day in the life - bill hyncik

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Day in the Life of an Athletic Trainer

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A Day in the Life of an Athletic Trainer…:

Practice Administrator Community Based Orthopedic Practice A Day in the Life of an Athletic Trainer…

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LETTER TO ATHLETIC TRAINERS Dear athletic trainers and students: Your undergraduate education was just the beginning of your professional career. The most important skills that you learned were time management, to be thorough in your assessments and that your workday is not defined by the time clock but by getting the job done and mastering clear communication techniques. These are core skills that, if mastered, can open up doors and other career paths that allow you to expand your professional horizons and, at the same time, continue to serve the athletic training profession. As you progress in your professional career, keep your eyes open for opportunities. Good luck and work hard. ~Bill Hyncik, ATC, LAT Practice Administrator- Princeton Orthopedic Associates © 2011 National Athletic Trainers’ Association www.nata.org (800)TRY-NATA

I am an Orthopedic Practice Administrator:

I am an Orthopedic Practice Administrator NAME : William G. Hyncik, Jr. CREDENTIALS: ATC, LAT JOB TITLE: Practice Administrator EMPLOYED BY: Princeton Orthopaedic Associates JOB LOCATION: Princeton, NJ

Orthopedic Practice Administrator Job Description:

Orthopedic Practice Administrator Job Description DEPARTMENT: Administration REPORTS TO: Board of Directors JOB SUMMARY: The administrator is responsible for planning, directing, coordinating and controlling the operations and activities of the practice (except those directly involving the practice of medicine) within the scope of policies established in the authority delegated by the Board of Directors PREFERRED QUALIFICATIONS: Formal training which will probably be indicated by five years prior health care managerial experience; B.S. degree in Business Administration or equivalent education. There are no special physical requirements for this position NOTE: This document is intended to describe the general nature and level of work performed. It is not intended to serve as an exhaustive list of all duties, skills, and responsibilities required of personnel so classified

Practice Administrator Key Responsibilities:

Practice Administrator Key Responsibilities Develop and maintain an effective organizational structure to ensure achievement of the office's objectives Ensure the cooperation of the medical and support staffs Maintain adequate staffing levels Direct the preparation of operating budgets, financial statements, and other management reports Obtain maximum productivity from computer systems and other equipment and supplies Develop, review and evaluate job standards and appraisal systems; recommend salary and incentive programs Approve all purchases Assist the Board of Directors in obtaining strategic projections, setting objectives, and developing effective business plans and operating policies Ensure that operating policies conform to current regulatory requirements relating to the delivery of health care Increase the effectiveness, efficiency and profitability of medical service departments by evaluating methods, procedures and staffing patterns and implementing appropriate systems to ensure maximum service levels at minimal cost

Practice Administrator Key Responsibilities Continued:

Practice Administrator Key Responsibilities Continued Ensure that facilities in medical service departments are well supplied and maintained to achieve optimum efficiency Conduct special investigations and projects to improve the performance of medical service departments Keep abreast of current developments in the ambulatory health care field, and instruct subordinates as appropriate Take responsibility for all relationships between the management and stockholders of the corporation Communicate to the Board of Directors on all goals and objectives of the corporation Communicate to the Board of Directors regarding the performance of the corporation, including comparisons with the objectives and goals of the corporation Take responsibility for all relationships between the corporation and its clients and vendors Maintain an adequate return on invested and borrowed capital Maintain the quality of communications in the entire corporation

Practice Administrator Key Responsibilities Continued:

Practice Administrator Key Responsibilities Continued Establish and maintain throughout the corporation a keenly developed sense of purpose and responsibility Ensure that personal development programs are set up for individual managers to help them carry out their responsibilities in an acceptable manner Instill in all employees a sense of purpose for individual growth and capability to increase performance in a position or to grow into a more responsible position Establish, maintain, evaluate and rearrange the organization's functional management units to secure optimum performance at minimum cost Plan and prepare to effectively cope with current policies and procedures of government and regulatory agencies Prepare reports for and attend meetings with governing body and allied committees regarding the total activities of the institution Prepare and revise the long‑range plan documents Collect and analyze information needed for decision‑making Document and follow‑up on practice's progress in meeting goals and objectives

Practice Administrator Key Responsibilities Continued:

