Episode Transcript
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Speaker 1 (00:00):
Hi, everyone, This is Steve Dawson and welcome to this
week's edition of CEOs. You should know I am thrilled
to be joined by Trevor Burschatt, the CEO of oib Ortho,
a division of Ortho, and j Trevor.
Speaker 2 (00:09):
Thanks for being here today.
Speaker 3 (00:10):
Thank you for having me. Steve really appreciate it.
Speaker 1 (00:12):
Of course we're excited to jump in to learn more
about you and the organization. So why don't we kick
it off and learn more about yourself? So I know
you spent over twenty five years in healthcare administration under
wide range of specialties, everything from different pivotal moments and
decisions that happened along the way. What were some of
the ones that stood out the most that really shaped
the leader you are today.
Speaker 3 (00:35):
There's little pieces throughout my career that have basically molded
me to be the person that I am. And there
are areas where of growth that have kind of led
me to kind of keep expanding and and doing more,
looking for more, building more, and then bringing that to
(00:58):
whoever I'm working for at the time. So you know,
there isn't one specific piece, it's just you know, a
little piece throughout the career and then with the industry changes,
you know, we've adapted to that, so things will help.
Speaker 1 (01:11):
It's a great mindset obviously the experience and then obviously
the ad teation too. So I know you worked across orthopedics,
pain management, and beyond. How has that diverse experience really
led you to help lead this large, multi specialty organization.
Speaker 3 (01:27):
But at the end of the day, it's all healthcare,
So you know, looking at all the aspects of healthcare
and touching on pieces off the healthcare, they do you know,
overlap in certain areas, and especially when it comes to
the MSK portion. You know, you've got your pain management,
you've got your physical therapy, chiropractic, the orthopedic surgery itself.
There's a lot that ties in and basically we you know,
(01:50):
the model that has been created, it's a full circle
where basically, you know, somebody identifies their pain areas, their injuries,
whatever it might be, we see it full circle to
their back the feed one hundred percent fully recovered. So
all of these aspects have kind of really benefited the
patient in general, but also as knowledge wise.
Speaker 2 (02:10):
Absolutely it's actually helped us great POV.
Speaker 1 (02:13):
I know that you've been involved in joint ventures with
hospital systems to private equity. How have those experience helped
evolve the way that you you you think about growing
independence within the healthcare space.
Speaker 3 (02:26):
It's you know, looking at this the industry has changed drastically,
you know, over the years, so you know, working and
looking at the joint ventures that are out there, looking
at the model and the changes that are happening right
now and the direction that this is leading into. You know,
we're trying to stay ahead of the times with authonj
(02:48):
as an independent physician practice and entity, we are staying
clear of the joint ventures now. In previous and you know,
other jobs that I have done, we have done joint
ventures and you know it's been successful and there's certain
reasons why it's done. And looking at that, you know,
some practices like AUTHOWNJE don't have the need to do
(03:10):
that or the desire to do that. So it's really
it's it's really dependent on the direction that they want
to head into and what they're looking for at the
end of the line.
Speaker 1 (03:20):
Absolutely, I know that as a CEO you wear a
lot of different hats, right so I know you've described
yourself as a fireman, a psychiatrist, and daredevil an instigator referee.
Which of these roles do you find yourself playing the
most and how do you balance all of them effective effectively?
Speaker 3 (03:38):
The top one, I probably say the fire man, as
constantly fire is going out on every level, you know,
you know, you look at the board level, you look
at the you know, front desk level, and there's always
some type of drama that's happening. And you know, thank god,
I have a great support team as far as administrative staff,
(03:59):
and you know, and I'll kind of work with them
if they can't handle it on their own, you know,
we jump in and help them out. But for the
most part they handle it. But it's you know, interesting
when you think you've seen it all, there's always happens
as always happening, you know.
Speaker 1 (04:14):
So yeah, I agree, And it's great to have a
great team around you to help put up.
Speaker 3 (04:18):
Some one couldn't do it without them.
Speaker 2 (04:20):
Yeah, absolutely, And we touched on this a little bit.
Speaker 1 (04:22):
But healthcare it's ever evolving right there, and it happens
at a very fast piece. How do you decide when
to take calculated risks on new technology or different services
when you know that stuff's constantly changing.
