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- Webinar: The New 2021 Cost Savings Strategy Every Hospital Needs
- Why Are Hospital Bills So Expensive?
Posts by Category
Benchmarking
Bundled Payments
- Bundled Payments and Revenue Strategies
- 3 Overlooked Bundled Payment Strategies
- How To Maximize Profit From Your Hospital’s Bundled Payments
Conversations With VIE
- Supply Chain – Conversations With VIE
- Physician Preference Items and Controlling Costs – Video Discussion
- 3 Ways to Extract Unnecessary Costs – Conversations With VIE
- Telecommunications – Conversations With VIE
- Analyzing and Interpreting Data – Conversations With VIE
- VIE Healthcare’s Approach to Physician Engagement – Conversations With VIE
- Cost Saving Initiatives – Conversations With VIE
- What Makes VIE Different? – Conversations With VIE
- IT/Technology Cost Savings – Conversations With VIE
- Opportunities in The OR – Conversations With VIE
- Operating Room Optimization – Conversations With VIE
- Denise Bisogno – Conversations With VIE
- Richard Dormer – Conversations With VIE
- Marie Egeland – Conversations With VIE
- 3 Ways We Help Hospitals
- Capitated Spine Programs – Conversations With VIE
Cost Reduction
- How to Manage Your IT Healthcare Spend
- Understanding The Terms of Your Outsourced Agreements
- Uncovering Overlooked Costs and Spend Sources In Your Hospital
- How Waste Reduction Leads to Cost Savings and Better Patient Care
- OR Cost Management With Project CROS
- Hospital Cost Management Through Innovation
- Non-Labor Cost Savings Initiative
- Effective Cost Management For Hospitals in a Period of Change
- COVID-19 Response: Hospital Recovery Strategy
- Effective Budget Management and Healthcare Innovation – Part 2
- CARES Act Recovery Fund for Hospitals
- Proposed CMS Changes to the Comprehensive Care for Joint Replacement Model (CJR)
- How Can Your Hospital Remain Competitive In The Marketplace?
- Physician Cost Awareness
- What Patients Know About Saving Money And Improving Care
- Hospital Spend Data Analysis
- Cost Reduction in The OR
- 11 Ways To Profit From Data Analytics
- 5 Reasons To Work With VIE Healthcare On Your Supply Chain Strategy
- What Makes VIE Healthcare’s Analytics Different
- 6 Strategies For Rapid Cost Reduction In Your Hospital
- Uncover The Cost Savings In Your Non-Clinical Services
- Customized Consulting Services For Your Hospital
- Transform Your Physician Practice Management With VIE Healthcare Consulting
- 10 Steps To Choosing Your Healthcare Consulting Provider
- 4 Ways to Identify Cost Reduction Opportunities in Your Telecom Contracts
- 7 Ways to Add Hospital Profit Margin & Maintain Exceptional Patient Care
- When Should Your Hospital Bring Outsourced Services In-House?
- How to Achieve Cost Reduction Through Real-Time Visibility Into Telecommunication Data
- Battling Non-Clinical Burnout
- Hospital Cost Improvement Strategy Research Report
- Reducing Blood Service Agreement Costs
- Achieve Hospital Real Estate Cost Reductions With RX Realty From VIE Healthcare
- Merchant Services: Understanding the System – Reducing Costs
- Managing Costs to Medicare
- 7 Components of Establishing an Agile Cost Transformation Structure
- Outsourced Providers: Critical Questions and Key Activities
- How to Ensure Quality and Financial High-Performance From Outsourced Providers
- Variables in Waste, Pricing and Usage Bring Cost-Saving Opportunities
- The Hospital and The Sales Rep
- The Challenge of Remaining Profitable as a Hospital
- Hospital Cost Improvement Strategy
- What We Achieve For Clients
- Are You Optimizing Generic Drugs?
