Agile&Me: A physical therapy leadership podcast series: Recent Episodes

Richard Leaver

Agile&Me: A Physical Therapy Leadership podcast series. A podcast devised to help emerging and experienced therapy leaders learn more about various topics relevant to the management and leadership of outpatient therapy services.

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On this episode of Agile&Me, host Richard Leaver is joined by Nick Patel, Executive Director of the Alliance for Physical Therapy Quality and Innovation (APTQI), to discuss the evolving landscape of advocacy in physical therapy. Nick shares insights from his eight years of leadership at APTQI, the challenges faced by the industry, and the strides made toward creating a stronger, unified voice for the profession.

To learn more about us, visit our website at https://www.allianceptp.com/

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How do we train this generation of PT students? What is being asked of them that our Clinical Instructors need to recognize? How do I connect with young people in my clinic?

If you're asking any of these questions, this episode is for you. Ashlee Butler, PT works across the country to help bridge the gap between academic knowledge and clinical competencies. She joins Richard today to share insights about the needs of students and CIs for how to be successful in the clinical placement process.

To learn more about us, visit our website at https://www.allianceptp.com/

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In this episode of Agile&Me, Ryan Buckley joins Richard Leaver to get real about the pressures and opportunities for outpatient physical therapy clinics in 2025 and 2026.

There's real reason to be optimistic about the coming months and years as practices adopt new technology and look forward to rebounding demand for patients.

To learn more about us, visit our website at https://www.allianceptp.com/

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In this episode of Agile&Me, guest expert Jason Wambold shares valuable insights on variable compensation models in outpatient physical therapy, exploring how these flexible pay structures can boost therapist satisfaction, support recruitment and retention, and benefit clinic owners.

Tune in to learn practical strategies and real-world examples that highlight the advantages of offering compensation choices for therapists and fostering a supportive, thriving work environment.

To learn more about us, visit our website at https://www.allianceptp.com/

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Clinic Director Jordan Finger interviews our CEO, Richard Leaver, in a role-reversing conversation! Explore Richard’s journey from the UK to the US healthcare system, the evolving role of physical therapists, and how strong culture drives sustainable success. Packed with leadership insights and industry expertise, this is a must-listen for healthcare professionals and leaders.

To learn more about us, visit our website at https://www.allianceptp.com/

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In this episode of Agile&Me, host Richard Leaver chats with Marla Ranieri, VP of Clinical Excellence at Prompt Therapy Solutions, about AI’s transformative role in physical therapy. Marla shares her journey from physical therapist to innovator, exploring how AI technologies improve clinical practices. They discuss how AI tackles challenges like clinician burnout and reimbursement complexities while addressing concerns about data accuracy and compliance. Tune in to discover how AI is shaping the future of healthcare, enhancing patient care, and offering practical tools for integrating AI into physical therapy practices.

To learn more about us, visit our website at https://www.allianceptp.com/

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Staying HIPAA compliant isn’t just about privacy anymore; it’s about keeping up with evolving technology and industry standards. On this episode of Agile and Me, Richard Leaver chats with Tiffany Warden, a certified healthcare compliance expert, to break down the complexities of HIPAA in today’s fast-changing healthcare landscape.

Packed with real-world examples and expert advice, this episode is essential for healthcare professionals navigating compliance. Get ready for the 2025 HIPAA amendments and learn how to turn compliance into a strength.

To learn more about us, visit our website at https://www.allianceptp.com/

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Welcome to episode two of our two-part series on credentialing, with expert Christine Mulder. In this episode, Christine delves into the past, present, and future of credentialing in outpatient physical therapy services, offering deep insights into changes pre and post-COVID.

Join us as we explore the digital submission challenges, the role of third-party credentialing entities, the differences in requirements among various payers, and the potential of software in credentialing. We also discuss the pros and cons of outsourcing credentialing services, and the impact on independent practitioners. Stay ahead of the curve as we navigate the future of physical therapy credentialing together.

To learn more about us, visit our website at https://www.allianceptp.com/

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In this episode of Agile&Me, host Richard Leaver, CEO of Alliance Physical Therapy Partners, is joined by credentialing expert Christine Mulder, who brings over 12 years of experience in managing credentialing and enrollment for outpatient therapy providers. Together, they dive into the often-overlooked, yet vital, world of credentialing in outpatient therapy practices. This is part one of a two-part series, so stay tuned for more insights.