Speaker 3 (04:36):
So I guess you know, everyone's talking about AI these
of course, right it's the hot topic. It's everywhere you turn,
it's AI AI that they're implemented, and you know, the
simplest of programs and the most complex. It's one of
those features where you kind of have to look to
see what your goal is, where your deficiencies are within
the practice or that department, and see if AI can
(04:58):
play a part, and then look at the options that
are out there as far as AI solutions. It's one
of those things that you you know, hopefully have something
that's been vetted, but since it's pretty new to the industry,
there's not a whole lot of you know, huge companies
out there that are doing this, you know, like a
Microsoft at a healthcare level. So you're you you basically
(05:19):
have to take that chance. At the end of the day,
you're looking for, you know, is it a solution that's working,
is it a solution that could be customized to your practice,
does it help your patients? What's the patient feedback, what's
the staff feedback? So there are a lot of areas
where this is a it's an experimental stage, you know,
this is it's it's it's very early in the game.
(05:42):
And you know, fortunately, I'm one of those guys that
like to take that chance and look at all the
options that we have. And We've come across some some
really good options and I'm happy with, you know, direction
that we're heading in.
Speaker 2 (05:55):
That's great.
Speaker 1 (05:56):
Staying on the topic of technology and some some stuff
that's new. What has been an innovation that you took
the risk on and it had a really great positive
impact on the organization.
Speaker 3 (06:07):
So the latest one that we have done is you
know the call center. You know, the call center is
out frontline. And we have tried two solutions and I
ran them side by side, you know, to kind of say, hey,
you know, let's see what's going on. One was vetted
within the industry and endorsed by some of the orthopedic associations.
Another one was a newcomer that you know, had a
(06:28):
couple of clients, had done some work with CVS and
some other you know, large companies, but wasn't in the
orthopedic arena. Sure came across my table, had a meeting
with him. Two hours later, you know, we said, hey,
let's set up another meeting, and you know, we we
ran his AI against the other company, and the problem
(06:49):
is a lot of these AI solutions, it's an out
of the box solution, right, you get what you paid
for the slight customization. This other guy, basically he is
still working on it seven days a week, you know,
customize the tea out of it, you know, and has
really provided a robust solution that is still growing. So
(07:11):
it hasn't ended. You know. I'm inviting him to come
into our office personally and kind of look at other workflows,
see where he can build AI. He has a small team,
but you know, they're they're eager, they're hungry, and they're
looking to really, like, you know, make a footprint in
the orthopedic arena.
Speaker 2 (07:29):
That's awesome. Love to see that it was successful too.
Speaker 3 (07:31):
Yeah. Absolutely.
Speaker 1 (07:34):
Obviously being part of one of the largest independent orthopedic
groups in New Jersey, what do you see as your
long term vision in sustaining growth? Well, obviously still maintaining
that really high quality for all of your patients.
Speaker 3 (07:46):
So you know, we're looking to get the name out there.
Author wenj is not a recognized name, even though it
is the largest independent orthopedic practice in New Jersey. It's
you know, in the top I would say probably top
ten to fifteen largest in the US. It has that
type of footprint. It is not looking to go, you know,
(08:08):
into any joint venture or private equity as I had mentioned,
you know, So the growth model is to keep that growing,
to give physician groups the opportunity to join us and
remain independent and not be and not succumb to the
pressure of becoming a joint venture or joining a hospital
system or you know, selling out and you know, being acquiet.
(08:31):
So the growth model is to keep that going. At
the same time, we want to keep the high level
of patient care because we are not controlled by the
hospital systems or it's not a financial model that you know,
is being flipped by private equity. So we can provide
the patient care that the physician wants to control, and
the physician directs that patient care. And that's the difference,
(08:54):
you know, it's it's not dictated by an entity that
does not know the orthopedic arena. It's dictated by the
orthopedic surgeon. That's great, it's phenomenal. Patient wins, they love it,
you know, and.
Speaker 1 (09:05):
They refer someone else because they did an amazing experience.
Speaker 3 (09:08):
And we get family members and generational family members coming
to the practice.
Speaker 2 (09:13):
That's great.
Speaker 1 (09:13):
Well, I think I know something that could help you
get the word out too, So.
Speaker 2 (09:18):
We can chat on that, sure.
Speaker 1 (09:20):
But looking at your organization versus some other competitors within
the marketplace, what are some of the things that stand
out to you that makes you different.
