Building Resilient Teams in Rural Healthcare: Lessons from Anthony Schirer, Cheyenne OBGYN
Download MP3Well, hi, everyone. I'm Daniel Williams, senior editor at MGMA and host of the MGMA Podcast Network. We are back with a repeat guest, Tony Shire. He's an MGMA member, and he's a practice administrator in where are you? Are you in Cheyenne, Wyoming?
Daniel Williams:Or where are you, Tony?
Tony Schirer:Yeah, I'm currently in Cheyenne, Wyoming. I work for a group of OBGYNs and, been here for about ten years now.
Daniel Williams:That is fantastic. Yeah, we've had Tony own the show previously. Tony also contributed to one of our books, The Advanced Strategy for Human Resources Management, that came out last year. And it's just, Oh yeah, you're also in the MGMA Book Club. I'm remembering all these things because I see you all the time, it seems like.
Daniel Williams:And it's all just coming back to me. As we're recording, everyone, it's the week it's actually the Monday after Thanksgiving. So we all just sort of get ourselves back in gear here as we sort of assimilate back into the workplace after all that great eating and hopefully connecting with people and everything. And Tony, I'll just ask you, do you have any particular Thanksgiving traditions at your family? Or what do you do for Thanksgiving?
Tony Schirer:Yeah. You know, ever since my you know, I have I have two adult kids who live on opposite sides of the country, and and they typically don't come home for Christmas or for other things. And it's, it's just just my wife and I, and we just hang out and, you know, work on our projects, hobbies. We usually don't make a big meal, just enjoy each other.
Daniel Williams:That is a good way to do it. Yeah. I was just, telling, one of our producers here in the studio that, we usually have a really big gathering. I go to see my in laws who are in California and we might have ten, twelve, 15 people there. This time we had five, and my wife was kind of placed on her from her side of the family to do the cooking, and she looked around and went, well, two of us are vegetarians, so we're not gonna eat a 15 pound turkey, and they're gonna leave that for three people.
Daniel Williams:So we went to Whole Foods and just bought all the premade stuff and got the got the serving sizes just for five people and where, you know, the people who like turkey and that and all that could have that, and we could have, some good veggies. And so it was it was a good compromise, and so it worked out. So yeah, I know exactly what you're talking about there.
Tony Schirer:Sounds like a fun time.
Daniel Williams:Yeah, it was. It really was. So as I said, you've been on the show before. However, I don't expect all of our listeners to have seen those episodes. So tell us a little bit about your organization that you run right now and what your role is there.
Tony Schirer:Yeah. Currently, I'm the executive director for Cheyenne OBGYN. We are a group of seven providers, five physicians, and two nurse practitioners. Soon to be, we're gonna have two more physicians starting next year. Have a staff of anywhere between thirty and forty at any given time.
Tony Schirer:And, it's just a general OB GYN group. I'd like to think we're the preferred group here in Cheyenne, but it's, yeah. That that's really where I you know, the group that I'm in.
Daniel Williams:Yeah. I was telling you offline that I was in California in the LA area. It was nice and sunny, and we flew back, and there was snow on the ground. So and I'm in Denver. You're in Cheyenne.
Daniel Williams:Have y'all had your first snow yet? That may be the dumbest question I've ever asked you.
Tony Schirer:No. We had a little bit of snow over the weekend, but not a whole
Daniel Williams:lot. Okay. Okay. Let's talk about this is a question that I've been meaning to ask you, and I don't know if I've ever asked you this before, but what got you into healthcare in the first place?
Tony Schirer:Great question. You know, it was back in, well I graduated college in 1990 and then moved to Denver. And, you know, I thought I was going to get into a nice job because I was a new graduate, and and I realized, oh, I didn't have any experience. And so I ended up working for a hotel industry for about a year. But then in in '91 1991, I joined, Swedish Medical Center and worked in the finance department.
Tony Schirer:And that was really my kickoff into healthcare. I did more of the bookkeeping work for several of the clinics that, received that service from the hospital. But then really getting into physician practices was driven by the Stark Act that came out and that's about the time that the hospital said, we can't provide this service at no cost to the physicians anymore. So that's when I started working for physician groups.
Daniel Williams:Okay. Now you caught my attention with something. You said you graduated from college in 1990. You're just a young whipper snapper. I graduated in 1989.
