HOW LONG

 

CAN YOU HOLD ON?

 

Maybe a year? Y’think? Six months? Hmmm? Three or four weeks? Whew! Hours perhaps? Ack! First of all, if your answer is “forever” or “a lifetime” or “long enough,” you may want to revisit your brain because if you’re not living IN it, you’re dangerously close to fantasyland.

One thing I’ve learned in this blessed long life I continue to have is that NOTHING on Planet Earth is permanent. Nothing! That may be no surprise to scholars who know that circa 2600 years ago, the Greek philosopher Heraclitus said “Nothing is permanent except change!” (Pretty heady stuff for a guy that old, eh?)

Q. 

What are we talking about here?

Businesses? Families? Friendships?

Entrepreneurial ventures?

Professional practices? Our minds?  

A. 

All of the above!

 

We “hold on” in five different (yet mostly intertwined) ways:  financially, emotionally, intellectually, physically, and spiritually. And most of the reasons we hold on are anchored in shifting sands. We have numbed ourselves with fear of failure. We have built artificial (and, admittedly, often flimsy) protective walls around our endeavors, pursuits, and ourselves.

So what am I saying? We should all run out and be more carefree? Take bigger risks? Throw away everything we’ve worked hard to earn? Change horses in mid-stream? Stop paying taxes? Buckle under to competitive pressures? Cut off shaky relationships instead of working them through? I’m saying it may be time to reassess what we’re holding onto, and why.

What’s the worst thing can happen by taking a couple of minutes out tonight and thinking through what is and isn’t worth it in your life —  your business or practice, your family, your relationships, your finances, your emotional stability, your intellectual pursuits and development, your body, your sense of spirituality and religious commitments.

Give yourself the benefit of doubt. Just dabble in this arena of yours for a few minutes. Think hard about what it’s all worth, and what you can and are free to choose to do right this minute by making a decision to change things for yourself for the better . . . and then choose it, and do it. It’s really not so hard –and can be fun– once you put yourself on the path.

Letting go may seem –and even feel– hard, but it’s a piece of cake compared with the stress and strain of hanging on to a piece of fantasyland. In the end, for all humans everywhere, reality wins. So why not grab it now and ride it to the finish line? — Your business. Your relationships. Your self. Old song lyrics:

“We may never pass this way again.”

 

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YOUR MEMORY CAN KILL YOU!

 

No, huh? Memory can kill? Of course it can!  STOP reading for a minute and recall your biggest life upset… go ahead, but just for a minute. That’s all you need to get the idea. The more we dwell on past events and behaviors and thoughts, the deeper we dig into the world of neurosis, and the sicker emotionally and physically that we make ourselves.

Memories serve a purpose when they are used productively in the present moment. Recalling something pleasant can actually soothe the neurological system. Recalling a mistake can help us make a corrective adjustment to a current course of behavior or activity and help ensure greater odds for success.

But when we get ourselves lost in our memory banks, even in the process of engaging positive past experiences, it’s as easy to slip out of the reality of the present moment as it is to take off a glove. The difference is that removing a glove has some conscious awareness attached. Focusing on a memory can easily suck us into a tunnel of no return.

You think this is not about you? Think again. All of us have an inherent instinct to recall past events, thoughts, actions, experiences a few times a day. Some of us are actually paid to do this and build careers around it: archeologists, CPAs, historians, history teachers, researchers, scientists, therapists, and detectives all come to mind.

And doesn’t everyone fantasize about something that was once great and, conversely, about something that was once terrible?

So what do we do with all this awareness and how does it relate to entrepreneurial leadership?

What we need to do –to be maximally productive at work and in life– is to consciously use past memories as tools for enhancing present moments and for planning future events. And then stop. When a memory goes beyond present-moment consciousness, it can cause accidents and illness. It’s just like worrying about the future! Both cause stress, actually: DIStress!

Okay, so now that that’s sitting on the table, what do we do to make our memories work for us instead of against us? And how can we help those we are responsible for servicing with leadership? Work harder at staying focused and more tuned in to the present moment as much as possible. Keep our sights set on what is happening right now in front of us.

And what are the best tools for accomplishing that?

