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A
This is Scott Becker with the Becker's Healthcare Podcast. I'm thrilled today to be joined by a brilliant leader from a fantastic institution. We're joined today by Rebecca Becky Compton. Becky is the Chief Clinical Officer at the University of Virginia University Physicians Group and so forth. She'll tell us more. So let me try to say this right. Becky, can you take a second and introduce yourself and tell us about UVA and the UVA Physicians Group?
B
Thank you so much. I really appreciate this opportunity today to speak with you both. I'm Becky Compton. I'm the Chief Clinical Officer for the University of Virginia Physicians Group. I specifically oversee our clinical practices within the community that are owned then by our physicians group. So part of the larger UVA health system and then focusing really on that community outreach.
A
Fantastic. And in terms of the physician groups today, what are some of the trends you're watching? Shortages of physicians, changes, using more advanced practitioners. What are some of the trends that you're watching and seeing?
B
Gosh, I think we're watching a lot of trends right now and they're kind of going in all directions. Certainly the employment of physicians, apps, clinical staff. Everybody is really trying to figure out the best way forward with that. We're also looking at potential Medicaid changes. We've already been impacted by Medicare changes. There's a lot of financial challenges facing many organizations. The University of Virginia being one of those academic centers facing those challenges. And really looking at how are organizations pivoting, handling this, even trying to make forecasting out of the limited information that we have? I think we're also looking. What I'm looking at is how are we continuing to build despite some of the challenges we're facing, such as building out our value based care work, making sure that we are investing in our team, continuing to put that pressure on the recruitment as well as the retention and being thoughtful of those internal needs while we're looking at those external challenges too.
A
Yes. No. So, so fascinating how much one tries to stay focused on the internal environment while keeping an eye out for the external environment and the impact it might have and hard to balance those things. But you can't lose sight of taking care of the internal situation and what has to be done day to day. Is that a fair assessment?
B
Absolutely. It's really important that your team know that you have their backs, that you're looking out for them, that you have a vision for their, that the growth or even just stability of their team. They want to know that their leader is at that home looking out for them so they're able really to focus on the great work that they are doing for the communities and the patients that are in front of them.
A
Thank you. Becky, take a moment and talk about sort of some of the things you're most proud of the last 12 to 18 months there. I think you've been at UVA for 10 years now almost. What are some of these you're most excited about and most proud of in terms of your group and team and so forth?
B
Yeah, so I've actually been in this position, I have been with the university for several years, many years actually, and have been in this position for the last three and a half years. Our team, I've had to rebuild as many leaders do, really rebuild and support the leadership team's growth. We've done that through a variety of ways. We really laid out some roles and responsibilities to make sure that we have clarity on the expectations for each individual. We've taken a deep dive and understanding our finances and our operation and even re pivoted around what are we focusing on? What are we aiming for? What do we need to spend our energies? We've taken a lot of work also in looking at all of our contract and our insurances, so making sure those are up to date as well. Have they been renegotiated? How do we have the best price? Do we have actually what we need or are we purchasing things that we don't need? So looking at all of those things, we've looked at staffing, needs evaluation, utilizing benchmarking data to make sure that we have the optimal staffing, that we have something that is a guidepost for us. Also looking at fair market value and assessing leases and arrangements for that too so that we have a better understanding of some of our non controllable and controllable expenses and that then bringing some education, financial education to our clinic leaders as well to make sure that they're well informed and can make insightful decisions too. In fact, just today I had a clinic manager who reached out, related to a supply that they were purchasing and found a better alternative, one that actually worked better and it would also save us money. And I really love empowering that frontline team member to be able to make those decisions and see that impact for their team.
A
Thank you. And talk a little bit about leadership. You've had this great leadership career. You actually went back into an executive MBA several years back. Talk for a moment about what advice would you give to evolving leaders? What advice? What do you tell people that are evolving leaders?
B
Yeah. So there's a few things I would tell evolving leaders one understand their business and the focus. It's really easy to get distracted right now and right now I think it's even more important than ever to really focus in, have a personal as well as a team based strategy. And also in the midst of that strategy, don't forget to dream big. I think we're in an opportunity era right now to be innovative, really rethink some of our historical processes, recreate and also pivot. So part of that is going to come in from listening to your team, understanding what they're seeing, what their needs are. It's okay not to know all those answers, but we be willing to try some new things out with your team. So I'm excited. I think yes, we can look a little bit sometimes when I hear people thinking about the doom and gloom, but I actually am really excited about the opportunities that the future holds for us who are willing to engage and kind of rethink some things.
A
We think that just is a fantastic attitude. Becky Compton, again, Chief Clinical Officer, University of Virginia, University of Virginia Physicians Group. A fantastic leadership career. Thank you for taking a few minutes to share some of your thoughts with us today. We really appreciate it here at the Beckers Healthcare Podcast. Thank you, Becky.
B
Thank you, Scott.
