Miranda Dorta 4/14/25 Miranda Dorta 4/14/25

Rebalancing Healthcare: Addressing Physician Work-Life Integration and Well-being

By Miranda Dorta

Imagine a healthcare system where 6 out of every 10 physicians are experiencing symptoms of burnout. Where practice owners are working far more hours than they ever anticipated, with administrative tasks consuming a third (or more) of their time. Where the very strengths that make doctors exceptional at their jobs – drive, problem-solving, perfectionism – are silently eroding their personal lives and well-being.

This isn't a hypothetical scenario. It's the reality facing our healthcare system today.

Photo by Greg Johnson on Unsplash

Imagine a healthcare system where 6 out of every 10 physicians are experiencing symptoms of burnout. Where practice owners are working far more hours than they ever anticipated, with administrative tasks consuming a third (or more) of their time. Where the very strengths that make doctors exceptional at their jobs drive, problem-solving, perfectionism – are silently eroding their personal lives and well-being.

This isn't a hypothetical scenario. It's the reality facing our healthcare system today.

The State of Physician Stress and Burnout

A 2022 study published in Mayo Clinic Proceedings (1) found that 63% of physicians reported at least one symptom of burnout. This silent epidemic hits healthcare practice owners particularly hard, as they face the additional burden of business stress that directly impacts their bottom line and team stability.

Furthermore, a survey of practice owners (2) revealed that nearly 80% work more hours per week than they initially planned when opening their practice. Almost 75% reported that administrative tasks have grown to consume over one-third of their work hours. Many acknowledged they would recognize burnout in a colleague or patient long before identifying it in themselves.

The physical and emotional toll of this chronic stress is substantial. A 2021 systematic review in JAMA Internal Medicine (3) found that physicians with burnout were more likely to report depression, anxiety, sleep disturbances, and alcohol misuse. They also had a doubled risk of suicidal ideation compared to the general population. (4)

Understanding the Professional Strengths That Create Personal Challenges

Several professional strengths that are valuable in medical practice can create unintended consequences in physicians' personal lives:

Service Orientation and Drive

Strength: Constant drive to serve and accomplish more
Challenge: Work engagement overtakes personal life
Impact: Difficulty protecting time for personal relationships
Growth Opportunity: Intentionally scheduling time for personal relationships and meaningful activities outside of work

Problem-Solving Abilities

Strength: Superior ability to find and solve problems
Challenge: Missing positive moments with loved ones
Impact: Loss of joy in everyday interactions
Growth Opportunity: Applying positive psychology to personal relationships, such as practicing gratitude regularly

Perfectionism

Strength: Exacting standards and striving for perfection
Challenge: Contingent self-worth
Impact: Difficulty accepting feedback, increased emotional intensity, heightened interpersonal reactivity
Growth Opportunity: Learning to balance perfectionism with grounded self-worth through therapy, coaching, or contemplative practices

The Imposter Phenomenon

The imposter phenomenon is a significant associated challenge for physicians. This psychological pattern causes competent individuals to doubt their abilities and feel like frauds despite evidence of their success. A 2020 study in JAMA Network Open (5) found that nearly 10% of US physicians had frequent feelings of imposterism, which correlated with higher levels of burnout and lower self-reported wellness scores.

Operational Interventions to Improve Work-Life Integration

Specific operational interventions can help address IWPR (Impact of Work on Personal Relationships) in healthcare practices:

Improved Coverage Systems: Ensuring EHR inbox and clinical care coverage during physician vacations
Optimized Scheduling: Allowing physicians to leave work at reasonable times with predictable schedules
Team-Based Care Models: Optimizing task distribution to improve efficiency and shorten workdays
Strategic Meeting Planning: Evaluating and optimizing meeting timing to minimize encroachment on personal time

Cultural and Normative Interventions

Beyond operational changes, cultural shifts are also needed:

Leadership Education: Training leaders, clinical and practice managers on the importance of clinicians' personal relationships for sustainable effectiveness and retention
New Professional Norms: Implementing policies and communication campaigns establishing norms that prioritize healthy personal relationships and affirm the importance of life beyond medicine
Physician-Spouse Retreats: Weekend programs to increase awareness of practice demands and norms contributing to negative IWPR, while providing space for recommitment to appropriate prioritization of personal relationships

The RENEW Prescription

The RENEW Prescription framework, presented at the SMLMA Healthcare Conference and Expo, offers a valuable cyclical approach to physician wellness through four essential steps:

Awareness → 2. Reflection → 3. Conversation → 4. Plan and Act

This model recognizes wellness as an ongoing practice rather than a quick solution. While RENEW provides an excellent foundation, independent practices face unique challenges compared to large institutions like hospitals and university health systems.

Independent practitioners operate in a distinctive environment where they deliver exceptional patient care while managing all business aspects of their practice. Without support systems and resources available to larger organizations, practice owners must find tailored solutions that address their specific needs.

Financial Investment in Physician Well-being

Healthcare systems are beginning to allocate substantial resources to address systemic issues affecting physician well-being and healthcare workforce sustainability. Recent funding propositions highlight significant financial resources dedicated to primary care, specialty care, workforce development, and behavioral health throughput.

Moving Forward

Healthcare organizations now recognize provider wellness as a systemic issue requiring structural solutions and investment, not just individual effort.

Our approach bridges the gap between a desire for change and limited resources by providing customized support for independent practices. We focus on creating solutions that align with practitioner-owners' priorities—helping them balance clinical excellence with effective business leadership.

We develop strategies that address the distinct challenges of being both a healthcare provider and a CEO. Our goal is to support professionals in building sustainable practices where they can thrive.

We improve scheduling and workflow while reshaping professional expectations so providers succeed without personal sacrifice.

Independent practice owners: seeking support isn't weakness—it's leadership.

We create lasting wellness systems through:

Practice management that reduces administrative burden
Leadership development centered on team wellbeing
Peer communities for sharing effective strategies

We understand your unique challenges as independent practices. Our work implements changes that benefit providers and patients while maintaining financial health. Through collaborations with associations, we amplify the collective voice of private practices.

Provider wellbeing determines the future of our healthcare system.

Ready to improve work-life integration for yourself and your team?