To learn more about us, visit our website at https://www.allianceptp.com/

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Dive into a riveting conversation between two physical therapy thought leaders, Richard Leaver and Michelle Collie, as they navigate the opportunities and challenges that lie ahead in the outpatient therapy services sector. This episode offers an insider's perspective on some pressing issues like employee value proposition, reimbursement challenges, staffing shortages, and the imperative of expense control. Hear from Michelle Collie, the CEO of High Bar Physical Therapy, as she gives insights based on her journey in the field. Get a glimpse of what the future holds for outpatient therapy as we inch towards 2025, with discussions on technology integration, innovation, and the importance of self-care for healthcare professionals. A must-listen for PT leaders and healthcare professionals seeking to stay ahead in this rapidly evolving landscape.

To learn more about us, visit our website at https://www.allianceptp.com/

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Welcome to another insightful episode of Agile&Me, the podcast for leaders in physical therapy. In this episode, we address the critical issue of clinician turnover with expert guests Wayne Shaw, a seasoned practice owner with 30+ years of experience, and Jamie Farkas, a senior HR leader at Alliance Physical Therapy Partners.

Discover the real costs of clinician turnover, including recruitment and training expenses, and the impact on team morale and clinic operations. Wayne and Jamie provide expert insights into the economic impacts and share effective retention strategies to maintain a thriving workplace culture. Their discussion offers valuable advice for practice owners and HR professionals managing workforce challenges in healthcare.

Tune in to learn how proactive strategies and strong organizational culture can tackle turnover challenges, ensuring success and stability for your practice. This episode is essential for anyone interested in healthcare management and leadership.

To learn more about us, visit our website at https://www.allianceptp.com/

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For our 50th episode of Agile&Me, Richard Leaver dives into a captivating conversation with Kevin Takao, a seasoned legacy owner. Kevin shares his inspiring journey, from the early days of setting up his physical therapy clinic to the pivotal moment of partnering with Alliance. He offers a behind-the-scenes look at the due diligence support and the transformative changes experienced post-partnership. Tune in for a deep dive into the intricacies of Kevin’s fascinating entrepreneurial path.

To learn more about us, visit our website at https://www.allianceptp.com/

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In this episode of Agile&Me, Richard Leaver welcomes back Mark Setlock, Director of Payor Relations at Alliance Physical Therapy Partners. Leveraging his extensive experience of over fifteen years, they both discuss contract negotiation, adjustments, rate increases, and a variety of other topics.

To learn more about us, visit our website at https://www.allianceptp.com/

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In this episode Richard Leaver leads engaging discussions with Jillian Lam, who works within Alliance Business Development, and David, Senior Vice President at Alliance Physical Therapy Partners. Discussing the landscape of M&A activity, insights on valuations, sales outlooks and future industry predictions.

To learn more about us, visit our website at https://www.allianceptp.com/

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In the second episode of the Agile&Me Payer Contracting series, Richard Leaver hosts Mark Setlock, Director of Payor Relations at Alliance Physical Therapy Partners. Mark delves into essential contract elements therapists need to understand – covering rates, term length, termination clauses, timely filing, payment promptness, arbitration procedures, future amendments and other crucial components.

To learn more about us, visit our website at https://www.allianceptp.com/

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In this episode of Agile&Me, Richard Leaver is joined by Mark Setlock, Director of Payor Relations at Alliance Physical Therapy Partners. With over 15 years of experience, Mark shares his journey from the hospital level to PT. Together, they unravel, payor contracts, discussing their historical context and dissecting the advantages and disadvantages of being in or out of network for both patients and providers.

To learn more about us, visit our website at https://www.allianceptp.com/

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In this episode of Agile&Me, Richard discusses the complexities of medical records in healthcare with Tiffany Warden. Covering a range of topics including the historical shift to electronic records, patient rights governed by HIPAA, the financial consequences of non-compliance with regulations and challenges in managing medical record requests from patients, payers, and state agencies.

To learn more about us, visit our website at https://www.allianceptp.com/

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Richard sits down with Steve DiPaola, the CEO of Empower Physical Therapy. Exploring challenges faced by the outpatient physical therapy sector in 2023 – from labor shortages to reimbursement issues and administrative burdens. Steve shares insights into how Empower PT has tackled these challenges, emphasizing agility and strategic approaches. As they reflect on the dynamic landscape of 2023, the conversation extends to predictions for 2024, foreseeing innovations and policy shifts.

To learn more about us, visit our website at https://www.allianceptp.com/

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In this episode Richard is joined by Joanna Bailey, who shares her experiences with physical therapy – both the positive and the less-than-stellar. While our previous conversation with Joanna focused on her successful journey with physical therapy, today, we explore the lessons to be learned from instances where the experience didn't meet expectations.

