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Jeff has been a builder of healthcare relationships for nearly 30 years. 了解他是如何进入这个行业的, 他的工作引领着医疗保健向前发展, and his mentorship of the next generation of healthcare leaders here at 心电图.
Q: How did you get into healthcare management consulting?
A:我们是老交情了. 我在罗切斯特长大, 明尼苏达州, and one of my first jobs—in the summers after my first three years of college—was working at the Mayo Clinic as a surgical technician. 这就是我开始对医疗保健产生兴趣的原因.
I got started in healthcare consulting when I was in the MHA program at the University of 明尼苏达州. I really loved the idea of consulting and project work. 所以我去咨询公司面试, and I accepted my first job out of grad school in 1988 with Tribrook Healthcare Consultants in Chicago. This June will be my 31st year supporting health system clients.
Q: How did you become interested in enterprise strategy?
A: When I joined Tribrook I was in their strategy group—though, 坦率地说, 我当时真的不知道那是什么意思. I started to see the impact of the work when I was able to help several clients in pivotal strategy decisions.
When you help organizations make decisions that change their direction, and in some cases change healthcare in their communities for the foreseeable future, 感觉很好. That’s not every day or every project, but you get to do a lot of other fun things as well.
Q: What’s the biggest challenge in your service area facing healthcare organizations today?
A:最近五六年吧, we have seen a strong focus on population health and developing abilities to improve care.
Many of our clients beyond the West Coast are struggling to find partners that want to do population health. There is some question in the field about the value of that versus focusing on building your fee-for-service capabilities—likely shortsighted, 但首席执行官们需要展示利润. Many of our larger system clients will likely lead on this front, making the infrastructure investments necessary to change their future.
在很多领域, 哪些组织还在成长, I think many are taking what I would term a back-to-basics approach: “We have to run the operation better and more efficiently, meaning our employed medical groups have to be more productive, 第3医疗组.0; we need to do revenue cycle better; we need basic service line operations improvement. We need some contract assessments and managed care improvement in our contracts.” There’s still strategic growth and building service lines, 这很重要, 但我认为他们就在那里. And that typically means focusing on the big service lines. 我的意思是, 当你看到癌症, 出生, 整形外科, 和心脏, 医院所做的事情,有60%到70%是你做的.
Q: What is the most interesting challenge you’ve faced as a consultant?
A: The most fascinating challenges are when clients have determined that they’re going in a different direction or are making pivotal decisions. Whether that means creating unique partnerships for those clients or helping them analyze strategies to expand into new services in new areas—those have been the most exciting things.
Q: Is there a particularly rewarding project that you’ve worked on?
A:我的一些长期客户, like Memorial Health System in Ohio—I was there and helped them develop the strategy to build a medical group 20 years ago, 今天,这个医疗集团有300名bet8网站备用. 那是一个有两家医院的农村社区, 这些医院都有近百年的历史了, 但是没有自给自足的医疗团体. bet8网站备用来了, 和实践, 但当他们的职业生涯结束时, 他们的小医疗小组离开了. 我们制定了一个战略,围绕着我们的愿景, “Why should the community have a hospital that’s 100 years old but no medical group?”
Then, in Tennessee, everybody said our client, the hospital, had to merge. We were the contrarians and said, “Well, it’s an option, but it’s not your 只有 option.他们决定保持独立. The CEO today talks about how many people they believe have survived in their community because they have immediate stroke care or other sorts of trauma care available, 如果它们合并在一起了呢, 这些bet8娱乐本来要45分钟才能到. 我的意思是, they actually will list how many people each year came in to the ED via stroke, 这些人中有多少人完全康复了. They strongly believe that the fact that they are there with full capability has allowed many of their regional citizens to live better lives. 我是说,这很令人兴奋.
另一个项目在圣地亚哥, 帕洛玛医疗公司陷入严重的财务困境, 每年损失2000万美元. 我们有了一个新的CEO, 有战略计划和运营计划吗, 帮助公司扭亏为盈. They built a new hospital and did a pivotal capital deal with Kaiser Permanente, resulting in new cardiologists and surgeons in Escondido.
问:你一天中最开心的部分是什么?
A:和同事一起工作. One of the reasons that I’ve stayed in consulting is working with all the really, 我身边非常聪明的年轻人:顾问, 经理们, 高级管理人员. I love when we have internal team work sessions and really dig into the client issues and answers. 它促使我变得更好. I have to be, because trying to keep up with them is never-ending. 和它在一起让人耳目一新,很享受.
I think one of the differences in consulting is, we’re not great managers; we’re advisers. While certainly we manage projects and things like that, 我们真正的角色是提供建议, 并通过分析得出结论, 帮助客户理解我们的建议. 所以当你想到我们的工作日, 我们99%的工作日都是这样, 公司里的其他人也一样, 被聚焦包围, 聪明的, 精力充沛的人.
Q: What are the publications that you read to keep up to date on healthcare issues?
A:我看书 现代医疗保健, HS&M, 《bet8网站备用》, and then I read different state publications, particularly in states where I have multiple clients. 这些都是我阅读的话题. I think the biggest question is, “What, strategically, is concerning our CEO clients?“我们必须保持领先地位,并找到答案.
问:你在工作之余都做些什么?
A:(笑)办公室外面有吗? We travel, garden, live in never-ending home renovation, read, and play at photography. We actually do hike and things like that when we spend time in the desert in Palm Springs. 和朋友在一起.
问:你养动物吗?
A:是的,我们的狗,露西,60磅,拉布拉多犬混血. She’s 10 years old now, but she’s still pretty active, running in the desert. 我现在在棕榈泉, and she is chasing lizards under the plants; she’s our lizard girl!
2019年5月8日发布