Episode

Looking Beyond Headcount: Rethinking Access, Workflows, and Telehealth with Drs. Pamela Ograbisz and Jamie Threatt

Podcast
MGMA Podcasts
Published
Jul 29, 2026
Duration seconds
1882
Processing state
not_requested
Canonical source
https://mgma-podcasts.transistor.fm/776
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https://media.transistor.fm/f0bfc292/7ae88464.mp3
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Summary

On this episode of the MGMA Insights Podcast, host and senior editor Daniel Williams has a conversation with Dr. Pamela Ograbisz, vice president of clinical operations at LocumTenens.com, and Dr. Jamie Threatt, telehealth program director at LocumTenens.com, about the root causes of patient access challenges, optimizing advanced practice providers (APPs), reducing clinician burnout, and the role telehealth can play in expanding capacity. Rather than defaulting to recruitment when wait times grow, they explore how healthcare leaders can uncover workflow bottlenecks, redesign care delivery models, and better align resources to improve both patient and clinician experiences. Episode Takeaways Many patient access problems originate upstream from the clinician schedule. Intake processes, referral pathways, message routing, and screening workflows often create delays long before a provider shortage becomes apparent. APPs have become a standard part of healthcare delivery, but many organizations still have opportunities to use physician-APP teams more strategically to expand access in high-demand specialties. Healthcare leaders should carefully examine task ownership. Intake screening, message triage, and certain follow-up activities may not require physician involvement and can often be handled by nurses, APPs, telehealth staff, or technology-enabled workflows. Reviewing patient flow helps reveal hidden barriers. Delays related to referrals, imaging, communication handoffs, and scheduling can significantly affect access and productivity across a service line. Successful operational redesign depends on engaging the people doing the work. Physicians, APPs, nurses, technical staff, support employees, and patients each bring valuable perspectives on workflow challenges. There is…