William F. (Bill) Cockrell, FACMPE       MGMA - Huntsville        November 13, 2012
What’s been beaten intome over the past 31 years.
About Me: Personal    58 years old, married, three sons and one daughter-in-     law, live in father-in-law, part time l...
About Me: Experience    65 practices    500 physicians    1,400 employees    Start ups    Mergers    Demergers
About Me: Experience    Operations    Human Resources    Buildings    Services    EMR    Etc.
About Me: Started my company in 2007    Full time in 2010       It was time Cockrell and Associates, LLC    Strategic...
My wife and the German sum it up.
Do You Like Your Job? “Heck no. The doctors are crazy and the employees are crazy. If something goes wrong I get all the ...
Life experiences – the jeep, the     scooter and the gorilla
Confessions and Lessons I thought I was in control Ha Ha - Expect the Unexpected
The Jeep
The Blizzard of 1993 13 inches of snow No power for up to 10+ days The Comedy Club in Birmingham Burned    Along with ...
Other Proof The sink fell of the wall The IRS is here Because I said so doesn’t work
Stay cool Unless a someones life is at stake, you can probably    sleep on it   Have a plan   If you don’t have a plan ...
Confessions and Lessons Expect the Unexpected – Deal with it one step at a time
Confessions and Lessons Expect the Unexpected – Deal with it one step at a  time I thought change was slow   Change is ...
Operations Then 31 years ago Usual, Customary and Reasonable (UCR) Patients pay and file claims Few health plans / no ...
Operations Now PMD and many, many others Technology EMR ACA HIPAA
Confessions and Lessons Expect the Unexpected – Deal with it one step at a  time Change is constant – Learn to adapt
Confessions and Lessons Expect the Unexpected – Deal with it one step at a  time Change is constant – Learn to adapt I ...
The Scooter
Dealing with Staff  HIPAA violations  Substance Abuse  Lying  Getting Along
Dealing with Doctors Coding Harassment Substance Abuse Other
Help Is Available MGMA – The people in this room MASA Books
Confessions and Lessons Expect the Unexpected – Deal with it one step at a  time Change is constant – Learn to adapt Pe...
Confessions and Lessons Expect the Unexpected – Deal with it one step at a  time Change is constant – Learn to adapt Pe...
The Complexity of the Business of          Healthcare Direction   No matter how important the organization is to    you,...
The Complexity of the Business ofHealthcare External    Patients    Payers    Competition    Regulations
The Complexity of the Business ofHealthcare Internal    Staffing    Clinical    Billing    Operations    And a milli...
The Complexity of the Business ofHealthcare Organization   There are no problems that three or four well placed    assas...
Confessions and Lessons Expect the Unexpected – Deal with it one step at a  time Change is constant – Learn to adapt Pe...
Confessions and Lessons Expect the Unexpected – Deal with it one step at a    time   Change is constant – Learn to adapt...
Our Job To make it possible for everyone else to do their job –    Taking Care of the Patients
Confessions and Lessons Expect the Unexpected – Deal with it one step at a    time   Change is constant – Learn to adapt...
Confessions and Lessons Expect the Unexpected – Deal with it one step at a    time   Change is constant – Learn to adapt...
You Keep things in perspective    The Traveler’s Gift – Andy Andrews       The buck stops here       I will seek wisdo...
Confessions and Lessons Expect the Unexpected – Deal with it one step at a    time   Change is constant – Learn to adapt...
Confessions and Lessons Expect the Unexpected – Deal with it one step at a time Change is constant – Learn to adapt Peo...
The Gorilla
Confessions and Lessons Expect the Unexpected – Deal with it one step at a time Change is constant – Learn to adapt Peo...
Resources MGMA   ACMPE MASA Specialty Organizations Surveys Benchmarking Best Practices
Resources Books    Adapt – Why Success Always Starts with Failure – Tim     Hartford    The Creative Destruction of Med...
Cockrell and Associates, LLC      (205) 208-0012      (877) 726-0443  bcockrell@caahms.com    www.caahms.com
Confessions of a long time practice administrator
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Confessions of a long time practice administrator

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The education of a medical practice administrator.

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Confessions of a long time practice administrator