Speaker 3 (09:29):
So, like I mentioned, it's that that patient care, right,
we have a different model, especially for our division. You know,
a lot of these orthopedic practices, you know, they push
the physician assistant as the primary caretaker in a sense.
You know, the surgeon is and behind the scenes, but
we are mostly you know, physician first, and the and
(09:53):
the physician system is truly a physician assistant. So the
level of the patient care that that that's provided is
extremely high. I honestly have not seen it in my
twenty five years at a level at this high.
Speaker 2 (10:06):
That's great.
Speaker 1 (10:07):
I know that with the healthcare administration there's often constant
problem solving. We talked about earlier. Obviously being that fireman
and putting out the fires. What has been one of
the most challenging situations you face as a CEO and
how did you navigate through it?
Speaker 3 (10:24):
So one of the most challenging situations, and I can't
say that it's successfully you know, complete, it's a work
in progress. Is working with the partners and the board.
You know, on our board we currently have you know,
and this is on the divisional board, we have twenty partners.
Speaker 2 (10:41):
Wow.
Speaker 3 (10:42):
When you go to the author WENJ, it's two partners
per division plus administration. So there's a lot of politics
on both of these levels. And you're trying to make footsteps,
footsteps and strides and going forward and you know, the
growth models and giving your experience out there. But because
of the personalities, you kind of face these conflicts. So
(11:04):
it's been a challenge kind of breaking through to the
board to for them to kind of see and understand
and sure and even sometimes to get a listening voice.
Speaker 2 (11:13):
Yep.
Speaker 3 (11:14):
Have have I done it successfully in certain portions? You know,
we've gotten some billboards out there which have definitely shown that,
you know, it's we're getting the AUTHO NJ name out there.
And then on a divisional level, you know, we've kind
of recreated our local brand in a sense as far
as our logo and the name of the practice. But
(11:36):
it is still work in progress. You know, there's so
many pieces and layers to this that that you know,
it's a never ending battle, but it's a fun battle.
Speaker 2 (11:43):
Step by step. Yeah.
Speaker 1 (11:44):
Absolutely, what sounds like you're making positive progress, You're looking
forward to continuing to watch that.
Speaker 3 (11:49):
Definitely, thank you.
Speaker 1 (11:50):
And I know sometimes obviously playing that role, playing that
role of the fireman, there can be chaos. How do
you shield the rest of the team from that chaos
and the day today and keeping them motivated and leaned
in and engaged.
Speaker 3 (12:03):
So it's a political play where you know, I kind
of you know, would step in take take control of
a situation. You know, I would deal with it to
the best of my ability on my own, with not
involving my administrative team if possible. Unfortunately, there most of
(12:24):
these situations, yes, I do have to bring them in.
I may not bring in all the players, but I
will select you know, a handful of the ones that
I do need to kind of support and and and
you know, get this accomplished so we can move forward.
So you know, there's there's really not a whole lot
that I can do when it comes to these fires
on my own. I do need their support, you know.
(12:47):
And because of the magnitude of some of these events
and projects that we're doing. You know, it's a necessity.
Speaker 2 (12:53):
So yep, absolutely, yeah, so.
Speaker 3 (12:56):
The shielding part is difficult.
Speaker 2 (12:58):
I get it.
Speaker 1 (13:01):
I always love to ask this question for everybody that
comes on the podcast. If you were to give yourself
advice before you got into the healthcare industry, and if
someone is tuning in, is that is thinking about becoming
a leader taking that leap within the field, what advice
would you wish you knew then that you would love
to give people.
Speaker 3 (13:20):
Now, always believe in yourself, right, you know, we are
the you know, we always beat ourselves up and we
always never give ourselves the opportunity thinking that we can
actually get something accomplished. And sometimes it takes that leap
of faith of basically saying, hey, you know what, I'm
going to try this out. You know, I've never done
(13:42):
a podcast before, for especially at this level, and you
know it's it's coming in and say hey, you know what,
I'm going to try it out, you know. And so
it's really putting yourself first and thinking that you know,
you know, thinking the best of yourself in any situation,
and you know you're not going to win all the time.
(14:03):
You're you're not gonna you know, you are going to
hit bumps in the road, but it's okay, it's there.
Each bump is a learning curve, you know, so accept it,
you know, use it as a model, as as a
mold to build yourself and make you stronger and more
knowledgement in what you do. And never give up. You know.
It's always keep pushing, keep learning, keep striving for more.