Practice Administrator Key Responsibilities Continued Stimulate and encourage new ideas and projects Conduct feasibility studies for new ideas, projects, and endeavors to include complete operational and financial plans Plan for the future growth of the practice through addition of new services, providers and offices Direct market research, planning and development for marketing programs, services and business expansion projects Develop and maintain an effective patient relations program involving physicians and staff members Conduct staff education programs consistent with marketing and Quality Assurance goals Work closely with other departments to ensure the success of marketing programs Develop strategic implementation plan specific to each new Project Supervise and coordinate personnel and operations within a project department for a finite period of time to facilitate the efficient and expedient merger, acquisition or divestiture of two or more groups or entities affecting the practice Maintain, negotiate, revise and update all outside contracts for ancillary services with other facilities and individuals on an annual basis

Princeton Orthopaedics Associates – History :

Princeton Orthopaedics Associates – History Princeton Orthopaedic Associates, PA, was formed in 1974 by Dr. David M. Smith and Dr. Dudley Hawks. Dr. Hawks was tragically killed in a plane accident, however the practice continued to grow with the addition of Dr. Robert N. Dunn and Dr. Richard E. Fleming, Jr., who joined the group in 1979 Together, they constructed what is now the main office of Princeton Orthopaedic Associates, PA, located at 325 Princeton Avenue, Princeton, NJ This is a 25,000-square foot state-of-the-art facility that was opened in 1987 In 1986, William G. Hyncik, Jr. (CERTIFIED ATHLETIC TRAINER) joined the practice as the Administrative Director sharing the responsibilities with Robert H. Simpson, Jr. for management, business operations, and planning for the group Later the same year, Steven R. Gecha, MD and Jeffrey S. Abrams, MD joined the group followed by C. Alexander Moskwa, Jr., MD in 1988 A facility in Monroe Township/Jamesburg was opened in October of 1991 in conjunction with Princeton Radiology Associates the Forsgate Medical Building

Princeton Orthopaedics Associates – History Continued:

Princeton Orthopaedics Associates – History Continued In 1992 the six orthopedic surgeons of Orthopaedic Associates of Princeton merged with the three orthopedic surgeons of Princeton Orthopaedic Group to form a nine-member practice entitled Princeton Orthopaedic Associates The Forsgate facility was expanded and remodeled to include facilities for physician examination rooms, cast room, and x-ray. This new renovation permitted complete orthopaedic and physiatry evaluations and care as well as a state-of-the-art physical therapy and aquatic therapy facility The adjoining radiology suite provided MRI, CT scan, ultrasound, bone density scans, and fluoroscopic ancillary services In January of 1995, the group opened its newest office, the Princeton Neck & Back Institute, located at 727 State Road in Princeton, New Jersey. The facilities at this location include physical therapy with a large in-ground pool for aquatic therapy services, Strength and conditioning equipment, and an outpatient surgery suite for arthroscopy, hand surgery, spinal, non-operative treatment and other procedures An internal medicine group is also located in the same building. Since then, several additional surgeons have joined the group including: Jon W. Ark, MD in 1995, David J. Lamb, MD in 1998, and his brother Marc J. Lamb, MD in 2000. Dr. Ark and Dr. Marc Lamb provide subspecialty hand surgery expertise and Dr. David Lamb specializes in spine surgery, instrumentation, and minimally-invasive spinal techniques

Princeton Orthopaedics Associates – History Continued:

Princeton Orthopaedics Associates – History Continued In August of 2003, the group announced the opening of their state-of-the-art MRI facility located at the main office on Princeton Avenue. This new state-of-the-art GE 1.5 Tesla short-bore super conducting magnet allows for precise orthopaedic musculoskeletal diagnosis and treatment to be completely coordinated within our facility In February of 2004, Stuart E. Levine, MD joined Princeton Orthopaedic Associates from his previous affiliation with University Orthopaedic Associated located at Robert Wood Johnson University Hospital in New Brunswick. Dr. Levine joined Princeton Orthopaedic Associates with a full practice that would benefit from sophisticated management and operational assets of the practice. Dr. Levine is a foot and ankle specialist with a wide range of patients including sports through diabetics In August of 2004, Alfred F. Faust, MD, a spine surgeon, joined Princeton Orthopaedic Associates after completing his Fellowship at John Hopkins University Hospital in Baltimore. In August of 2006, Kyle T. Stier, MD, a physician in physiatry medicine who joined Princeton Orthopaedic Associates after his Fellowship at the Kessler Institute Over the past 4 years, Princeton Orthopaedic Associates has invested heavily in the infrastructure of its practice. It has installed a new integrated practice management system along with digital x-ray, a PACS system to integrate the digital x-ray with the MRI, a document management system, and digital dictation. In conjunction with the initiation of these systems, the information technology backbone of the practice was upgraded and brought to a sophisticated level with its servers and inter-communication among its 4 office locations