Joanna's story sheds light on the crucial elements of successful physical therapy, including thorough assessment, therapist-patient engagement, attentive listening, and effective leadership within the clinic.

To learn more about us, visit our website at https://www.allianceptp.com/

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Welcome to another episode of Agile and Me, a Physical Therapy Leadership Podcast series. In this episode, we dive into the world of patient experiences with our special guest, Joanna Bailey. Joanna, who has been a recurrent patient of physical therapy, brings a unique perspective to the table.

What sets Joanna apart is her extensive background in healthcare, spanning three decades. As a minister and hospital chaplain, she's been a vital part of interdisciplinary discussions with rehabilitation teams, both in pediatric and adult care settings. With a keen eye for chart notes and a deep understanding of what physical therapists look for in their assessments, Joanna offers invaluable insights.

Tune in as Joanna shares her personal journey as a patient, highlighting her positive experiences at a clinic. Discover the key factors that made her journey exceptional and what clinic directors can learn from her firsthand encounter.

  • Joanna provides a little bit of background
  • Registration and onboarding
  • 10 minutes in, The initial visit – The evaluation
  • Follow up visits
  • Discharge experience
  • What things went well?
  • How could the experience have been improved?

To learn more about us, visit our website at https://www.allianceptp.com/

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In this thought-provoking episode, Richard sits down with Meredith Caston, the mind behind Non-Clinical PT, to unravel the complex issues leading to the alarming shortage in healthcare workers, and what it means for the industry. They delve into eye-opening statistics from the Kaiser Family Foundation and discuss the growing mental health crisis among healthcare professionals exacerbated by the COVID-19 pandemic.

Key Takeaways:

  • The widening gap between healthcare workforce supply and demand
  • How the pandemic has fueled stress and mental health issues among clinicians
  • The role of education costs, societal factors, and workplace conditions contributing to burnout
  • Barriers to entry and the unmet potential of foreign-trained healthcare professionals
  • The importance of addressing problems at individual, educational, and societal levels

To learn more about us, visit our website at https://www.allianceptp.com/

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This episode is a must-listen for anyone looking to understand the changing dynamics of stress, anxiety, and burnout in the physical therapy world.
In this episode, Richard warmly welcomes back Meredith Castin from the Non-clinical PT. The two revisit a topic previously discussed: burnout in the field of physical therapy. With the world having moved past the initial waves of COVID-19, they reflect on how the narrative surrounding burnout has evolved.
Meredith, a physical therapist and influencer, discusses the intertwining nature of mental health and professional burnout, shedding light on its many facets. As they delve deeper, the conversation touches upon the economic, political, and healthcare challenges faced today.

To learn more about us, visit our website at https://www.allianceptp.com/

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Welcome to another enlightening episode of the Alliance Leadership Podcast hosted by CEO Richard Leaver. In this engaging discussion, we dive deep into the attributes and traits that lead to leadership success with our special guest, Joseph Laporta, a renowned expert in the field of leadership development.

Joseph Laporta brings a wealth of work experience and insight into what it takes to become a successful leader. The book he is featured in, “Habits of Success – What Top Entrepreneurs Routinely Do in Business and Life,” outlines essential attributes and behaviors that contribute to success in leadership, entrepreneurship, and personal development.

In this episode, we explore:

  • Joseph's Unique Leadership Journey: How his personal work experience and adversity shaped his leadership success.
  • Attributes of Success: Unpacking the key factors, including hard work, focus, resilience, and continuous learning that drive achievement.
  • The Importance of Quantity and Intensity: Why duration and focus are vital components of hard work, as outlined in the famous saying, "You only get out what you put in."
  • The Role of Adversity: How challenges and setbacks can ultimately contribute to long-term growth and success.
  • The Right Experience: Understanding what it means to gain the 'right experience' in leadership and why it matters.
  • No Shortcuts to Success: A candid conversation about the relentless pursuit of clear vision, continuous learning, taking action, and authenticity.

Join us for this inspiring and educational conversation with Joseph Laporta, filled with practical insights and wisdom for aspiring leaders, physical therapists, and anyone looking to grow in their careers.

Listen now and subscribe to the Alliance Leadership Podcast for more expert insights into the world of physical therapy, leadership, and personal development.

To learn more about us, visit our website at https://www.allianceptp.com/

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In this episode, Richard sits down with speaker, author, and former physical therapist, Amy Lafko. Diving into the diverse topic that is "What is a people-first approach?" Find Amy's book "People First" here

As a Physical Therapist, Amy spent years in school learning best practices for patient care and how to put the patient first. Like so many technically skilled clinicians, she advanced to a leadership role. Spending 20+ years in operational leadership, she had an epiphany: Putting the customer first isn’t the path to success or fulfillment. Rather, the most successful organizations and practices put their people first – and exceptional customer care, profitability, and effectiveness naturally followed.

