldr Mario. I tried helping people a while back. It's hard work in #digitalhealth. #HCldr https://t.co/7zjlqzmFhN |
| Hazel Chappell @ishcahealth RT @jameyedwards: Rapid Expansion of #Telehealth Comes with New Challenges https://t.co/DpcdjTI795 @statnews 💵 Reimbursement ⚕️ Credentialing & Licensing 📝 Streamlining Consent #Telemedicine #DigitalHealth #mHealth #VirtualVisits #eVisits #Innovation #Change #Healthcare #HLTH19 #HCLDR https://t.co/cJul3r4Efv |
| Bingle @TheBingle Yup... agreed! #hcldr |
| HCLDR Moderator @hcldr T4 What improvements would you like to see for patient experience at physician practices? Is there a consumer tech or process you would like to see adopted? #hcldr https://t.co/7HaLEuLbN8 |
| Joe Babaian 🇺🇦 @JoeBabaian RT @hcldr: T4 What improvements would you like to see for patient experience at physician practices? Is there a consumer tech or process you would like to see adopted? #hcldr https://t.co/7HaLEuLbN8 |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @TheBingle: T3 I like the choice as a patient. The trend today has been Bigger Is Better.... The little guy has virtually been eliminated. That goes from corner markets to independent grocery supermarkets. The Big Boxes are In. Is Healthcare any different? #hcldr |
| Mario Amaro 🐶 (The Private Practice Doc) @MarioATX_MD @ebukstel @pfanderson @Colin_Hung @hcldr Thanks Edward. There’s good days and bad days but I know by giving clinicians autonomy I’m also providing similar autonomy for patients. #hcldr |
| Colin Hung @Colin_Hung RT @MarioATX_MD: @ebukstel @pfanderson @Colin_Hung @hcldr Thanks Edward. There’s good days and bad days but I know by giving clinicians autonomy I’m also providing similar autonomy for patients. #hcldr |
| Colin Hung @Colin_Hung @MarioATX_MD @ebukstel @pfanderson @hcldr Love the way you said that Mario! #hcldr |
| Colin Hung @Colin_Hung RT @hcldr: T4 What improvements would you like to see for patient experience at physician practices? Is there a consumer tech or process you would like to see adopted? #hcldr https://t.co/7HaLEuLbN8 |
| Hazel Chappell @ishcahealth #PatientExperience |
| P3 Practice Marketing @p3practicemktg T4: If you were to try to emulate some of the best practices of dental, , etc. offices from both a consumer and tech perspective, we would be better off. #hcldr |
| Edward Bukstel @ebukstel @RRobertseHealth @ShereesePubHlth @jeremycoleman @NathanGrunewald @UHC Yo. So true Robin. Looks like value based care is failing. Not a good look #HCldr. https://t.co/NUPbCCeSL5 |
| PF Anderson @pfanderson@disabled.social @pfanderson @TheBingle That's centralization. There's a social pendulum swing. Centralization eventually goes too far, breaks down, and the pendulum starts to swing back. Until it goes too far the OTHER direction. #hcldr |
| Colin Hung @Colin_Hung @p3Inbound T3 I do like all the tech & consumer features that dentists have implemented - modern offices, TVs everywhere, video games for kids, musak, and of course always smiling #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @MarioATX_MD: @ebukstel @pfanderson @Colin_Hung @hcldr Tell me about it. Anything in digital health is tough. Had a random Twitter investor attempt to dunk on me with an Avatar replacement for docs. I’m all for tech but let’s focus on improving inefficiencies first. The doc-pt relationship needs to be salvaged not replaced. #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @RRobertseHealth @ebukstel @jeremycoleman @NathanGrunewald @UHC And other CMS models are losing steam as well. ACOs are defecting from NextGen, They're down to 41 from 57, last time I checked. What's the answer for these models? #hcldr |
| Robin Roberts @RRobertseHealth T4 Exceptional basics! Timely call backs, more urgent appointment slots, actual care coordination, more action and less print-outs. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @RRobertseHealth: T4 Exceptional basics! Timely call backs, more urgent appointment slots, actual care coordination, more action and less print-outs. #hcldr |
| Beth Steckler (she/her) @purplemamabear I would love to see access to med chart in real time. It seems to me errors that can sometimes occur in records could quickly be ‘caught’ if patients caregiver had complete access. #hcldr |