- Five Quick Cost Reduction Areas
- Unique Cost Reduction Areas
- Overcoming Financial Challenges
Cost Savings
- How to Reduce Your OR Supply Costs
- 4 Strategies to Launch Hospital Cost Savings
- How to Engage Physicians for Cost Savings Success
- 3 Foundations To Improve Your Cost Structure
- A Plan For Price Transparency
- How To Improve Hospital Financial Performance
- 5 Ways to Improve Profitability In Your Hospital
- The 4 P’s Of A Successful Hospital Cost Savings Strategy
- Get In Front of the Cost Savings In Your Outsourced Agreements
- Achieve Cost Savings With These 10 High Performing Strategies
- COVID-19 Resources For Hospitals
- 4 Steps To Financial Recovery During COVID-19
- Employee Engagement Enhances Patient Care and Hospital Cost Reduction
- Hospital Cost Savings Roadmap For Success
- COVID 19 Response: Cost Savings Strategies For Hospitals
- The Role of Nurses in Cost Savings & Efficiency
- Hospital Resource Guide to Post Pandemic Recovery
- 5 Ways Your Hospital is Losing Money and How to Stop It
- 3 Steps to a Total Management Cost Savings Approach: Reconciliation
- The Only Constant in Healthcare is Change
- 30 Day Year-End Cost Savings Sprint
- Cost Savings is for Kids
- 15 Innovative Cost Savings Strategies
- 3 Ways To Engage Your Physicians In Cost Savings
- 4 Innovative Hospital Cost Savings Strategies
- Hospital Cost Savings and Reimbursement
- Project Management in Healthcare
- Your Hospital’s Financial Health Needs a Check-up, Too!
- A Targeted Approach To Improving Cost Structure
- 3 Steps to Optimize Clinical Laboratory Expenses to Achieve Cost Savings
- 3 Reasons Hospitals are Missing Out on Cost Savings
- 3 Steps to Planning For Cost Savings Analysis
- Tips to Improve Your Hospital Utilization Process for Lucrative Cost Savings (Part 3)
- Tips to Improve Your Hospital Utilization Process for Lucrative Cost Savings (Part 2)
- Tips to Improve Your Hospital Utilization Process for Lucrative Cost Savings
Exciting VIE News
Featured
Healthcare Analytics
- Hospitals Turn to Data Analytics to Reduce Costs, Improve Quality of Care
- Big Data in Healthcare Isn’t Enough – Small Data Is The Answer
- Data Analytics Can Improve Financial Performance And Efficiency In Hospitals
- How Data Analytics is Used in Healthcare
- What Spend Data Analytics In Healthcare Really Means
- Understanding Data Sources In Healthcare
- Healthcare Decision Analytics
- Profiting From Analytics
Healthcare Contract Management
Healthcare Cost Reduction Innovation Experts
- Why Nurses Must Be Included In Hospital Cost Savings Conversations
- Should You Use Outside Consultants?
- Are You Working With the Right Firm?
Healthcare Innovation
- It Takes A Village: Expert Leadership & Experience In Times Of Crisis
- Disruptive Healthcare Trends For 2020
- Why Every Hospital Needs A Strategic Plan For Innovation
- 2019 Healthcare Leadership Report
- The Pros and Cons Of RFID Technology In The Hospital
- 6 Steps To Maximize Profits In Your Ambulatory Surgery Center (ASC)
- 6 Key Questions for Software License Optimization
- Hospital Mergers and Acquisitions
- Optimize Reimbursement for Pharmaceutical and Laboratory Test Costs
- The “Check Please” Program at Cleveland Clinic
- Domain Breakdown of HBVP
- Understanding Medicare’s Inpatient Prospective Payment System (IPPS)
- Embracing Innovation
- Innovation Through Employee Ideas
Healthcare IT
- Innovation For Hospitals Implant Management
- Healthcare IT Cost Savings
- Is Your Hospital Adding Technology Or Adding Value?
- IT Cost Savings
- Healthcare Technology Costs
HIPAA Compliance
Hospital Cost Cutting
Invoice ROI
Lean Consulting
Operating Room
- Late Start Times in Operating Rooms (Part 2)
- Late Start Times in Operating Rooms (Part 1)
- The Need for Price Transparency
- Waste in the Operating Room
- Are You Neglecting the Operating Room?