Daniel Williams:So we are contemporaries, though. And I want to know what your experience was, because everybody who's listening, I know y'all are experiencing the same thing. Technology seems to be changing more rapidly than ever. It's just been crazy the last several years. We've talked about this on the podcast before, that for a lot of us, we've only even had the smartphones for about, let's say, fifteen years, depending on when a person adopted smartphones.
Daniel Williams:But I can't even imagine living without them. But for Tony and me, who were going through college in those 80s and just wrapping up around 1990 or so, What was your experience like? For me, when we had to write a paper in college, we went into the computer lab, we had our notes, and then I would type up a paper. Is that how you accessed, or did you have your own computer already? Were you an early adopter of computers?
Tony Schirer:Yeah. My first year of college was 1985, I guess. Yeah. And I had bought out, I think it was an IBM computer. And I was actually quite amazed at how it was easier for me to put thought to the words knowing that I didn't have to type it.
Tony Schirer:I I actually had a typewriter one time. And and and the typewriter, if I made a mistake, well, guess what? I got to type the whole thing. That is
Daniel Williams:true. Or get out the liquid paper. You could do that as well.
Tony Schirer:Exactly. You know? And and so having a computer back then, it was it it really made my organization and the way my mind worked a little bit easier, but, you know, it's fun to have.
Daniel Williams:Yeah. So you were have
Tony Schirer:that one.
Daniel Williams:You were definitely an earlier adopter than I was. I got, It was a MacBook or something like that was my first computer. And that was in, I want to say, 1990. It was either 'ninety or 'ninety one. But prior to that, if I had to do a paper, well, I will even tell y'all another thing, like everybody wants to hear this.
Daniel Williams:But I do think this is interesting. There were people who made a living typing papers for people. So there were several papers that I handwrote, gave to this lady who had a service, and she would type it up and type up a paper. I hope she fixed all the typos and the misspelled words and just cleaned it up in general for me, but I seemed to get pretty good scores, so maybe she was helping me out though. But we see that things are in such need at a certain point, and then they go away because technology moves forward and it moves forward, whether it was with computers, smartphones.
Daniel Williams:Now we utilize AI and other technology and other platforms to such a degree. What has changed your life, your work life, more than any other technology that you've experienced out there, Tony?
Tony Schirer:Well I'll have to say most recently I think it's the AI.
Daniel Williams:Right. Yeah.
Tony Schirer:You know, over the years, it was it was, you know, the different, the way that we computed things. The you know, for me doing a lot of financial, applications, it was Excel and using spreadsheets and and those types of things. I mean, I remember even back when I first got in you know, I was working for the hospital back in the nineties. I was I had a, one of the, accountants there for the hospital wanted me to create spreadsheet in Quattro Pro. And I was so used to using Lotus one two three.
Daniel Williams:Right.
Tony Schirer:It was like, how am I going to do this? And you know, was interesting. But and just over the years, just the technology, the software improvements, and the enhancements over the years.
Daniel Williams:Yeah.
Tony Schirer:And and really the use of the electronic health record.
Daniel Williams:Mhmm.
Tony Schirer:I think that has just made a big change, you know, for some who enjoyed it and some who know they just don't like it at all.
Daniel Williams:Yeah. Yeah. Well, I appreciate that. Neither you nor I knew that we were going to go into this technology side, but I think it's so important because it does play such a significant role for us no matter what our industry is. But we'll focus on healthcare here.
Daniel Williams:You talked about EHRs. I was having a discussion with a hospitalist earlier today for a different podcast about prior authorization and how they're utilizing AI technology to help them discern a lot of information. They were giving us an example that people are going to hear in this other podcast of 99 emails that went back on one patient to try to get them through the system and how they had documented the time. And it was, I think, around two and a half hours of people hours that were spent. And it's just like, how is this happening in 2025 when we have all this technology?
Daniel Williams:Do you have horror stories about prior auth as well, Tony?
Tony Schirer:Yeah. You know, it's still a very manual process for us. You know, I think it's coming to where there's more AI type things out there, but it's just I think we're just at the tip of the iceberg.
Daniel Williams:Yeah. Now you were talking with us recently. It was a couple of weeks ago, and you were telling us you had a couple of clinicians that are coming on board. Are you utilizing technology? I mean, what do you do when it's such a process and it can be a year, two years out when you begin that process.
Daniel Williams:Walk us through that just a little bit about the process and what was the timeframe to get those clinicians on board for you?
