Getting Better at Private Practice - Chris E. Stout - E-Book

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Chris E. Stout

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Beschreibung

Expert advice for building your private practice The "business" of practice as a mental health professional is a skill that is seldom taught in school and requires thoughtful guidance and professional mentorship from those who have already succeeded. Containing the collective wisdom and secrets of many expert practitioners, this helpful resource provides useful insights for setting up, managing, and marketing your practice, including timely advice on being a successful provider in the digital age--from Internet marketing to building your online presence. Designed for private practices of any size and at any stage of development, this practical guide looks at: * Creating your dream niche practice * Choosing the right technological tools and resources to simplify and streamline your job * Leveraging the Internet to market your practice * Developing a practice outside of managed care * Transitioning to executive coaching * Ethical and legal aspects of private practice Full of action-oriented ideas, tips, and techniques, Getting Better at Private Practice provides both early career and seasoned mental health professionals with the knowledge and tools they need to establish, develop, and position their practice so that it is financially successful and life-enriching over the long term.

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Contents

Preface

Acknowledgments

About the Editor

About the Contributors

Section I: Setting Up, Managing, and Marketing your Practice

Chapter 1: Differences in Business Structures and Protections in Human Service Private Practice: Which Suits your Practice Best?

Choice of Business Entity: Protection Against Professional Liability Claims

Business Structure for Professional Practices

Apparent Agency

Sole Proprietorship

Partnerships

Corporations

Limited Liability Company (LLC)

Conclusion

Chapter 2: Making Ends Meet: Financial Management in Private Practice

Financing Your Practice

Working With Accountants and Financial Advisors

Analyzing your Practice Finances

Analyzing your Practice Operations

Accepting Credit Cards

Planning for a Secure Financial Future

References

Chapter 3: Managed Care Contracting: Strategies for Negotiating and Maintaining Relationships

What Does “In-Network” Mean?

How Do Providers Know if they Should Sign a Provider Agreement?

What is a Preferred Provider Organization (PPO)?

Determining “Break-Even” and Developing “Walk-Aways”

When to Contract With a Provider Network?

How is Profit Margin Determined?

Anatomy of a Contract

Claims Submission and Requirements for a Clean Claim

Claims Payment and Provider Compensation

Changes in Compensation

Balance Billing the Patient

Timely Filing Requirements

Term and Termination of the Contract

Audits and Recoupment

Policy and Provider Manual, Corporate Coverage Guidelines

Dispute Resolution and Process for Appeals

Credentialing Requirements, Malpractice and Liability Insurance

Reassignment of the Contract

Review Operations for Securing Payment

Contracting Strategy and Process Using a Centralized Committee

Review of the Contracting Process

Contract Assessment Strategies

Concluding Tip: Maintain Strong Relationships

Chapter 4: Ethical and Legal Aspects of Private Practice

Legal and Ethical Issues Regarding Termination

Boundary Violations—Crossing the Line

Proper Note Taking and Charting

Confidentiality

Summary

References

Chapter 5: How Writing a Column for your Local Newspaper Can Enhance your Private Practice

An Unusual Beginning

How Writing a Column Can Enhance your Practice

Developing a Writing Voice

Hooking your Readers

Composing Magnetic Headlines

Ready to Contact your Local Paper?

Write Sample Columns

Sample Columns

Question-and-Answer Formats

Compose a Query Letter

Edit, Edit, Edit—your Road to Success

Continuing Challenges

Will you Succeed?

Chapter 6: How Self-Publishing Can Enhance your Private Practice

Making It Happen!

A Little History

Cause-Based Marketing

Two Self-Publishing Success Stories

Types of Self-Publishing to Consider

Celebrate your Success!

Chapter 7: Working With the Media

Getting Quoted in the Media—Good for you, Good for the Public

Will I Get Paid?

Media Options

What you Need to Know About Journalists

What Journalists Look for in Experts

How to Connect With Journalists

The Media Interview

TV Interviews

Radio Interviews

Ethical and Legal Considerations

After the Interview

Build on your Media Presence

What if My Comments Do Not Appear at All in the Story or Article?

