Scaling Practice Management by Talkie.ai

How do you get a busy front desk to accept new technology - without a revolt?

Leasa Horst, CPA, has been practice administrator at ESD Pediatric Group - a two-location Cincinnati practice caring for families for over 80 years - for more than 30 of them. She's led her team through paper-to-EHR, central phones, and most recently an AI receptionist (ESD Group is a Talkie.ai client). In this podcast, she shares the change-management playbook that makes it all stick.

We dig into:

🏥 Leasa's #1 tip for growing a practice - be open to change, lean on your peers, and genuinely value your people
📅 The 90-day rule - why day 30 is the hardest, and how the complaints fade by day 90
🤖 How the team actually adapted to "Jessica," their AI receptionist - and what made it click
📞 From two phone lines to one central number - and why going to an EHR made it possible
🛋️ "You don't make money in the waiting room" - how closing waiting rooms during COVID created 3 new exam rooms
☎️ Hiring for the front desk - why former bartenders and waitresses make some of her best hires
📖 The book that shaped her leadership: Crucial Conversations

Resources mentioned:

👤 Guest: Leasa Horst, CPA
🏥 ESD Pediatric Group: https://www.esdpeds.com/

🏢 Companies & Tools
athenahealth (their EHR)
Talkie.ai - AI medical receptionist (ESD uses Talkie on their front desk)

📚 Books
Crucial Conversations: Tools for Talking When Stakes Are High - Kerry Patterson, Joseph Grenny, Ron McMillan, Al Switzler
The 7 Habits of Highly Effective People - Stephen Covey


🎥 See how Talkie.ai works - AI medical receptionist demo: https://www.youtube.com/watch?v=WzBD7PorTsU&list=PLLjcCBHYN2KoBqm-Dx-8lIwWLuU-CHXSg

What is Scaling Practice Management by Talkie.ai?

Scaling Practice Management is the show for healthcare practice leaders who want to grow smarter, not harder. Real stories, proven strategies, and emerging tech — all to help you scale your clinic without burning out your team or sacrificing patient care.