  • What is a People First approach?
  • A People First approach is a mindset/philosophy of leadership and not a series of tactics.
  • What are the foundational building blocks/attributes of a People First Approach?
  • Until recently there has been a focus on Patient First. How is this different?
  • How have changes within the structure of healthcare employment and delivery over the last 10 years forced managers/owners to rethink how we lead people?
  • Are generational differences impacting the way we need to lead and manage?
  • How did Covid impact the way we should lead/manage?
  • What practical steps can private practice owners take immediately to start along the path of a People First approach?
  • What are the consequences of not changing to an employee-first mindset? How have we seen this?

To learn more about us, visit our website at https://www.allianceptp.com/

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Richard sits down and talks to Perry Ashley of Perry Ashley Coaching and talks about the role self-awareness plays in being a good leader. This topic is great for clinic directors and physical therapists but also incredibly relevant for anyone who finds themselves in a leadership role of any capacity. Or for those who are looking to do some self-improvement. Interested in becoming a better leader?
Visit Perryashleycoaching.com or connect with Perry on LinkedIn @Perryashleyptcpqc or shoot her an email at Perryashleycoaching@gmail.com! See our library of podcasts on our website by clicking here

To learn more about us, visit our website at https://www.allianceptp.com/

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Trials and Tribulations of a New Clinic Director:

  • Introductions
  • What surprised you most about taking on becoming a Clinic Director?
  • How could you have been better prepared when changing roles?
  • What do you enjoy most about the role of Clinic Director?
  • What are the three things you need from an employer to help you succeed as an emerging leader?
  • What do you feel are some of the key attributes you need to be an effective Clinic Director?
  • What areas of the business do you feel additional training would be helpful?
  • Final thoughts/words of wisdom.

Being a clinic director of an outpatient physical therapy clinic can come with a lot of ups and downs. Being a NEW clinic director can often come with more downs than ups if you don't have the right team behind you. Richard Leaver talks with Megan Philipp, PT, DPT, who recently became the new clinic director of one of our Advent locations in Grand Rapids, Michigan. Getting to understand her journey as a clinic director who is partnered with Alliance.

To learn more about us, visit our website at https://www.allianceptp.com/

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In this episode, we mix things up by letting Jillian Lam from our own Mergers and Acquisitions team take the lead in discussing the moving and shaking that is happening in the business side of the physical therapy world. 

To learn more about us, visit our website at https://www.allianceptp.com/

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Richard Leaver sits down with the director of Marketing at Alliance PTP, Sam Lewakowski. In this episode, the two discuss utilizing social media in the healthcare industry. Which platforms to use, how to use them, and what each platform can bring to your clinic.

Thinking about partnering with Alliance PTP? Visit the Partner With Us section of our website to learn more.

To learn more about us, visit our website at https://www.allianceptp.com/

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In this episode of Agile and Me, Richard Leaver shares a conversation with Paul Martin about the process of selling your practice, from the necessary steps to take before putting your practice on the market to potential pitfalls to watch out for during negotiations. Tune in to learn a few tips and tricks that could help your practice earn a little more money!

To learn more about us, visit our website at https://www.allianceptp.com/

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In this podcast titled, “2022 in review and predictions for 2023” we have the great pleasure speaking with Ajay Gupta, Chief Executive Officer of Physical Rehabilitation Network (PRN), one of the most prominent physical therapy partnership networks. 

Our discussion with Ajay focuses on:
·       Overview of 2022 for the outpatient physical therapy sector  

·       What the main challenges and opportunities were in 2022

·       The current challenges associated with recruitment and retention 

·       The short and medium term consequences of staffing challenges to clinic owners and patients

·       The impact of the macroeconomic headwinds and increased cost of doing business to small private practice owners and the outpatient PT sector as a whole

·       Managing anticipated strong demand for outpatient physical therapy

·       The current and future role of virtual PT as a conduit for care delivery.  