(14:26):
You know. It's this, it's it's a battle that we
deal with that never ends, you know, so we never
should be content with where we are.
Speaker 2 (14:35):
Yep, I love that. That's great advice.
Speaker 1 (14:37):
I think so many people sometimes like psych themselves out before.
Speaker 3 (14:39):
They even dry it absolutely yeah, So yeah.
Speaker 1 (14:42):
I love that mindset. So what's next? What's next for
oh ib Ortho?
Speaker 3 (14:46):
Right?
Speaker 1 (14:47):
What is there any exciting developments or news on the
horizon that you could share with us?
Speaker 3 (14:53):
Yeah, I mean we're always on the growth model, you know.
We want to be at the cutting edge of technology.
We want to provide our patients with the best level
of care always. We're constantly hiring new physicians, We're looking
into new specialties. So we do want to bring rheumatology
and board into oyb Autho. We do want to We
do have new buildings under construction. Thank you. You know,
(15:17):
it's a constant always looking for the next step. And
the thing is we are always looking, you know, So
it's not we're like I said, we're not content yep, right,
So we're pushing forward always for that and you know,
the more we can get out there in the community
and expand our horizons and expand the services that we offer,
(15:39):
you know, the more we can provide to the local public.
Speaker 2 (15:43):
It's great.
Speaker 1 (15:44):
I know we covered a lot, but if there's one
last thing you want everyone tuning in to know the
mission of the organization, what would.
Speaker 3 (15:51):
That be patient care first and the relentless pursuit of
that care. You know, we we provide the highest level
of care. Like I said, I've seen in a very
long time. It is patient driven one hundred percent. It
is it's dictated by the orthopedic specialists. It is you know,
catered around orthopedic needs. So you know, you know, I
(16:16):
encourage all the orthopedic surgeons that are out there to
keep pushing providing that level of care. You know, we're
facing very high challenges with the insurance premiums going up.
It's becoming more and more costly for you know, the patients,
it's becoming less rewarding for the physicians, and we have
(16:37):
to keep striving for more, keep on pushing more for
You've got to take to the Capitol Hill and and
and push legislation to to kind of fight back in
a sense to keep patient and health care where it
is because it is slowly being chipped away and it's
becoming more and more difficult on all different levels.
Speaker 2 (16:57):
Yeah, that's it.
Speaker 1 (16:57):
That's a great something to be proud of, first of all, Right,
to be very proud of that organization. That's a great,
great mission to have for everyone as well. So last
question for anyone that's tuning in that wants to learn more,
what should they do?
Speaker 2 (17:11):
What is the first step?
Speaker 3 (17:14):
First off is get your foot in the door and healthcare.
You know, it's as simple as that. I started from
the bottom in the billing department, you know, many years ago,
and you know, you learn the system. And I've always
you know, I've I've prompted many you know students that
are you know, going to university taking massive programs, even
(17:34):
their bachelor's and I've always told them, I'm like, you know,
get your foot in the door. Start, you know, don't
be don't be too proud of the position that you take.
Get to learn the business. The more you know and understand,
the more value will become. That billing background made huge
leaps and bounds in under you know. So it's climbing
(17:55):
that ladder, never giving up, believing in yourself and keep
on giving everything that you have. You know. It's it's
all about like what you're willing to put in, that's
what you get out of it. So strive, push and
and and and and then watch it bossom.
Speaker 1 (18:12):
I love that I said last question, but this is
my last question. I apologize. If someone wanted to learn
more about obi Ortho, what should they do?
Speaker 3 (18:21):
They can come to our website, you know oib autho
dot com or we have autho NJ dot org. They
are free to call the offices. You can call and
ask for Trevor. You can. You know, my staff are
very accommodating, you know. And if there's anything that I
can ever do to help anyone to pursue their career,
(18:44):
get the foot in the door. I'm absolutely open doors
at all times.
Speaker 2 (18:47):
That's awesome.
Speaker 1 (18:48):
Well, Trevor, thank you so much for being Thank you, Steve,
thank you for sharing your background h and of course
more about the organization. A lot of stuff you should
be proud of and excited to see what's next.
Speaker 3 (18:56):
Thank you, I appreciate it, thank you for having me,
thank you, and.
Speaker 2 (18:58):
Thank you all for tuning in for this week's edition.
Speaker 3 (19:00):
Is to you.
Speaker 2 (19:01):
You should now tune in next week.