Schedule a consultation with us to learn more about implementing practical work-life balance strategies that benefit both you and your employees. Our specialized approach helps medical practices develop customized wellness plans that address your specific operational challenges while shifting organizational culture.

At Tracy Cherpeski International and Thriving Practice Community, we're committed to supporting independent healthcare practice owners in achieving extraordinary success without sacrificing well-being. Whether through educational resources like this blog, community support, or personalized guidance, we're here to help you on your journey to a more balanced, fulfilling career in healthcare practice ownership. Let’s talk! Click here to schedule your complimentary practice assessment strategy session.

About the Author

Residing in the City of Oaks, Miranda Dorta is a creative storyteller and operations guru. Miranda graduated from Savannah College of Art and Design (SCAD) in 2020 with a B.F.A in Writing and concentrations in Creative Writing and Fashion Journalism. Miranda has a skilled history working in public relations, publishing, retail management, operations, and social strategy.

At Tracy Cherpeski International, Miranda joined the company as an Administrative Assistant in 2021 and now is currently serving as the Manager of Operations and PR as of November of 2022. Miranda has developed a strong expertise in managing the operational aspects while effectively handling public relations and communication strategies.

Sources:

Tracy Cherpeski 12/9/24 Tracy Cherpeski 12/9/24

Healthcare Leadership Development: From Burnout to Better Patient Care - A Case Study

By Tracy Cherpeski

In Part 1 of this series, we explored how Dr. J.'s investment in personal development helped him shift and improve his practice's business operations and financial outcomes. But the impact of leadership development extends far beyond the bottom line. In this blogpost, we'll discover how personal development creates a ripple effect that enhances clinical care, professional satisfaction, and innovation in healthcare practices.

Healthcare Practice Leadership: Building Systems for Better Patient Care & Professional Growth

Discover how healthcare leaders can transform their practices through personal development. Learn proven strategies for improving patient care, team dynamics, and professional satisfaction.

Part 2 of a 2-Part Series on Healthcare Leadership Transformation

When we first met Dr. J., he was struggling to balance his roles as a hospital department head and private practice owner. While Part 1 showed how personal development helped him build better business systems, the true magic of his personal and professional growth as the CEO of his practice lay in how it improved patient care, team dynamics, and his own professional fulfillment.

The Clinical Case for Personal Development

The connection between leadership development and clinical outcomes might not seem obvious at first glance. However, Dr. J.'s experience demonstrates how personal development can dramatically improve clinical effectiveness, even in a practice where the primary clinician's time is limited.

Enhanced Patient Care Systems

When healthcare leaders develop their strategic thinking and team leadership abilities, the impact on patient care becomes profound. With better systems in place, Dr. J.'s team implemented more effective patient follow-up protocols, improving care plan compliance and overall treatment outcomes. The practice developed streamlined communication channels that enhanced coordination between team members, ensuring that patient needs were consistently met, even when Dr. J. wasn't physically present.

Team Empowerment for Better Care

A developed leader creates and implements systems that empower their team to maintain high standards of care consistently. Dr. J.'s investment in his leadership skills enabled him to build a team that could confidently handle patient care coordination, implement consistent protocols, and improve patient education and engagement. This empowerment led to better patient experiences and outcomes, as team members felt confident in their roles and responsibilities.

Professional Satisfaction: Rediscovering the Joy in Healthcare

One of the most remarkable transformations occurred in the realm of professional satisfaction—not just for Dr. J., but for his entire team. The impact of personal development created a renaissance of purpose and enjoyment in their healthcare roles.

For Dr. J., the benefits extended far beyond improved business metrics. His stress levels dropped significantly, and he found himself sleeping better and worrying less. His confidence in his business acumen grew exponentially, allowing him to approach challenges with clarity rather than anxiety. Instead of feeling overwhelmed by his dual roles, he found himself energized by them, rediscovering the joy in both clinical practice and leadership.

The team's renaissance was equally powerful. As systems improved and roles became clearer, team members experienced their own professional renewal. They rediscovered their passion for healthcare, developed greater confidence in their abilities, and felt a stronger connection to the practice's mission. The improved work environment led to better team cohesion and job satisfaction, creating a positive cycle that benefited everyone—including patients.

Innovation and Advancement: From Survival Mode to Strategic Growth

When healthcare leaders emerge from the fog of overwhelm, they gain the mental space and organizational capacity to drive meaningful innovation. In Dr. J.'s case, this newfound clarity led to significant advances in multiple areas:

Clinical Innovation

With reliable systems in place and a capable team handling day-to-day operations, Dr. J. could focus on advancing clinical excellence. He found time to evaluate new treatment modalities, attend continuing education, and thoughtfully integrate new services. His team became more engaged in quality improvement initiatives, leading to better patient outcomes and more comprehensive care approaches.

Strategic Growth

The combination of improved confidence and clearer thinking enabled better strategic decision-making. Dr. J. and his team could identify meaningful partnership opportunities, evaluate expansion possibilities, and build stronger referral networks. The practice became known for its forward-thinking approaches and commitment to excellence.

Practical Steps: Beginning Your Personal Development Journey

For healthcare leaders standing where Dr. J. once stood—overwhelmed, stressed, and uncertain—here's how to begin your transformation:

Start with Honest Assessment

Begin by taking stock of your current situation:

- Evaluate your stress levels and pain points

- Identify what's working and what isn't

- Assess your team's capabilities and needs

- Be clear about your ideal role in the practice

Build Your Foundation

Focus on fundamental improvements:

- Develop better time management systems

- Create clear communication protocols

- Define team roles and responsibilities

- Establish basic operating procedures

Invest in Your Team

Remember that your team's growth supports your own:

- Provide training and development opportunities

- Build trust through consistent communication

- Create systems for autonomy and accountability

- Celebrate progress and learning

Conclusion: The Journey to Transformed Leadership

The transformation from overwhelmed healthcare provider to confident leader doesn't happen overnight, but Dr. J.'s journey shows it's entirely possible. When leaders invest in their own development, they create ripple effects that benefit everyone—their team, their patients, and themselves.