·       2023 predictions 

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In this podcast titled, “Marketing 101” we have the great pleasure speaking again with Samantha Lewakowski, Director of Marketing for Alliance Physical Therapy Partners.  
In this episode I discuss with Sam all things marketing, including:

  • What is Marketing and how it differs to sales
  • What  the goal / goals of marketing for OP PT clinics are
  • What has been the traditional marketing done by outpatient PT clinics
  • What E-marketing is
  • What types of activities would fall under the e-marketing umbrella
  • What e-marketing activities do you believe are most important for a single practice or small group of clinics
  • What e-marketing activities are low cost to clinic owners
  • What practice owners can start doing right now to help market their business

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What Private Equity is
The best time to sell my practice
Whether there is a specific time of year to sell
Whether opening a new clinic during the sale process is an issue
What will likely happen to the brand and culture after the transaction
What is attractive for potential buyers when considering whether to purchase a practice
Typical changes after partnering / being acquired
What happens if and when I  own the building in which my clinic(s) are established in

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In this podcast titled, “Owning your own PT practice – Keys to Success” we have the great pleasure speaking again with Pat Green, owner of Chautauqua PT, OT and SLP Professionals. 
In this episode I discuss with Pat the trials and tribulations of owning his own practice.  More specifically we talk about:

What  he is most proud of when reflecting on his journey creating Chautauqua PT, OT and SLP Professionals 

  • The curve balls experienced along the way and how he handled them
  • With hindsight, what he would have done differently
  • The benefits / advantages of owning and operating one's own private practice
  • The biggest challenges associated with owning and operating a private practice
  • Advice for anyone looking to establish an independent OP PT clinic
  • Whether it is getting easier, harder or just the same to own and operate as an independent owner / operator of an OP PT clinic
  • Long term viability of small independently owned PT clinics
  • The silver lining of the impact of Covid
  • Thoughts regarding what is likely to change in the next 5 to 10 years for outpatient physical therapy clinics

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In this podcast titled, "What is my Practice Worth” we have the great pleasure speaking again with Steve Tolger,, Vice President of Mergers and Acquisitions, at Alliance Physical Therapy Partners.

Our discussion in this episode with Steve focuses on:

  • What financial indicators do we use to value a business
  • What period of time is typically used when reviewing financial indicators
  • The importance of both past performance and future anticipated performance to valuation
  • What 'add backs' are
  • Other factors influencing valuation
  • What a ‘multiple’ mean in the context of valuation
  • How you can increase the value of the business
  • The relevance and importance of culture to the seller and buyer
  • What one is seeing in the market at the moment regarding multiples / valuation

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In this podcast titled, “The Steps Involved With Selling Your Outpatient Therapy Practice” we have the great pleasure speaking with Steve Tolger,, Vice President of Mergers and Acquisitions, at Alliance Physical Therapy Partners.

Our discussion with Steve focuses on:

  • When it is a good time to consider selling your PT business
  • The common steps involved with selling your business
  • What exactly is an IOI
  • What information is needed from the prospective seller / practice owner for the prospective buyer to be able to generate an IOI
  • What happens once the prospective seller / practice owner receives an IOI
  • What exactly is an LOI and the information needed by the prospective buyer
  • What happens after the LOI is signed
  • The common timeframe for the entire process to take

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In this podcast titled, “Physical Therapist Burnout: Causes and Solution” we have the great pleasure speaking with Meredith Castin,  a licensed physical therapist, entrepreneur, career strategist, and owner of The Non-Clinical PT. 

Our discussion with Meredith focuses on:

What we mean when we talk about clinician burn out
How burnout is manifested
Why clinician burnout is such an important issue to discuss
Why more people are feeling burned out 
The main causes of clinician burnout
Underlying intrinsic and extrinsic factors 
Whether the problem is getting worse or better 
External factors that contribute towards clinician burnout 
What type of environment clinic leaders need to provide to mitigate the risk factors contributing towards possible clinician burnout
How we see the future of outpatient physical therapy

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In this podcast titled, “Trials and tribulations of foreign trained Physical Therapists” we speak to Anal Shah, an experienced physical therapist who emigrated to the USA after having completed her training abroad.

Our discussion with Anal focuses on:

Our experience obtaining verification of PT credentials in the US
The state licensure and visa process as a foreign trained PT.  
The verification of foreign education credentials
Challenges with finding a US employer prepared to employee a foreign trained PT
What we found surprising about PT clinical practice in the US
 The issues associated with being a visa holder
The benefits to an employer of having a foreign trained therapist as part of your clinical team

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In this podcast titled, “Predictions for 2022 & Beyond” we speak to John Gallucci, CEO of Jag-One Physical Therapy about the short and long term future of outpatient physical therapy.  

