Latest / Becker’s Healthcare Podcast / Helping Rural Hospitals Thrive and Physicians Build Independence with Ericka Beeler
Transcript
- 0:02- There's a version of AI in health care
- 0:04- that lives mostly in press releases,
- 0:06- pilot programs, partnership announcements,
- 0:09- theoretical
- 0:10- use cases.
- 0:11- And then there's the version that lives in
- 0:13- the work, the CIO trying to get a
- 0:15- model into production without breaking a dozen workflows,
- 0:19- the revenue cycle leader weighing automation against accuracy,
- 0:22- the CISO who knows that every new integration
- 0:25- is a new attack surface.
- 0:28- Becker's eleventh annual IT and revenue cycle conference
- 0:31- is built for the people doing that work.
- 0:33- More than 2,500
- 0:35- executive level attendees,
- 0:37- 600 plus speakers,
- 0:39- and four days of sessions designed around the
- 0:41- real operational questions behind
- 0:44- AI, cybersecurity,
- 0:45- revenue cycle performance, and digital health.
- 0:48- Join us September 14 through the seventeenth.
- 0:51- For the agenda and event details,
- 0:53- visit beckershospitalreview.com
- 0:55- and click on the events tab in the
- 0:57- upper right.
- 0:59- This is Scott Becker with the Beckers Health
- 1:02- Care Podcast.
- 1:03- I'm thrilled today to be joined by an
- 1:05- entrepreneur, a leader, a brilliant person in health
- 1:07- care, Erica Beeler.
- 1:09- Erica's gonna talk to us about her business,
- 1:11- about some of the services she does, what
- 1:14- trends she's watching, and a lot more. Erica,
- 1:17- can you take a moment and introduce yourself
- 1:19- and and tell us about how you got
- 1:20- started in health care business?
- 1:23- Yeah. Absolutely.
- 1:24- Erica Beeler, CEO, founder of Beeler Consulting.
- 1:27- I started in health care as a CNA.
- 1:29- So I thought I wanted to be a
- 1:30- nurse, started as a tech on the floor,
- 1:32- worked inpatient hospice when I was 17.
- 1:35- All of my patients died, and I quickly
- 1:37- realized this probably isn't what I wanna do.
- 1:40- It was a small hospital in a small
- 1:41- town in Pittsburgh, Kansas, and I was a
- 1:44- phlebotomist unit secretary. I worked my way up,
- 1:47- started as an admin assistant at Research Medical
- 1:50- Center, a level one trauma center here in
- 1:52- Kansas City when I graduated college, and found
- 1:54- myself just kinda doing all sorts of stuff.
- 1:57- I was the physician support coordinator, then I
- 1:59- managed some clinics for HCA, and then I,
- 2:02- got into business development, was promoted up to
- 2:06- a regional director of development, then went back
- 2:08- and was a vice president of development for
- 2:09- HCA and ran one of our surgery centers.
- 2:12- Always had an entrepreneurial
- 2:14- spirit and had my family, as always,
- 2:17- ran their own companies. So
- 2:19- went out on my own about two years
- 2:21- and basically had a a vision and goal
- 2:23- of how do I take this knowledge and
- 2:25- everything we've learned from these health systems
- 2:27- and deploy some of these strategies and principles
- 2:31- into hospitals, and and how do we save
- 2:33- rural hospitals and keep them open? And then
- 2:35- how do we help independent physicians run better
- 2:37- businesses? So that's what we do here at
- 2:39- Baylor.
- 2:40- It was simply remarkable. And what are some
- 2:42- of the trends you're watching in both rural
- 2:45- hospitals, physician practices? What
- 2:49- Yeah. Absolutely. I think,
- 2:51- two things really specifically,
- 2:53- for different different segments. One is in the
- 2:56- medical group side. I think we constantly see
- 2:58- the pressure from payers, but I think you're
- 3:00- now seeing a shift of physicians going back
- 3:02- to entrepreneurship
- 3:03- and really looking at creative models of how
- 3:06- do I,
- 3:07- you know, we know DPC concierge medicine is
- 3:09- very alive and active and it's gonna continue
- 3:11- to grow. We see employers making different shifts
- 3:13- and different decisions
- 3:15- on how do we get out of these,
- 3:17- traditional models and how do we take better
- 3:19- care of our employers.
- 3:20- So I just think naturally you're seeing a
- 3:22- shift in just in healthcare economics, and you're
- 3:25- seeing
- 3:26- physicians just really pursue entrepreneurship
- 3:29- and ownership and wanting to own in the
- 3:30- real estate, wanting to build their own ASCs.
- 3:33- And it's fun. It's fun to be a
- 3:34- part of that.
- 3:36- Rebound to seeing that kind of interest in
- 3:38- entrepreneurship because it seems like that was so
- 3:40- present a while ago,
- 3:42- then lacking a little bit. Are you seeing
- 3:44- more of that interest again from physicians?