1) Deep breathing (it need not be conspicuous!) and

2) Regular exercise (it need not be strenuous!) and

3) Eating foods and food portions that have genuine (vs. advertised) nutritional value (it need not be a 24/7 dictate!) and

4) Sleeping enough to wake up feeling rested and alert and

5) Anchor your soul in a faith-based harbor!

Is that so hard? Well, if we choose for it to be hard, it certainly will be. But since all behavior is a choice, we can instead choose for it to be easy. Think like an entrepreneur about your self as well as about your ideas. Be innovative. Challenge. Rise to the occasion. These aren’t just guidelines for building businesses and professional practices. They’re guidelines for life!

Because without a solid foundation of being focused on the here-and-now present moment as much as possible, we will –like an abandoned enterprise– quickly become then and there.

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Are You Expired

                               

Or Inspired?

 

When did you last check your expiration date? What did it say? What does it say now? What happens if you go past that date? You rot? You crumble? You turn green? You become poisonous? You get taken off the shelf? People pass you up and reach way in the back behind you to bring up some fresh dude who doesn’t expire until 2015?

If this describes you, or you worry about it, or you think it’s inevitable, you’ve got a problem, brother (sister), and it’s time to take a few steps on your own behalf. First off, do a few chin lifts and take some deep breaths.

Don’t run to look in the mirror. Just imagine yourself looking driven and productive and successful as you once were, or perhaps you presently are but feel like you’re on the wrong side of the hill.

Contrary to popular belief, life is not all about discovery. It’s about making the most of what you’ve got to get yourself and others to where you and they want and need to be. It’s about energy and drawing on strengths, acknowledging but by-passing –not struggling to overcome– weaknesses. It’s like knowing what you can and are willing to spend before you go shopping.

Yes, you’re right! That’s called leadership! Genuine leadership has no expiration date. It may shift gears at certain ages or after certain accumulated experiences, but true leadership –like true grit, true integrity, true honesty, true passion– doesn’t fade or need to reinvent itself. It simply is.

How to get it? How to keep it? How to have it take you far beyond someone else’s (or your own) imagined idea of your expiration date reduces itself to being forever on the alert to what INspires you rather than to what EXpires you. So it’s a matter of attitude? Hmmm! That’s over-simplified! Hmmm? There’s more to leadership than attitude! Hmmm?

Well then, if leadership is all about attitude, what does anyone need to read a blog post for. since attitude is a matter of choice, and we can just choose it? Hmmm. Do you trust yourself to just choose it, and stay with that? So maybe the difference between expiration and inspiration is self-trust? Hmmm.

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STOP HIRING CONSULTANTS!!

 CUTTING EXPENSES

                                

DOESN’T MAKE SALES!

 

To paraphrase an old presidential quote, “It’s the government, stupid!” America’s entrepreneurial leaders are grasping for a lifeline to avoid being swept out to sea by the daily onslaught of misdirected government speak and arrogant government attitude — a trickle-down mindset — harbingers of total economic collapse. And it could be just around the corner.

Forget all that stuff your grandparents used to preach about turning out lights and closing doors to save money. You might save electricity and keep out drafts, but in small business, that kind of save money mentality has been the ruin of many startup ventures. In reality this government-style thinking process accomplishes nothing on the road to survival and growth.

NO ONE EVER MADE MONEY FOR

A BUSINESS BY SAVING MONEY!

Biting into economical practices does not make sales. Only sales make money! “Ouch!” you proclaim, “but I’m not a sales type!” Well, then, become one. Or find one. Or give up your business and go to work for the government. Or show some guts and stick it out. You can make your idea work if you stop taking government advice about how to make it work.

This is not suggesting you do an entrepreneurs gone wild act. A mainstay of our current government, though it may be, this post is not about spending. It’s about what you can do now to turn your business around and stand up to the sleazy, ramrod, phony compassion-soaked policies of the current administration that is desperately trying to control small business.

Just because you have an exciting idea and some startup funding doesn’t mean you can let your enthusiasm run rampant. Business success is about extraordinary customer service and relationship-building. It is about channeling energy and making the most of opportunities that present themselves within your realm of pursuit.

Chase one rainbow at a time! And remember that the best leaders are those who make leaders of their followers.