Tony Schirer:Yeah. So I ended up using a service. We went with Jackson Physician Search and all of the services would always quote me that they could hire somebody in six months. I knew that to come to Cheyenne, Wyoming, I mean, we're out, who wants to come to Cheyenne? But it took us about eighteen months.
Tony Schirer:And it just was finding really the right fit, you know, finding the, the, the person who wants the outdoor life or, you know, wants, kind of be in a smaller place that's still relatively close to, say, Denver, that they can get down and do some other things that a big city would offer. You know, it was it just took time, you know, a lot of patience and, going through all of the interviews and, you know, finding people who really just wanted to be here. And it wasn't just the physician. It was their family. You know, they also needed to be here, especially if their, if their spouse was a working person, would they be able to find a job relatively close?
Tony Schirer:Maybe they were more of a remote type of worker.
Daniel Williams:Yeah. We're talking I'm just going to place this in time for everyone. You and I are talking. It's the Monday after Thanksgiving. This is going to air a little bit later in December.
Daniel Williams:But that is a time when people are really thinking about staffing. They're thinking about the workforce. They're thinking about perhaps even in your role as an executive director, we're at the end of the year. Do we have bonuses? How do I show appreciation to that staff?
Daniel Williams:How do I let them know we care about them? We've got your back? You and I helped put together a couple of chapters in that human resources book where we talked about that. Do you have anything at your organization that you really build out for that team to show them you care about them, that they're valued, that, we're glad you're part of that team?
Tony Schirer:Yeah. You know, we try to do, I mean, we do have Christmas bonuses that we give out, and it's based on seniority. There's it's not we just pull numbers out of the air. It's just, however many years you've been here, you get x amount of the bonus. We have, pot lucks a lot here, lots of candy and, you know, just food that people bring.
Tony Schirer:Right. Yeah. And then we do have a holiday kind of get together, but we actually do that after the holidays. Yes. Usually the the first weekend after New Year's that we have an event to unwind and just kind of regroup and refocus on the year to come.
Daniel Williams:Yeah. Tony, hearing you say that reminds me why we have resolutions in January to exercise, join a gym, or lose weight because it's almost like this March, you know, beginning in with Halloween and all that candy, and then Thanksgiving, and then the holidays in December as well where we're just inundated with amazing food and get into some different habits and things like that. But that's an aside. So I want to ask you about some other stuff that we have been working with you on at MGMA, and people are going to hear this who hear other episodes, we have started really trying to take a deeper dive into certain topic areas. Particular one, and my colleague Colleen, who people have heard on previous podcasts as well, we're over the human resources and compliance and risk topic area.
Daniel Williams:So we knew we didn't have that expertise to take that deeper dive. We wanted to get an advisory board. Tony, you're one of our advisory board members, and we appreciate you for being on there. As an advisory board member, when you're really thinking about some of the pain points that people in that human resources side and or the compliance and risk side, what are some of those pain points you experience yourself, you hear some of your peers talk about, that we're going to be addressing from this board's perspective?
Tony Schirer:Well I think for me at least, and maybe it's because I am in a smaller locality here in Cheyenne, but for me it's staffing.
Daniel Williams:Yeah.
Tony Schirer:It's and finding the right staff. I mean, I, you know, I can find I mean, whenever I put an ad out for a a basic front desk or receptionist type position, I might get a hundred and hundred plus applications, but there might only be five or six of them that are actually good enough to interview. And even then it's a stretch. I think on the clinical side, you know, medical assistance, we don't have a a a program here locally that, trains medical assistants. And so that's difficult, to recruit.
Tony Schirer:Our ultrasound, we do have an ultrasound program at the local college at the community college, but a lot of the, participants that go to that that are in that are actually from out of the area. And so they don't even plan on staying here in in in Cheyenne. So it's just I think that's a big, big pain point right now for us.
Daniel Williams:Yeah. Let's stay with that staffing side because you bring up a great point. It's not to just find a warm body to fill a chair that's empty right now, but it's finding the right fit. And Cheyenne, Denver's a major city, but the weather itself might not be for everyone. For Cheyenne, you might have that rural aspect to it.
Daniel Williams:You do have a lot of great outdoors activities that people can experience. That might not be for everyone. So what I wanted to ask you about was not only finding that right fit, I can't remember if I've asked you this in previous conversations, but do you look at a remote workforce at all? Or do you keep it where we need to be Cheyenne based and you have a reasoning behind that? Share that with us and what your thought process is.
