Eye Care Leadership Live

Mike Lyons, SPHR

I speak with eye care and healthcare clinical leaders and the experts who help their clinics succeed. 

  1. 4d ago

    How Physician Owners Get Time Back Without Losing Control with Lisa Namnoum

    Send us Fan Mail If your clinic is growing but everything still runs through one person, you’re not “busy,” you’re bottlenecked. We sit down with Lisa Namnoum, a fractional chief of staff and the founder of Premier Project Solutions, to unpack what happens when physician owners and managing partners keep running every meeting, making every decision, and trying to push every initiative forward on top of patient care. Lisa explains what a chief of staff looks like in small to mid-sized healthcare practices and why the role is less about hierarchy and more about execution. We talk through how to structure leadership time, create clearer operating rhythm, and move real work from “approved and planned” to actually done. If you’ve been wondering how to regain 8 to 15 hours a week without losing control of your practice, this conversation gives a concrete path. We also get tactical on change management for healthcare. We cover why surprise announcements kill buy-in, how to engage the people doing the work without letting the loudest voice drive strategy, and how to win over skeptics including physician partners using data. From EHR rollouts to AI in healthcare, the common thread is simple: define a specific measurable business outcome, decide how you’ll measure success, and adjust fast when reality doesn’t match the plan. We close with trends that matter for independent practices, including efficiency, profitability, and whole-person care through health-related social needs that may even be billable. Find Lisa Namnoum at https://www.linkedin.com/in/lisanamnoum/ and use her Calendly link to book a free 30 minute assessment.  Subscribe on your podcast app, share this with a clinic leader who’s carrying too much, and leave a review so more healthcare leaders can find the show. === This episode is brought to you by Seasoned Advice HR, where I help eye care clinics to hire, retain, and manage better — helping you get Better Results Through People. Learn more at seasoned-advice.com.  Contact me directly at mike@seasoned-advice.com  Get my free HR and leadership downloads here: https://www.seasoned-advice.com/signup-for-free-downloads

  2. Sep 29

    Three Pillars For A Strong Practice Culture

    Send us Fan Mail Culture drama, disengaged staff, and “toxic employee” stories get blamed on hiring all the time, but I think the real lever is leadership. We lay out a simple but not easy framework for building a great workplace in a healthcare practice: three pillars that create stability, plus the one factor that ties everything together. First, we talk workplace culture and what actually makes it healthy: psychological safety, leader vulnerability, and a clear purpose people can believe in before they ever get hired. Then we shift to job design and motivation, using Daniel Pink’s Drive to explain why autonomy, mastery, and purpose matter so much for employee engagement. If your team feels micromanaged or disconnected, this part will help you rethink how the work is structured and why every role, from coding to patient education, has real meaning. Next, we cover the “great people” pillar through Patrick Lencioni’s Ideal Team Player model: hungry, humble, and smart. Finally, we connect it all to great managers. We break down what managing partners, executive leaders, and frontline supervisors each need to do, and why a toxic manager can quietly collapse culture, job quality, and retention. I also share where I’ll be presenting these ideas at the American Academy of Ophthalmology meeting in New Orleans in October 2026. If this resonates, subscribe so you do not miss future microcasts, share the episode with a practice leader who needs it, and leave a quick review. What is the biggest leadership bottleneck in your workplace right now? === This episode is brought to you by Seasoned Advice HR, where I help eye care clinics to hire, retain, and manage better — helping you get Better Results Through People. Learn more at seasoned-advice.com.  Contact me directly at mike@seasoned-advice.com  Get my free HR and leadership downloads here: https://www.seasoned-advice.com/signup-for-free-downloads

  3. Sep 12

    Microcast: Get Your Mindset Right

    Send us Fan Mail Your mindset is not just “how you feel.” It’s the filter that decides what you notice, how you react under pressure, and whether a rough morning turns into a rough week. We recorded a short, content-rich microcast to share the simple mindset habits we rely on when we want more good days, fewer spirals, and a steadier kind of leadership.  We start with the fastest reset we know: physical movement. A short walk, fresh air, and paying attention to what’s around you can quickly change your outlook and your energy. We also talk about perspective, the kind that reminds you the world doesn’t revolve around you and that today’s problems may be smaller than they feel in your head. That shift matters in healthcare leadership, business leadership, and home life because you can’t lead well when you’re stuck in stress.  Then we get practical about sleep hygiene and recovery: screens away from the bed, lights down as bedtime approaches, and not working until the last minute when you can avoid it. We share what we’ve tried for sleep support, including researching L-theanine and magnesium glycinate and discussing options with a medical practitioner. From there, we move to mindset tools you can actually see: note cards by your desk, simple mantras like “I can do this,” and reminders that you are not your productivity.  If you want a quick boost in self-leadership, press play, try one habit today, and tell us what works for you. Subscribe, share this with a friend who needs a reset, and leave a review so more leaders can find the show. === This episode is brought to you by Seasoned Advice HR, where I help eye care clinics to hire, retain, and manage better — helping you get Better Results Through People. Learn more at seasoned-advice.com.  Contact me directly at mike@seasoned-advice.com  Get my free HR and leadership downloads here: https://www.seasoned-advice.com/signup-for-free-downloads