Patient Experience Consulting
- Healthcare Ethnography: Discover Front Line Hospital Insights
- Proven SDOH Strategies To Save Your Hospital Money
- Research Proven SDOH Strategies For Your Hospital: Part 2
- Research Proven SDOH Strategies For Your Hospital: Part 1
- Why Your Hospital Needs An Assessment of SDOH Readiness
- The Not So Clear Future of Price Transparency In Healthcare
- Social Isolation and the Impact on Healthcare
- Deliver Front-Line Innovation With EXCITE! Training Workshops
- How Nurses Can Enhance Patient Care and Save Your Hospital Money
- 3 Ways To Improve Patient Satisfaction In Your Hospital
- The High Cost of Hospital Readmissions
- Why Your Patient Billing Needs A Makeover
- Patient Journey Mapping: Front-Line Insights for Hospital Performance Improvement
- How To Ensure a Superior Patient Experience and Continuum of Care
- Social Determinants of Health
- 3 Top Strategies To Improve Your Hospital’s Social Determinants of Health
- Transforming the Patient Experience – Why It’s Important and How To Do It
- The Challenge of Patient Engagement
- How Can You Improve Patient Flow Through Your PACU?
- Hospital Billing and Patient Experience (Part 2)
- Hospital Billing and Patient Experience (Part 1)
- 17 Obvious Ways to Improve Patient Experience in a Hospital Waiting Room
- Family Involvement in Healthcare
- Measuring Patient Satisfaction (Part 2)
- Measuring Patient Satisfaction
Physician Preference Items
- 5 Steps to Physician Preference Item Optimization
- Physician Preference Items (PPIs): Strategies For Cost Management
- Case Study In Cost Savings: Physician Preference Items
- Physician Preference Items Part 3: Data Analysis Is The Key To Cost Savings
- Physician Preference Items Part 2: Price Transparency
- Physician Preference Items Part 1: Best Practice in Cost Savings
- Physician Preference Items (Part 2)
- Physician Preference Items (Part 1)
Press Releases
- SpendMend Completes Acquisition of VIE Healthcare Consulting
- VIE Healthcare Consulting Achieves HIPAA Compliance with Compliancy Group
- VIE Healthcare® Consulting Awarded MBE Certification
Process Improvement
- Why Your Hospital Needs A Telehealth Strategy
- How to Guarantee Extraordinary Performance From Your Outsourced Service Providers
Purchased Services
- 4 Mission Critical Requirements for Your Outsourced Agreements
- How to Ensure Quality and Financial High-Performance from Outsourced Providers
- Outsourced or Insourced: What Is Cost Effective For Your Hospital?
- Don’t Skim Over Purchased Services
Reducing Healthcare Costs Through Technology
Research Reports
- Hospital Spend Data Analytics Research Report
- Patient Satisfaction & Your Hospital’s Financial Performance
- Why The Hospital Supply Chain Needs to Come Back to the United States
- Steps To Ensure Trust By Staff & Patients After The Pandemic Research Report
- Healthcare Delivery is Changing – What Is The Future of Telehealth?
- Optimizing the Patient Experience by Working Towards Health Equity
- Hospital Spend Data Analytics
Revenue Strategies
Supply Chain Management
- 7 Steps to Optimize Outsourcing For Your Hospital
- Why Your Hospital Needs Supply Chain Excellence
- 10 Reasons Why Nurses Are Uniquely Situated To Shape The Future of Healthcare
- Sustainability with Interim Supply Chain Help – Call in the Experts!
- How To Choose A Value-Based Reimbursement Model
- Case Study In Cost Savings: Supply Chain Optimization
- Case Study In Cost Savings: Supply Chain Optimization
- Maximizing the Supply Chain During Acquisitions and Closures
- Transform Your Hospital Supply Chain With VIE Healthcare Consulting
- How Should CMS’s Value-Based Purchasing Program Affect Your Supply Chain?
- 4 Reasons To Invest In Your Supply Chain In 2019
- Working Against World-Class Supply Chain Superiority
- More on Achieving a World-Class Supply Chain
- Achieving World-Class Hospital Supply Chain Superiority
Telemedicine Consulting
- How To Manage Your Healthcare Telecommunication Costs
- Why Your Hospital Must Embrace Telehealth Now
- Telecommunication Expense Management (TEM): Sustainable Telecommunication Costs in Healthcare
- Hospital Telecom Costs: Consistent Monthly Bills Do Not Ensure Accuracy
- 5 Things to Know About Healthcare Telecommunication Costs
Uncategorized
Videos
Videos with Lisa
- IT Services: Why You Need To Monitor Your Spend
- Contract Management System vs. Contract Performance System
- 6 Steps To Achieve Cost Savings In Purchased Services
- Purchased Services: Key To Your Hospital’s Cost Savings
- Managing Vendor Price Increases on Minor Enhancements
- The Perfect Strategy For Purchased Services Cost Savings
- 7 Strategies To Identify Cost Savings in Purchased Services
- 3 Ways To Solve Your Cost Savings Problems
- Balancing Innovation & Optimization
- Vendor Rebates: How Can You Stay Ahead?