Today, Dr. J.'s practice stands as a testament to the power of personal development. His team operates with confidence, patients receive excellent care, and he enjoys the dual roles that once seemed overwhelming. Perhaps most importantly, he and his team have rediscovered the joy that drew them to healthcare in the first place.

For those feeling the weight of healthcare leadership, remember: your journey to becoming a more effective leader starts with a single step. Your team, your patients, and your future self will thank you for taking it.

---

If you missed Part 1 of this series, "The Hidden ROI: Why Personal Development is Your Best Investment as a Healthcare Leader," be sure to check it out to learn about the business case for personal development and its impact on practice success.

Would you like some support? At Tracy Cherpeski International and Thriving Practice Community, we're committed to supporting independent healthcare practice owners in achieving extraordinary success without sacrificing well-being. Whether through educational resources like this blog, community support, or personalized guidance, we're here to help you on your journey to a more balanced, fulfilling career in healthcare practice ownership. Let’s talk! Click here to schedule your complimentary practice assessment strategy session.

About the Author

Tracy Cherpeski, MBA, MA, CPSC, is an executive coach and leadership development expert. Her mission is to unlock the potential for success in every individual and organization she works with. With a background in operations and a passion for driving growth, she approaches each engagement with professionalism and a keen eye for optimizing structures, processes, and productivity to boost profitability.

Tracy's coaching, consulting, and training programs are designed to provide a holistic experience, integrating leadership development, executive coaching, and mindset mastery. Her expertise has been sought after by small business owners, industry groups, networking organizations, government agencies, and corporations alike.

Originally hailing from the Pacific Northwest, Tracy now calls Chapel Hill, North Carolina, her home. Wherever she goes, her commitment to helping people and organizations reach their full potential remains unwavering.

Photo by Mulyadi on Unsplash

Miranda Dorta 7/8/24 Miranda Dorta 7/8/24

Addressing BIPOC Mental Health: A Call to Action for Healthcare Providers

By Miranda Dorta

July isn't just about beach trips and barbecues. It's a pivotal month that shines awareness on a critical issue: BIPOC Mental Health. As healthcare providers and private practitioners, you’re called to action. It's time to peel back the layers, challenge the assumptions, and revolutionize your approach to mental health care for BIPOC populations. Are you truly seeing and hearing everyone who needs your help? Let's dive into the unique challenges faced by BIPOC communities and emerge with innovative solutions that could transform lives.

The Reality of BIPOC Mental Health

Recent statistics clearly show that BIPOC groups face significant inequalities in mental health outcomes:

According to the Substance Abuse and Mental Health Services Administration (SAMHSA) [1], in 2019, only 33.9% of Black and Hispanic adults with mental illness received treatment, compared to 50.3% of white adults.

In 2019, 9.7% of Hispanic adults received mental health services in the past year, compared to 19.8% of non-Hispanic white adults. [2]

58.0% of Hispanic adults with past year major depressive episodes, received treatment for depression, compared to 70.2% of non-Hispanic white adults. [3]

A 2021 report by the American Psychological Association found that only 5% of psychologists in the U.S. workforce identified as Asian, 5% as Hispanic, 4% as Black, and 1% as multiracial. [4]

The Centers for Disease Control and Prevention (CDC) reports that suicide rates among American Indian/Alaska Native populations are 3.5 times higher than those among racial/ethnic groups with the lowest rates. [5]

These statistics underscore the urgent need for targeted interventions and improved care strategies for BIPOC populations within their local, neighborhood practices.

Challenges in BIPOC Mental Health Care

Several factors contribute to the disparities in mental health care for minorities:

1. Cultural stigma surrounding mental health issues

2. Language barriers

3. Lack of culturally competent care providers

4. Socioeconomic factors affecting access to care

5. Historical mistrust of healthcare systems

Taking Action in Your Practice

As healthcare providers, you have the power and responsibility to address these challenges. Here are some actionable steps to improve BIPOC mental health care in your practice:

1. Enhance Cultural Competence: Invest in ongoing cultural competency training for yourself and your staff. This will help you better understand and address the unique needs of diverse patient populations.

2. Diversify Your Team: Actively work to increase diversity in your hiring practices. A diverse staff can provide more culturally sensitive care and help patients feel more comfortable.

3. Offer Language Services: Provide interpreters or multilingual staff to overcome language barriers that may prevent minorities from seeking or receiving care.

4. Community Outreach: Engage with local BIPOC communities to build trust, raise awareness about mental health, and reduce stigma.

5. Implement Culturally Adapted Treatments: Research and incorporate evidence-based treatments that have been adapted for specific cultural groups.

6. Address Social Determinants of Health: Recognize and address socioeconomic factors that may impact your patients' mental health and access to care.

7. Collaborate with Community Organizations: Partner with local organizations that serve BIPOC populations to improve access to mental health resources.

8. Regularly Assess Your Practice: Conduct periodic assessments of your practice's cultural competence and patient satisfaction, particularly among BIPOC patients.

The Impact of Culturally Competent Care

Research demonstrates the positive impact of culturally competent care:

- A study published in the Journal of Clinical Psychology found that culturally adapted mental health interventions were four times more effective than traditional treatments for BIPOC populations. [6]

- The National Institutes of Health reports that patients who receive care from providers of the same racial or ethnic background often report higher satisfaction and better health outcomes. [7]

By implementing these strategies, we can work towards closing the gap in mental health care inequalities and ensuring that all individuals, regardless of their background, receive the quality care they deserve.

As we observe BIPOC Mental Health Awareness Month throughout July, let's commit to making lasting changes in our practices. By enhancing cultural competence, diversifying teams, and actively addressing the unique challenges faced by BIPOC populations, we can play a crucial role in improving mental health outcomes for all.