Becker’s Healthcare Podcast: In-Depth Summary of Episode Featuring Becky Compton, DNP, MBA
Release Date: July 25, 2025
Host: Scott Becker
Guest: Becky Compton, DNP, MBA, Chief Clinical Officer at the University of Virginia Physicians Group
In this engaging episode of the Becker’s Healthcare Podcast, host Scott Becker welcomes Becky Compton, the Chief Clinical Officer at the University of Virginia (UVA) Physicians Group. With nearly a decade of experience at UVA and over three years in her current role, Becky provides invaluable insights into the evolving landscape of U.S. healthcare, especially within academic medical centers.
Becky delves into several pressing trends affecting physician groups today:
Physician and Advanced Practitioner Employment: Becky highlights the challenges surrounding the employment of physicians and advanced practitioners, emphasizing the industry's scramble to find sustainable staffing solutions. (01:11)
Medicaid and Medicare Changes: The discussion underscores the impact of evolving Medicaid policies and recent Medicare modifications on healthcare organizations, noting financial strains these changes impose. (01:11)
Financial Challenges and Pivot Strategies: Becky explains how UVA, as an academic center, navigates financial hurdles by forecasting with limited data and pivoting organizational strategies to remain resilient. (01:11)
Value-Based Care and Team Investment: A significant focus is on expanding value-based care initiatives and investing in team growth, recruitment, and retention to maintain high-quality patient care despite external pressures. (01:11)
Notable Quote:
"We're looking at how are we continuing to build despite some of the challenges we're facing... investing in our team, continuing to put that pressure on the recruitment as well as the retention." — Becky Compton (01:11)
Scott and Becky discuss the delicate balance between managing internal operations and staying vigilant about external factors:
Internal Focus: Becky emphasizes the importance of maintaining internal stability, ensuring that teams feel supported and have a clear vision for growth or stability. This internal focus enables teams to concentrate on delivering outstanding patient care. (02:25)
External Vigilance: Simultaneously, organizations must remain aware of external changes to anticipate and adapt to shifts in the healthcare landscape. (02:25)
Notable Quote:
"It's really important that your team know that you have their backs, that you're looking out for them... so they're able really to focus on the great work that they are doing for the communities and the patients." — Becky Compton (02:44)
Becky reflects on the accomplishments and strategic initiatives undertaken in the past 12 to 18 months:
Leadership Team Rebuilding: Over the past three and a half years, Becky has successfully rebuilt the leadership team by clearly defining roles and responsibilities, fostering growth, and ensuring clarity in expectations. (03:24)
Financial and Operational Overhaul: The team conducted a comprehensive review of finances and operations, renegotiating contracts and insurance agreements to secure better pricing and eliminate unnecessary expenditures. (03:24)
Staffing Optimization: Utilizing benchmarking data, they assessed staffing needs to ensure optimal personnel levels, balancing controllable and non-controllable expenses to enhance operational efficiency. (04:24)
Empowering Frontline Staff: By providing financial education to clinic leaders, Becky has empowered frontline team members to make informed decisions, exemplified by a clinic manager who identified cost-saving supply alternatives. (04:24)
Notable Quote:
"I've had to rebuild as many leaders do, really rebuild and support the leadership team's growth... empowering that frontline team member to be able to make those decisions and see that impact for their team." — Becky Compton (05:24)
Becky shares her philosophy and advice for emerging leaders in the healthcare sector:
Deep Understanding of the Business: Leaders must thoroughly understand their organization's focus and avoid distractions to steer their teams effectively. (05:41)
Strategic Focus and Big Dreams: Balancing a clear, team-based strategy with the willingness to dream big and innovate is crucial. Leaders should foster an environment where rethinking historical processes is encouraged. (05:41)
Active Listening and Team Engagement: Engaging with team members to understand their perspectives and needs can lead to meaningful improvements and innovations. It's important to be open to trying new approaches collaboratively. (05:41)
Positive Outlook on Future Opportunities: Despite challenges, Becky remains optimistic about future opportunities, emphasizing the potential for innovation and growth when leaders and teams work together creatively. (05:41)
Notable Quote:
"Don't forget to dream big... we're in an opportunity era right now to be innovative, really rethink some of our historical processes, recreate and also pivot." — Becky Compton (05:41)
Becky Compton's insights provide a comprehensive look into the multifaceted challenges and strategic responses within a leading academic healthcare group. Her emphasis on balancing internal team support with external adaptability, coupled with her forward-thinking leadership advice, offers valuable lessons for healthcare leaders striving to navigate an ever-evolving industry landscape.
Scott Becker wraps up the episode by thanking Becky for her time and contributions, underscoring the importance of such dialogues in fostering informed and resilient healthcare communities.
Final Notable Quote:
"We're really excited about the opportunities that the future holds for us who are willing to engage and kind of rethink some things." — Becky Compton (06:42)
This episode serves as an essential resource for healthcare professionals and leaders aiming to understand the current trends, challenges, and strategic initiatives shaping the future of healthcare delivery.