Running recklessly in too many directions at once will simply produce frustration, exhaustion, and distress — especially in this bare-bones economy. But you CAN run a bare-bones business. After all, small business is based on TRUST. Got some?

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Open Minds Open Doors

Beware GEEKSPEAK!

 

GEEKSPEAK. It’s another name for Tech Talk. Too many tech people are talking to too many tech people in too much tech-eeze and the real world of small business owners, professional practice principals, and even top corporate management is passing them by. If you are looking to make sales and grow your business, think twice about GEEKSPEAK overload.

In other words, don’t let website designers write words for your content. They haven’t a clue about effective marketing writing. Don’t let IT people decide on what and how to communicate with clients and customers and prospects. They know not where they come from . . . nor, it often seems, where they’re going when it comes to clarifying issues for non-IT people!

Don’t let your business messages get caught up in branding lines, site content, collateral/promotional material copy or news release text that contains language your grandmother wouldn’t understand. Nothing is so complicated that it can’t be simplified. Nothing is too technical to be communicated in easy-to-understand language.

When I ask you what time it is,

don’t tell me how to make a clock!

 

It simply takes more time and is harder work. But it’s often the difference between an enthusiastic buyer and a puzzled, overwhelmed one. Suffice it to say that all communication — interpersonal, impersonal, and otherwise, takes more time and is more work. Decide on what you want as a result, and if the extra effort is worth it.

Promoting and presenting complicated diagrams and examples only serves to underscore an oblivious, uncaring attitude to the markets you’re trying to reach. What’s the old axiom? Keep it simple, stupid! And don’t make the excuse that the prospects you seek understand tech talk because odds are pretty good that their bosses who need to approve purchase decisions don’t.

Sourcing people ultimately report to financial and/or operations people who hold the purse-strings. If those folks don’t understand a GEEKSPEAK message, they simply shut down their budgets. And why not? Would you buy something for your home or car that you have no sense of value about, can’t relate to, or fail to understand what you’re getting for your money?

Bite the bullet and give your business communications — especially to your customers, clients, and prospects — the extra effort that will make what you have to say clear from the git go. Not sure if what you’re saying comes across? Ask your grandmother.

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Hal@Businessworks.US     302.933.0911

Professional Healthcare Practitioners and Small business Owners BEWARE!

 

Just What Americans Need:

                                                                                                                                                                      

Less Healthcare. More Politics.

 

Shame on you, AARP, and tsk-tsk to Marsha Mercer, ”freelance journalist who lives in the Washington, DC area.” Neither of you appear to offer much in the way of common sense, or even the hint of a realistic viewpoint, when it comes to your manipulative and politically-charged-below-the-surface feature story that appears in the AARP March Bulletin.

Your front page hype,”Fixing The Doctor Shortage – Big Changes For Patients” (and guts of the story) deceptively suggests that the evolving physician shortage is one that’s the product of an aging doctor marketplace and by private insurers undercutting Medicare reimbursement rates. Simply not true.

Relentlessly increasing

government control is the culprit.

 

MEMO TO AARP: Put the premise that your article spotlights in the drawer, and start making phone calls. Ask a few hundred doctors. I have. They will tell you in so many words that relentlessly increasing government control is the culprit.

The article’s lead source, Dr. Steven Berk, is certainly a distinguished one, yet the context of his quote appears to have been quietly tucked away. Surely, Dr. Berk had more to say about the subject than thirty-six words? Could it be that the rest of his comments failed to support the sensationalist undercurrent of your story?

And how about adding the link for 2012 Physicians Foundation survey that you cited so people can check it out for themselves? Check it out here. Certainly the survey IS worth noting. Skewed, though it may be to represent the best interests of its sponsoring organizations, it seems credible enough.

So what is worth noting you ask? How about the glossed-over fact that all the alarming findings referred to have taken place since (and are compared only with) the survey of 2008? Does that strike you as worth noting?

Hmmmm! And what else happened in 2008? An increase-government-control advocate was elected president. So, are we to conclude that most of the problem we face today regarding doctor shortages and the systematic transitions in healthcare that have forced the issue are attributable to physician aging and private insurers, as the article purports? Not likely.

