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Tips to strengthen your greatest asset: Your medical practice staff

Posted by Caren Baginski on Wed, Dec 16, 2009
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Now is the time to focus on strengthening your medical practice staff – training, education, mentoring – both in a professional and personal way.

By Kenneth T. Hertz, CMPE
Principal, MGMA Health Care Consulting Group

Medical practice administrators tell me that it's becoming more difficult to recruit and retain competent staff.  I've no doubt that is true; however, there are steps you can take that will mitigate these challenges. Now is the time to focus on strengthening your staff – training, education, mentoring – both in a professional and personal way, if you want to attract better staff and retain those you currently employ.

I realize that money for training falls by the wayside with increased financial pressures. And reductions in personnel make it difficult to find time. This is where your creativity comes into play. The only factor that limits strengthening and growing your staff is your imagination.

Here are six creative ways to make an investment in your practice's staff:

  1. Throw a lunch and learn.
    Tried and true, this is a great way to build camaraderie and provide training at the same time. Dial into a Webinar or bring in a speaker. MGMA on-demand Webinars are a great place to start.
  2. Form a journal club.
    Several practices I've consulted with have done this recently. Select articles from various healthcare, business or management publications, like the MGMA Connexion, and provide them to your management team. Have the team read the articles and discuss them on a weekly or biweekly basis. It's up to you to facilitate the conversation, but many great ideas can arise from these team discussions.
  3. Teach conflict resolution as situations arise.
    So two front desk staffers are arguing over the lunch schedule. Each comes to you complaining about the other. Use this as a "teachable moment" to bring the two staffers together and coach them through resolving this conflict. This approach will "teach them to fish" rather than "giving them a fish," helping them mitigate future problems themselves.
  4. Provide financial counseling.
    Let's face it: Everybody is under some sort of financial pressure these days. Your staff members are no different. Show them that you care about them as people by arranging private financial advice or even debt counseling for them at the practice. If you can lessen the stress at home, you can improve the performance at work.
  5. Promote health and wellness.
    Why not make special arrangements for your staff to join a local athletic club or gym at a reduced rate? This is a great way to show them that you care about their well-being. Plus, healthy employees mean fewer sick days – great for you and your employees!
  6. Step away from your desk.
    One of the best things you can do for your employees is to interact with them in the workspace. Managing by walking around (MBWA) is perhaps more appropriate today than ever; in Engaging Physicians: A Manual to Physician Partnerships, Stephen Beeson, MD, calls it "rounding on the staff." It helps open communications between administration and staff and allows you to assess needs, recognize good work and build stronger bonds.

If you take the time to develop and enrich your staff, your employee satisfaction will grow, patient satisfaction will increase and the workday will become far more enjoyable – even in these trying times.

Looking for tips on recruiting, interviewing and hiring staff? Check out the latest issue of Directions, the MGMA Health Care Consulting Group's free e-newsletter.

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COMMENTS

I disagree with the blanket statement that our employees are our greatest asset. The value of resources, employees included, should be judged on an individual basis. As a director and a consultant to private and institutional practice I have always found overcompensated staff in every practice. Often a sense of entitlement is a personality trait possessed by the overcompensated staff.  
 
 
 
This makes it difficult to level the compensation playing field and motivate improvement in performance. 
 
 
 
I believe in using tough economic times and high unemployment to rid my clients of the unproductive and overcompensated personel that exist in 9 out of 10 practices. 
 
 
 
I believe that by removing the overcompensated, low productivity worker we honor the remaining staff that always gives us a good days work. It also frees up money to reward those folks.  
 
 
 
Thats my 2 cents.

posted @ Tuesday, June 08, 2010 4:25 PM by Dennis O'Donnell


Of couse a consultant disagrees with the concept that employees are the greatest asset. They don't have to manage and motivate what remains when once their recommendations are enacted. Although they can be a short term hero to owners by cutting expenses, they are simply a memory when Administrators are left to deal with the mid to long range carnage.

posted @ Wednesday, June 09, 2010 1:21 PM by Paul DeGrwo


Nothing in the statement referring to staff as our greatest asset suggests that non-productive, overly compensated staff should be retained or that all staff should be lumped together in some sort of evaluation. I do, however, often find physicians who believe that "we can get another receptionist easily, just put an ad in the paper - particularly since so many people are unemployed. Perhaps the statement ought to more properly read, people are an important asset in our practices. They should be evaluated individually, there should be a reasonable compensation scale, etc, etc. I do not believe that we should "use" the tough economic times or the high employment to "rid" our practices of these undesireable employees. If we are doing our job as an administrator, right sizing, reasonable salaries and benefits, holding employees accountable, etc, are all part of our responsbilities. We can be too lean, and it is never our job as a consultant to decimate a practice and leave carnage behind. It is our role to offer sound, reasonable, thoughtful counsel to our clients. That's certainly what I try to do.

posted @ Wednesday, June 09, 2010 3:03 PM by Kenntzeth T Hertz


I am with a 5 physician/3 extender practice and over the years the staff has become increasingly entitled and personally needy. We have strived to have equitable compensation and a good benefit package. It just seems the more we do the more the staff expects - I spend an inordinate amount of time dealing with petty issues to keep everyone "happy". It is my opinion that in this day and time I am happy to be employed and not in an industry that lay-offs are not the norm and I don't fear losing my job on a daily basis. We "lunch" @ practice expense atleast quarterly, have a gym membership provided for the staff after 1 year, have health insurance provided and have a generous sick/vacation package as well as a profit sharing and 401k plan. I think it just a sign of the times - there is alot of the "it's all about me" mentality and less focus on the concept of team effort to get the job done. Other than hiring a professional handholder I am at my wits end on how to keep this group on the right track - it's like herding cats on a daily basis.

posted @ Friday, June 11, 2010 10:16 AM by Rebecca Distefano


I loved the comment that consultants don't have to live with the carnage of their decisions. That is a true statement. I am a practice consultant as well, but I maintain a long-term relationship with the practice to avoid the perspective you are referring to. I suggest to all practices that you only work with a consultant who is capable of your perspective, or who has spent many years in your chair.

posted @ Friday, July 09, 2010 1:49 PM by Michael Finch


Michael, point very well taken. Practices should always conduct due diligence regarding consultants. Does the consultant have real world, hands on experience? What kind of ongoing access or support will the consultant provide following the engagement? And certainly check with previous clients. Thanks for making your suggestions.

posted @ Monday, July 12, 2010 12:15 PM by Kenneth T Hertz


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