- Invoice Reconciliation Is Key For Your Cost Savings Strategy
- How to Handle Vendor Pricing Committees
- Zero-Based Budgeting For Your Purchased Services Strategy
- Understanding Vendor List Price Yearly Increases
- Vendors’ Complex Pricing: How to Manage Them Successfully
- Optimization Is More Important Than Innovation
- My Experience Creating Content Over The Last 4 Months
- Your Cost Savings Cycles Should Be In 12-Week Sprints
- Why Your Benchmarking Needs To Be SMART
- Hospital Vendors Increase Their Margins in 6 Ways
- How Pricing Transparency Can Be An Advantage For Hospitals
- Physicians Need to Be a Part of Cost Savings Conversations
- Manage Spend Analytics Internally to Reduce Hospital Costs
- 3 Things I’ve Learned From Keith Cunningham
- Cost Savings For Hospitals: How To Find 15% Or More
- Cost Savings Problems Aren’t Solved By Changing your GPO
- Why We Decided To Re-do Our Website
- What Makes VIE Healthcare® Different: Vendor Strategies
- I Am So Proud of My Team
- We Fully Automate Purchased Services Spend Analysis
- Tony Robbins’ Business Mastery: My Favorite Concept
- Creating a Centralized Operation for Purchased Services
- Doing Things Better Is What Separates Us From Other Companies
- Telehealth and Hybrid Care in Hospitals
- Can AI and Deep Learning Help Healthcare Providers Reduce Cost
- Four Cost Saving Opportunities in Outsourced Physician Services
- Here Are 3 Cost Saving Opportunities Within Physician Preference Items (PPIs)
- Where are the cost savings opportunities in purchased services spend?
- Cost Analysis for Hospitals
- How did you build a culture of being easy to work with?
- What is driving up costs for hospitals?
- What have the past two decades in business taught you about the healthcare industry?
- How have you helped a hospital save money recently?
- What Led You to Start VIE Healthcare?
VIE Healthcare Audiograms
- Hospital Liaison Sales and Service Strategies
- Harnessing A Disruptive Mindset In Healthcare
- Building A High Performing Internal Business
- Purchased Services Multi-Year Strategy
- Infusing Telehealth & Virtual Care Into Patient Care Plans
- Hospitals Need to Re-Think Their GPO Strategy
- The Engaged Healthcare Organization for Cost Savings
- Are You Maximizing Margin Improvements
- The Human Side of Healthcare in the Community
- Analysis of Your Hospital Margins is The Key to Growth
- Healthcare Prediction – What to Expect in 2022
- Planning Your Health System’s Pipeline of Cost Savings Opportunities
- Should My Hospital Engage a Healthcare Consulting Firm
- How to Handle Vendor Negotiations
- You Need a High Performing Project Management System
- Is It Important To Measure Spend Analytics
- The Greatest Potential for Cost Savings
- What Affects Hospital Supply Chain Success
- Do You Need a Hospital Podcast
- Trends in Healthcare
- How to Nurture and Create a Culture in Healthcare
- Purchased Services Cost Savings in Healthcare
- The Healthcare Leadership Experience Episode 2 with Lisa Larter
- Every Organization Needs an Advisor
- Outsourced Service Provider Costs: How to Ensure These Costs Are Managed and Monitored— Benchmarking
VIE Healthcare Blogs
- 6 Emerging Hospital Costs Trends
- Finance and Budgeting Challenges In The Evolving Healthcare Organization – Part 1
- Remembering Hector Rodriguez
VIE Healthcare Podcast Series: Hospital Supply Chain Series
- Hospital Supply Chain Series: Re-Thinking Your GPO Strategy with John Reese | Ep. 14
- Hospital Supply Chain Series: Purchased Services Multi-Year Strategy with Luis Martinez | Ep.13
VIE Healthcare Podcasts
- How Storage Impacts Your Patients & Your Bottom Line Brad Fitzpatrick | E. 116
- Fueling World-Class Performance with Steve Lover | E. 115