To Find Doctors we should be looking — instead of to state medical associations — to family, friends, neighbors, other doctors, and other healthcare professionals. After all, isn’t it TRUST we seek? Surely, it’s not more government in our lives, or politically-motivated state medical associations trying to justify their membership fees.

Let’s remember that –far and away– the single greatest reason that the vast majority of Americans seek any (even including ER) medical care is to get reassurance. Reality, even for seniors, isn’t a TV hospital show. It’s seeking reassurance.

Oh, and please: FORGET about .gov websites. They are not invested in helping you. They are invested in controlling you! Go instead to private practice websites. Go to The American Academy of Family Physicians and other non-governmental professional physician credentialing organizations. And stop believing what you read in AARP propaganda.

Unless you prefer some politician to give you a diagnostic workup, prognosis, and treatment program?

~ ~ ~ ~ ~ ~ ~  

 

Hal Alpiar has served doctors and practice managers as a personal and professional practice development consultant nationwide in virtually every area of specialization for thirty years. He’s a former business professor and Amazon 5-star-rated author of DOCTOR BUSINESS…How to boost practice growth and build long-term relationships now (PMIC) for doctors. Hal won a national book award for his healthcare consumer work, DOCTOR SHOPPING…How to choose the right doctor for you and your family (Health Information Press). He was co-founding executive director of The Pennsylvania Heart Institute, and of Bio-Motion of America (motion analysis programs for physical therapy). Hal is also the past founder/CEO/President of e-Healthcare Ventures (NYC-based online healthcare services conglomerate) and co-founder of the NJ hospital program, Backpackers Spine Health & Strength Training. He is formerly a five-year member of the Public Affairs Committee of NCQHC (National Committee for Quality Healthcare), now Quality Forum, Washington, DC.

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Hal@Businessworks.US     302.933.0911

Entrepreneurial Leadership

                                                                                                      

and “The 5 Freedoms”

 

World renown family therapist and author Virginia Satir spoke with me once after a workshop she ran at the University of California. She told me that small business growth and strength, and family growth and strength could both be most readily achieved with the acceptance and conscientious practice of what she aptly called “The 5 Freedoms.”

I share these with you here, now, not as some plaque to hang on your wall, or slogan to bang into your head, but as a road to travel. You may want to slow your brain down and digest each, then ask yourself how your family, small business or professional practice might grow stronger, quicker, by following your commitment to pursue this road.

 

The 5 Freedoms

by Virginia Satir

To see and hear

what is here,

instead of what should be,

 was, or will be.

To say what one feels and thinks,

instead of what one should.

To feel

what one feels,

instead of what one ought.

To ask

for what one wants,

instead of always waiting

for permission.

To take risks

in one’s own behalf,

instead of choosing to be

only “secure”

and not rocking the boat.

 

How and when and where can you use this road to help guide your business and family development interests? Please be sure to let me know if this message works for you, if it helps you think big, and to share it (together with your own thoughts if you choose) by clicking on your choice of social media buttons shown below.

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Hal@Businessworks.US     302.933.0911

Doctors know where they’ve been

                                                                                     

but they don’t know

                                                                         

where they’re going!

 

Today’s medical professionals are strapped to a rudderless ship at sea that’s being sucked into a raging storm.

Some politicos would have us believe that the scandalous fifteen-thousand-page Obamacare program (and when, by the way, was the last time anyone you know read 15,000 pages of anything?!) need not be such a shocking insult to healthcare consumers because after all, it helps “less fortunate” people to get medical care.

Steamrollered through an inept Congress, Obamacare appears to have little if anything to do with the realities of healthcare. Instead, Obamacare hints at having everything to do with the crippling economic and personal freedom limitations brought on by the relentless White House pursuit of dictating increased government controls on American lives.

The end result? We will definitely end up with fewer competent physicians.

And those who remain will clearly not be providing adequate care –regardless of competency–  because of the restrictions Obamacare piles on top of the restrictions already imposed on them that limit their ability to deliver meaningful health services.

But computerization is what tightens the noose around healthcare necks, some say. Not so. The mismanagement and misappropriation of administrative computerization advances by interfering and uninformed government misfits and ignorant insurance providers is what is at the root of today’s healthcare delivery shortcomings.

