A Rural Healthcare Leadership Journey with Macy Dotty, 2025 MGMA Future Five Honoree

In this episode, Sr. Editor and host of the MGMA Insights Podcast, Daniel Williams, MBA, MSEM, sits down with Macy Dotty, Clinic Director of Interventional Pain, Neurology, Urology, and Visiting Specialists at Cuyuna Regional Medical Center in Crosby, Minnesota — and one of MGMA’s 2025 Future Five Award winners.

Macy shares her unconventional entry into healthcare during the early days of COVID, how growing up in rural Minnesota shaped her leadership approach, and how her team cut wait times from 54 days to just over 10 without adding staff. She also reflects on what it means to be honored as a Future Five leader and what excites her most about the future of healthcare.

This episode is full of actionable insights for medical practice leaders, especially those working in rural and resource-constrained environments.

Key Takeaways

Starting a Healthcare Career During the Pandemic Built Adaptability and Resourcefulness (05:43)
Macy entered healthcare in the spring of 2020 with no traditional onboarding, learning instead through immersion, curiosity, and creative problem-solving — skills that continue to shape her leadership.

How a “Small but Mighty” Critical Access Hospital Serves a Large Rural Region (15:18)
CRMC sits in a town of 2,300 but serves 50,000–60,000 patients across rural Minnesota, performing more than 10,000 surgeries a year. Macy explains why patients drive past larger systems to receive care there.

Managing Seasonal Patient Shifts: Coordinating Care for Snowbirds (17:23)
Macy outlines how her team tracks which patients winter in other states, ensures continuity of care, prevents unnecessary follow-up outreach, and keeps partner providers informed.

Cutting Wait Times from 54 Days to 10 with Data, Templates & Team Alignment (21:05)
Rather than adding staff, Macy’s team redesigned provider schedules, room utilization, and workflows — dramatically expanding access and improving patient outcomes.

Leadership That Drives >99th Percentile Engagement Scores (24:56)
Macy prioritizes visibility, staff autonomy, psychological safety, and genuine personal connection. Her approach empowers teams to solve problems and care for patients more effectively.

Innovation + Policy Awareness Will Shape the Next Generation of Healthcare Leaders (26:54) Future leaders must embrace creative problem-solving, partnership-building, technology, and an active understanding of state/local legislation impacting care delivery.

Bonus: A Disney First-Timer? Planning Orlando Travel as a Minnesotan (28:09)
Macy hopes to turn her upcoming Orlando trip into her fiancé’s first-ever Disney experience — if she can persuade him.

Resources Mentioned

• Cuyuna Regional Medical Center
• MGMA DataDive
• MGMA Stat