Resources: The Thriving Practice Podcast

In our previous June blog, the Thriving Practice Podcast featured enlightening conversations with three pioneering mental health professionals:

Jessica Martin, episode 124: In her episode, Jessica shared how she's revolutionized her practice by incorporating mindfulness, breathwork, and sensory techniques. She discussed how these methods not only enhance trauma-informed care but also significantly improve patient outcomes. Jessica emphasized the importance of practitioner self-care, demonstrating how it directly correlates with sustained excellence in patient care.
Julie Ann Otis, episode 125: Julie Ann's episode was a deep dive into the intersection of quantum physics and mental health. She explained how her exploration of energy healing principles has transformed her ability to create impactful client experiences and achieve rapid results. Julie Ann's unique approach offers listeners a fresh perspective on expanding their practice beyond traditional methods.
Maureen Clancy, episode 126: As a trauma therapist and group practice owner, Maureen's episode focused on the importance of embracing alternative healing methods. She challenged listeners to examine their own biases and fears around non-traditional approaches, highlighting how integrating these methods can lead to improved client trust, practice differentiation, and new revenue streams.

Each of these episodes offers valuable insights for mental health professionals looking to innovate and expand their practices. Take a listen and gain practical strategies for incorporating holistic approaches, improving patient outcomes, and staying competitive in an evolving field while prioritizing patient care.

Resources: Unlocking Potential White Paper

Many independent practice owners tell us they walk the tightrope of exceptional patient care and entrepreneurial leadership. A full 80% of our survey respondents told us they wished they had more time to spend on business strategy.

This research-backed White Paper exposes the distinct challenges faced by independent practice owners:

• Lack of business training

• Operational inefficiencies

• Risk of burnout

But it also reveals the path forward with tailored solutions like customized curricula, support communities, smart tech, and outsourcing.

• Reclaim your time

• Optimize operations

• Reignite your passion

• Cement your legacy

Unlock your full potential as a healthcare entrepreneur and leader. Acquire your copy of the full White Paper here.

Take the Next Step

If you're a provider-owner seeking to build a thriving, sustainable practice without sacrificing your wellbeing, I invite you to explore working with us. As a healthcare business consultant and executive coach, I partner with innovative provider-owners to optimize operations, prevent burnout, and implement strategies that elevate profitability and market leadership while nurturing personal growth. Schedule a consultation so we can co-create your inspired next steps.

About the Author

Citations:

[1] https://minorityhealth.hhs.gov/mental-and-behavioral-health-hispanics

https://www.samhsa.gov/data/sites/default/files/reports/rpt35324/2021NSDUHMHChartbook102221B.pdf

[2] https://www.samhsa.gov/data/sites/default/files/MHServicesUseAmongAdults/MHServicesUseAmongAdults.pdf

[3] https://www.samhsa.gov/data/

[4] https://www.samhsa.gov/data/report/2019-nsduh-detailed-tables

[5] https://www.cdc.gov/suicide/disparities/index.html#:~:text=Suicide%20rates%20vary%20by%20race,death%20among%20AI%2FAN%20people.

[6] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4314356/#:~:text=In%20particular%2C%20mental%20health%20interventions,racial%20or%20ethnic%20group%2C%20and

[7] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1124573/

Other sources:

https://www.apa.org/monitor/2018/02/datapoint

Tracy Cherpeski 6/3/24 Tracy Cherpeski 6/3/24

Prioritizing Provider Wellness: A Pathway to a Healthy, Profitable Practice

By Tracy Cherpeski

The past few years have been a wake-up call that this fundamental issue can no longer be ignored. With the healthcare industry facing major staffing shortages and workplace culture challenges, a new approach is critical.

At the core of this much-needed shift is a powerful truth: healed people heal people.

As a business consultant and executive coach for healthcare practice owners, I've witnessed firsthand the detrimental effects of burnout and compassion fatigue. Too often, provider-owners get so consumed by the never-ending demands of leading a practice that they neglect their own mental and emotional wellbeing. This self-neglect inhibits not only their ability to provide top-notch patient care, but also to effectively lead their team and grow a sustainable, profitable business.

At the core of this much-needed shift is a powerful truth: healed people heal people.

To build a thriving, rewarding practice, provider-owners must first embark on their own inner work and healing journeys. This unlocks immense potential - enhancing emotional resilience, deepening patient rapport, catalyzing leadership skills, and preventing costly burnout and turnover. Just as you cannot pour from an empty cup, you cannot nurture a successful business without nurturing yourself first.

Trailblazing healthcare entrepreneurs are paving the way by thoughtfully integrating complementary healing modalities into their services, fostering whole-person wellness for their clients and staff alike.

Last month was Mental Health Awareness Month in the U.S., and we featured podcast interviews with three mental wellness innovators, Jessica Martin, Julie Ann Otis and Maureen Clancy. Key themes emerged that savvy healthcare business owners would be wise to embrace:

The immense value of combining medical and business acumen with personal growth work. Julie Ann found that exploring principles of quantum physics and energy healing transformed her ability to create profoundly impactful client experiences and rapid results - a clear competitive edge.

For Jessica, integrating mindfulness, breathwork and sensory techniques into her practice model enhanced trauma-informed care and boosted key metrics like patient satisfaction, reviews and referrals. Prioritizing her own self-care through these modalities was essential to sustaining excellence.

Maureen, a trauma therapist and group practice owner, encourages providers to examine any fears around adopting alternative healing methods. "We have to think beyond the conventional clinical norms we've boxed ourselves into," she says. With more clients seeking integrative care, ethical and legal incorporation of effective modalities can foster trust, differentiation and new revenue streams.

"We have to think beyond the conventional clinical norms we've boxed ourselves into," Maureen says.

The Business Case for Integrative Healing

Beyond the powerful personal and clinical benefits, there is also a compelling business case for provider-owners to thoughtfully integrate complementary healing modalities into their practice offerings. This can open up exciting new revenue streams while supporting patients' robust healing journeys:

Referral Revenues

By developing relationships with vetted, high-quality alternative healers like Reiki practitioners, energy workers, or meditation teachers, providers can offer referrals for these services. This added-value can deepen patient loyalty and referral sources for the core practice itself.

In-House Healing Professionals

Another model is hiring such healing professionals to work onsite, allowing for integrative treatment plans that blend conventional care with energy work, sound healing, or other modalities. This creates a seamless, one-stop experience for patients and an additional revenue center.

Provider Certification

Entrepreneurial providers can also choose to get certified in specialties like breathwork, aromatherapy or visualization techniques themselves. You can enhance your service menu with new adjunctive offerings, packages or membership programs - diversifying income while delivering holistic, patient-centered care.

