The Business of Practice Management – MGMA

Medical Group Management Association

Halee Fischer-Wright is a nationally respected healthcare executive and physician leader whose work focuses on medical management innovation and creating cultures of excellence. She has served as a Physician Practice President, hospital system CMO and now is the President and CEO of the MGMA.

In our conversation, we discussed the challenges of running a medical practice including dealing with changes in technology, stress, and the time physicians spend on administration. The MGMA’s mission is providing the training, resources, and community to support healthcare practices. At their annual meeting, Oct 31- Nov 2 the MGMA celebrates their 90th Anniversary.

Listen to our conversation or jump in at the time stamps below.

MGMA00:00 Introduction
00:45 Meet Halee Fischer-Wright, MD
83% of Physicians would not choose to go into medicine
03:05 Solo Vs Multi-Specialty
04:25 Is an MBA needed to run a better practice?
07:10 How much of a physician’s time is spent on administration?
08:30 How much of the administrative role can be delegated?
09:40 Checklists getting in the way?
12:25 Should EHR companies have physicians/nurses on staff?
13:25 Halee Fischer-Wright’s story
16:10 Experience on both sides of the fence
16:50 Tell me about the members of the MGMA
17:38 National and state MGMA Associations
18:15 What are the big issues facing MGMA members
19:12 MGMA is about the business of medicine
21:03 Are annual meeting sessions different depending on practice size
22:08 What is the MGMA doing with social media?
23:40 State MGMA Boards are a not keeping up with social media
25:55 Patients crowdsourcing physician choice
26:45 You can’t turn the clock back
27:31 Does the MGMA have a social media policy for members?
29:02 Hospital employees posting racist comments
32:10 Ignorance is not an excuse
32:25 Thought leaders can be found anywhere
34:14 What’s coming up for the MGMA in 2017?
35:10 A look at the 2016 MGMA Annual Meeting.
35:35 Why did you pick Jim Gaffigan as a speaker?
37:15 Is there a certificate program to be a practice Manager?
38:25 What would you say to people who are not members of the MGMA?
39:00 Social Media Tip: Shahid Shah: Ask the deeper question
40:35 Social Content Solutions


Tech Guy and the HITMC Conference

John Lynn, aka @TechGuy, is well known in the healthcare IT world. He has developed a series of websites to support the industry. His website Healthcare Scene hosts 10 healthcare blogs that have generated over 11,000 blog posts, half of which John wrote himself! He’s the co-founder of #HITMC Conference, supports numerous Twitter handles and provides a valuable resource for job seekers in the industry.

Listen to our conversation or drop in at the time stamps below:

00:00 Introduction
00:50 #HIT100
01:15 Healthcare – people with personal passions
02:38 What is your “Why”?
03:40 Difference between professional and passion-driven participants
05:17 Disconnect in C-Suite not being exposed to social media discussions?
06:48 Social determinants of health
07:27 Patient stories – not hearing enough “good” stories
10:47 Empowered patients
13:41 People want to do good. Problems are a result of faulty workflow or process
16:18 The power of social media
17:10 Entrepreneurial spirit is suppressed in healthcare
18:56 Acquired EHRs, now we need healthcare analysts
20:22 John’s digital properties: Healthcare Scene, Healthcare IT Jobs, #HITMC
23:47 Open Sharing among healthcare marketers
26:29 HITMC Conference – Marketing automation hot topic
28:21 Networking is a valuable aspect of HITMC
29:15 Call for speakers for Spring HITMC Conference
31:24 Topic suggestions: Success/Failure stories and Creative or Innovative Problem Solving
31:04 Hamilton Rap from Stacey Gobel of Studio 9
32:07 Where will the conference be held? SLS Las Vegas
35:30 Find #HITMC – LinkedIn Group, Website, TwitterChat
36:40 “Local” meetups around the country
38:03 Social Media Tip: Stacy Goebel with Studio North “Try Live Video”

Find John Lynn:

John Lynn MGMA

HITMC Call for Speakers



Kareo – Independent Practice Innovator

Physician, Innovator, and Entrepreneur

Meet Dr. Tom Giannulli; Chief Medical Officer for Kareo and independent practice innovator. As both a physician and an entrepreneur, Dr. Giannulli is something of a modern-day Edison – creating, developing and testing digital health innovations in his own healthcare practice. As an independent practitioner, he offers a unique perspective and the capability to de real-time testing of the innovative ideas at Kareo.

During our interview, we talked about innovation, the needs of the small healthcare practice and, of course, social media. Listen to our conversation or drop in at the time stamps below:

Podcast Time Stamps:

00:00 Introduction
00:55 Meet Dr. Tom Giannaulli, CMIO, Kareo
01:25 Kareo’s use of social media
01:55 Leadership team at Kareo is active in social media
02:21 Was social media part of your pre-Kareo career?
02:41 How did you manage to be a physician and an entrepreneur?
03:40 Technology an interest early on
04:22 Do your kids love technology?
04:48 Kareo’s history
05:50 What’s the difference between the marketing platform and Doctor Base?
07:05 Difference between patient portal and physician review site
08:10 Where are you allowed to post content?
08:32 Tracking review sites – as many as 60-80
09:22 Review sites – Are all reviews published?
10:43 Need more review to balance all opinions
11:30 It’s like trying to get podcast reviews! (Shameless plug – Review here!)
12:16 What is a “small” or independent practice?
12:54 How are your services offered?
13:25 How labor intensive is the ongoing training and support for an independent practice?
14:25 Are your new clients new to EHR or are they transferring from another platform
14:42 How do you manage to be the CMIO for Kareo and a practicing physician?
15:57 Is Kareo a virtual company?
16:17 Who wins the arguments – the Physician or the Entrepreneur?
17:35 Physician’s time spent with EHR – is it better than the “good old days”?
19:35 Heads Up Medicine – Training to use tablet and remain engaged with patient
21:00 Gesture-based software
21:56 Digital Health & Snake Oil
24:05 Vetting medial apps
24:44 How does the Kareo platform help the small healthcare practice do marketing
26:00 Claim your space – how does the Kareo platform update online information?
27:03 What are you developing now?
27:40 KareoChat – Who’s participating?
28:15 Crafting blog posts and subject matter expert to lead
29:28 Why is social media important to an independent practice?
31:41 Social Media Tip: Hannah Prince. “Use interactive content”


More Information:

Storify of April 28th TweetChat led by Janet Kennedy of Get Social Health (that’s me!)

Dr. Tom Giannulli