- Higher Education for Healthcare Leaders with Dr. Giuseppina Pagnotta | E. 114
- The Power of the Language We Use in Healthcare with Claudia Cometa | E. 113
- Educating The New Supply Chain Workforce Via Social Media with Justin Poulin | E. 112
- Why Your Old Healthcare Marketing Strategy Isn’t Working with Ian Baer | E. 111
- The Growth of Patient-Centered Care with Shanil Ebrahim | E. 110
- Healthcare Strategy with Cole Lyons | E.109
- Ideas Worth Pursuing with Scott Nelson | E. 108
- Managing Purchased Services Contracts with Brian Bartel | E. 107
- Supplier Relationship Management with Samer Haddad | E. 106
- Waste in the Hospital Supply Chain with Luká Yancopoulos | E. 105
- Using AI to Enhance the Hospital Supply Chain with Mara Cairo | E. 104
- Data and Research in Healthcare Analytics with Zachary Markham | E. 103
- Workforce Development: Building the Next Generation with Geoffrey Roche | E. 102
- Sufficiency in the Midst of Uncertainty with Tom Pierce | E. 101
- Healthcare Cost Savings: Surprises & Predictions with Rich Dormer, Bryan Covert, and Pandu Mitre | E. 100
- Challenges and Trends in the Healthcare Supply Chain with Randy Subramany | E. 99
- $1 Billion in Hospital Financial Improvements | E. 98
- Coaching for Healthcare Leadership with Alan Weiss | E. 97
- Transforming Healthcare Thought Leadership with Lisa Larter | E. 96
- Why Hospital Profit Recovery Audits Are So Important with David Hewitt | E. 95
- Psychological Safety in Healthcare with Tom Geraghty | E. 94
- The Power of the Caregiver-Patient Relationship with Todd Otten, MD and Joshua Judy | E. 93
- End of Life Care with Seung Eli Oh | E. 92
- Creating Deeper Connections Through Telehealth with Josh Klein | E. 91
- Rebate Management in Healthcare with Tony Garcia & Jonas Langvad | E. 90
- Good is the Enemy of Growth with Sue Tetzlaff | E. 89
- GLP-1 Medications in Telehealth with Justin Schreiber | E. 88
- A New Nurse Model For Transformational Change with Jennifer Thietz | E. 87
- Making a Ruckus for the Patient Experience with Denise Wiseman | E. 86
- Reimagining our Approach to the Mental Health Crisis with Dr. Helen Egger | E. 85
- The Critical Role of Clinical Research in Patient Care with Todd Nicklas | E. 84
- Operational Efficiencies in Healthcare with Ryan Lee | E. 83
- How Tech Transforms Echo & Medical Devices with Clifford Thornton | E. 82
- The Power of Gratitude in the Workplace with Scott Colby | E. 81
- How 3D Problem-Solving Models Transform Healthcare with David Dibble | E. 80
- Recognizing the Role of Caregiver with Melissa Fisher | E. 79
- Motivational Interviewing in Healthcare with Dr. Bruce Berger | E. 78
- Patient Engagement: A Two-Way Relationship with Lonnie Hirsch | E. 77
- Workplace Safety In The Healthcare Setting with Janelle Barowski | E. 76
- Compassion Fatigue & The Need For Self-Care with Jahmaal Marshall | E. 75
- Intergenerational Management in Healthcare with Ryan Dos Reis | E. 74
- Improving the Hiring Process in Healthcare with Meri Halilovich and Henry Lang | E. 73
- Healthcare’s Leadership Gap with Ronnie Kinsey | E. 72
- Connecting with your Patient Population with Doug Pohl | E. 71
- Closing Healthcare’s Purpose Gap with Lauren Pasquale Bartlett | E. 70
- Why Nurses Need Mentorship with Jenny Finnell | E. 69
- Exposing Healthcare Fraud with Jonathan Tycko | E. 68
- Taking Back The Business of Healthcare with Preston Alexander| E. 67
- Empowering Nurses In Leadership & Innovation with Rebecca Love | E. 66
- The Role of a Stroke Coordinator with Monte Moos-Jenkins | E. 65
- How AI is Transforming Healthcare with Moleen Madziva | E. 64
- Changing Your Healthcare Mindset with Rhone D’Errico | E. 63
- Optimizing Healthcare for Heart Disease with HeartFlow | E. 62