Conclusion

Chapter 8: The Power of Community Networking

A Mind-Set Enhancing Moment

Creating your Client Database or Marketing List (and Preparing to Create your Marketing List of Professionals and Others: Clients)

Growing your Client Mailing List: A Guiding Principle to Permission Marketing

Building Up your Professional Mailing List

Redesigning your Waiting Room

Creating Empowering Beliefs About Networking With Professional Referral Sources

Community Networking Through the Media

How Networking Through the Media Can Help your Practice

Blueprint for Creating Effective Press Releases

Creating Empowering Beliefs About Networking With Prospective Clients

Changing your Mind-Set is Not All That Difficult

Using Public Lectures to Promote your Practice

The Best Format in Designing your Lectures

Creating and Promoting a Workshop

Two-Step Marketing System as Applied to a Workshop

Handling Inquiries About the Workshop

Conducting the Workshop

Follow Up After the Workshop

Joint Ventures

Questions and Exercises

A Final Word

Chapter 9: The Benefits of Joining Professional Organizations

Professional Organizations

What I Wish I Knew then that I Know Now

Top 10 Tips

Oh My Gosh, You’re Kidding!

Do This Now!

Checklist for Success

Case Illustration: Dr. Newbie Goes to Washington

Chapter Take-Aways

Chapter 10: From Vision to Mission: Building a Practice That is Personally Satisfying and Professionally Successful

Here We Grow

From Vision to Mission

Child, Adolescent & Family Development Center

Love and Roller Coasters

Selected Resources

Reference

Section II: Building, Marketing, and Practicing in the Digital Age

Chapter 11: Web Sites and Internet Marketing

Introduction

Why a Successful Online Presence is Crucial for Private Practice Success

Web Sites and Blogs

Traffic: Getting People to Find your Site Through Internet Marketing

Conversion: Converting Visitors to Clients

Summary

Chapter 12: Building your Online Presence as an Expert

What is Marketing?

What Can Marketing Do for you?

What If you “Hate Marketing”?

What Does All This Have to Do With Marketing?

What If You’re Not “Tech Savvy”?

How To Get Started

Who is your Audience?

Leave your “Footprint” All Over the Web

How to Increase your Chances of Being Found Online—Search Engine Optimization

Hold your Audience’s Attention

Ethical Pitfalls and How to Avoid Them—Do’s and Don’ts

Summary

References

Chapter 13: Ethics and Social Networking Sites

What you Will Learn About

The Rise in Popularity of Social Networking Web Sites

The Impact of Social Networking Sites on Clinicians

Intentional Versus Unintentional Disclosures

Preventing Self-Disclosure: is This Necessary? What Kinds of Disclosures Should Be Limited? How Do I Prevent Disclosures?

Different Types of Interactions Taking Place on Social Networking Web Sites, and Different Purposes for Pages

Demographics: Who is Using Social Networking Sites?

Regulations and Guidelines Around the Use of Social Networking Web Sites: Does the APA Have a Position on Social Networking Sites?

Do Clinicians Want Formal Guidelines?

Is It Possible to Regulate Rapidly Changing Technology?

Chapter Take-Aways

References

Chapter 14: The Google Factor: Ethical Considerations for Therapists Practicing in the Digital Age

Introduction

Types of Self-Disclosure

Ways That Clients May Find Online Information About Their Therapists

Curiosity, Due Diligence, Intrusion, and Cyber-Stalking

What Therapists Can Do in Regard to Internet Disclosures

References

Chapter 15: Technological Tools for Therapists: A List of Helpful Software and Web Sites

Clinical Treatment Planning Helpers

Additional Online Resources

Additional, Select Areas Worth Exploring on Assessment Psychology Online

Six Medical Social Networks at a Glance

Reference

Section III: The Dream Niche Practice: Successful Stories of Specialization

Chapter 16: Starting and Growing Concierge Psychotherapy and Psychiatric Practices

Introduction

Who Am I?

What is Concierge Psychiatry?

