EPISODE · May 2, 2026 · 28 MIN
The Administrator Role Part 1
from The Disrupted Podcast · host Scott Middleton, Jamie Preston
Most healthcare organizations wait until they're drowning to add administrative support. Your Health is doing the opposite — and it's changing the math on what a primary care practice can actually deliver. In Part 1 of this two-part conversation, Scott Middleton — owner of Your Health, founder, and Chief Disruption Officer — sits down with Jamie Preston to unpack why a dedicated administrator is now sitting beside the executive director of clinical services at every care group. With hospice added to the model, a single care group can now be responsible for more than 80 staff members across four care teams — bigger than most medical organizations in the country. Asking a nurse to run that alone was breaking people and burying clinical judgment under scheduling concerns. In this episode: Why the care group exploded overnight — and what hospice changed about staffing ratios What the administrator does on Monday morning before the clinical team even looks at the dashboard The Bridget story: how a "we're not allowed to do one-on-ones" response nearly cost a dementia patient her home Why "what could we have done today" is the wrong question — and what to ask instead How fee-for-service quietly incentivizes the wrong decisions at the hospital level The team structure every administrator now sits inside: nurse, HR, marketing, engagement If you've ever wondered what's actually supposed to stand between a great clinician and burnout, this is it. www.YourHealth.Org
What this episode covers
In this episode Scott unpacks why Your Health is adding a dedicated administrator role to every care group — and why the nurse model broke the moment hospice entered the picture. The insight that reframes everything: when a patient ends up in the hospital, the real question isn't "what could we have done today," it's "what should we have done six months ago" — and that's exactly the question administrators are being built to help answer.
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The Administrator Role Part 1
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