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In this podcast titled, “The Role of a Commercial Real Estate Broker in helping find and secure your new clinic location” we speak to Shirward Punches, commercial real estate broker from CARR

Our discussion with Shirward focuses on:

What the role of the Commercial Real Estate Broker is
 Why a potential new clinic owner should engage a commercial real estate agent
How  a commercial real estate broker can they help a prospective clinic owner identify and secure a new location
The type of data points and sources of information commercial real estate brokers use to  assist in finding a suitable location for an outpatient physical therapy clinic
The steps involved with finding and securing a new clinic location
What an IOI and LOI is
Common pitfalls potential new clinic owners need to keep in mind when finalizing terms and conditions
What concessions are and what is the industry norm for the amount of concessions provided to new tenants
How to find a commercial real estate broker / agent

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In this podcast titled, “Managing The Proposed CMS Fee Schedule Cuts" we speak to TIffany Warden and Lindsey Nicholson.  Patrick Slotman.  Tiffany currently serves as the Clinical Compliance Officer at Alliance Physical Therapy.  Lindsey is the Vice President of Clinical Operations at Alliance Physical Therapy Partners.  Alliance Physical Therapy Partners is a leader in outpatient physical therapy.  

 Our discussion focuses on:
· What are the proposed payment reductions currently planned to take place at the start of 2022. 
· The background and current situation as it pertains to the proposed 2022 Medicare 
· Physician Fee Schedule and the implementation of a payment differential for PTAs and OTAs in 2022
· What does it mean for the clinician and how the payment differential is applied
· The likelihood of other payors following the payment reductions being introduced by CMS
· How clinicians can manage and mitigate the payment reductions   
· Tactics and strategies to offset the lower reimbursement levels

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In this podcast titled, “Outpatient Physical Therapy By The Numbers (Part 2)” we once again speak to Patrick Slotman.  Patrick currently serves as Vice President of Clinical Operations at Alliance Physical Therapy Partners, a leader in outpatient physical therapy.  

 Our discussion with Patrick focuses on:
· Where to start when talking about metrics with clinic leaders
· How to review a clinic financial statement and the normal expenses as a percentage of revenue
 · Managing labor costs to improve financial performance
· How challenges to reimbursement are reflected in the various metrics
· The importance of revenue cycle metrics to clinic financial performance
·  The use of operational metrics to motivate and reward employees

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In this podcast titled, “The Future of Virtual Physical Therapy)” we speak to Ben Keeton.  Ben currently serves as Director of Clinical Operations at The Jackson Clinics, a leader in outpatient physical therapy in Virginia.  

 Our discussion with Ben focuses on:
One's experience to date as it pertains to delivering physical therapy virtually
The skepticism surrounding the delivery of virtual physical therapy
The barriers to the adoption and growth of virtual physical therapy
A comparison of genesis and adoption of virtual physical therapy to telemedicine 
Can virtual physical therapy be as effective as traditional in-person outpatient car
The diversity of diagnoses and demographics that are suitable and respond to virtual physical therapy  
The growth of virtual PT and the competitive landscape  ......................

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In this podcast titled, “Outpatient Physical Therapy By The Numbers (Part 1)” we speak to Patrick Slotman.  Patrick currently serves as Vice President of Clinical Operations at Alliance Physical Therapy Partners, a leader in outpatient physical therapy.  

 Our discussion with Patrick focuses on:
Why measure?
What are KPIs and how they vary between providers and geography
How metrics and KPIs can help in the success of the clinic
Different types of clinic operational metrics  and benchmark values
The link between KPIs, clinical outcomes and patient satisfaction
The mismatch between perception and reality of performance
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In this podcast titled, “Building a High Performing Team” we speak to Ryan Klepps.  Ryan currently serves as Vice President of Operations at WebPT, leading the Onboarding, Member Education, Data Operations/Interoperability, and Member Support teams.   

 Our discussion with Ryan focuses on:
 How we define a  ‘high performing team’
The need to build the team before successful operational execution
What factors / attributes are seen in a high performing team
Challenges with creating a high performing team
What determines the best type of team organization
Predictive indicators for a team's ability to perform.   

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In this podcast titled, “Management of Cancelations and No Shows” we speak to Ryan Martin.  Ryan is the Group Director for Back In Motion Physical Therapy in Maine  

  Our discussion with Ryan focuses on:
 How you define a cancelation
 Factors that cause cancelations and no shows
 Perceived value as a determinant of patient attendance
 Setting expectations as a tactic for controlling cancelations and no shows.
 When and how  your team sets those expectations
 Tactics clinicians use to mitigate cancelations and no shows
 The role of the front office to assist with minimizing cancelations and no shows
 Thoughts on charging a fee for a cancelation / no show

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In this podcast titled, “Lessons From An Early Careerist”  we speak to Brianna Bianconi, a recently qualified physical therapist.