  1. 1. William F. (Bill) Cockrell, FACMPE MGMA - Huntsville November 13, 2012
  2. 2. What’s been beaten intome over the past 31 years.
  3. 3. About Me: Personal  58 years old, married, three sons and one daughter-in- law, live in father-in-law, part time live in mother  BS in Accounting and Management – Samford University  MBA - UAB  First practice in 1981  Involved in MGMA  FACMPE
  4. 4. About Me: Experience  65 practices  500 physicians  1,400 employees  Start ups  Mergers  Demergers
  5. 5. About Me: Experience  Operations  Human Resources  Buildings  Services  EMR  Etc.
  6. 6. About Me: Started my company in 2007  Full time in 2010  It was time Cockrell and Associates, LLC  Strategic planning  Operations design  Governance  Human Resources  Data
  7. 7. My wife and the German sum it up.
  8. 8. Do You Like Your Job? “Heck no. The doctors are crazy and the employees are crazy. If something goes wrong I get all the blame and if something goes right, I get none of the credit. On the other hand, it’s never boring.”
  9. 9. Life experiences – the jeep, the scooter and the gorilla
  10. 10. Confessions and Lessons I thought I was in control Ha Ha - Expect the Unexpected
  11. 11. The Jeep
  12. 12. The Blizzard of 1993 13 inches of snow No power for up to 10+ days The Comedy Club in Birmingham Burned  Along with the Princeton Healthcare Services Greensprings Clinic  85% of patient records recoverd – before the days of EMR
  13. 13. Other Proof The sink fell of the wall The IRS is here Because I said so doesn’t work
  14. 14. Stay cool Unless a someones life is at stake, you can probably sleep on it Have a plan If you don’t have a plan – make one Get help if you need it Crises need leaders
  15. 15. Confessions and Lessons Expect the Unexpected – Deal with it one step at a time
  16. 16. Confessions and Lessons Expect the Unexpected – Deal with it one step at a time I thought change was slow  Change is constant
  17. 17. Operations Then 31 years ago Usual, Customary and Reasonable (UCR) Patients pay and file claims Few health plans / no PMD
  18. 18. Operations Now PMD and many, many others Technology EMR ACA HIPAA
  19. 19. Confessions and Lessons Expect the Unexpected – Deal with it one step at a time Change is constant – Learn to adapt
  20. 20. Confessions and Lessons Expect the Unexpected – Deal with it one step at a time Change is constant – Learn to adapt I thought people always tried to do the correct thing  People do crazy things
  21. 21. The Scooter
  22. 22. Dealing with Staff  HIPAA violations  Substance Abuse  Lying  Getting Along
  23. 23. Dealing with Doctors Coding Harassment Substance Abuse Other
  24. 24. Help Is Available MGMA – The people in this room MASA Books
  25. 25. Confessions and Lessons Expect the Unexpected – Deal with it one step at a time Change is constant – Learn to adapt People do crazy things – Have a plan
  26. 26. Confessions and Lessons Expect the Unexpected – Deal with it one step at a time Change is constant – Learn to adapt People do crazy things – Have a plan This is the easiest job in the world  Running a business like this is difficult
  27. 27. The Complexity of the Business of Healthcare Direction  No matter how important the organization is to you, someone else owns it and they get to make the final call  Our job  Gather and provide the best information  Hire the best staff you can  Collect the money  Run things as efficiently as you can  Help them have a plan  What do they want  What is facing them – good and bad
  28. 28. The Complexity of the Business ofHealthcare External  Patients  Payers  Competition  Regulations
  29. 29. The Complexity of the Business ofHealthcare Internal  Staffing  Clinical  Billing  Operations  And a million other things in addition to being a cheerleader
  30. 30. The Complexity of the Business ofHealthcare Organization  There are no problems that three or four well placed assassinations will not solve  But  Effective communications can go a long way to finding a solution to most problems  Still, sometimes, it’s just not the right fit
  31. 31. Confessions and Lessons Expect the Unexpected – Deal with it one step at a time Change is constant – Learn to adapt People do crazy things – Have a plan Running a business like this is difficult – Make sure you have the right resources and support
  32. 32. Confessions and Lessons Expect the Unexpected – Deal with it one step at a time Change is constant – Learn to adapt People do crazy things – Have a plan Running a business is difficult – Make sure you have the right resources and support I thought this is a business  It’s about the patients
  33. 33. Our Job To make it possible for everyone else to do their job –  Taking Care of the Patients
  34. 34. Confessions and Lessons Expect the Unexpected – Deal with it one step at a time Change is constant – Learn to adapt People do crzy things – Have a plan Running a business is difficult – Make sure you have the right resources and support It’s about the patients – Care You are a loved one will / are will be there. It’s why we are here.
  35. 35. Confessions and Lessons Expect the Unexpected – Deal with it one step at a time Change is constant – Learn to adapt People do crazy things – Have a plan Running a business is difficult – Make sure you have the right resources and support It’s about the patients – Care You are a loved one will / are will be there. It’s why we are here. I thought – “What about me?”  It’s about us too
  36. 36. You Keep things in perspective  The Traveler’s Gift – Andy Andrews  The buck stops here  I will seek wisdom  I am a person of action  I have a decided heart  Today I will choose to be happy  I will greet this day with a forgiving spirit  I will persist without exception.
  37. 37. Confessions and Lessons Expect the Unexpected – Deal with it one step at a time Change is constant – Learn to adapt People do crazy things – Have a plan Running a business is difficult – Make sure you have the right resources and support It’s about the patients – Care You are a loved one will / are will be there. It’s why we are here. It’s about you – Take care of yourself
  38. 38. Confessions and Lessons Expect the Unexpected – Deal with it one step at a time Change is constant – Learn to adapt People do crazy things – Have a plan Running a business is difficult – Make sure you have the right resources and support It’s about the patients – Care You are a loved one will / are will be there. It’s why we are here. It’s about you – Take care of yourself I have learned  People will keep doing crazy things
  39. 39. The Gorilla
  40. 40. Confessions and Lessons Expect the Unexpected – Deal with it one step at a time Change is constant – Learn to adapt People do stupid things – Have a plan Running a business is difficult – Make sure you have the right resources and support It’s about the patients – Care You are a loved one will / are will be there. It’s why we are here. It’s about you – Take care of yourself People will keep doing crazy things - Keep things in the right perspective and LAUGH as much as you can
  41. 41. Resources MGMA  ACMPE MASA Specialty Organizations Surveys Benchmarking Best Practices
  42. 42. Resources Books  Adapt – Why Success Always Starts with Failure – Tim Hartford  The Creative Destruction of Medicine – How the Digital Revolution will Create Better Healthcare – Eric Topol MD  The Total Service Medical Practice – Vicky Bradford, PhD  The Travelers Gift – Andy Andrews  www.caahms.com
  43. 43. Cockrell and Associates, LLC (205) 208-0012 (877) 726-0443 bcockrell@caahms.com www.caahms.com

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