Tony Schirer:Yeah, for the most part it's, on-site. There have been times just out of I'll give you a couple examples. I had a nurse, great nurse, whose husband was in the air force. We have a local air force base here. And they got relocated down to San Antonio, and she was asking if she could continue working for me.
Tony Schirer:And at first I was thinking, how am I gonna do that? And then I you know, the more I thought about it, it's like, yeah, you could be one of our triage nurses that just answers the phone and take and fields all of those. And so I gave her a a phone that is a a VoIP phone. So it looked like it was coming out of our office. I gave her a computer that she used a VPN to log in to our office, and and and she did that for us for a few years, and that actually was very successful.
Tony Schirer:And I have off and on had other I had a a gal who was a billing person that was looking to relocate to Cheyenne. She lived in Upstate New York. And and so I said, well, why don't I just, have you do some some works and join the East Coast at least she'd have some time after I mean, she had already had a full time job. And and she said, well, yeah, from, you know, three to five your time, I I'm already off work. I could be making calls to the insurance company and following me up on all these claims and some of those things.
Tony Schirer:And so kind of did the same thing there for a bit. And and then she decided not to relocate. And so I thought, well, I think that temporary job is gonna go away. You know? Yeah.
Tony Schirer:I I do like to have people here because employees here, they tend to do a lot of different things. Not it's like my triage nurse. It would have been nice to have her here because then in between phone calls, she could have been helping out doing some other things, on the clinical side. But you know? So I very rare occasions while I do any remote work.
Tony Schirer:And it's also a challenge too because especially with the phones and with HIPAA and, you know, technically, the that even that VoIP phone call should be protected somehow. So there's a lot of different strategies on how to do that. And I, you know, I just didn't wanna do that much more if I don't have to. But but I currently have a biller who actually lives here in Cheyenne who comes in a couple of days a week and works from home the other, few days, know, in the week. And so it works out well for us to do that.
Daniel Williams:Yeah, I do think just in talking to a lot of practice administrators, having that flexibility where it might be hybrid, like the person you're talking about who does come in a couple of days a week. There may be some of those other situations that you were discussing with the Upstate New York and the military person who moved away but continued to work for you, where you can make it work. And it really depends on the practice. It might be the complexity of the practice, the size and scope of the practice. But the one recurring theme we keep hearing is staffing is a challenge.
Daniel Williams:It's finding the right person, the right fit, making that work so you can have a practice that makes sense where you can provide great care to your patients. I did want to ask you one more thing. I think about the practice itself, and I can't remember if I've asked you this, I don't think I have. Give us an idea of the makeup of the patient population, how rural it is, what the distance people are coming in from? Just some of that demographic so we get a better understanding of the practice itself.
Tony Schirer:Yeah, I have to say that, well, of course, a large part of the patient population is from the Cheyenne or the county population. You know, our county extends out to the, you know, either the Colorado border or the Nebraska border. You know? But recently, Wheatland is north of here. And one of the hospitals up there, they shut down their OB department or OB clinic.
Tony Schirer:So I we do get a fair number of folks that have to drive in from, you know, Wheatland or Casper, you know, just kind of from all over, you know. I have even some from Rock Springs, which is west of here. They bypass Laramie just to come here to Cheyenne, and it's just amazing how much they travel. And, you know, you know, and and Wyoming, you know, if you've read read or listened to any news, there's a lot of talk about how sparse it is for OB and just in Wyoming there's a lot of empty areas and the population does have to travel.
Daniel Williams:Are they able to do any telehealth? Is there any aspect of that? Because I know that y'all want to have them in person where you can run tests, can do measurements, you can do all those things. But are there parts of that as you're checking in with those patients where they're able to call in? Or do they need to all be in person?
Tony Schirer:You know, for the most part, they do need to be in person, at least for the OB side of things. We did just met remote patient monitoring for our, high blood pressure patients, and so they don't have to come in for a a blood pressure check. They we actually give them a blood pressure cuff to take home with them. We have a service that, that that monitors it for us and are in touch with them and they're monitoring every day and and that is working out pretty well.
Daniel Williams:Okay. In the remaining time, I want to shift gears. I want to talk to you and your relationship with MGMA, because are someone membership. And getting to know you, you're someone who raises your hand in the volunteer community. And I bring this all up because what we're finding when we're doing surveys with MGMA members, we have sort of our super members who are taking advantage of all the benefits and all the things that are out there for them.
