The Disrupted Podcast

James Preston, Scott Middleton
  • 5.0 (1)
  • Entrepreneurship
  • Weekly

Entrepreneur and Chief Disruption Officer Scott Middleton share's his experiences of how he uses disruption to innovate and keep an organization moving forward and growing. Scott shares these weekly stories on The Disrupted Podcast with Scott Middleton.

  1. 1d ago

    From Crisis to Census

    Most assisted living communities think their census problem is a marketing problem. Scott Middleton thinks it’s a hospital problem — because when a resident goes out to the hospital, most of them never come back. Back from a senior living conference in Georgia, Scott, owner and Chief Disruption Officer of Your Health, joins Jamie Preston to share what he learned working the room, and to unpack the new program he pitched to administrators and nurses all week: integrated vital sign equipment, care management contracts, and real pay for facility staff time. In this episode: Why one building went from a 14-month average stay to full capacity in a year — with no extra admissionsHow daily vitals can catch a UTI three to five days before it becomes a hospital tripThe math behind care management, and why it pays for nurses rather than profitWhy bashing competitors costs you more than it gains (and who you want calling you when they sell)Conference lessons: booth design, conversation starters, and why Scott sticks his head into huddlesWhat’s next: wellness clinics, PT/OT rollout, and a franchise model in VirginiaIf you work in senior living, sell into it, or have a parent who lives there, this one reframes what “good care” actually looks like. Press play and rethink where the problem really starts. www.YourHealth.Org

  2. Oct 26

    Group Therapy Reimagined

    What if the thing keeping your grandmother out of the hospital isn’t a new drug, but a circle of chairs and a story about sharing lunch? Behavioral health is tangled up in a striking share of hospital stays. Scott cites data that nearly a third involve a mental health or substance use condition, and “altered mental status” is one of the most common reasons older adults get admitted. On this episode of The Disrupted Podcast, Your Health founder and Chief Disruption Officer Scott Middleton walks Jamie Preston through a model he calls “therapy in a box.” It’s a facilitated group session that turns a weekly gathering into early detection, real connection and a billable encounter. In this episode: Why senior living facilities keep asking for bingo, and what Your Health can offer insteadHow a chaplain’s take on the feeding of the 5,000 becomes a lesson in gratitude and generosityUsing AI dictation to identify each speaker and document every resident’s participationBringing a nurse practitioner, physician or psych NP into the room by phone or video each weekWhy a missed session should trigger a knock on the door, not a note in the chartIf you lead a care team, run a community or care for someone aging in place, this conversation will change what you think an “activity” can do. Press play, then go disrupt something. www.YourHealth.Org

  3. Oct 19

    The Like Me Trap Part 2

    Healthcare has been cut into pieces, with a specialist here and a hospital there, and nobody holding the whole patient. Scott Middleton says the same problem shows up inside our own teams. In Part 2 of this conversation, host Jamie Preston and Scott Middleton, owner and Chief Disruption Officer of Your Health, move from hiring philosophy to the frontline care team. Scott explains why clinical teams lean heavily toward C and S personalities, what that meant when Your Health launched hospice, and why the people who coordinate the team need a different wiring altogether. In this episode: Why a hospice launch stalled when the care team was built for a different jobHow Medicare’s care management and care coordination codes put the provider at the center of the patient’s careWhy a primary care provider often can’t see their own patient in the hospital, and why that makes no sense“What does a care manager do?” “Scheduling!” Why that answer is the problemA nurse practitioner who bought EKG strips with her own money, and the D and I behind that decisionScoring a whole team’s DISC mix, and why talent acquisition and engagement leaders should be DISC certifiedIf you lead a care team or have ever renamed a role and wondered why nothing changed, this one’s for you. www.YourHealth.Org

  4. Oct 12

    The Like Me Trap Part 1

    We hire the people we like. And we like the people who are like us. That’s exactly the problem. In Part 1 of this two-part conversation, host Jamie Preston sits down with Scott Middleton, owner and Chief Disruption Officer of Your Health, to talk about putting the right people in the right seats. Scott explains why Your Health has an unwritten rule against hiring your own direct reports, and Jamie breaks down what happens when a team is built from a single DISC personality type. In this episode: Why leaders should let others hire their direct reports, and what bias that rule protects againstWhat an all-D, all-I, all-S, or all-C team looks like in practice, and why each one stallsWhy your real team is four or five people, not twenty“You’ll never get fired for arguing with me”: building a circle that will call you outHow to read the clues behind someone’s personality, and why a blunt C often gets mistaken for a DThe cost of pigeonholing people by their job titleIf you’re hiring right now or wondering why your team keeps hitting the same wall, start here. Part 2 takes these ideas straight into the care team. www.YourHealth.Org