No matter the specific approach, integrating complementary modalities allows your practice to stand out in an increasingly competitive healthcare landscape. It enables you to attract more of the "conscious consumer" market segment prizing preventative self-care and personalized wellness solutions.

Most importantly, it empowers you to fully address root causes - not just symptoms - and tap into often-overlooked emotional/spiritual dimensions of human health. For savvy entrepreneurial practices, prioritizing this level of comprehensive patient care and staff wellness can fuel exponential business growth.

The writing is on the wall: to build a profitable, impactful 21st century healthcare business, providers can no longer separate personal mastery from professional mastery. An investment in your own multidimensional healing journey - be it through therapy, mindfulness, energy work or another modality - is an investment in the exponential growth of your practice.

Those who boldly expand their vision from "treating symptoms" to "facilitating whole-person transformation" will be the leaders ushering healthcare into a more conscious, holistic and human-centered era.

In this new paradigm, healed people heal people and practices, and sustainable profitability becomes the natural result.

About the Author

Tracy Cherpeski 5/6/24 Tracy Cherpeski 5/6/24

The Overlooked Crisis Facing Independent Healthcare Providers

By Tracy Cherpeski

For decades, the dream of owning one's own independent healthcare practice has been a driving force for many physicians and providers. Being your own boss, crafting an exceptional patient experience, and building an entrepreneurial legacy - what could be more rewarding?

However, a harsh reality has begun settling in for these enterprising medical professionals. A new research study reveals independent practice owners are facing a perfect storm of challenges that threaten to extinguish that noble dream.

The Declining Sphere of Physician Ownership

Data shows the landscape of physician practice ownership is steadily shifting away from the independent model. Over the last decade, the rate of physicians owning their practices has plummeted 13%, from 60.1% to just 46.7%.

Even more concerning, the pipeline of new owner-physicians is drying up. In 2012, 44.3% of doctors under 45 were practice owners. By 2022, that figure dropped to 31.7% as younger generations eschew the risks and responsibilities of entrepreneurial ownership.

As tenured physician-owners retire, they are largely being replaced by employed providers at hospitals and health systems rather than a new breed of plucky practice entrepreneurs.

The Struggles of Bridging Clinical and Business Excellence

For the remaining independent practice owners, their experience is often one of drowning in overwhelming currents of duties.

Our qualitative research uncovered eye-opening realities, including:

Administrative burdens consuming 10-35% of their time - a largely unnecessarily high ratio
Constant tension between delivering patient care and managing operations/strategy
Little bandwidth to properly plan, innovate and lead their businesses with entrepreneurial zeal
Lack of formal business training for everything from financial management, to leadership, to marketing

Perhaps most concerning was that 80% of the practice owners we surveyed expressed a desire for more for strategic planning, professional development and even personal pursuits. Many feel trapped in bare-minimum survival mode rather than thriving, duplicatable, sustainable growth.

The Head-in-Hands Moments of Entrepreneurial Isolation

At the core of these challenges is the fact that independent practice owners straddle two vastly different worlds - the clinical realm where they are experts, and the entrepreneurial business operations side where most lack proper training and support.

Wearing the hats of medical professional and business leader can quickly become overwhelming, and medical curricula don't adequately prepare providers for financial management, growth strategies, personnel leadership, delegation mastery and so many other crucial entrepreneurial skillsets.

This acute business acumen gap means providers are left to find their own way through trial-and-error. Our research found a distinct lack of targeted research and resources tailored to the provider-owner. We jokingly call our clients the “red-headed step children” of the healthcare world. Sadly, this lack of targeted research and support perpetuates a vicious cycle of operational inefficiencies, financial instability and higher burnout risks.

Tracy Cherpeski International Deep-Dive White Paper: The Path Illuminated

Thankfully, all is not lost for the spirited medical entrepreneur. Our groundbreaking new white paper "Unlocking the Potential of Healthcare Practices: A Business Blueprint for Practice Owners" shines a light on the path forward.

Through comprehensive analysis, proven strategies, and tangible solutions, the white paper equips independent practice owners to harmonize clinical and business leadership.

Practice owners will discover how to:

Get access to specialized training to bridge the business skills gap
Leverage powerful peer communities for insights and support
Learn strategies for intelligently implementing tech solutions and outsourced services
Uncover pathways to unlocking new revenue streams without overextending
Gain insights on developing leadership abilities like personnel management
Ultimately find the elusive work-life balance and reignite their passion

The white paper's insights are a wake-up call for practice owners - but also a rallying cry to embrace their identity as entrepreneurial leaders in healthcare's new frontier.

By downloading this vital resource, provider-owners can take the first step in reclaiming their idealized vision: A thriving, sustainable practice that seamlessly fuses exceptional patient care with prosperous entrepreneurship and enriched quality of life.

The future of independent practice healthcare will be built by those who lead the way. Download the white paper today to secure your legacy.

Download the white paper

If this blog post resonated with you and the struggles independent practice owners face, don't go it alone. Schedule a complimentary strategy call with Tracy Cherpeski, our founder and an expert business consultant & executive coach for healthcare providers.

On this call, Tracy will dig into the unique challenges holding your practice back and map out tailored solutions. Together, you'll start developing a plan to reclaim your time, streamline operations, build your entrepreneurial leadership skills, and unlock sustainable business growth. Capitalize on this opportunity to partner with Tracy and make the first move toward becoming an unstoppable medical entrepreneur.

Miranda Dorta 3/5/24 Miranda Dorta 3/5/24

Empowering Wellness Through Nutrition and Self-Care

By Miranda Dorta

A profound shift is underway in healthcare, one that focuses on the transformative power of nutrition and self-care. This shift is not just a trend but an important movement towards holistic, patient-focused care. Medical providers stand at the forefront of this shift, playing a vital role in guiding patients toward a path of wellness through nutrition and self-care. By incorporating nutritional or health coaching services, not only can you enhance your patients' well-being, but you can also create a profitable income source for your practice.