Daniel Williams:But a lot of people will say, We didn't know. In fact, a lot of people don't know we even have a podcast, and we need to keep broadcasting that and let them know that it's available. But I wanted you to share with us about that MGMA membership, what you've gotten out of it over the years, and some of the things that have really been highlights for you in improving and growing your career.
Tony Schirer:Yeah, know I started my membership in 1997 and was not very active. Didn't know what I was probably like a lot of these new people you're talking about that didn't know all the resources there was. And it wasn't until 2000 when I, joined an OB group and I went to the Obstetric and Gynecology Conference. It was a spring conference. And it was just for other OBGYN administrators.
Tony Schirer:And, you know, and and I met a few in there that was actively involved and, you know, they were really pushing me to be more active. And and and that that's really is is for where what I really enjoyed about it was the networking. You know? And and I've seen MGMA change over the years, some of the things I didn't like, some of the things that I did, and it's like, oh, that's just part of change. You know?
Tony Schirer:But I I really do like all of the the the networking opportunities, the, you know, the, the advisory boards. You know, it was in 2005 I think it was that I joined and I was part of the obstetric and gynecology. I was on that committee that that that build out built out the the the conferences. And I and that was a four year commitment, and I just had a blast doing that. And so just really, you know, you know, I I became board certified and I became a fellow.
Tony Schirer:And, you know, one of the things was to give back to the profession. And so I really felt like that that was an important part. When I was, at that same time in '05, I was also the was on the committee at my state organization in Idaho. And when I got to the my my president year of that, one of the things I was really pushing for was the whole mentoring, how we mentor new people. And and I that that was one of the things that whenever MGMA asked what we could do, I always threw that in there as, well, we could be mentoring, taking some of these senior people and working with some of the junior people.
Tony Schirer:And and I'm glad to see that that kind of kicked off. And I'd be curious to know how effective that's working now that because I know MGMA had made a little change with the mentoring to make it be more of a we're not gonna assign people
Daniel Williams:Mhmm.
Tony Schirer:Self assign. I'm curious to see how that's working.
Daniel Williams:Yeah, you bring up some great points and that's something that we can circle back on both myself and Colleen and the board members to really study the mentoring program to see its effectiveness, see if we're guiding that in the right way. But I think you bring up a great point, because using technology again, kind of going full circle with that, I know that when you and I started, you're still going into an office every day. I go into an office twice a week now, and that would have been unheard of to a degree back in 1989 and 1990. And it does cause, in some ways, some isolation. And so maybe when we had where everybody was in an office setting at all times back in the day, you bumped shoulders, you rub shoulders, you were able to connect with people, look them in the eye, talk to them in that way, maybe go out and have a coffee together and just chat in a way that isn't available to everyone anymore in the way that it was.
Daniel Williams:So I think in a way mentorship programs or other networking type programs are more needed than ever because of that, because of that isolation that's afforded us by technology. And so I would even pose that to you. What would you suggest? What can we do to make sure that we have those avenues available to people? Not everybody wants it, but maybe just making it available where people can raise a hand, they can get into a mentoring program or a program where they can be mentored.
Tony Schirer:Yeah, that's a good question. Know, takes effort. It really does. I mean, it's one thing for new member to sign up and you got them signed up, but it's having somebody reach out to them. You know, I don't know with, with the new members, if MGMA has any volunteers that says, hey, here's a list of new members.
Tony Schirer:Why don't you give them a call and see how they're doing? See what they like about MGMA and, you know, see see, you know, just as just to try to network with them that way or email them directly or, you know, just little things like that. I don't you know, that that I I don't know if the mentoring right now, the way the program is set up is, again, it's self elected. You have to sign up and go find somebody and, you know, sign up to be, either a mentor or a mentee. And I again, you know, it it takes effort.
Tony Schirer:And and with us being busy as we are, I just don't know if you almost have to push somebody a little bit to do that.
Daniel Williams:Yeah. I'll make a segue here because you almost have to have it in your mindset as an individual to go, you know what would jump start my career? And maybe they read it in a book. I need a mentor. And so then they reach out and then they go, Oh, there is a mentorship program available.
Daniel Williams:Let me sign up for that. Without that knowledge or without that impetus to push you towards a mentoring program, you might never reach that level. And that's the segue here, is you and I are in the MGMA Book Club. Hey, shameless plug everybody listening. If you're not in the Book Club and you want to join us, you hear me talk about it every few episodes, we really do address issues and topic areas such as mentorship or leadership or networking and a million other things there through that book club and the kinds of books that we read.