Princeton Orthopaedics – Products & Services :

Princeton Orthopaedics – Products & Services Princeton Orthopaedic Associates is an integrated musculoskeletal community-based practice Princeton Orthopaedic Associates provides orthopaedic surgeons, physiatrists, podiatry, physical therapy and MRI services in an effort to provide a complete musculoskeletal program

Princeton Orthopaedic’s Staff :

Princeton Orthopaedic’s Staff TOTAL NUMBER OF EMPLOYEES: There are a total of 120 full-time employees and 16 part-time employees EMPLOYEE BREAKDOWN 45 of the employees are revenue-generating employees Employees consist of: x-ray techs, MRI techs, physical therapists, physical therapy assistants, physician assistants, orthopaedic surgeons, physiatrists and podiatrists and athletic trainers We also employ a number of registered nurses, medical assistants, billing and coding specialists and many other support staff that are integral to the day-to-day operations of the practice TOTAL # OF ATHLETIC TRAINERS EMPLOYED There are two athletic trainers. One athletic trainer is in charge of the durable medical groups and I am the other

Princeton Orthopaedics – Patients:

Princeton Orthopaedics – Patients AVERAGE AGE RANGE OF PATIENTS: 5 years old - 95 years old PATIENT POPULATION: We have a mix of patients that visit our facilities that include: Athletes of all ages including recreation athletes, middle-aged active population and senior citizens Many are looking for treatment of age-related orthopaedic problems such as total knee, total hips, and spine treatment, workers’ compensation patients, motor vehicle accident patients as well as the general public, which is why we are considered a community-based practice MOST COMMON INJURIES TREATED: The only injuries that we do not treat are severe trauma and pediatric/congenital orthopaedic problems

Suggested Experience:

Suggested Experience LEVEL OF EXPERIENCE REQUIRED FOR YOUR JOB: Organizations such as mine hire individuals with medically related experience. A job in athletic training, such as Head Athletic Trainer, would provide solid experience 5 years of related experience. It is more important to focus on the related skills so that you are a good administrator I would recommend formal education in business management so that you understand accounting principals, human resource skills and management concepts

Getting a Job Like Mine::

HOW TO GET STARTED “The most efficient way to work into a position as the administrator of a large orthopaedic group with a number of ancillary services is to begin when the group is small and grow with the group and be the one instrumental in adding the new employees and ancillary services as the practice grows .” Getting a Job Like Mine: SPECIAL SKILLS NEEDED FOR THIS JOB: Good organizational skills Good interpersonal skills Good time management skills Appreciation of the team approach Willingness to continue to learn and research the unknown Ability to negotiate with payers (insurance companies) THE MOST IMPORTANT ASPECT IS ON-THE-JOB TRAINING: Flexibility with your ideas and expectations Learning as you go Willingness to evaluate things from a number of different perspectives Being able to listen to your support staff and management team

A Day in the Life of a Practice Administrator:

A Day in the Life of a Practice Administrator TYPICAL SCHEDULE FOR MY JOB: HOURS PER WEEK : 55 - 60 hours DAYS OF THE WEEK : 5 - 6 TYPICAL SCHEDULE: 6 a.m. – 6 p.m.

