Community Health Collective

Community Health Collective - The Monday Morning Problem Episode Host: Jill Steeley Jill Steeley just registered for a November conference, added up the bill, and landed at about $3,500 before she'd learned a thing. And that's only half the receipt. The other half is what she calls the Monday morning problem: the conference ends, you go home, and on Monday morning you're alone with all those ideas...

Community Health Collective Podcast Host: Jill Steeley Jill calls it the Self-Checkout Hire - and it started with her 18-year-old son, who makes $17 an hour at Lowe's mostly helping people through self-checkout. Meanwhile, health centers are paying nurses, MAs, and front-desk staff to do the same kind of work by phone: portal signups, check-in, password resets, and rescheduling. In this solo episo...

Community Health Collective Podcast Host: Jill Steeley Jill has been getting the same question three different ways, always at the end of a call: "I hear you on the four levers, but if I can only focus on one right now, which should I pull first?" In this episode she says plainly that she's been answering it wrong - not wrong exactly, just answering the question people asked instead of the one tha...

Community Health Collective Podcast Host: Jill Steeley Guest Host: Steve Weinman Steve Weinman came back from NACHC's Community Health Institute in Las Vegas with one observation that says more than any policy briefing: they held a closed-door session called Protecting the CEO, and you had to prove you were a health center CEO before they'd let you in the room. In this episode Jill and Steve unpac...

Community Health Collective — Four Levers Turnaround Episode (Ep. 43) Host: Jill Steeley Jill takes you inside the health center she inherited in Helena, Montana - nearly a million dollars in the red, a 42% uninsured rate, 37% staff turnover, a dental clinic shuttered for years, and no new provider recruited in five. The board gave her 12 months to turn it around or they were closing the doors. Th...

The Community Health Collective Podcast Have you ever felt like you lost line of sight on something in your health center? Not that anything is wrong, exactly - you couldn't point at a problem if someone asked you to. It's quieter than that. There's a part of your organization you used to watch closely, and somewhere along the way you stopped, and you can't remember the day that changed. In this e...

A FQHC CEO Bootcamp member came back from a CFO training with a story that wouldn't leave Jill alone. Another CFO in the room - a peer, from a health center just like hers - told the whole group that every single visit should be 30 minutes. No caveats. And a room full of leaders who came to that training eager to learn "best practices." That's how a bad standard gets laundered into a best practice...

Community Health Collective — AI Resistance Episode (#40) Host: Jill Steeley You cannot answer a values objection with a training session. That's the line Jill keeps coming back to after a story a CEO told in one of her Bootcamp sessions — she rolled ambient scribes out to 50 providers, braced for a fight with her most tenured doctors, and got exactly two holdouts. Neither was over 40. Both were h...

Community Health Collective Podcast Episode 39 · Guest: Alison Williams, Vital Interaction Host: Jill Steeley Jill's been saying it for months: the way health centers survive the Medicaid coverage cliff is by helping patients keep the coverage they're still eligible for. In this episode she brings on Alison Williams - 25 years in the health center movement, 10 of them inside a community health cen...

Community Health Collective Podcast Six Leaks, One Hour: What Happens When CEOs Score Their Own Numbers Live Host: Jill Steeley In this solo episode, Jill, who was a health center CEO for nearly nine years and describes herself as a business-model thinker rather than a finance person, makes the case that funding instability isn't the real threat to health centers, a fragile business model is, and...

Double Book on Purpose: The $150K - per - Provider Leak Hiding in Your Schedule Host: Jill Steeley www.jillsteeley.com An empty chair in your clinic is not a neutral event — it's a loss you already paid for. In this episode, Jill starts in the airport. On a recent trip to Connecticut she got a text asking if she'd give up her overbooked seat, and it clicked: airlines sell that seat twice on purpos...

Community Health Collective — HR1 & Retroactive Medicaid Episode Host Jill Steeley & Guest Howard Archer HR1 isn't a someday threat - it's in implementation now, and it's about to make Medicaid billing harder than most health centers are ready for. In this episode Jill sits down again with Howard Archer, CEO of Fix Healthcare Technology and the creator of RetroCAID, to name the real proble...

The Community Health Collective — Episode 35 Show Notes More Visits, Less Medicaid: The 3 Changes Coming for Your Patients (and the Plan to Meet Them) by Jill Steeley On nearly every coaching call and inside the CEO Bootcamp, Jill hears the same question: "What are we going to do about our patients losing their Medicaid?" So in this episode - released a day early to get the word out - she answers...