  4. Sep 10

    Microcast: Employee Compensation

    Send us Fan Mail Underpaying is not a savings plan, it is a turnover strategy.  In this microcast, I get real about staff compensation and why it’s often the number one issue behind poor retention, constant rehiring, and teams that never feel fully settled. If you run a healthcare clinic or ophthalmology practice, pay decisions set the tone for motivation, growth, and whether your best people stick around when the market heats up.  We walk through what “do your research” actually means, and why common sources like job postings and big salary sites can mislead you fast. Instead of guessing,  focus on compensation research that fits your market and your roles, plus what to consider as pay transparency laws push more employers to post salary ranges during recruiting.  You’ll also hear how to build pay ranges that work in the real world: setting a clear minimum and maximum, leaving room for experience, and keeping positions properly spaced so promotions feel worth it. That alignment across roles is internal equity, and when it’s off, people notice immediately.  If you want a tighter compensation plan that helps you hire, retain, and lead with confidence, listen now. Subscribe for more microcasts, share this with a practice owner or manager, and leave a review with the pay question you want us to tackle next. === This episode is brought to you by Seasoned Advice HR, where I help eye care clinics to hire, retain, and manage better — helping you get Better Results Through People. Learn more at seasoned-advice.com.  Contact me directly at mike@seasoned-advice.com  Get my free HR and leadership downloads here: https://www.seasoned-advice.com/signup-for-free-downloads

  5. Sep 8

    How Clinics Use Voice AI with Jakub Grajcar

    Send us Fan Mail Your phones can be “busy” and still be leaving money on the table. When calls spike on Monday mornings or right after holidays, even great teams miss opportunities, patients get stuck on hold, and front desk burnout creeps in. We sit down with Jakob Grajcar from Talkie AI to get specific about what an AI medical receptionist can actually handle today and what clinic leaders should ignore in the hype.  We break down the real use cases that matter in a healthcare call center: answering repetitive questions, routing requests without painful phone trees, and increasingly handling complex patient scheduling conversations using natural language like “next week after work” or “after Thanksgiving but not Monday.” We also talk about why EHR integration is a make-or-break detail. If calls get captured but staff still must re-enter everything manually, you are moving work, not removing it.  Just as important, we get practical about change management. We cover how to introduce voice AI without threatening your team, how to set expectations for patients who want a human, and why adoption often improves over 60 to 90 days as people get used to a new workflow. We also touch on SMS and web chat options, hybrid intake forms, reminders that reduce no-shows, and where AI agents may head next.  Learn more about Jakub here https://www.linkedin.com/in/jakub-grajcar/ and Talkie can be found at talkie.ai.   === This episode is brought to you by Seasoned Advice HR, where I help eye care clinics to hire, retain, and manage better — helping you get Better Results Through People. Learn more at seasoned-advice.com.  Contact me directly at mike@seasoned-advice.com  Get my free HR and leadership downloads here: https://www.seasoned-advice.com/signup-for-free-downloads

  6. Sep 1

    Physician Burnout with Dr. Brett Cordes

    Send us Fan Mail Burnout isn’t always a collapse. Sometimes it’s a quiet, confusing boredom that shows up after you’ve “made it” and you can’t figure out why the work feels empty. On Eye Care Leadership Live, we sit down with Dr. Brett Cordes, an ENT surgeon turned physician coach, to trace what burnout really looks like over time and why so many doctors stay stuck in denial until the consequences get loud. We talk through Dr. Cordes’ own story: a thriving private practice career, the moment fulfillment started slipping, and how burnout contributed to substance dependence, job loss, and a long road through rehabilitation and licensing disruption. From there, we get practical about what he now hears daily from physicians across specialties: the crushing administrative burden, endless EHR charting, prior authorization battles, private equity pressure, and the gut-level distress of moral injury when non-clinicians influence care. We also unpack the human side of physician burnout: irritability, strained relationships, a shrinking frustration threshold, and the fear of being seen as weak. Dr. Cordes explains why self-awareness radically improves the outlook, why there’s no “easy button,” and how building an identity outside medicine can protect your career and your life. If you’re a physician, practice leader, or healthcare administrator trying to reduce burnout and retain great clinicians, this conversation offers clear language and real-world insight. Subscribe for more candid healthcare leadership conversations, share this with a colleague who needs it, and leave a review with your biggest takeaway. What’s the earliest sign of burnout you wish you had taken seriously? === This episode is brought to you by Seasoned Advice HR, where I help eye care clinics to hire, retain, and manage better — helping you get Better Results Through People. Learn more at seasoned-advice.com.  Contact me directly at mike@seasoned-advice.com  Get my free HR and leadership downloads here: https://www.seasoned-advice.com/signup-for-free-downloads

  7. Aug 25

    Develop Ophthalmology Leaders (with Brittany Williams and Sarah Duval)

    Send us Fan Mail We talk with Sarah Duval and Brittany Williams about turning entry-level ophthalmology roles into real careers and building a frontline team that makes your clinic stronger. We share what actually drives staff growth, retention, and confidence when mentorship is limited and the day-to-day feels nonstop. • career paths from front office and technician roles to leadership positions • finding mentors and skill-building through ASOA, AAOE, and smaller peer networks • why certifications like COA and COE raise competence and patient trust • how to advocate for conference funding and prove ROI back at the practice • building in-house training when you cannot send everyone to meetings • reducing turnover by investing in A players and developing B players • spotting high potential through teamwork, curiosity, and follow-through • mentoring through presence, opportunity, and five-year plan conversations • managing across generations by setting clear expectations Brittney Williams can be reached at bwilliams@vitalinteraction.com Sarah Duval can be reached at sduval@ascrs.org  If you enjoyed this episode please subscribe to the show on your podcast app and share it with someone who would value the content I also invite you to subscribe to my HR newsletter for eye care leaders. You can find information about that at seasoned-advice.com. === This episode is brought to you by Seasoned Advice HR, where I help eye care clinics to hire, retain, and manage better — helping you get Better Results Through People. Learn more at seasoned-advice.com.  Contact me directly at mike@seasoned-advice.com  Get my free HR and leadership downloads here: https://www.seasoned-advice.com/signup-for-free-downloads

About

I speak with eye care and healthcare clinical leaders and the experts who help their clinics succeed.