Educational Background:

Educational Background MY ATHLETIC TRAINING PREPARATION: Bachelors of Science Degree, University of Delaware in 1977 Masters of Science Degree from Long Island University in 1979 Licensed Athletic Trainer, State of NJ

Practice Administrator Salary & Benefits:

Practice Administrator Salary & Benefits SALARY RANGE: $65,000 – $250,000 Incentive bonuses & performance bonuses EMPLOYEE BENEFITS: The benefits associated with my job after 21 years of service, include: 4 weeks paid vacation Participation in the 401K Profit-sharing retirement plan Family health insurance Long-term disability insurance Ability to attend professional conferences and conventions and being reimbursed for those expenses

My Career Path:

My Career Path WHEN YOU WERE AN ATHLETIC TRAINING STUDENT, WHAT WERE YOUR ASPIRATIONS? My career aspiration as an athletic training student was to be the head athletic trainer at a major college program with all the major sports. My long term goal was to become an Athletic Director BRIEFLY DESCRIBE YOUR CAREER PATH AND HOW YOU CAME TO WORK IN THE EMERGING SETTINGS: Started working as a student athletic trainer at the University of Delaware Worked as a summer intern with the Philadelphia Eagles Combined three years of athletic training experience at the United States Military Academy at West Point with active military duty Military duty was followed by an 18-month stint at the University of Michigan working as the Assistant Athletic Trainer Worked five years in the pharmaceutical industry as a clinical research associate which gave me corporate business experience and managerial experience which led to a position as an orthopaedic practice administrator in a group of three orthopaedic surgeons

How Athletic Training Prepared Me:

How Athletic Training Prepared Me The non- medical related skills acquired in the Athletic Training profession have helped me to transfer into my role as Practice Administrator Specifically, athletic training taught me: A sense of responsibility Accomplishment Service Hard work “The skills learned as an athletic trainer are all transferable skills to other professional management opportunities” “Athletic training gave me a core knowledge of medicine and musculoskeletal injuries and illness, that helped me step into the role of Practice Administrator. Athletic training helped me to understand the corporate culture associated with private practice of orthopaedic surgery.”

Daily Duties:

Daily Duties The following is a list of duties and responsibilities that occur throughout the day and can occur on any given day: Review previous days’ list of incomplete tasks such as: Complete performance reviews on managers Review of accounts payable list Review monthly and yearly budgets Review statistical reports on utilization of PT, MRI, patient visits, surgeries and payer data Make sure the managers have ample staffing to support the physician and other providers Review e-mails and voice mails

Daily Duties Continued:

Daily Duties Continued Staff meeting with the management team Meet with physicians to discuss practice management issues Prepare the agenda for monthly Board of Directors meeting to include ongoing tasks and issues Respond to patient issues Communicate with hospital administration regarding related operational issues Review patient survey responses from our surgery center and MRI patients Review invoices for accounts payable processing

Daily Duties Continued:

Daily Duties Continued Communicate with vendors Respond to physicians’ inquiries for jobs Respond to problems brought forth by the managers Review regulatory information pertaining to health care matters on the state level Follow political and legislative matters pertaining to health care and business in general Review budgeting parameters on a quarterly basis

Daily Duties Continued:

Daily Duties Continued Evaluate capital purchase requests and recommendations Evaluate corporate benefit options and malpractice considerations Interface with corporate accountants and legal counsel Interface with bank personnel and manage the financial relationship of the business Participate in community service organizations such as the Rotary Club Provide service to the community by serving on the School Board for 15 years and as Fire Commissioner for three years Participating in community programs such as the Boy Scouts

Other Duties As Assigned:

Other Duties As Assigned Active member in the local Rotary Club Active member of the Township Fire Commissioners Organizer and sponsor of an annual charity run Provide in-service programs and presentations to local fitness facilities Making health-care related presentations in the local school system Chairman of the NJ State Board of Medical Examiners, Athletic Training Committee Member of the Montgomery Township Traffic Advisory Committee Past President of American Association of Orthopedic Executives (AAOE) Served 15 years as the VP of the Montgomery Township Board of Education

Additional Helpful Credentialing / Knowledge::

Additional Helpful Credentialing / Knowledge: IS IT HELPFUL TO OBTAIN ADDITIONAL CREDENTIALING FOR YOUR POSITION? Practice management credentials can be obtained through the Medical Group Medical Association One of the most important aspects of this position is the ability to network with Practice Administrators in your area and around the country. Networking gives you an idea of what similar sized practice are experiencing and what issues and challenges they face American Association of Orthopedic Executives (AAOE) is a key organization for practice administrators. AAOE is made up solely of group practice administrators ranging in experience from 1 year or less of experience through 25-30 years of experience The AAOE annual conferences is an excellent way to meet colleagues, develop relationships and create avenues for communication through e-mail and telephone calls

