Scaling Specialty Growth

Turnover, low engagement, and dropping productivity are the symptoms every practice leader can see. This episode is about the culture problem underneath them, and how to catch it before it becomes a fracture. Host Joe Zboch , Director of Marketing at Hatch , sits down with Olivia Wolf , a healthcare executive and consultant who has spent her career in orthopedic practice management. Olivia makes t...

This episode looks at a problem every mid-size specialty group knows: when you don't own the surgery center and don't have physical therapy under your roof, your growth depends on referral relationships you don't fully control. Joe Zboch , Director of Marketing at Hatch , sits down with Jeremy Fournier , Director of Operations at Advanced Orthopedics New England. Jeremy walks through how a clinica...

Switching electronic health record systems is one of the riskiest projects a growing specialty practice will take on, and the danger isn't always where teams expect it. On this episode of Scaling Specialty Growth, Joe Zboch sits down with Ken Takenaka , Director of Operations at Orthopedic + Fracture Specialists, a 32-provider physician-owned ortho practice in Portland, Oregon. Ken came up through...

Referrals are how an independent specialty practice grows, and right now most of that work still runs on spreadsheets, paper, and someone's memory. This episode looks at what happens when a practice gets serious about the referral process and treats it as a growth driver instead of a cost of doing business. Joe Zboch sits down with Misty Sullivan , care center administrator at Proliance Rainier Or...

Most specialty groups treat growth as the goal and figure the operations will catch up. This episode is about why that order is backwards. Host Joe Zboch of Hatch sits down with Michelle Winfield-Hanrahan , Chief Clinical Access Officer at the University of Arkansas for Medical Sciences, to work through one idea she opens with and never lets go of: not all growth is good growth. They talk through...

This episode steps back from the guest chair. Joe Zboch , director of marketing at Hatch and host of Scaling Specialty Growth, recaps what five COOs and operations leaders at scaling practices taught him about the job. The throughline surprised him. ㅤ He expected operators to be mechanical and formula-driven. What he heard instead was that operations is about people and communication, and that th...

Roll-ups are common in specialty healthcare. Deep integration is not. On episode 7 of Scaling Specialty Growth, Joe Zboch sits down with Jenn Muina , Divisional VP for Florida at Gastro Health, to talk about what it actually takes to fold an acquired GI practice into a national specialty operation. Jenn ran M&A integration at Gastro Health before her current role, so she knows the work from th...

Patient experience used to be a fuzzy concept in specialty healthcare. It's not anymore. In Episode 6 of Scaling Specialty Growth, Joe Zboch talks with Matthew Slater , Administrative Director of Orthopaedic Surgery at UC San Diego Health, about what it actually takes to grow a specialty practice in a crowded market without letting the operational foundation crack. ㅤ They get into the connection...

Wake County adds 52 net new residents every single day. For a regional orthopedic practice, that's both a tailwind and a pressure test. More patients means more workflow to absorb, more payer rules to navigate, and less margin for operational error as the organization scales. ㅤ Joe Zboch sits down with Ross Rigdon , Chief Operations Officer at Raleigh Orthopaedic, to talk through what operational...

Operations teams in specialty healthcare know what growth feels like from the inside: more clinics, more providers, more volume, and a back-office that's always running behind. This episode looks at how a COO with a fresh-eyed perspective manages that pressure without letting the organization come apart. ㅤ Joe Zboch sits down with Amy Seehafer , COO of Orthopedic & Sports Medicine Specialists...

Running five clinic locations, 30 physicians, and 50+ PAs and therapists while opening a sixth site takes more than a good plan. It takes someone who knows exactly which dials to turn and when to leave them alone. ㅤ In this episode, Joe Zboch sits down with Kelli Anderson , COO at DMOS Orthopaedic Centers in Des Moines, Iowa, to talk about what operational growth actually looks like inside a larg...

Referral management is the front door of specialty care. Most front doors are broken. This episode of Scaling Specialty Growth gets into why: fragmented workflows, no real data, and a process that hasn't been digitized despite decades of EHR adoption everywhere else. Joe Zboch sits down with Chris Poole , CEO of Hatch , to pull apart why specialty practices are still muscling referrals through wit...

Rising costs and shrinking reimbursements are creating severe margin compression for specialty healthcare practices. To survive and expand, organizations must focus on sustainability. Joe Zboch sits down with Chris Poole to discuss the macro forces impacting operations and access leaders today. ㅤ They outline how practices are balancing top-line volume with minimizing operational expenses to impr...

Welcome to Scaling Specialty Growth In specialty healthcare, growth is not optional. Scaling an organization while maintaining operational excellence and a world-class experience is the hard part. Welcome to Scaling Specialty Growth, the podcast dedicated to navigating those exact challenges. Host Joe Zboch, Director of Marketing at Hatch, goes deep with the leaders who are actively doing the work...