A profound shift is underway in healthcare, one that focuses on the transformative power of nutrition and self-care. This shift is not just a trend but an important movement toward holistic, patient-focused care. Medical providers stand at the forefront of this shift, playing a vital role in guiding patients toward a path of wellness through nutrition and self-care. By incorporating nutritional or health coaching services, not only can you enhance your patients' well-being, but you can also create a profitable income source for your practice.

Throughout March, Thriving Practice podcast is focusing on the important role nutrition plays in patient well-being. Our host, Tracy, welcomes guests Hally Brooke, Founder & CEO of Live Nourished Coaching, and Jillian Greaves, a Functional Dietitian and women's health specialist.

Nutrition, though often underestimated in its impact, is a foundation of health. By embracing the concept of food as medicine, you can empower your patients to take control of their well-being. Encouraging a diet rich in whole foods, abundant in nutrients, and tailored to individual needs fosters not only physical health but also mental clarity and emotional balance.

Self-care goes beyond pampering; it is an act of self-love and care. By advocating for practices that nurture the body, mind, and spirit, you can equip your patients with the tools to thrive through life's challenges.

In her interview with Tracy, Hally shares her journey of battling Shingles and exploring functional medicine to address gut health issues. Her story highlights the power of lifestyle changes in achieving holistic wellness and emphasizes the significance of mental health in treating chronic illnesses.

Jillian talks with Tracy about her journey from working in a busy hospital system serving patients in endocrinology, and how she moved away from the traditional hospital model to starting her practice. Within her practice, she practices as a Functional Dietitian who helps women reclaim their health through hormone balancing, lifestyle changes, and nutrition.

Both guests bring a great deal of knowledge, wisdom, and compelling stories from similar niches; though, offering unique experiences and perspectives from personal experiences.

Similarly, both episodes discuss strategies for professionals looking to transition to private pay models, emphasizing the importance of understanding one's worth, educating patients on the benefits of personalized care, mastering marketing techniques to stand out in a competitive market, and providing flexible payment options to ensure accessibility to services.

By incorporating these insights into your practice, you can enhance patient care, drive business growth, and help create a system that's more connected and aware of patient needs.

As the healthcare landscape continues to evolve, embracing personalized nutrition, emotional well-being, and innovative business models is key to transforming patient care and practitioner success.

To learn how to begin incorporating these insights into your healthcare practice, schedule a consultation with our founder, Tracy Cherpeski, MBA, CPSC. Experience the transformative power of clear, empathetic communication for collective growth and success.

Are you a healthcare provider facing the challenges of managing your practice while aiming to deliver exceptional care? Do you aspire to expand your practice sustainably without succumbing to burnout? You are not alone.

Join Thriving Practice Community, designed for practice leaders. Together, we break barriers and unlock your practice's potential. Engage in discussions, learn from experts, and connect with peers who share your drive for success. Access coaching, consulting, and master classes to grow your practice without sacrificing your well-being. Join us in a collaborative community that nurtures ambitions and equips you to overcome obstacles: ThrivingPracticeCommunity.com

Tracy Cherpeski 2/12/24 Tracy Cherpeski 2/12/24

The Importance of Clear Communication in a Healthcare Practice

By Tracy Cherpeski

In a healthcare practice, clear communication is not just a nicety, but a necessity. As a business consultant, I have witnessed firsthand the significant impact that effective communication can have on the overall operations and success of a healthcare practice. In this blog post, we will explore the importance of clear communication in a healthcare setting and provide practical insights for provider-owners to enhance communication with their teams.

When we talk about why effective communication is so important in a healthcare practice, it’s always helpful to look at some communication faux pas that leaders make (and hopefully learn from). I am pretty certain you’ll see yourself in some of these, and you'll see how you’re doing better now. I’ve certainly made many-a-blunder over the years from my corporate career, to parenting, to leading the team in my own company.

The good news is that as fallible human beings, if we’re willing to embrace our mistakes and learn from them, we can master effective communication with some practice.

Read on to learn more, starting with some communication mistakes:

Lack of clarity. When instructions or information are unclear, it can lead to confusion and mistakes. If you give vague directions for completing a task, your employees may struggle to understand your expectations of them.

Listening to respond, rather than to learn. When team members don't actively listen to each other, important information can be missed or misunderstood. If a colleague shares feedback and others are distracted or interject before the speaker is finished, it can hinder collaboration and problem-solving.

Withholding information. When the provider fails to share important information with the team, it can create a culture of secrecy and mistrust, even if withholding isn’t the intention. Let’s say the provider-owner neglects to communicate updates about strategic planning to their admin team. It can lead to delays in implementation and impede growth and progress. Lack of transparency can compromise business growth and hinder the team's ability to take action.

Negative tone or attitude. Communication delivered in a disrespectful, or confrontational manner can create tension and undermine teamwork. Sometimes in a busy practice, communication is rushed and can be perceived as curt or disrespectful. If not addressed, it can erode morale and damage relationships.

Lack of feedback. When feedback is not provided regularly or constructively, it can hinder personal and professional growth. If an employee's performance issues are not addressed in a timely manner, they may continue to repeat mistakes without realizing the need for improvement. This is a common issue we see with our clients, who are often juggling the multiple jobs of being a practitioner and CEO.

Now that we have an idea of where communication can go astray, what do we do about it?

In rowing, the coxswain (captain/leader) is responsible for providing the strength of command, and effective leadership will ensure that all team members are aligned with the end goal. In this case, the goal is to move at an identical pace and synchronize movements to propel the boat forward and cross the finish line ahead of other teams.

A rower’s attentiveness, focus and non-verbal cues for pace change can be likened to the need for active listening, concentration and awareness of non-verbal communication in your practice. It’s essential for healthcare teams to work in harmony towards a common goal.

Recognizing the challenges we've identified, we can now explore practical steps to cultivate clear, empathetic, and efficient communication among healthcare professionals and their teams.

We hear from our clients that they’re under-resourced as business leaders, juggling clinical responsibilities with the demands of running a successful practice. This unique position can lead to communication challenges within the team, impacting everything from patient care to operational efficiency.

It's imperative that we acknowledge the difficulties provider-owners face and work collaboratively to devise a comprehensive plan of action. Rather than overwhelming our clients with sweeping transformations, we emphasize the importance of incremental changes, each one contributing to a more cohesive and effective communication framework within their healthcare practice.