The Customer

Referral Sources—The Lifeblood of your Business

Core Business Operations

Conclusion

Chapter 17: Developing a Practice Outside of Managed Care

Introduction

Necessary First Steps in Developing a Practice Outside of Managed Care

Necessary Attitude Adjustments

My Studies of Practicing Outside of Managed Care

Conclusions

References

Chapter 18: Using Feedback-Informed Treatment (FIT) to Build a Premium-Service, Private-Pay Practice

Introduction

My Start

Selected Resources

Resources

Chapter 19: The One-Stop Shop: Collaboration Beyond Psychology

Icarus is Born

Inspiration and Opportunity

Sketching in the Sand

Outsourcing the Wind and the Wings

Standing on the Shoulders of Others

A Flight of Fancy

In the Shadow Below

The Fall

The Bounce

Walking, Biking, Swimming, and Researching Wing Designs

Chapter 20: Psychologists in Dispute Resolution: Being Part of a Revolution!

Psychologists in ADR

The Stage

The Attributes Needed to Do This Work

Psychologists’ Roles in Collaborative Divorce

Practicing Psychology or Law Without a License

How Do you Get Involved in This Work?

Conclusion

Annotated Bibliography

The Preeminent Organizations in the Field

Chapter 21: Why Wait?: Building a Stellar Practice in Weight Management

Some Background

Competitive Advantages

Why Weight Management, Anyway?

How to Get your Practice Started

Where Else Can Referrals Come From?

Marketing, Staying (and Thriving!) in Business

Summing Up

Samples for your Practice

References

Chapter 22: Becoming an Educational Consultant

What is an Educational Consultant?

How Do you Train?

Pluses and Minuses of Educational Consultation Work

Selected Resources

References

Chapter 23: Building a Successful Education Business

Introduction: A Personal and Universal Story of Struggle and Success Building a Small Business

Life Crisis That Started Me on My Entrepreneurial Path

What I Learned From Former Secretary of State, Madeline Albright, That Allowed Me to Succeed

The Dream I Had That Cured Me of My Nearly Paralyzing Fear

The Single Most Important Thing to Focus On to Succeed in Business

How to Become a Master Marketer Even If you Are Not the “Salesperson” Type

How to Differentiate Yourself From your Competition

How to Test Out Quickly and Cheaply if your Business Idea is Any Good

My Vision and How It Drives the Growth of Our Company

Universal Lessons Learned

Chapter 24: Blending Treatment Innovation and Economic Success for Working With Troubled Emerging Adults: The Yellowbrick Model

The Emerging Adult

Responding to an Unmet Need

Yellowbrick—An Overview

The Yellowbrick Model’s Components

Yellowbrick Programs

References

Chapter 25: Transitioning to Executive Coaching

Introduction

Executive Coaching: An Introduction and an Invitation

Organizations and Resources for Professional Development

Why Mental Health Professionals Are Well Suited to Executive Coaching

The Philosophy of Coaching

Coaching Competencies

Foundation Knowledge Required for Professional Coaching

Becoming a Credentialed Coach

Building your Coaching Practice

Creating a Coaching Niche

Coaching Compensation

Conclusion

Helpful Web Sites

References

Chapter 26: A Psychologist’s Career in Sports Administration

Introduction

Is a Career in Sports Right for you? Assessing your Core Competency

Breaking Into the Field—A Career in Sports Administration

A Psychologist’s Journey into Sports Administration, or I Preach What I Have Practiced

Conclusion

Chapter 27: Working in Sport Psychology

What is Sport Psychology, Anyway?

A Brief History of Sport Psychology in North America

What’s in It for Me? 10 Good Reasons to Do Sport Psychology

Competence

References

Section IV: Final Thoughts

Chapter 28: “You’re Fired! Hooray!” Or How I Learned to Stop Worrying and Fall Back in Love With Working in Psychology

“Gradual” School

When Electives Should Be Required

Internship Hell

First Job

The Beginning of the End

The End of the Beginning

The Good, the Bad, and the Ugly

Back to the Future

Chapter 29: Why All the Enlightenment, Empowerment, and Edification Embedded in This Book May Mean Nothing to you

Index

Cover Design: Andy Liefer

Cover Art: © evirgen/iStockphoto

Copyright © 2012 by John Wiley & Sons, Inc. All rights reserved.

Chapter 25: Transitioning to Executive Coaching, copyright © 2012 by Jeffrey E. Auerbach. All rights reserved.

Published by John Wiley & Sons, Inc., Hoboken, New Jersey.

Published simultaneously in Canada.

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Library of Congress Cataloging-in-Publication Data:

Getting better at private practice / [edited by] Chris E. Stout.

p.; cm.

Includes bibliographical references and index.

