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>> My name is Bill Burmeister.

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I'm an Operations Director
for Geisinger Health System.

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So I work both in the physician practice
management side of things with surgery practices

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as well as managing an ambulatory surgery
center located right here in State College.

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Working in both the physician practice
side as well as the acute care side,

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whether it be a hospital, community hospital, or
an outpatient medical center or surgery center

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like I manage, those two functions
are becoming more and more integrated.

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So I would say my time is split between managing
both of those functions at the organization now.

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I mean, you know, usually I'm in there around
seven or eight in the morning and, you know,

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it's really hard to say when that
day ends depending on, you know,

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what comes up in the course of the day.

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A typical day, a busy day, I would
say you're looking to solve problems.

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Problems come up in healthcare on a daily basis,
whether it's a patient complaint or issue,

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a staff problem that you're
managing, or a physician issue.

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And you're really looking at all of those
folks, in my opinion, as your customers,

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some of which are your employees, some of which
are your true customers in patients and looking

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to solve their problems which
can be quite gratifying.

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Something that could come up during the day is I
would say a conflict between two staff members.

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So if those employees are in disagreement
over time off or about their current workloads

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when they're working in the same work unit
together, a lot of what I do is serving

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as a mediator or peacemaker, facilitator to make
sure that employee's needs are met to make sure

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that they're satisfied because if they're
not happy then our patients aren't going

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to be happy either.