Daniel Williams:Tony, you have been a member of the book club since our founding. I believe it was in January 2024. We're about to celebrate our second year there. What do you get out of something like a book club when it is a leadership book club? It's all virtual, but it's made up of your peers, other MGMA members who are administrators.
Daniel Williams:We've got doctors in there. We've got a little bit of good sampling of everything related to MGMA membership. Give us your sales pitch on book clubs in general or the MGMA book club specifically.
Tony Schirer:Yeah. You know, think just the opportunity to have a list of books for the year that you can read and then, you know, be able to log in online and discuss it. And, you know, I know that in in in the way that we have it set up, we, you know, we really get the opportunity to kind of hear everybody's feedback. We don't have a lot of time. I mean, I I bet we could spend two or three or four hours just going for this, but we just just have an hour.
Tony Schirer:And so we're just getting little snippets of what people think. And, but it's still, I think, valuable to hear what just hear everybody's insight of what they took away from it. And so that I've been it it's it but really just the opportunity you know, for me, I'm very task oriented as far as the cycle. I don't know what kind of book I want to read. It's nice to have a list of saying, oh, oh, this is kind of an neat book.
Tony Schirer:I think I'll read this one.
Daniel Williams:Yeah. Have you had so we're, I guess, at book number 24 right now for December, everyone. It's Align Your Mind by Britt Frank. It's not too late. We'll be meeting.
Daniel Williams:I'll have to check to see when this episode is actually going to run. But even if they hear it late, the meeting is December 17. But people can read that book, learn about it. It's how you deal with stress, anxiety, all the other things out there. And so it's one of those we felt like was a really good selection to end the year, end it on a good note, where you can really get centered.
Daniel Williams:And when you do feel overwhelmed, here are some techniques and some tools that you can use. So last question on the book club: Have you had a favorite book or one that resonated with you in a way that you really had a takeaway from it?
Tony Schirer:I mean they were all really good books. I mean, know, I mean and actually the one that I'm that we have this month is I've been I just started it a few days ago and and I'm finding some good insight there as well. So I think that every one of the books that we've had, you know, I've learned something from it. Yeah
Daniel Williams:that's kind of the way I look at it too. And everybody, if you've been in a book club, we don't include wine. I mean maybe someone's drinking wine and we just don't know. It looks like a coffee cup. But we have a lot of fun in there.
Daniel Williams:But the thing that I take away from it is hearing people who are out of practice and they read a book and it has these leadership tools or techniques in it, but they relay that to their practice itself. And they use examples of what they've been through and how they use techniques or leadership skill sets like this to help them navigate their lives and workplace. So I've really enjoyed getting that aspect of it. Final thought then, Tony. We were talking about Cheyenne, Wyoming.
Daniel Williams:I want you to put on your tourism hat so somebody who might be listening from Upstate New York goes, You know, I've always wanted to live out West, and this is your pitch to Cheyenne. What would draw us to Cheyenne if we're looking at relocating? What is it about Cheyenne that might bring us there?
Tony Schirer:Well it's a small town feel. You know, I'd have to say that once a year we have the world's largest outdoor rodeo.
Daniel Williams:Oh, yeah.
Tony Schirer:With Cheyenne Frontier Days, so that's a lot of fun. And, you know, if you like the outdoors, you know, we got mountains nearby and, you know, Colorado's not too far away to to go into the Rocky Mountains. We got Yellowstone National Park, and we got a lot of cool places to to just if you like to go out and explore, you know, it's a lot of fun. But, you know, Cheyenne, this is the largest city in Wyoming. And, but it's, it's a lot of fun to be here.
Tony Schirer:I think we had the cleanest air though because it's so windy here.
Daniel Williams:Oh yeah. Well sign me up. Well Tony, it is always such a pleasure to chat with you. So thanks for once again joining us on the MGMA podcast.
Tony Schirer:Hell, thanks for having me. I appreciate it.
Daniel Williams:Yeah. Well everybody, we've been talking to Tony Shire. He's a practice administrator, as you've heard, in Cheyenne, Wyoming. So you might want to look that up on your Google it or something else. But until then, what we're going to do is put together some resources.
Daniel Williams:We'll share some information about the advisory boards, about the book club, about all the things that we've been discussing today. Until then, I just want to thank all of you for being MGMA podcast listeners.