ISBN 978-0-470-90398-8 (pbk.: alk. paper)

ISBN 978-1-118-25961-0 (ebk)

ISBN 978-1-118-23505-8 (ebk)

ISBN 978-1-118-22121-1 (ebk)

ISBN 978-1-118-08997-2 (obk)

I. Stout, Chris E.

[DNLM: 1. Private Practice—organization & administration. 2. Practice Management. W 89]

610.68—dc23

2012008108

To K, G, and A. I’ll be home soon.

Preface

Full of action-oriented ideas, tools, tips, and techniques, this rich resource provides early career and seasoned health professionals with the knowledge and tools they need not only to initially establish a private practice, but also to develop and specialize the practice so that it is financially successful and life-enriching over the long term.

Containing the collective wisdom and secrets of many expert practitioners, each chapter is written in the author’s own voice and engaging style. The book is broken into four sections. Section I covers setting up, managing, and marketing your practice and contains chapters with coverage running the gamut from providing advice on selecting the best business structure for your practice, and working more effectively with HMOs, all the way to marketing and growing your business in a variety of ways, from writing a column in your local newspaper, to working with the media, to becoming active in professional organizations.

Section II addresses being a successful health care provider in the digital age. In this section, you’ll find chapters containing information on Internet marketing, building your online presence, and a vast selection of technological tools and resources to simplify and streamline your job, as well as ethical considerations to be mindful of.

The goal of these first two sections is to lay the groundwork, by providing specific techniques and tools, for creating your “Dream Niche Practice,” which is the focus of Section III. This section describes the ins and outs, as well as pros and cons, of myriad successful niche practice areas, including concierge, weight management, educational consulting, executive coaching, and sports psychology businesses.

And finally, in Section IV, I address the many of us who have had professional positions, and even been fired from them—and learned from those experiences. In recognizing such experiences, this book also provides hopeful real-world advice for managing such situations as well as the insight into the benefits they can ultimately provide, even if they’re not initially obvious.

Remember, it was tough to get started, and it can be tough to get better, but now you have the help you need.

Chris E. Stout

Acknowledgments

I am honored to have been able to work with each of the contributing authors of this book, and I am very proud of the result. With this book, I get to stand on the shoulders of giants. And as with any book that is published, the author is especially grateful to have worked with the publisher in what is a wonderfully symbiotic relationship. I have had both the pleasure and the honor to have worked with Wiley for over 20 years’ worth of books, and no team has been more helpful than the professionals who have helped turn this concept into a reality—Sweta Gupta, Marquita Flemming, and Peggy Alexander, you are each amazing and have been so helpful throughout this work and in the production process, expertly navigating all of the many proverbial moving parts—ensuring the proper style is used, formatting, proofing, version control, and a myriad of other details that are all equally important in making this project a success.

One’s family is always a part of a book as time working on the project is time apart from them—even if you are in the same room. The support of my wife, Karen, is always invaluable, whether I am writing or not. Both of my children, Grayson and Annika, were valued partners in my de-stressing time following periods of writing for too long. I thank and love you all.

Chris E. Stout

Kildeer, IL

About the Editor

Chris E. Stout, PsyD, is a licensed clinical psychologist and brings a diverse background perfectly tailored to making the Center for Global Initiatives (ranked as a top Healthcare Nonprofit by GreatNonprofits.org) into a reality. He has the necessary entrepreneurial experience from multiple health care center start-ups. He also is a clinical full professor in the College of Medicine, Department of Psychiatry; an advisory board member of the College of Medicine’s Center for Global Health; a fellow in the School of Public Health Leadership Institute, and is a core faculty at the International Center on Responses to Catastrophes at the University of Illinois, Chicago. He also holds an academic appointment in the Northwestern University Feinberg Medical School, Department of Psychiatry and Behavioral Sciences’ Mental Health Services and Policy Program, and was a visiting professor in the Department of Health Systems Management at Rush University. He served as a Non-Governmental Organization Special Representative to the United Nations. He was appointed by the secretary of the U.S. Department of Commerce to the Board of Examiners for the Baldrige National Quality Award. He holds the distinction of being one of only 100 worldwide leaders appointed to the World Economic Forum’s Global Leaders of Tomorrow 2000—joining the ranks of Tony Blair, Jody Foster, Bill Gates, R. J. Rowling, and Lance Armstrong—and he was an invited faculty at the Annual Meeting in Davos. He was invited by the Club de Madrid and Safe-Democracy to serve on the Madrid-11 Countering Terrorism Task Force.