Practical Strategies for Enhancing Communication

Establishing Clear Protocols. Implementing standardized communication protocols for both clinical and administrative tasks can reduce errors and misunderstandings. This could look like the creation of the front office and clinical area “Bibles” (operations and procedural manuals), with regular reviews and revisions.
Encouraging Feedback. Creating an environment where all team members feel comfortable providing feedback and sharing ideas is essential for continuous improvement. For the practice leader, this means you might try the Jeff Bezos approach to feedback and input in meetings: invite the most junior team member to speak first (and fully hear them out). You might be surprised by what you learn.
Utilizing Technology. Leveraging communication tools such as secure messaging platforms can facilitate quick and efficient information exchange among the team.
Regular Team Huddles. Scheduling brief but regular team huddles can ensure that everyone is on the same page regarding patient care, operational updates, and any potential issues. We recommend our clients have two daily huddles - one to preview the day and address any potential challenges (e.g., a patient who requires a particular type of care that may require team support), and the second to review what went well, what didn’t go well, and how they can improve going forward.

Clear communication is vital for the success of a healthcare practice. There are many ways to go about improving your communication with your team. Our recommendation is to try one or two methods and stick to it for a few weeks. Watch how your team responds to you, and invite their feedback and input. This is an opportunity to share vulnerably that you’re testing different ways to communicate in an effort to improve office communications.

By prioritizing and investing in clear communication strategies, you can overcome many of the challenges you face and pave the way for a thriving and successful healthcare practice.

To unlock the benefits of improved communication and cultivate sustainable growth in your healthcare practice, schedule a consultation with our founder, Tracy Cherpeski, MBA, MA, CPSC. Experience the transformative power of clear, empathetic communication for collective growth and success.

Inquire Today

Miranda Dorta 1/12/24 Miranda Dorta 1/12/24

Navigating Winter Blues as a Provider Owner

By Miranda Dorta

As we find ourselves amid the winter season, many find themselves caught in the aftermath exhausted from the previous month of festivities, family gatherings, and the hustle and bustle. Not to mention, the looming task of crafting New Year’s resolutions to kickstart the “new year, new you” mentality. However, for practice owners and those managing private practices, the winter season can bring about particular challenges that contribute to what is commonly known as the "winter blues."

Protect yourself from winter burnout.

The significance of time management for practice owners during this season, alongside the importance of self-care, is crucial to ensure a healthy and balanced professional and personal life all the while enjoying the joys of the season.

The significance of time management for practice owners during this season, alongside the importance of self-care, is crucial to ensure a healthy and balanced professional and personal life all the while enjoying the joys of the season.

The Seasonal Blues in Healthcare:

Private practitioners often face increased demands during the winter season. Patients may be dealing with heightened stress coming off the holidays, battling Seasonal Affective Disorder (SAD), or seeking help for new concerns. As a result, practice owners may work longer hours to accommodate the influx of appointments and urgent cases. This surge in activity can contribute to burnout, fatigue, and an overall sense of overwhelm, giving rise to the seasonal blues. Especially with those who struggle with time management.

Time Management in Private Healthcare Practices:

Effective time management is a cornerstone of maintaining a successful and sustainable healthcare practice. Even more so throughout the winter season. Furthermore, at time of publication, we are experiencing a surge of Covid-19 around the US. In the last 14-days, there has been a 20% increase in cases, specifically in the ages 70 plus.

Here are some strategies to help practice owners navigate their schedules:

Prioritize Patient Appointments:

Identify urgent cases and prioritize appointments accordingly.
Consider extending clinic hours or hiring additional staff to aid the additional demand.

Set Realistic Boundaries:

Communicate clearly with patients about new hours and availability.
Establish boundaries for responding to non-urgent inquiries to avoid unnecessary stress.

Utilize Technology:

Implement telehealth services for routine follow-ups and non-emergency consultations.
Leverage scheduling software to streamline appointment bookings and reminders.

Delegate Responsibilities:

Delegate administrative tasks to support staff to free up valuable time.
Collaborate with colleagues to share the workload and ensure comprehensive patient care.

Self-Care Throughout the Winter Season:

Throughout the demands of a healthcare practice during the winter season, practice owners must prioritize their well-being. Here are some self-care strategies to foster a healthy work-life balance:

Schedule Breaks:

Block out time for short breaks throughout the day to recharge and prevent burnout.
Use breaks to engage in mindfulness exercises or take a short walk to clear the mind.

Celebrate Achievements:

Reflect on professional accomplishments and personal growth throughout the year.
Share success stories with colleagues to foster a positive and supportive work environment.

Connect with Peers:

Attend industry events or virtual meet-ups to connect with other healthcare professionals.
Share experiences and insights to gain new perspectives and support.

Plan Personal Time:

Block out time for personal activities, celebrations, and relaxation.
Prioritize family and personal commitments to maintain a healthy work-life balance.

The winter season can be a challenging time for practice owners, but with effective time management and a commitment to self-care, it is possible to navigate this period successfully. By prioritizing patient needs, setting realistic boundaries, and embracing self-care practices, practice owners can provide exceptional care to their patients and ensure their well-being during this season.

If you are a practice owner looking for support to lower your stress levels and fall (back) in love with your practice in the New Year, schedule a strategy call to see how we can help you take back your time, grow your practice, and elevate your leadership.

Tracy Cherpeski 11/9/23 Tracy Cherpeski 11/9/23

A Path to Equitable Patient Care

By Tracy Cherpeski

When the healer's hand unknowingly carries the weight of bias, the very essence of medicine is at stake.

Healthcare is a realm where science and compassion ought to be the norm. However, healthcare providers are not immune to the subtle, yet impactful presence of bias. This blogpost will illuminate the hidden facets of implicit bias in medical care and explore potential paths to a more just and equitable patient experience.

When the healer's hand unknowingly carries the weight of bias, the very essence of medicine is at stake.

The purpose of this blog is to raise awareness, share data, and support providers in finding the right resources to continue the inner work of identifying and dismantling implicit bias. Doing this confronting and sometimes uncomfortable work is hugely rewarding for your patients, team, community, and for your own humanity.