- 3:46- I am. I am. And it's usually after
- 3:48- employment, so I don't think most physicians don't
- 3:51- come out wanting to open their own practice.
- 3:54- I think a lot of them go into
- 3:56- employment models. They get burned out. They try
- 3:58- to figure out how do I buy back
- 4:00- my time? How do I have freedom? How
- 4:01- do I get out of these production based
- 4:03- models?
- 4:04- What does the ownership look like? So,
- 4:07- I think you just see that physician, and
- 4:09- and it's not always in medicine. Some of
- 4:11- the entrepreneurship
- 4:12- and what physicians are doing is
- 4:14- car washes or,
- 4:15- you know, real estate empires. It it's not
- 4:18- always medicine. I think they're all just looking
- 4:20- for a different way to to make money.
- 4:24- And you have some independence and autonomy.
- 4:27- When I grew into health care a long
- 4:29- time ago now,
- 4:30- a lot of physicians and small, mid sized
- 4:32- talents particularly
- 4:33- would be a doctor, primary care, a surgeon,
- 4:36- whatever they were doing, and also be a
- 4:38- local investor in real estate, maybe a local
- 4:41- member of the board of directors of a
- 4:42- bank, and those kinds of things. It was
- 4:43- sort of a very almost feels like a
- 4:45- bygone era, but you almost see a return
- 4:48- to some of that interest, don't you?
- 4:50- Yeah. Yeah. We do. And I I love
- 4:53- it. I think it's the way for them
- 4:54- to build wealth and and to not have
- 4:57- to be so tied
- 4:59- to the employment and to the hospital systems,
- 5:01- which is a great fit for some doctors.
- 5:03- There's some doctors that can take that paycheck
- 5:05- and they're happy as can be, and and
- 5:07- that's that's what they wanna do. And I
- 5:09- think that's great. But for the physicians that
- 5:11- want something
- 5:12- different, I think it's important to have groups
- 5:15- out there like us that can help support
- 5:17- them, execute that vision, and
- 5:19- stay viable.
- 5:21- And you do a terrific job both with
- 5:23- the groups and with hospitals. Talk a bit
- 5:25- about what a typical engagement might look like
- 5:27- and what you're doing.
- 5:29- Yeah. So right now, we're opening
- 5:31- five practices, and so we're project managers in
- 5:33- the sense that we help execute the checklist
- 5:35- of getting you gotta get your med mountain,
- 5:37- you gotta get your payer contracts, we gotta
- 5:39- get your credential, we've gotta and our team
- 5:41- does that and actually executes the work. We're
- 5:44- not the people that just say, okay, doctor,
- 5:46- go do this. I think we pride ourselves
- 5:48- on
- 5:49- execution and deliverables,
- 5:52- not just handing you a bunch of decks
- 5:53- and a project plan and saying, knock yourself
- 5:55- out. Good luck.
- 5:57- So right now we're opening up a cardiology
- 5:58- clinic. We're opening up a direct primary care
- 6:00- clinic. We're helping a physician open up an
- 6:03- emergency dental practice.
- 6:06- We're actually building out a cardiovascular
- 6:08- service line for a physician owned hospital, which
- 6:10- is really fun.
- 6:12- Yeah. And then for all hospitals, we typically
- 6:14- come in, if they have less than thirty
- 6:16- days of cash on hand and try our
- 6:19- best to deploy our team to turn them
- 6:20- around.
- 6:21- So that's a very different engagement.
- 6:23- And then sometimes we end up staffing, like
- 6:26- COO, CNO type roles.
- 6:29- And and is the work that you're doing
- 6:31- national or located in the Midwest or sort
- 6:33- of every place?
- 6:34- We're just in the Midwest. So we've only
- 6:37- been around for two years. We're a young
- 6:38- company. We're in Kansas, Missouri, Texas,
- 6:41- Nebraska, and Iowa.
- 6:44- You know, and that's a that's a broad
- 6:45- definition of the Midwest because it seems like
- 6:47- it's growing tremendously, and there's lots of interest.
- 6:49- That's that's really fantastic.
- 6:51- And and and and
- 6:53- what are you most focused on and excited
- 6:55- about as we get into
- 6:56- the second half of this year? I cannot
- 6:58- believe it's almost the second year half of
- 7:00- 2026.
- 7:01- What what are you most focused on and
- 7:03- excited about and so forth?
- 7:05- What I'm so excited about is we have
- 7:07- three hospital engagements that are turnarounds, and they're
- 7:10- just,
- 7:11- you know, good people, great communities,
- 7:14- just didn't have the leadership,
- 7:17- expertise per se. It was just hard to
- 7:19- recruit to rural communities.