Dr. Stout is a fellow in three divisions of the American Psychological Association, past president of the Illinois Psychological Association, and is a distinguished practitioner in the National Academies of Practice. He was appointed as a special (citizen) ambassador and delegation leader to South Africa and Eastern Europe by the Eisenhower Foundation. He is the series editor of Contemporary Psychology (Praeger) and Getting Started (Wiley & Sons). He produced the critically acclaimed four-volume set, The Psychology of Terrorism, and more recently, the highly praised and award-winning three-volume set, The New Humanitarians. Dr. Stout has published or presented over 300 papers and 30 books/manuals on various topics in psychology, including the popular Evidence-Based Practice (Wiley, 2005, with R. Hayes). His works have been translated into eight languages. He has lectured across the nation and internationally in over 20 countries, and visited 6 continents and over 80 countries. He was noted as being “one of the most frequently cited psychologists in the scientific literature” in a study by Hartwick College. He is the 2004 winner of the American Psychological Association’s International Humanitarian Award, the 2006 recipient of the Illinois Psychological Association’s Humanitarian Award, the 2008 recipient of the Psychologists for Social Responsibility’s Humanitarian Award, and the 2009 winner of APA’s Division on International Psychology’s Outstanding Psychologist Award. He is one of five in the inaugural Inductees into the Hall of Fame at his high school alma mater (2010).

He has served as chief of psychology, director of research, and senior VP of an integrated behavioral health care system during a 15-year tenure. He served as Illinois’ first chief of psychological services for the Department of Human Services/Division of Mental Health—having made him the highest ranking psychologist in the state of Illinois and a committed reformer of psychology within the governmental setting. He also served as chief clinical information officer for the state’s Division of Mental Health in 2004—a cabinet-level position. He is the first psychologist to have an invited appointment to the Lake County Board of Health. The breadth of his work ranges from having served as a judge for Dean Kamen’s FIRST Robotics competitions, to serving on the Young Leaders Forum of the Chicago Community Trust. His humanitarian activities include going on international missions with the Flying Doctors of America to Vietnam, Rwanda, Peru, and the Amazon, as well as War Child in Russia; having worked with the Kovler Center (for Refugee Survivors of Torture), Amnesty International, RWJ Foundation, the Elizabeth Morse Charitable Trust, and Psychologists for Social Responsibility. He founded a kindergarten for AIDS orphaned children in Tanzania and continues as a consultant. He also was a delegate at the State of the World Forum in Belfast. He is a signatory to the UN’s 50th Anniversary of the Universal Declaration of Human Rights. He is the inventor of the 52 Ways to Change the World card deck. He is listed in Fast Co.’s Global Fast 50 nominees and in Richard Saul Wurman’s “Who’s Really Who, 1000: The Most Creative Individuals in America.” He currently serves on the Illinois Disaster Mental Health Coalition, the Medical Reserve Corp, and he is a member of the APA Disaster Response Network. He has won awards for public service announcements he’s written and produced as well as for his photography—one was displayed in the Smithsonian.

Dr. Stout was educated at Purdue, the University of Chicago’s Graduate School of Business, and Forest Institute, gaining over 24 awards and 4 scholarships, including the Purdue Distinguished Academic Performance Award, the Purdue Alumni Association Distinguished Service Award, and valedictorian of his doctoral class. He obtained postdoctoral experience at Harvard Medical School as a fellow in neurodevelopmental behavioral pediatrics. He was awarded “Distinguished Alumni of the Year from Purdue University” in 1991, Federal Advocacy awards from AAP (1997) and APA (1998), APA’s Heiser Award (1999), and IPA’s Distinguished Psychologist of the Year (1999), in addition to over 30 other postdoctoral awards.