“Of all forms of inequity, injustice in health care is the most shocking and inhuman.”

— Martin Luther King, JR., National Convention of the Medical committee for Human Rights, Chicago, 1966

The National Institutes of Health define implicit biases as, “...unconscious mental processes that lead to associations and reactions that are automatic and without intention; actors have no awareness of the associations with a stimulus maintain that social status is relational and people unconsciously hold more negative attitudes or feelings about membership of an outgroup (people with whom they do not share identities) than about membership of an ingroup (people with whom they share identities).”

The American Psychological Association describes implicit bias as such, “...people may hold negative unconscious or automatic feelings and beliefs about others that can differ from their conscious attitudes.”

Implicit bias develops early in life from repeated reinforcement of social stereotypes. Implicit pro-white bias occurs among children as young as 3-5 years of age.

Between 1998 and 2006, more than 4.5 million Implicit Association Tests were completed, and the results showed the following:

Implicit bias is pervasive
People are often unaware of their implicit biases
Implicit biases predict behavior
People differ in levels of implicit bias

The impact of implicit bias in healthcare is glaring. Non-white patients receive fewer interventions, Black women face higher mortality rates after breast cancer diagnosis, and patients of color are less likely to be prescribed pain medications. This bias even extends to more invasive treatments, such as Black men being less likely to receive chemotherapy and radiation for prostate cancer and more likely to undergo testicle removal.

Patients of color are often unfairly blamed for being passive about their healthcare. Additionally, patients who perceive bias from their providers have more difficulty remembering what their physicians told them, have less confidence in their treatment plans, and believe it would be more difficult to follow recommended treatments.

It’s important to note that while many implicit bias studies in healthcare have been conducted with Black patients and non-black providers, other researchers are studying implicit bias in relation to other ethnic groups, people with obesity, sexual and gender minorities, people with mental health and substance use disorders, older adults, and people with various health conditions.

To combat implicit bias, healthcare providers must adopt skills and strategies to break their thought patterns and habits. These include perspective-taking, emotional regulation, and partnership-building. Empathy, in particular, plays a crucial role in patient satisfaction, self-efficacy, and overall health outcomes. When providers view themselves as part of a larger group, it becomes easier to empathize with others, thereby reducing bias.

At the organizational level, healthcare facilities can play a significant role in addressing implicit bias. To create an equitable environment, organizations should evaluate the racial climate, investigate and address discrimination reports, and establish monitoring systems to track disparities in care. Promoting racial diversity at all levels of the organization hierarchy can help reduce bias, and organizations should implement training to equip clinicians with the knowledge and skills to prevent racial biases from affecting patient care.

Additionally, healthcare organizations can implement work policies and clinical procedures that protect clinicians from high cognitive load and promote positive emotions. When clinicians’ cognitive capacity is low or overtaxed, memory is biased toward information that is consistent with stereotypes. High cognitive load can be created by productivity pressures, time pressure, high noise levels, inadequate staffing, poor feedback, inadequate supervision, inadequate training, high communication load, and overcrowding.

Healthcare providers must also take proactive steps to combat implicit bias. This includes gaining an understanding of the various cultures their patients come from, avoiding stereotyping, recognizing the impact of unconscious bias, and following National Standards for Culturally and Linguistically Appropriate Services*. Techniques like "teach-back" and practicing evidence-based medicine can also help reduce bias in patient care.

Studies have shown that implicit bias is deeply ingrained in the healthcare system, causing devastating health inequities. The only intervention found to reduce implicit bias involved a prejudice-habit-breaking approach, which was effective for undergraduate students.

The learning and training environments for healthcare professionals are crucial in addressing implicit bias. Formal diversity training in medical school has little or no effect on students’ levels of implicit bias over time. Implementing and psychological methods to address psychological problems of bias have proven effective over the longer term.

Transformative Learning Theory (TLT) can help disrupt existing paradigms by challenging assumptions and promoting critical reflection. Increasing interaction with underrepresented groups, faculty, and patients, along with the perceived quality of that contact, can reduce bias and encourage healthcare professionals to actively address their biases.

Prejudice habit-breaking intervention, based on theory developed by Patricia G. Devine, PhD, and William T.L. Cox, PhD, of the University of Wisconsin–Madison adopts the premise that bias, whether implicit or explicit, is a habit that can be overcome with motivation, awareness and effort, includes experiential, educational and training components. Michelle van Ryn’s company, Diversity Science - helps organizations apply the best findings and interventions on implicit bias to creative inclusive cultures.

Other suggestions include seeing the patient as an individual rather than a stereotyped member of a group and Individualizing patients to encourage medical students to question stereotypes about a patient's ethnic group. This can help patients become more engaged with their treatment and fostering patients' sense of being “on the same team” as their provider. Ultimately, it’s about how to improve your skills as a doctor or nurse. It requires commitment and practice.

Implicit bias remains a persistent challenge in healthcare, perpetuating disparities in patient care. To create a more equitable healthcare system, raising awareness about implicit bias is vital. Healthcare organizations and providers must actively work to address these biases through training, awareness, and policy changes. By doing so, we can take significant steps towards ensuring that every patient receives the equitable care they deserve.

If you are a practice owner looking for support to lower your stress levels and fall (back) in love with your practice, schedule a strategy call to see how we can help you take back your time, grow your practice and elevate your leadership.

Sources:

Tackling Implicit Bias in Healthcare NEJM 2022

https://www.nejm.org/doi/full/10.1056/NEJMp2201180

Eliminating explicit and implicit biases in health care: evidence and research needs

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9172268/

Quick Safety 23: Implicit Bias in Healthcare

https://www.jointcommission.org/resources/news-and-multimedia/newsletters/newsletters/quick-safety/quick-safety-issue-23-implicit-bias-in-health-care/implicit-bias-in-health-care/

How does implicit bias affect patients’ healthcare? APA

https://www.apa.org/monitor/2019/03/ce-corner

Implicit Bias and Racial Disparities in healthcare ABA

https://www.americanbar.org/groups/crsj/publications/human_rights_magazine_home/the-state-of-healthcare-in-the-united-states/racial-disparities-in-health-care/

With implicit bias hurting patients, some states train doctors