John R. Jacobsen, M.D., a Board Certified Family Practice physician, is the founder and owner of Click Family Healthcare clinics in Kearney and Broken Bow, Nebraska.
John, who grew up in Merna, was an ag banker for 10+ years before applying to medical school. Coming from a small town, his desire was to practice family medicine in a more rural setting.
After finishing his residency, John was in private practice in Geneva, Nebraska for over 10 years caring for all ages including pediatric, adolescent, adult and geriatric patients. In addition, he provided obstetrical services including cesarean sections, upper and lower endoscopies, in-hospital and in-clinic minor surgical procedures, hospital in-patient care and emergency room services. John served as the hospital chief of staff, was medical director of a nursing home and was medical director of the hospital out-patient senior behavioral health program.
John moved to Omaha to become the Chief Medical Officer of a start-up primary care center, a role that was administrative in nature. After 3 1/2 years, the desire to provide direct patient care led him to decide to open Click Family Healthcare.
John has been active in family medicine organizations at both the state and national levels.
John credits his wife Janet for their success. They have 2 daughters and 3 grandchildren, the youngest being a few weeks old.
He opened Click Family Healthcare in Kearney, NE in 2017 and a second location in Broken Bow, NE in 2020.
Visit the website at Click Family Healthcare HERE
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Welcome to the podcast Dr. Jacob.
Thank you. I'm glad to be with
you. I've been to Carney. And what I thought was so amazing was that you had gone to medical school with one of my former attendings out in superior, Dr.
Julie Theis and so what a small world and what a way to celebrate, medicine and business and entrepreneurship, in Carney and now broken bow.
It's been a, it's been an adventure. I'll say that, you know, having gone from banking and then the medical school, and then into the fee for service world, where I own my own practice and then leaving that to become the chief medical officer of a, a new primary care startup center in Omaha, where.
Yeah, we had a 55 minute hour clinic, six story hundred 50,000 square feet where we wanted to be a one-stop shop. So we had our own pharmacy lab, all of the imaging you would want. We had, you know, behavioral health and optometry and physical therapy all within our building, just trying to improve the healthcare.
And it was mainly of people, 55 and older because we were going after the, the shared dollars, uh, you know, with the ACO and, you know, having done that for three, three and a half years and getting really, really burned out, coming back home, even the home is actually 70 miles from Carney, but coming back to central Nebraska, where it's a different pace, it's a different lifestyle, uh, was really, really good.
Let's delve into that a little bit more because you're from Myrna originally. So, can you please share a little bit about central Nebraska about, where Carney is in relation to big city centers and we're broken bow is in relation to those same places.
Myrna and broken bow are pretty much just geographically in the center of Nebraska. If you were to dissect north, south and east west, uh, we're right at the edge of the sand Hills. So people don't know what the sand Hills are. That's some of the best country, uh, for raising livestock and cattle that there are, is in the United States.
When you go south of broken bow towards the, what we call the Platte river valley, which kind of is what I interstate 80 runs. It becomes more farming. Central Nebraska really has a lot to offer, you know, from a tourism standpoint, uh, the cranes migrate through here, you know, we have the geese migrations, of course we have Nebraska football, which that's not anything to brag about the last few years, but overall there's so many things to do.
You know, a lot of people think Nebraska is just this desolate desert that you drive across when really there's a lot to do. And Carney is a, it's a college town. So there's, it's a university, it's a, it's a branch of the university of Nebraska. Um, and so they've got typically eight to 9,000 students. So there's always that those things that you can do if you want to go to college sports or college activities, but yeah.
Central Nebraska is, is unique in that it's just a little slower lifestyle for most people. Most people are very, very gracious. Most people are very humble and it makes it fun to be their friend and take care of them. Uh, when they come to see us in our clinics, broken bow specifically is a town of about 4,000.
Who or which has kind of gone through a resurgent the last number last few years. And we actually bought a old practice clinic building that had closed in July of 2016 and renovated it to fit direct primary care. Uh, you know, I always laugh. The rooms exam rooms are seven and a half feet by 11. So it was like a glorified closet.
So we took three rooms and made two, we opened it up. One thing I don't like coming from the banking industry is barrier. So you walk into a typical family practice clinic. And the first thing you see is this glass wall. And it's like, oh, I know you're sick. Come in, come in and come. We want to help you, but oh, stay back because we don't want you to close.
And so we removed all the barriers that were there and people who've come into our clinic that used to go to the broken bone clinic. Can't believe the transformation that we did. Carney itself is around 30,000 people. It's again in the center in central Nebraska. Carney is unique in that it one is a college town, but a two has a lot of small industry, uh, whether it be manufacturing driven from the ag economy, but the Carney economy is not directly tied to the ag economy like broken bow is so we get some diversity as far as not just seeing farmers, not just seeing ranchers.
We're also seeing people who are working in retail, people who are working in manufacturing, which, which makes it fun and adds stability to our business.
When you're mentioning direct primary care is a business model and you've so wonderfully highlighted the points of having value, accessibility, affordability, and having a product that's easy to use.
I want to delve into your history and your experience in banking. Can you share about your business background in ag banking and what lessons have you been able to pull from that have made you successful in DPC so far?
Well, I think banking in and of itself was a second career for me or what was the second thought process? I actually started pre-med right out of high school. Then I went to college for a semester and after a semester I quit because I went home and told my dad, I didn't know what I wanted to do. And I, you know, I just was struggling.
So I actually worked for a farmer for a year and a half and drove semi and planted crops and harvested crops. And in one of the, one of the best lessons I ever got life was I'd worked for him for about a year. And he was my best friend and my best friend's dad. And I said, you know, gosh, TYC, I've worked for for a year.
I really think I need to raise. One of the, the story about how he couldn't afford to give me a raise. And the next week drove up in a brand new pickup truck. So I knew right there where I was on the pecking order. And so that really motivated me to go back to school and I thought I always wanted to be a farmer, but I didn't marry it.
And then I'm not going to inherit it. So what a better way to work with farmers and get into banking. And that's really what I did. I started out in a small bank, up in the Sandhills, after about three, three and a half years though realized that's not what I wanted to do forever. And I had an uncle who was a physician in broken bow, and he actually