| Colin Hung @Colin_Hung @pfanderson @TheBingle T4 Hate that pendulum...except when it's right in the middle. But then again that's the nature of an open system right? It goes too far one way and suddenly there is opportunity to swing it back the other way #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @RRobertseHealth What really counts in regular care! The important stuff! #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @Colin_Hung: @pfanderson @TheBingle T4 Hate that pendulum...except when it's right in the middle. But then again that's the nature of an open system right? It goes too far one way and suddenly there is opportunity to swing it back the other way #hcldr |
| Bingle @TheBingle I watched the replay in my head a million times. Bad pitch to the independent "little guy"! PS: Not sure if I had a heart attack when I saw it first hand the other night. #hcldr |
| Edward Bukstel @ebukstel @Colin_Hung @p3Inbound I loved listening to The Outlaws on nitrous oxide with Beats headphones. Awesome #HCldr 😎 |
| Joe Babaian 🇺🇦 @JoeBabaian @Colin_Hung @p3Inbound It's true - but the consumer out of pocket costs for dental care have skyrocketed - private dental insurance is abysmal. And I see a lot of "Care Credit" applications at every dental office these days. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @Colin_Hung @TheBingle Exactly, my friend. :) You see what I see. #hcldr https://t.co/SGFW2jQRya |
| Mario Amaro 🐶 (The Private Practice Doc) @MarioATX_MD @hcldr T4: Partnership with pt advocates to help learn what your pts really want. Sometimes clinicians operate in a vacuum and think that delivering adequate management is enough. I think the clinician of the future is going to need a wider range of skills to improve value prop. #hcldr |
| Nathan Grunewald MD MBA FACS @NathanGrunewald T4 Efforts to increase #PatientEngagement in the care process remains an important aspect to success. #hcldr |
| Eric Goldberg, MD @DiagnosisMD T4: Tech that supports the relationship - integrating patient "forms" directly into the note in the EMR so doctor is not a data clerk, smart scheduling so patients get the right sized appointment, active referral management and prior auths! #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @DiagnosisMD: T4: T4: Tech that supports the relationship - integrating patient "forms" directly into the note in the EMR so doctor is not a data clerk, smart scheduling so patients get the right sized appointment, active referral management and prior auths! #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @esteckler2 This is one practical use for #blockchaintechnology . While we're busy hating on the idea of blockchain as a grand solution, we fail to recognize it as an enhancement to otherwise inefficient systems. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @MarioATX_MD: @hcldr T4: @hcldr T4: Partnership with pt advocates to help learn what your pts really want. Sometimes clinicians operate in a vacuum and think that delivering adequate management is enough. I think the clinician of the future is going to need a wider range of skills to improve value prop. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @JoeBabaian: @Colin_Hung @p3Inbound It's true - but the consumer out of pocket costs for dental care have skyrocketed - private dental insurance is abysmal. And I see a lot of "Care Credit" applications at every dental office these days. #hcldr |
| Robin Roberts @RRobertseHealth @pfanderson Agree #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @DiagnosisMD: T4: T4: Tech that supports the relationship - integrating patient "forms" directly into the note in the EMR so doctor is not a data clerk, smart scheduling so patients get the right sized appointment, active referral management and prior auths! #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @NathanGrunewald: T4 Efforts to increase #PatientEngagement in the care process remains an important aspect to success. #hcldr |
| Bonnie C. Sheeren, BCPA @bonniesheeren T4: Being able to import EHRs from one system to another, just like when someone sends me a Google sheet doc and I can import to Excel for my own use! #hcldr https://t.co/2ZNL4UbDNH |
| Colin Hung @Colin_Hung @JoeBabaian @p3Inbound T4 For sure dental world has issues too. I would definitely agree that costs have gone up...but not likely because of all the consumer-facing stuff they have done. Still a good point to say that it's not all a panacea over there #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @bonniesheeren: T4: T4: Being able to import EHRs from one system to another, just like when someone sends me a Google sheet doc and I can import to Excel for my own use! #hcldr https://t.co/2ZNL4UbDNH |