The de-humanizing of humanizing services is the characterization that uninformed and manipulative individuals, agencies, and organizations have wrought as they’ve twisted administrative computerization advances into shortcut invasions of patient and physician privacy. Have we lost even having thoughts of human dignity?

When “DOCTOR’S ORDERS” becomes “DOCTORS ORDERS” (as in orders issued to doctors by the White House) to conduct patient gun ownership surveys to build a bigger “Big-Brother-Watching” database universe designed to gain yet more government control, do you think this might possibly get just a bit in the way of doctors performing healthcare services?

Of course EMR (electronic medical records) and EHR (electronic health records) have succeeded at putting patient care over paper care. But are these important advances enough to be really helping doctors to know where they’re going?

And the Internet has fully armed healthcare consumers to be better prepared to understand and manage their own healthcare issues, to be more informed about diagnostics and treatments, and to work more productively with their doctors. But are these advances enough to be able to really help doctors to know where they’re going?

The whole lean organization, lean management fad (where did Quality Circles go?) may be a solution, but is not THE solution. It is simply a band-aid acknowledgement that things have gotten so bad, we can no longer afford for the physician to spare a minute or two extra with each patient and patient family to help heal, and help ensure and reassure a sense of well-being.

More dollars are saved. Care is more efficient. But –at the ultimate point of care– doctors don’t get to spend more time with their patients, so is this increased efficiency really enough to help doctors know where they’re going?

Being preoccupied with efficiency necessitates lower levels of individual healthcare delivery. And last time I looked, healthcare was a profession dedicated to individual care. Perhaps it’s time to redefine the word “care”? The bottom line is that doctors are literally trapped.

Adherence to rules and regulations designed to increase control over their skills and abilities to earn livings commensurate with their training and societal value is squashing the very lifeblood out of healthcare. And Obamacare will surface as the culprit when it’s too late to matter — unless enough small business owners and practice administrators and doctors start to make waves

. . . NOW.

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Hal@Businessworks.US   302.933.0911

Healthcare Management Problems

                                     

Go Far Beyond Technology Tangles

 

Thanks to what many doctors regard as excessive and medically-uninformed government intervention, and excessive and medically-uninformed insurance company intrusion, America’s private and hospital-based medical practices are suffering from excessive and medically-unacknowledged stress.

They find themselves having to be caught up in blood-curdling power play control battles instead of with innovating and nurturing methodologies for improved case management and patient care. This is not a condemnation of medical technology advances by any means. It is in fact an endorsement for more tech exploration while simultaneously getting back to basics.

Positive stress enables healthcare managers to answer the wake-up call for effective practice management to realistically occur on two fronts at the same time. EMR and EHR systems and skills represent focal point one. Case management, patient care, and patient family care, focal point two. But negative stress (or “dis-stress”) surfaces when one of these enslaves the other.

Relentless interruptions of non medically-trained government and insurance regulators seeking to satisfy their self-importance at the expense of doctor, staff, and patient stress levels, has the same effect as throwing gas on a fire. Whether rulings require doctors to spend just 12 minutes per patient, or to conduct patient gun ownership surveys, the result is negative stress.

Negative stress feeds medical errors, and takes its toll on the lives of trained professionals and their families. Often, patients and patient families suffer needlessly because of mixed or contradictory signals lost in busy day-to-day clouds of smoke.

Even monster teaching hospitals, including the highest-rated in the country, fail miserably at basic communication skill levels. Doctors don’t talk with one another. They are too pressured to take the time to advocate on behalf of the very patients they serve.  And –worst of all– they fail to communicate with their patients and patient families meaningfully and consistently.

Practice managers get the short end of the stick. My guess is that most end up absorbing 3/4 of all the stress generated by the mad rush for maintaining Herculean time schedules, by catering to the administrative needs of the doctors they serve, and by managing the daily barrage of staff, task and insurance management issues, plus catering to patient and family requests.

There are solutions, but they are not one-dimensional. Healthcare can never have universal value unless those charged as providers can have the freedom they need to function without constant government interference and insurance company strangleholds.

The first step to fixing a leak is to stop the leak. This means making extraordinary efforts to channel stress productively and to commit to implementing improved personal communications.  CHECK OUT  Medical Practice Managers

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Hal@Businessworks.US    302.933.0911