He also produced award-winning public service announcements. He has been interviewed on many radio, cable, local, and national television programs (e.g., CNBC, CNN, WGN, NBC, PBS, NPR, Medical Rounds, Chicago Tonight, CL-TV, Oprah, Eye On Harvard, Christina, Bertise Berry, et al.) and by numerous publications (Time, Chicago Tribune, Wall Street Journal, New York Times, USA Today, Women’s Day, Modern Healthcare, Associated Press, Child Magazine, Chicago Sun-Times, Windy City Sports, Northshore Magazine, Monitor on Psychology, . . .). He coined the term Emmortality and numerous registered service marks. He was an American delegate and presenter at the First International Conference on Unconventional Computing. A unique and distinct honor was his being named 1 of 10 Volunteers of the Year by Pioneer Press in 1999, for his global efforts, and both the Senate and House similarly recognized his work by proclamation of “Dr. Chris E. Stout Week.”

His current interests are in the multidisciplinary aspects of global psychology and health care, complex systems, and battling mediocrity. He’s an ultra-marathon runner, diver, and avid (albeit amateur) alpinist, having thus far summited three of the world’s seven summits and Mt. Whitney (tallest in 49 states), Mt. Rainier, Yosemite’s Half-Dome, and founded SummitsForOthers.org. His greatest joy comes from being with his best friend and wife, Dr. Karen Beckstrand, and their two children, Grayson and Annika.

About the Contributors

Michael Aisenberg, PsyD

Michael Aisenberg, PsyD (aka “Dr. A”) is a bilingual/bicultural (Spanish/Argentine), licensed clinical psychologist who received his doctorate from the Illinois School of Professional Psychology after obtaining a BA in psychology from the University of Wisconsin–Madison. He brings over 20 years’ experience working with clients of all ages in facilitating growth, improvement and change.

Jeffrey E. Auerbach, PhD

Jeffrey E. Auerbach, PhD, a California licensed psychologist, began coaching in 1986. He designs and delivers executive coaching programs throughout the United States. In addition, although based in California, he has worked with clients in Canada, Mexico, Europe, South America, the Middle East, Australia, India, and Korea.

Dr. Auerbach serves on the global board of directors of the International Coach Federation. He has served both as president and, for 5 years, as an International Board Member, of the Association of Coach Training Organizations. He currently serves on the Editorial Board of Coaching: International Journal of Theory, Research and Practice.

Dr. Auerbach is the author of the classic coaching book, Personal and Executive Coaching, now in its 11th printing. In addition, he conducted the first state of the coaching industry research survey, What Organizations Need to Know: The State of the Coaching Industry Report, which was published in 2005. He also is the author of numerous research papers and book chapters on the coaching field. Other professional involvement includes 2 years as the co-chair of the American Psychological Association’s Society of Consulting Psychology Conference; 4 years as a Steering Committee member of the American Psychological Association Healthy Workplace Awards (California); and Steering Committee member of the Executive Coaching Summit. He holds a PhD in psychology and is a graduate of the University of California, Santa Barbara; the California Graduate Institute; and Antioch University. Dr. Auerbach is particularly passionate about the power of coaching to uplift humanity, and the needs of credentialed coaches and students seeking coach credentialing. He holds the Master Certified Coach credential, the highest level of credential in the coaching industry, from the International Coach Federation.

David W. Ballard, PsyD, MBA

David W. Ballard, PsyD, MBA is Assistant Executive Director for Marketing and Business Development at the American Psychological Association and the APA Practice Organization. In this capacity, he designs and directs efforts related to health and well-being in the workplace, works to enhance psychology’s position in the marketplace and provides research and development and strategic consultation to help psychologists build, manage, market, and diversify their practices.

Dr. Ballard spearheads the Psychologically Healthy Workplace Program (PHWP), a collaborative effort between the American Psychological Association and the APA Practice Organization, designed to help employers optimize employee well-being and organizational performance. The PHWP includes APA’s Psychologically Healthy Workplace Awards, a variety of APA Practice Organization resources, including PHWP Web content, e-newsletter, podcast, and blog, and support of local programs currently implemented by 52 state, provincial, and territorial psychological associations as a mechanism for driving grassroots change in local business communities.

Dr. Ballard has provided research and consultation services to government agencies, medical schools, and universities in the areas of public health, prevention, and health care finance and has experience in management, marketing, and consumer research. He is currently on the board of directors of the Health Enhancement Research Organization and the Health Project/C. Everett Koop National Health Awards and serves on the National Business Group on Health’s Workplace Emotional Wellness Advisory Board.

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