  5. Oct 5

    Scott's Coaching Playbook

    The best golfers in the world have a swing coach, a putting coach, and a mental coach. So why do so many leaders think they've outgrown one? Jamie Preston sits down with Scott Middleton, owner and Chief Disruption Officer of Your Health, to talk about where his coaching culture came from: opening his first assisted living facility the month he turned 40, scaling to more than 600 employees, and finally admitting he didn't know what he was doing. Scott makes the case that anyone with "leader," "director," or "president" in their title is a coach, and that real coaching starts with data, not guesses. In this episode: Why a team call about who's visiting Mrs. Smith today is a scheduling meeting, not coachingHow fewer visits connect directly to more hospitalizations, and what the numbers revealWhy collecting vital signs 12 times a month could catch sepsis up to five days soonerHow a passing comment turned into a workplace "rule," and why coaches have to verify before they repeatWhy the hospitalist model broke continuity of care, and how palliative consults could help restore itIf you lead people, this conversation will change what you bring to your next team call. Listen now, then go coach. www.YourHealth.Org

  6. Sep 28

    Interpreting The Regs

    Most healthcare providers assume that if a regulatory agency approved it, they're protected. A recent court ruling just dismantled that assumption entirely — and if you haven't heard about it yet, this episode is your wake-up call. In this episode of The Disrupted Podcast, host Jamie Preston sits down with Scott Middleton, Chief Disruption Officer of Your Health, for one of the most practically important conversations in the show's history. Scott has three full-time healthcare attorneys on staff, has been investigated by the federal government — and won — and is now rolling out a care management compensation program that he's been legally stress-testing for six months. He knows how this world works, and he's not keeping it to himself. What you'll hear in this episode: Why courts can no longer defer to regulatory agencies to interpret the law — and what that means for every provider in America who's been operating under that assumptionHow chronic care management (CCM) is actually billed and why families and even some providers fundamentally misunderstand what they're paying forThe real distinction between enticement and antitrust law — and why it's one $12 bottle of water away from a federal investigationHow Scott's organization beat the federal government in court over proactive hospice placement — and how that single case dropped hundreds of similar cases across the countryWhy radical transparency, including open Power BI dashboards that anyone can examine, has become their most powerful legal defenseThe risk score gap that could unlock $100 million in additional annual Medicare revenue — and what providers are leaving on the tableIf you're in healthcare and you've ever assumed following regulatory guidance means you're safe, this episode will change how you think about compliance, courage, and what it actually means to do this work right. Press play.   www.YourHealth.Org

  7. Sep 21

    Know Your Vital Signs

    If your doctor prescribes you medication without first asking about your diet, your sleep, your stress, or your vital signs — you don't have a doctor. You have a drug dealer. That's the provocation Scott Middleton brought to this episode of The Disrupted Podcast, and it's one that cuts straight to the heart of everything wrong — and everything possible — in modern healthcare. Scott is the Founder and Chief Disruption Officer of Your Health, a healthcare organization built on the radical idea that prevention is cheaper, smarter, and more humane than reaction. In this conversation, Scott unpacks: Why most doctors have become de facto salespeople for pharmaceutical companies — and how to change thatThe staggering math of remote patient monitoring: how vital signs three times a week could prevent 50% of heart attacks and hospitalizationsThe GLP-1 opportunity hiding in plain sight — and why missing a patient's height is costing thousands of people access to life-changing careHow self-insured employers are bleeding money on avoidable hospitalizations — and what accountability actually looks likeScott's mission beyond the bottom line: a United Methodist minister who got into healthcare to save souls, not just bodiesIf you've ever left a doctor's appointment feeling like a transaction rather than a patient, this episode is for you. The data already exists to change that — we just have to decide to use it. www.YourHealth.Org

  8. Sep 14

    Specialty Care At Your Health, Use it!

    Most healthcare organizations know specialty care matters. Almost none of them are actually using it at the level their patients need. In this episode of The Disrupted Podcast, Jamie Preston sits down with Scott Middleton — Founder and Chief Disruption Officer of Your Health — for an unfiltered look at one of the most critical gaps in care delivery: specialty services. Your Health currently routes about 10% of its patient appointments through specialty providers. The national average is 20%. Scott makes the case — with real stories from nursing homes, lawsuits, and the road across South Georgia — that closing that gap isn't just a clinical priority, it's a survival strategy. What you'll hear in this episode: Why a 400-pound patient in a nursing home had never been offered a GLP-1 for weight loss — and what that reveals about how providers think about specialtyThe exact communication chain (DPH → EDCS → Care Manager → Provider) and precisely where it breaks downHow 80% of Your Health patients have behavioral health needs while psych providers sit with open schedules — and how to fix that paradoxWhy texts and emails don't cut it in care coordination — and why voice-to-voice is the only real standardThe lawsuit that should have been prevented with a single chest x-ray, and what it means for provider accountability going forwardWhy Scott banned the word "no" inside Your Health — and the mindset shift that comes with replacing itSpecialty is what separates Your Health from every other provider in the market. If you're a DPH, a care manager, or a provider inside this system — this episode is for you. If you're a healthcare leader watching specialty care fall through the cracks anywhere, it might be for you too. www.YourHealth.Org

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About

Entrepreneur and Chief Disruption Officer Scott Middleton share's his experiences of how he uses disruption to innovate and keep an organization moving forward and growing. Scott shares these weekly stories on The Disrupted Podcast with Scott Middleton.

Information

  • Creator
    James Preston, Scott Middleton
  • Years Active
    2021 - 2026
  • Episodes
    156
  • Rating
    Clean
  • Copyright
    © James Preston
  • Show Website
    The Disrupted Podcast

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