Community Health Collective — Payer Mix Episode (Ep. 34) Host: Jill Steeley Payer Mix, Not Encounters: The One Number To Track Most health center leaders are watching the wrong number. They track encounters - visits up, schedules full, providers slammed - and call it progress. But here's the thing: more visits won't make your health center sustainable. In this episode I tell the story of a CEO I c...

Community Health Collective Podcast Episode #33 Scaling Doesn’t Fix Problem - It Multiplies Them Hosted by: Jill Steeley ―――――――――――――――――――― Episode Overview Every health center leader wants to grow - the second site, the new service line, the bigger patient panel - but far fewer talk honestly about what scaling actually does to an organization. In this solo episode, Jill Steeley makes the case t...

Community Health Collective Podcast Episode #32 HR1 Could Move 10–25% of Your Patients from Medicaid to Uninsured—Here’s How to Plan for It Hosted by: Jill Steeley Episode Overview HR1-the One Big Beautiful Bill-keeps coming up on the CEO Bootcamp coaching calls, with leaders asking the same question: “What are we going to do about our patients losing their Medicaid?” In this episode, Jill answers...

Community Health Collective Podcast Episode #31 Stop Blaming Billing: The Real Reason Revenue Is Slipping Away Hosted by: Jill Steeley Episode Overview Most leaders think of the revenue cycle as billing and collections - the part where you can see the money, or watch it fail to show up. But by the time a claim reaches your billing office, the win or the loss has usually already been decided. In th...

COO vs. Clinic Manager: How to Know Which One Your Health Center Actually Needs Hosted by: Brent Stutzman, TheraSaaS Podcast | Guest: Jill Steeley, FQHC Consultant & Executive Coach ―――――――――――――――――――― Episode Overview In this crossover episode, Jill joins Brent Stutzman on the TheraSaaS podcast for a practical conversation about one of the most consequential growing-pain decisions a practice...

Community Health Collective Podcast Episode #29 Title: Ok, I See the Problem. Now What? Hosted by: Jill Steeley ―――――――――――――――――――― Episode Overview Two weeks ago on Episode 27, Jill named what she calls the untrained leader problem - the pattern in healthcare of promoting strong clinicians and operators into leadership roles without ever training them to actually lead. Since then, the question s...

Section 504 & ADA Compliance: What Every Health Center Leader Needs to Do Before the Deadline Hosted by: Jill Steeley | Guests: Steve Weinman, FQHC Associates and Jen Garces de Marcilla, FQHC Associates Episode Overview Section 504 of the Rehabilitation Act has always required organizations receiving federal funding to provide equal access to people with disabilities. The May 2024 HHS final ru...

Episode 27: Your Best Clinician Just Became Your Biggest Retention Risk In this episode, Jill tackles what she calls the single biggest unaddressed crisis in healthcare workforce sustainability right now — the untrained leader problem. Healthcare is one of the only industries that consistently promotes people into leadership positions based on their technical skills, then expects them to figure ou...

In this episode, you'll learn: Why most "patient appreciation" events in health centers are actually marketing events in disguise The critical difference between referral-source thank-yous (B2B) and patient-facing appreciation gestures Why healthcare runs on trust — and how no-strings-attached appreciation builds it faster than almost anything else Small-budget ideas: birthday cards from providers...

Episode #25 The Fractional Advantage: C-Suite Leadership Without the Full-Time Price Tag Hosted by: Jill Steeley | Guest: Rebecca Mankin, MPA, CGFM, ACHE — Founder/CEO, Mankin Consulting, LLC Episode Overview What do you do when your health center needs C-suite leadership but can't justify—or afford—a full-time hire? In this episode, Jill Steeley sits down with Rebecca Mankin, a seasoned FQHC exec...

The Most Powerful Marketing Tool You’re Not Using: A System for Collecting Patient Stories Episode Overview Your patients are having life-changing experiences at your health center every single day. Someone finally has a doctor who knows their name. A farmworker catches a diabetes diagnosis before it gets worse. A parent who had nowhere to turn finds a place that takes care of their whole family....

Episode #23 Death by a Thousand Paper Cuts: The Hidden Cost Leaks Draining Your Health Center's Budget Hosted by: Jill Steeley | Guests: John Carpenter, Brie McFarland, and Becky Kalinowski — ERA Group Episode Overview Costs went up during COVID and they haven’t come back down. Most health center leaders know they’re probably overpaying for something - they just don’t have the time, the data, or t...