Guests: Dr. Una & Dr. Fernando Ysern

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Summary

1. **SBA Loans Discussion**:
   - Overview of the Paycheck Protection Program (PPP) and Economic Injury Disaster Loan (EIDL). 
   - PPP funds have run out, shifting the focus to other financial options.
   - Explanation of loan forgiveness criteria and the importance of cash flow planning.

2. **Impact of COVID-19**:
   - Emphasis on handling the unprecedented drop in patient volumes and cash flow constraints due to the pandemic.
   - Discussed the importance of Medicaid enrollment and advocacy for pediatric practices during these times.

3. **Reinvention and Telemedicine**:
   - Dr. Una highlighted the opportunity for practices to adopt telemedicine, improve operational efficiency, and embrace lean operations.

4. **Leadership and Marketing**:
   - Encouraged proactive leadership and entrepreneurial development.
   - Stressed the need for effective patient communication and marketing efforts to maintain patient engagement.

5. **Adjusting to New Norms**:
   - Dr. Ysern shared experiences from Puerto Rico, emphasizing adaptability in crises, and using opportunity from chaos to reshape practices.
   - Referenced historical examples, like Kellogg's and Apollo 13, to illustrate successful crisis management.

5. **Importance of Well Visits via Telemedicine**:
   - AAP’s endorsement for performing well visits through telemedicine, with a focus on catching up in-person for necessary physical exams and immunizations when safe.

6. **Addressing the Insurance Challenges**:
   - Noted challenges with insurance payments, especially with ERISA plans, and the need for pediatric practices to be proactive in fighting for appropriate reimbursements.

7. **Moving Forward**:
    - Promotion of future sessions and resources like the forum for continued support.
    - Highlighted the significance of maintaining a positive attitude, continual learning, and not being afraid to innovate and adapt in order to thrive through the pandemic and beyond.