| Robin Roberts @RRobertseHealth @DiagnosisMD #hcldr https://t.co/gDwEaV0Obq |
| Colin Hung @Colin_Hung RT @MarioATX_MD: @hcldr T4: @hcldr T4: Partnership with pt advocates to help learn what your pts really want. Sometimes clinicians operate in a vacuum and think that delivering adequate management is enough. I think the clinician of the future is going to need a wider range of skills to improve value prop. #hcldr |
| Michael W. Roberts @michaelwroberts T4 It’s all about communication for me. Let me know what’s going on. Whatever tools enable that process, let’s use ‘em. #hcldr |
| Colin Hung @Colin_Hung RT @NathanGrunewald: T4 Efforts to increase #PatientEngagement in the care process remains an important aspect to success. #hcldr |
| Mario Amaro 🐶 (The Private Practice Doc) @MarioATX_MD @DolvinSp8 @hcldr No you’re absolutely correct. There’s no way one person can solve healthcare alone. Even for a small group of pts. I think “if” more clinicians go into independent practice we will see a new category created to offer advocacy for patients. Team work makes the dream work. #hcldr |
| Colin Hung @Colin_Hung RT @DiagnosisMD: T4: T4: Tech that supports the relationship - integrating patient "forms" directly into the note in the EMR so doctor is not a data clerk, smart scheduling so patients get the right sized appointment, active referral management and prior auths! #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @michaelwroberts: T4 It’s all about communication for me. Let me know what’s going on. Whatever tools enable that process, let’s use ‘em. #hcldr |
| Colin Hung @Colin_Hung RT @bonniesheeren: T4: T4: Being able to import EHRs from one system to another, just like when someone sends me a Google sheet doc and I can import to Excel for my own use! #hcldr https://t.co/2ZNL4UbDNH |
| Colin Hung @Colin_Hung RT @michaelwroberts: T4 It’s all about communication for me. Let me know what’s going on. Whatever tools enable that process, let’s use ‘em. #hcldr |
| Nathan Grunewald MD MBA FACS @NathanGrunewald @bonniesheeren Authentic interoperability! Yes, please. #hcldr |
| HCLDR Moderator @hcldr Repeating T4 What improvements would you like to see for patient experience at physician practices? Is there a consumer tech or process you would like to see adopted? #hcldr https://t.co/oVQmMZRcLa |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @MarioATX_MD: @DolvinSp8 @hcldr No you’re absolutely correct. There’s no way one person can solve healthcare alone. Even for a small group of pts. I think “if” more clinicians go into independent practice we will see a new category created to offer advocacy for patients. Team work makes the dream work. #hcldr |
| Colin Hung @Colin_Hung @michaelwroberts T4 YES! Not just between physicians and patients but also between people at the practice as well. Communication is the oil that can keep practices humming smoothly #hcldr |
| Eric Goldberg, MD @DiagnosisMD RT @Colin_Hung: @michaelwroberts T4 YES! Not just between physicians and patients but also between people at the practice as well. Communication is the oil that can keep practices humming smoothly #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @bonniesheeren I'm still convinced that the failure to reach true interoperability is reflective of our inability to share & a need for greed. Otherwise, we have the tools to get this done. #hcldr |
| Hazel Chappell @ishcahealth @hcldr T4: Better training for front desk/line staff in dealing with patients and a big smile 😊 at first glance Please all use #hellomynameis Create a summary care record for the patient A patient practice group who speaks on behalf the patient’s needs/experiences #hcldr |
| Edward Bukstel @ebukstel 💯 #HCldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @MarioATX_MD @DolvinSp8 @hcldr Yes! The sweet spot for making this work is somewhere in the middle. That's the importance of networking, a social infrastructure that supports the independent clinician and clinical experience. #hcldr |
| Michael W. Roberts @michaelwroberts @Colin_Hung @JoeBabaian @p3Inbound Scott got tied up with a call, but I agree dental is certainly not perfect. I will say that I like that CareCredit applications are available upfront instead of having to scramble when the mystery bill finally comes due. #hcldr |
 | Patient Safety 🇨🇦 @pttopt Real Time access to our Medical Charts would increase trust , #transparency and catch errors prior to becoming permanent on #healthrecords #patientsafety #OurData |