 Our discussion with Brianna focuses on:
How did PT school help you prepare for your first job
What types of classes were provided to compliment the clinical learning provided
What else could have PT school taught you that would have helped you as an early careerist
When choosing your first job, what does the new graduate expect
What do employers need to do to attract and retain clinicians
What do leaders need to know and understand to help new graduates be more successful
Thoughts on why clinicians change employer 

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In this podcast titled, “Common Causes of Write Offs: Pitfalls and Solutions”  we speak to Stephanie Gardner, Director of Revenue Cycle for Alliance Physical Therapy Partners.

 Our discussion with Stephanie focuses on:
What do we mean by ‘write off’?
How big a problem are ‘write offs’ 
What are the causes of ‘write off’ as it pertains to outpatient PT
What can the clinicians, front office and revenue cycle do to minimize write offs
What is the role of credentialing to try and minimize write offs

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Today’s Agile&Me podcast is titled, “ The function and importance of Front Office in outpatient physical therapy clinics ”.  We are thrilled to welcome our guests Linda Kerrick.

Linda Kerrick is the Director of  Front Office Operations for Alliance Physical Therapy Partners.
Richard & Linda discuss

The role of the front office employee and their primary responsibilities
How to measure front office success / performance  
What key metrics are used to assess front office operations
What skillset / attributes are you looking for when recruiting for a front office coordinator
Why we need a front office employee
 How clinicians can support the front office coordinator
What clinic owners / operational leaders need to understand and do to optimize front office operations

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In this podcast titled, “The How & Why of Building a Relationship between the Physical Therapist and Physician Office”  we speak to Mark Boncser, owner of Border Therapy Services.

 Our discussion with Mark Boncser focuses on:
Why build a relationship with a physician office
The impact of online social media and e-marketing on physician relations
The importance of strong physician relations on patient care
How to build a relationship with the physician office
Activities clinicians can do everyday to build relations with physicians
Planning for a successful physician office visit

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In this podcast titled, “APTQI - How Advocacy Can Drive Change” we speak to Nick Patel.  Nik is the Executive Director at the Alliance for Physical Therapy Quality and Innovation (APTQI).  

 Our discussion with Nick focuses on:
What is advocacy and why it is important
What  are the types of activities involved with advocacy
What was the genesis of APTQI
How does  APTQI promote outpatient physical therapy
APTQI and the proposed Medicare Physician Fee Schedule cuts
How therapy leaders can get involved with advocacy
The future of outpatient physical therapy

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Today’s Agile&Me podcast is titled, “ Building a Highly Successful Telemedicine Network:  Lessons for Virtual Physical Therapy”.  We are thrilled to welcome our guest, Dr. Jonathan Wiesen.   

Dr.  Wiesen is the Founder and Chief Medical Officer for MediOrbis.  Mediorbis is an innovative end-to-end telemedicine platform connecting patients with medical specialists  and offering chronic disease programs.  In addition to founding MediOrbis, Dr. Wiesen has a remarkable professional career that includes the publication of over thirty scientific papers in the fields of critical care, pulmonology and biomedical ethics. 

Richard and Dr. Weisen discuss:

·       The founding of MediOrbis in 2014
·      The skepticism of telemedicine as a method of delivering patient care
·       Advances in technology to enhance the patient experience 
·       The development of telemedicine pre and post Covid-19 pandemic
·       The similar challenges experienced establishing MediOrbis and Agile Virtual Care 
·      The future of telemedicine post Covid
·       And more!

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Today’s Agile&Me podcast is titled, “ The ABC of Custom Foot Orthotics & The Integration into Outpatient Physical Therapy”.  We are thrilled to welcome our guests Stacy Parent & Dawn Yorton.    

Dawn Yorton is a certified Pedorthist and Stacy Parent is the Director of Operations for BioCorrect (a manufacturer of handcrafted custom orthotics)

Richard, Dawn & Stacy discuss:

What a Pedorthist is

What makes BioCorrect different from the competition

What types of conditions commonly seen in outpatient physical therapy clinics may benefit from foot orthotics

What determines whether a custom foot orthotic is more suitable than an OTC foot orthotic 

What materials are used to make custom orthotics & how long should they last

Are custom orthotics covered by insurance and what is the cost to patients for your orthotics? 

And more!

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In this podcast titled, “Outpatient Physical Therapy:  Addressing the 90% problem” we speak to Scott Hebert.  Scott is the Director of Product management for WebPT, the nation’s leading rehab therapy software platform and the co-founder of Strive Labs.