- Healthcare Cost Management Best Practices | E. 61
- Innovative Cost Savings Ideas For Hospitals In 2023| E. 60
- 2022 Healthcare Cost Savings Year In Review | E. 59
- Think Deeply, Write Clearly: Why Communication Matters with Brian Morgan | Episode 58
- How Nurse Coaches Can Support Healthcare Professionals & Their Health Systems with Alexcie Sanchez | Episode 57
- Serving Adults With Autism With Nathan Myers RN, BSN, CDDN | Episode 56
- Medical Device Warranty Credits With Al Brander| Episode 55
- The World of Travel Nursing With Rex Hartman | Episode 54
- The Recruitment and Retention of Healthcare Workers with Creston Tate | Episode 53
- Promoting Community Health Through School Nursing with Lisa Cagliostro | Episode 52
- Life as a Nurse Practitioner With Walter “Buddy” Elliott | Episode 51
- The Growing Importance of Healthcare Informatics With Joe Cagliostro | Episode 50
- Clinical Research With Todd Nicklas | Episode 49
- Effective Solutions for Nursing Burnout
- The Reality & Challenges of Nursing With Jim Cagliostro (Part 1)| Episode 47
- Nurse Staffing & Recruitment With Matthew Mawby| Ep. 46
- Contract Management Strategies For Cost Savings With Phil Kucharzyk | Ep. 45
- Areas For Cost Savings
- PPI Initiatives & Physician Collaboration with Bryan Covert | Ep. 43
- The Healthcare Industry Is Ripe for Disruption
- Zero-Based Budgeting Can Lead to Substantial Cost Savings
- Items Affecting Your Hospital Supply Chain
- Physician Retention & Why It Matters With Douglas Farrago, MD | Ep. 39
- The Good the Bad and the Average in Purchased Services
- Creating a Positive Patient Experience
- Employee Wellbeing – Reconnecting After Covid-19 | Ep.36
- Exploring the Patient Experience
- Creativity in Healthcare: Ideas and a High-Performance Culture | Ep.34
- Transform Your Patient Experience
- O.R. Optimization Process Improvement for Implant Management | EP. 32
- JOGO’s AI Driven App
- It’s Nobody’s Money with Special Guest Drew Lerman | Ep. 30
- Predicting Healthcare for 2022
- Cost Management Trends
- The Benefits of Your Hospital Launching a Podcast
- Healthcare Supply Chain with Bryan Covert | Ep.26
- Three Challenges in Analyzing Purchased Services Spend
- Every Hospital Needs Competency Around Spend Analytics
- High Performance Project Management | Ep.23
- Hospital Employees Can Become Great Negotiators
- The Good Rap Versus Bad Rap of Healthcare Consulting Firms
- Inflation Management for Margin Improvement Opportunities
- Cost Aware for Patient Care | Ep.19
- Creating Equity In Healthcare Education & Skills Based Learning With Geoffrey Roche | Ep.18
- Maximizing Margin Improvements In Healthcare | Ep.17
- The Three Pillars — Vision Visibility and Value
- Infusing Telehealth & Virtual Care Into Patient Care Plans With Thomas Foley | Ep.15
- Hospital Telecommunication and IT Cost Savings with Jacqueline Oberst | Ep.12
- Building a High Performing Internal Business Case with Curtis Brooks | Ep.11
- Hospital Liaison Sales and Service Strategies with Noah Fleming | Ep. 10
- Harnessing a Disruptive Mindset with Charlene Li | Ep. 9
- Analyzing Hospital Data and Population Health Strategy with Adam Lorton | Ep. 8
- Being Intentional with Your Hospital Supply Chain Strategy with Vincent Matozzo | Ep. 7
- High Performing Healthcare & Hospital Contracting with Ray O’Kelley | Ep.6
- The Patient is the Hero of the Story with Dr. J.J. Peterson | Ep. 5
- Creating and Nurturing Culture in Healthcare with Joe Tye | Ep.4
- Purchased Services with VIE Healthcare Experts | Ep.3
- Healthcare Marketing with Lisa Larter | Ep.2
- Healthcare Strategy with Dr. Alan Weiss | Ep.1
- Welcome to The Healthcare Leadership Experience With Lisa Miller