| Mario Amaro 🐶 (The Private Practice Doc) @MarioATX_MD @DiagnosisMD It all starts with the proper workspace and workflow. 🙃 #hcldr |
| Michael W. Roberts @michaelwroberts @Colin_Hung Good communication can be exhausting, but the returns are immense. #hcldr |
| Bonnie C. Sheeren, BCPA @bonniesheeren @ShereesePubHlth #hcldr https://t.co/t9bmeFsLcV |
| Colin Hung @Colin_Hung RT @pfanderson: @MarioATX_MD @DolvinSp8 @hcldr Yes! The sweet spot for making this work is somewhere in the middle. That's the importance of networking, a social infrastructure that supports the independent clinician and clinical experience. #hcldr |
| Colin Hung @Colin_Hung RT @HAZHealthcare: @hcldr T4: @hcldr T4: Better training for front desk/line staff in dealing with patients and a big smile 😊 at first glance Please all use #hellomynameis Create a summary care record for the patient A patient practice group who speaks on behalf the patient’s needs/experiences #hcldr |
| P3 Practice Marketing @p3practicemktg @JoeBabaian @Colin_Hung I just think that dental practices that I have used have been efficient, patient focused and on time. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @michaelwroberts @Colin_Hung @p3Inbound Folks shouldn't have to grab consumer debt for dental care. All the cash payments (including from Care Credit) are enabling the dental practices to offer more fluff. Agree the fluff is nice, but at what real cost? Also - far from everyone has access to easy credit ): #hcldr |
| Nathan Grunewald MD MBA FACS @NathanGrunewald @ShereesePubHlth @bonniesheeren Agree, real barriers to adoption. Also, we need to agree on the language and data fields normalization. A hemoglobin data field in one EHR needs to be the same in another EHR so they flow well. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @Colin_Hung @JoeBabaian @p3Inbound Dentistry is the last huge social health care frontier, where ppl look at you & instantly judge yr smile as to whether U grew up poor or not. Underfunded, under accessed, uncontrolled to a lg extent, not covered by most insurance, yet oral health is gateway to all health #hcldr |
| Edward Bukstel @ebukstel @MarioATX_MD @DiagnosisMD Omg you just said workflow. That's like saying Beetlejuice to @wareFLO. #HCldr. https://t.co/UivZyO150X |
| HCLDR Moderator @hcldr That’s a wrap. Thank you for joining the #hcldr tweetchat tonight. Your time, tweets and comments are greatly appreciated! |
 | raz sey @hysister19 RT @esteckler2: I would love to see access to med chart in real time. It seems to me errors that can sometimes occur in records could quickly be ‘caught’ if patients caregiver had complete access. #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba Gotta run. Have a great week all. Thanks @JoeBabaian @Colin_Hung #hcldr https://t.co/8HQIhIjjBD |
| Bingle @TheBingle T4 Listening intently to pts. Patient Charts easily accessible from each Dr. the patient has seen. Although, I do not like patients publicly rating their Drs.... I believe too many rate personality instead of efficiency. #hcldr |
| Nathan Grunewald MD MBA FACS @NathanGrunewald Thanks @JoeBabaian & @Colin_Hung and et al. Have a great week #hcldr. |
| PF Anderson @pfanderson@disabled.social @pfanderson @p3Inbound @JoeBabaian @Colin_Hung This is BECAUSE they usually aren't covered by insurance. Dentists know darn well that to have patients, they better be good to them. Excellent at courtesy, mgmt, communication, patient experience, respecting pt choice #hcldr |
| HCLDR Moderator @hcldr Don’t forget to use the #hcldr hashtag during week for interesting healthcare/leadership posts, pics, articles & news |
| Joe Babaian 🇺🇦 @JoeBabaian @NathanGrunewald @Colin_Hung It was great! Thanks for being here as always Nathan!!! :) #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @JoeBabaian: @michaelwroberts @Colin_Hung @p3Inbound Folks shouldn't have to grab consumer debt for dental care. All the cash payments (including from Care Credit) are enabling the dental practices to offer more fluff. Agree the fluff is nice, but at what real cost? Also - far from everyone has access to easy credit ): #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @ShereesePubHlth @Colin_Hung Hugs! Thanks for being here my dear friend!! #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @pfanderson: @Colin_Hung @JoeBabaian @p3Inbound Dentistry is the last huge social health care frontier, where ppl look at you & instantly judge yr smile as to whether U grew up poor or not. Underfunded, under accessed, uncontrolled to a lg extent, not covered by most insurance, yet oral health is gateway to all health #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @pfanderson: @p3Inbound @JoeBabaian @Colin_Hung This is BECAUSE they usually aren't covered by insurance. Dentists know darn well that to have patients, they better be good to them. Excellent at courtesy, mgmt, communication, patient experience, respecting pt choice #hcldr |