 Our discussion with Scott Hebert focuses on:

What is the ‘90% problem’

The main reasons for why we only end up seeing a very small proportion of people who have MSK disorders and could benefit from physical therapy

The perception of PT problem

What we need to do to start addressing the 90% problem

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This episode discusses the outpatient physical therapy evaluation and management of long-haul Covid patients.   Richard speaks to Gretchen Walsh, the  Director of Clinical Excellence and Leadership for Alliance Physical Therapy Partners. Richard and Gretchen discuss:

·       The different types of Covid patients suitable for outpatient physical therapy
·       The common signs and symptoms associated with long haul Covid patients
·       The subjective and objective evaluation 
·       Precautions 
·       Treatment outline
·       Use of virtual physical therapy care for the long haul Covid patient
·       And more!

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With more than 400 published randomized trials in orthopedics, the science in targeted clinical nutrition is advancing rapidly and the case for utilizing it as a modality in patient care has become firmly established, including adoption by leading orthopedic hospitals.

In this episode we speak to the CEO of MEND, one of the firms leading the charge in developing evidence based clinical nutrition products for orthopedics. Our discussion with Eziah Syed focuses on:

·       The state of the science 
·       Why this domain is important in patient outcomes
·       Why clinical nutrition is poised to become standard of care and how PTs can effectively incorporate into patient treatment to enhance outcomes

91% of patients are now saying that nutrition is important to their physical therapy and are expecting their PT to recommend solutions. Don't miss this episode to understand one the most important emerging domains in patient care.

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This episode discusses the basic building blocks of a robust compliance program for outpatient therapy clinics and the likely changes in the regulatory environment in the future. Richard speaks to Tiffany Warden, the clinical compliance officer for Alliance Physical Therapy Partners. Richard and Tiffany discuss:

·       Tiffany’s history working in compliance
·       How compliance and ethics work together
·       Why compliance is important
·       The role of HIPPA in compliance
·       Calculating billing units properly 
·       How COVID has affected compliance and access to care
·       And more!

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This podcast focuses on the current situation as it pertains to the effects of Covid on outpatient therapy services and the likely future  impact.  There have been a large number of webinars and presentations looking at the impact of Covid on therapy services in 2020, but this podcast focuses our attention to the here and now.  One can only influence the future.  The past is the past.

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Agile&Me: A Physical Therapy Leadership Podcast Series

This episode discusses with Anne Frederick, M.A., CCC/SLP, the role of a talent acquisition, common recruiting  questions and the impact of Covid on the hiring of clinicians.  Anne Frederick has been recruiting healthcare professionals for 15+ years and is the owner of RehabResources.   Anne can be contacted at Anne@RehabResource.com

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Agile&Me: A Physical Therapy Leadership Podcast Series.  

This episode discusses with Anthony Placek various attributes and factors associated with good operational leadership.  

Anthony is an expert in the fields of leadership development, culture transformation, and operational consulting. He has over 15 years of experience as a strategic operations leader and proven success in growing and scaling healthcare operations, improving quality, profitability, and strengthening brand share through creative organizational management and leadership.  He  offers consulting, comprehensive workshops, and group and 1:1 coaching to assist with achievement of sustained success.

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This episode discusses virtual care and physical therapy with special guest Dan Hirai DPT. Telehealth physical therapy has become a popular treatment option during the pandemic. Dan and Richard discuss:

·       Dan’s experience with telehealth physical therapy
·       How telehealth physical therapy works for clinicians and patients
·       The advantages of telehealth physical therapy
·       The demographics of telehealth physical therapy
·       How to prove efficacy
·       The effectiveness of telehealth physical therapy

Part of the Agile&Me: A Physical Therapy Leadership podcast series.  The podcast series has been devised by Alliance Physical Therapy Partners to help educate and inform emerging and experienced therapy leaders about various topics relevant to outpatient therapy services.

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Agile&Me: A Physical Therapy Leadership podcast series.  

A podcast devised to help emerging and experienced therapy leaders learn more about various topics relevant to outpatient therapy services.  This is the first episode of the Agile&Me: A Physical Therapy Leadership podcast series where we learn about the host, Richard Leaver.  

Richard is currently CEO of Alliance Physical Therapy Partners and its various network affiliates.  As a licensed physical therapist with almost 30 years of clinical experience, Richard understands what’s necessary to deliver an outstanding patient experience and great clinical outcomes. In addition to completing his Physical Therapy degree, Richard earned his has undergraduate degree in Physical Education from the University of Birmingham, UK; Masters in Ergonomics from the prestigious Loughborough University in England; and an MBA from the University of Michigan.  In addition, Richard is Board certified in healthcare management as a Fellow of the American College of Healthcare Executives.