Learning Curve:

Learning Curve The learning curve is constant You are always learning new things and learning new ways to manage different tasks For instance, if you are in the process of developing an ambulatory surgery center, the learning curve is very steep and you must rely on networking with colleagues and association with professionals in those areas

Major Issues Facing Me ::

Major Issues Facing Me : Reimbursement for services Contract negotiations with insurance carriers and the ever-decreasing revenues Regulatory and legislative challenges such as: Medicare reimbursement Compliance with stark regulations State limits on the practice of medicine Development of ancillary sources of revenue Information technology challenges for electronic medical records/document management systems Hiring qualified and dedicated support staff Maintaining competitive employee benefit programs such as health insurance and retirement savings plans

Quality of Life/ Cost of Living Issues:

Quality of Life/ Cost of Living Issues I can go home each night to be with the family and not be traveling. Even though the position does constitute long hours, I do have control of my schedule to a certain degree so that in the event that there is a daytime program at the school for my kids. I can get away from the office for an hour or so to attend to those activities. I am fortunate that I am able to afford to live in very close proximity to the main office of the facility so that I have a flexible work schedule. Some of the cost-of-living issues associated with the job is that with healthcare-related revenue decreasing on the physician side it is difficult for the physicians to continue to pay more when in many practices the physicians are making less every year. This does encourage the practice administrator practice to develop ancillary services to increase revenue.

MESSAGE FOR THE ATHLETIC TRAINING EDUCATORS:

MESSAGE FOR THE ATHLETIC TRAINING EDUCATORS I encourage athletic trainers to take elective courses in business development, accounting and other basic business-related courses. This will allow athletic trainers to become more marketable. Marketing and promotion experience is important to help grow a practice.

Key Resources to Learn More!:

Key Resources to Learn More! AMERCIAN ASSOCIATION OF ORTHOPEDIC EXECUTIVES (AAOE) MEMBERSHIP AAOE has a very active Web site and directory of colleagues around the country. Through this association, the networking opportunities with colleagues is enormous and unending. LOCAL RESOURCES DAILY The New York Times and the Wall Street Journal help me to keep up with national trends regarding health care and the health care delivery system. CONFERENCES & SYMPOSIUMS RELATED TO MY JOB I attend for employment laws and regulations in the State of New Jersey. Those I find helpful are The Athletic Trainers Society of New Jersey, BONES Society annual conference and workshops on regulatory issues on the State and national level.

Key Resources Continued!:

Key Resources Continued! NJ BUSINESS AND INDUSTRY ASSOCIATION This association puts out a monthly publication as well as weekly newsletter and various e-mails regarding regulatory and legislative issues throughout the State that affect all businesses including health care. FEDERATED AMBULATORY SUGERY ASSOCIATION I stay current with trends regarding reimbursement with facility fees, operational issues, the latest vendors and the latest equipment on the market. ONE OF THE MOST IMPORTANT RELATIONSHIPS IS THE LOCAL CHAMBER OF COMMERCE . This organization also puts out a monthly magazine reports on local area trends and other related economic issues.

Learn more at www.nata.org:

Learn more at www.nata.org Visit Career Development Resources on NATA Web site and find: - Videos - Brochures - PowerPoint Presentations - Studies - Marketing Materials - Advisors to assist with your specific questions *NATA members only section http://www.nata.org/members1/CareerDevelopment/index.cfm Visit Career Development Resources TODAY © 2011 National Athletic Trainers’ Association www.nata.org (800)TRY-NATA

Still need more information about Athletic Trainers as Practice Administrators? :

Still need more information about Athletic Trainers as Practice Administrators? Contact the NATA National Office Staff: Kathryn Ayres, PR and Marketing Coordinator KathrynA@nata.org | 800-879-6282 ext. 138 Write to Bill Hyncik: whyncik@poamd.com

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Looking for a JOB? Want to hire an athletic trainer? www.nata.org/careercenter Visit the NATA Career Center today and find resources to help you find a job or hire an athletic trainer. © 2011 National Athletic Trainers’ Association www.nata.org (800)TRY-NATA