| Colin Hung @Colin_Hung RT @hcldr: Don’t forget to use the #hcldr hashtag during week for interesting healthcare/leadership posts, pics, articles & news |
| Colin Hung @Colin_Hung RT @TheBingle: T4 Listening intently to pts. Patient Charts easily accessible from each Dr. the patient has seen. Although, I do not like patients publicly rating their Drs.... I believe too many rate personality instead of efficiency. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @JoeBabaian @michaelwroberts @Colin_Hung @p3Inbound Which is the divide between the haves and the have nots. Dentistry SHOWS if you are or were poor. Almost impossible to hide without enormous resources #hcldr |
| Colin Hung @Colin_Hung @ShereesePubHlth @JoeBabaian Have a wonderful week Shereese! #hcldr |
| Mario Amaro 🐶 (The Private Practice Doc) @MarioATX_MD @DolvinSp8 @hcldr I think the reason large health orgs are successful is because the people who go into medicine are absolutely amazing people. All they want to do is help others. It’s not the orgs it’s the people. And the people are burnt out and tired of carrying “brands” on their back. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @ebukstel: @MarioATX_MD @DiagnosisMD Omg you just said workflow. That's like saying Beetlejuice to @wareFLO. #HCldr. https://t.co/UivZyO150X |
| Colin Hung @Colin_Hung RT @pfanderson: @p3Inbound @JoeBabaian @Colin_Hung This is BECAUSE they usually aren't covered by insurance. Dentists know darn well that to have patients, they better be good to them. Excellent at courtesy, mgmt, communication, patient experience, respecting pt choice #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @MarioATX_MD: @DolvinSp8 @hcldr I think the reason large health orgs are successful is because the people who go into medicine are absolutely amazing people. All they want to do is help others. It’s not the orgs it’s the people. And the people are burnt out and tired of carrying “brands” on their back. #hcldr |
| Colin Hung @Colin_Hung RT @MarioATX_MD: @DolvinSp8 @hcldr I think the reason large health orgs are successful is because the people who go into medicine are absolutely amazing people. All they want to do is help others. It’s not the orgs it’s the people. And the people are burnt out and tired of carrying “brands” on their back. #hcldr |
| Bingle @TheBingle @MarioATX_MD I remembered Altuve from a few years back. He's definitely a wrecking ball by himself. The Astros won... The Better Team THIS YEAR..... Next Year...… #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @2healthguru This! :) Thanks for making a smile! :) #hcldr |
| Mario Amaro 🐶 (The Private Practice Doc) @MarioATX_MD @DolvinSp8 @hcldr One thing large health orgs have is reach. That’s why there should be more partnerships not ownership or control. We all have a part to play but unfortunately when $ is involved it’s more profitable to control the entire experience. #hcldr |
| Hazel Chappell @ishcahealth #hcldr Interesting perspective #PatientExperience |
| Bingle @TheBingle RT @pfanderson: @Colin_Hung @TheBingle Exactly, my friend. :) You see what I see. #hcldr https://t.co/SGFW2jQRya |
| Michael W. Roberts @michaelwroberts @JoeBabaian @Colin_Hung @p3Inbound Certainly not arguing whether costs have increased, but convenience of online booking, later hours have been incredibly helpful for making sure I keep up with appointments. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian Thanks everyone for the insight and care tonight on #hcldr - what a conversation! :) Have a super week - we appreciate you!! https://t.co/7KrN4SMa6H |
| Bingle @TheBingle RT @RRobertseHealth: T4 Exceptional basics! Timely call backs, more urgent appointment slots, actual care coordination, more action and less print-outs. #hcldr |
| Colin Hung @Colin_Hung RT @JoeBabaian: Thanks everyone for the insight and care tonight on #hcldr - what a conversation! :) Have a super week - we appreciate you!! https://t.co/7KrN4SMa6H |