- 7:21- So our team's really excited to get in
- 7:23- there, dig in, see what can we do
- 7:24- to get this hospital back on track,
- 7:27- and really work alongside on a mentorship program
- 7:30- with these facilities. So the leaders we do
- 7:32- put in place that we set them up
- 7:33- for success,
- 7:34- and we're not just like the fly by
- 7:36- night consulting firm that bounces once they get
- 7:38- stable and turned around. So I I'm really
- 7:41- excited to have one of those projects.
- 7:43- And then I'm these physician practices,
- 7:46- seeing them, like, one of our we separated
- 7:48- them from a larger corporation,
- 7:51- and we just did their quarterly business review,
- 7:53- and they absolutely are crushing it.
- 7:55- And so I'm excited to see how our
- 7:57- other clients do long term.
- 8:00- Yeah. And just continue to help people. You
- 8:02- know? That's what it's all about.
- 8:04- And talk about that motor that you have,
- 8:06- that energy that you have. Where does that
- 8:07- come from? Were you born with that energy
- 8:09- and motor that that makes you so effective
- 8:11- in dealing with people and growing? Talk a
- 8:14- little bit about that, or do you have
- 8:15- to cultivate that energy level and that ability
- 8:17- to to visit and and work with people
- 8:19- so closely?
- 8:21- Yeah. I've it's my parents. So my dad
- 8:25- my parents all came from farm roots.
- 8:28- So the day was half over by 8AM
- 8:30- if we were awake.
- 8:31- And, we had full time jobs when we
- 8:34- were 14. My brother is a hospital CEO
- 8:36- and ran a mowing business that he grew
- 8:39- and sold when he was like 20.
- 8:41- And then I, I would have weekly garage
- 8:43- sales and baby, I was a babysitter. So
- 8:45- we were always just taught hustle and work
- 8:48- ethic. And, there's no such word as can't
- 8:50- and you figure it out and you do
- 8:52- your best
- 8:53- and you have respect. And, and I think
- 8:56- that work ethic has carried me through and
- 8:58- I just love it. Like I, people ask
- 9:00- what my hobby is. I was like, man,
- 9:02- I'm I'm living my dream.
- 9:04- Like, this is my hobby.
- 9:05- Well so, yeah, I know. I'm just born
- 9:07- born that way, I guess.
- 9:09- And and what does the future look like
- 9:11- for Bueller Consulting?
- 9:13- That is a really good question.
- 9:16- You know, the Lord has blessed us, and
- 9:18- I just continue to lean into him and
- 9:19- say, put us where you need us. Like,
- 9:21- we're a bunch of health care executives that
- 9:23- left corporate America and just wanna go make
- 9:25- the world a better place. So
- 9:27- I don't have some grand plan. Right? Like,
- 9:31- I I wanna serve and help as many
- 9:33- people as I possibly can.
- 9:35- So our future is
- 9:37- is is I don't know.
- 9:39- It it actually a great, great answer and
- 9:41- a true answer
- 9:42- That that most great businesses are built a
- 9:44- year at a time without a grand vision
- 9:46- and incrementally and trying to figure it out.
- 9:48- So I actually love that answer versus no
- 9:50- of that answer. So no. Thank you so
- 9:53- much. What what advice would you give to
- 9:55- evolving and emerging entrepreneurs?
- 9:58- What advice do you give to people?
- 10:00- I would say read Scott Becker's book.
- 10:03- I wish I would have read it, like,
- 10:04- two years before I opened my company.
- 10:08- And I think lean into mentors. Like, like,
- 10:11- find people that have done what you're trying
- 10:13- to do and listen to them.
- 10:15- That's been huge to me. I feel like
- 10:17- I have been able to scale this company
- 10:19- and buy back our time in so many
- 10:21- ways by listening to strong advisors, even just
- 10:23- such as you, Scott. Just giving me, like,
- 10:25- a a little bit of advice will go
- 10:28- so so and and just execute on it.
- 10:31- Don't be the people that, you know, you
- 10:32- hop on the phone, they give you advice,
- 10:34- and then you do nothing about it. Like,
- 10:36- actually, go do the work.
- 10:38- Nothing nothing in entrepreneurship is easy.
- 10:41- Could not agree more. Erica, as always, it's
- 10:44- great to speak with you. Where can people
- 10:46- learn more about Dealer Consulting and what you're
- 10:48- doing?
- 10:50- Yeah. So message me on LinkedIn. I check
- 10:52- all my messages. I will respond. And then
- 10:55- our website's buellerconsulting.org.
- 10:58- Again, Erica Bueller, just a fantastic leader and
- 11:01- person and consultant.
- 11:02- Erica, thank you so much for joining us
- 11:04- today on the Becker's Healthcare podcast. I really
- 11:06- appreciate it. Thank you so much.
- 11:09- Thanks, Scott.