 | 𝓝𝓪𝓽𝓻𝓲𝓬𝓮𝓡 😷🇨🇦❤️ 🥀 @NatriceR RT @MarioATX_MD: @DolvinSp8 @hcldr I think the reason large health orgs are successful is because the people who go into medicine are absolutely amazing people. All they want to do is help others. It’s not the orgs it’s the people. And the people are burnt out and tired of carrying “brands” on their back. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @p3Inbound @michaelwroberts @Colin_Hung @pfanderson Definitely! :) #hcldr |
| Eric Goldberg, MD @DiagnosisMD @JoeBabaian Thanks Joe and everyone! First chat for me - really great discussion! #hcldr |
| Colin Hung @Colin_Hung @2healthguru So awesome to see you last week Gregg. Just wished we had more time together my friend. See you soon! #hcldr |
| Colin Hung @Colin_Hung @DiagnosisMD @JoeBabaian We're glad you joined the conversation tonight Eric. Appreciate your tweets and insights #hcldr |
| Bingle @TheBingle Yeah Me To.... Oops, I mean I agree! Shereese is always right on! #hcldr |
| Bonnie C. Sheeren, BCPA @bonniesheeren @JoeBabaian @michaelwroberts @Colin_Hung @p3Inbound Yes Care Credit can be a trap for consumers who aren’t aware of the fine print! #hcldr |
| Mario Amaro 🐶 (The Private Practice Doc) @MarioATX_MD @ebukstel @DiagnosisMD @wareFLO Yup. And low adoption is due to a lack of an environment thats able to sustain seamless product integration. Opportunity cost are real. Time is literally money and life. Think if we had to hire a developer to install an API just to use the twitter app on our iPhone. 👎🏽 #hcldr |
| Colin Hung @Colin_Hung @RareCandace No worries Candace! #hcldr |
| Bingle @TheBingle Yes definitely. I've seen an estimate double in 12 mos. |
 | Gregg Masters MPH @2healthguru @Colin_Hung Thanks Colin. See you at #hlth2019? Maybe we can get the interview mentioned at @MGMA? #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @bonniesheeren @michaelwroberts @Colin_Hung @p3Inbound Or the bold print. It's debt :) #hcldr |
 | Mennonite Mom(she/her) @mommy97giraffe RT @esteckler2: I would love to see access to med chart in real time. It seems to me errors that can sometimes occur in records could quickly be ‘caught’ if patients caregiver had complete access. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @RareCandace Missed you! #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @DiagnosisMD Great having you! #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @p3Inbound @JoeBabaian @michaelwroberts @Colin_Hung I was, for a number of years, the head of the largest dentistry library in the world. I was, each day, proud to work in a nonprofit space helping to improve access and care in dentistry, specifically as a social justice exercise. Dentistry really highlights those issues #hcldr |
 | Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO @ebukstel @MarioATX_MD @DiagnosisMD Run for your lives #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @DiagnosisMD You're a pro already ! :) #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @pfanderson: @p3Inbound @JoeBabaian @michaelwroberts @Colin_Hung I was, for a number of years, the head of the largest dentistry library in the world. I was, each day, proud to work in a nonprofit space helping to improve access and care in dentistry, specifically as a social justice exercise. Dentistry really highlights those issues #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @DiagnosisMD: @JoeBabaian Thanks Joe and everyone! First chat for me - really great discussion! #hcldr |
| Bonnie C. Sheeren, BCPA @bonniesheeren @hcldr #hcldr https://t.co/NWnLwIQ4YM |
| Eric Goldberg, MD @DiagnosisMD @JoeBabaian Have a great week - looking forward to more! #hcldr |
| Michael W. Roberts @michaelwroberts @JoeBabaian @bonniesheeren @Colin_Hung @p3Inbound Debt and medical care have been synonymous to me far too often. Are you worried about things like CareCredit specifically because of interest rates or because of the extra perks dentists are having to offer? Interested to learn. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @bonniesheeren @hcldr Thanks for adding so much!! It was great having you with us tonight :) #hcldr |
| Bingle @TheBingle Thanks JB, Colin and All for a great chat in Healthcare & Baseball⚾️⚾️⚾️ And now The World Series #hcldr |
| Michael W. Roberts @michaelwroberts @pfanderson @p3Inbound @JoeBabaian @Colin_Hung That's really amazing! I hadn't thought of it specifically through issues related to dentistry. It's certainly not an easy fix for a lot of other nonprofits to contribute to, either. #hcldr |
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