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

AS ZIG AND ZIGGY SAID . . .

“We should enjoy life while we’re here

’cause there’s no here, there!”

(Worldclass cartoon character Ziggy)

“You can have everything in life you want,

if you will just help other people

get what they want”

(Worldclass motivational sales guru Zig Ziglar who left us this past week,

to hopefully join Ziggy for some fun and enjoyment “there”!)

What’s the point? Entrepreneurs have a way of becoming so driven and preoccupied by the race to achieve their ideas, they rarely take enough time out to enjoy what they already have, like family and friends, and life itself. They can also become so readily entrenched in “doing” for themselves and the growth of their ideas, they can often forget about helping others.

If, like many entrepreneurs, you think you have been put on earth to better mankind by pursuing your great ideas to the exclusion of taking time outs for your self and your family and friends, or to the exclusion of taking time to help others in their moments of need, you might want to revisit your sense of reality and the purpose of your life and business leadership.

My recommendation for how to proceed with this thought for the next minute is to simply take one more step and have a little fun by entering “Ziggy” in the search window to the right, then scan the three blog posts that surface, then enter “Zig Ziglar” in the search window and scan the fifteen or so blog posts that mention or quote him.

I promise –that between the two quick searches– you’ll be amused or prompted to action, if not both. Most assuredly, you will be as I have been by re-skimming these posts, enlightened. I stand humbled by the inspiration I draw from each. You?

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Hal@Businessworks.US    931.854.0474

I am thankful for my

 Kickstarter Backers!

Happy Thanksgiving!  I hope it is a time of great rest, relaxation, reassessment and re-energizing for entrepreneurial leaders everywhere. Certainly, it is a time for family, friends, and appreciation . . . a time for prayer and caring and tolerance.  

Thanksgiving is for me personally —and most of all— a time for saying thank you to those who have locked arms with me through the two years of harsh realities and trauma that ended with Kathy’s death this past March.  

It is only because of that allegiance and outpouring of love and support for my personal and business survival that I have indeed survived. It is with full and deep appreciation for all that Kathy meant to me and the joy she brought to my life, that these friendships and offerings of time and help, and support (even food!) have prompted me to do what she urged of me consistently (but that I unwittingly resisted) over her last two years: to move on! 

AMAZON Kickstarter, as many of you know, has enabled me to step forward with the wonderful book manuscript –HIGH TIDE— that occupied thousands of hours of my spare time (and much of Kath’s) over the past twelve years. But Kickstarter is just a platform, a format.  

It took a concerted effort by a small army of close friends and family members to give me the faith and incentive and encouragement to bring that format to life… to move on. As it stands this minute:  it works!         

In the middle of my Kickstarter website, you’ll find a lengthy list of individuals who stayed with me through the long haul and who passed me the torch to light up HIGH TIDE. 

Many others, too many to list here, have eagerly jumped on the bandwagon to help. They know who they are. I will thank each publicly as soon as I can get through the Kickstarter project, regardless of outcome.  

I will simply say here and now that I am deeply grateful to each of you who have taken the time from your own busy lives to reach out and pull me a rung or two up the ladder and for bringing God’s blessings to my doorstep. Thank you. I love you all. And God Bless YOU.  

~ ~ ~ ~ ~ ~ ~

I ask also that anyone reading this please be sure to remember all the families still suffering from Hurricane Sandy, and to send God’s blessings to them, as well as to all our young men and women serving in America’s armed forces and emergency services throughout the world. Pray to grant them all continued courage, resourcefulness, patience, forgiveness, and understanding.

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Hal@Businessworks.US    302.933.0911

BUSINESS & POLITICS DON’T MIX!

Best Advice: Speak out in private, but hold your tongue in public! Customers and others you do business with may or may not agree with your politics, but the odds appear overwhelming that they do not want to hear your political views as part of any business transaction.

Treat every opportunity to speak out in accusation of your political opponents or in defense of your political favorites as you might instinctively deal with dysfunctional elements of your own family at the Thanksgiving dinner table.

In other words, exercise greater caution, discretion and respect than you would normally be inclined to, for the welfare of the rest of your family, and for the betterment of your own well-being and stress level. Save confrontations for when you become a professional boxer or hockey star.

“But it’s my right, my privilege, and my responsibility to speak up!” Well, okay, you may think you’re entitled, even required, to express your personal political preferences. And you are certainly entitled to your opinions, but if you own or manage a business, there’s simply no room for political opinion!

Every time you open your political mouth, you risk losing a minimum of 100 customers because anyone who disapproves will tell ten others,who will each tell ten others. Can you afford this kind of loss?

How do I know all this? Because I’ve had a big political opinion mouth in one of my past lives and it cost me substantial business. “Who cares?” you might say. Well, it may be costing you too!

The problem is that while you may not care about someone who’s critical of you offering editorials– critical of your criticism, so to speak– you maybe need to care a great deal about someone who’s related to, or controlled by that individual, and there’s just no way to ever know when some big mouth comment will come back to haunt you.

Taking the low road is not always a bad thing. Low road activity is often read in a positive light by others. Non confrontative attitudes typically produce positive reputation assessments of virtue: “humble;” “reserved;” “rational;” “objective;” non judgemental;” and “thoughtful” come to mind. It’s the sign of someone who walks the talk!

So, now, even if I’m only half right, wouldn’t you prefer those kinds of reputation attributes to “opinionated;” and “loudmouthed;” and “narrow-minded;” and “confrontative;” and “pushy”?

Bottom Line:

Work for your favorite candidates,

but don’t bring your favorite candidates to work!  

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HAL ALPIAR Writer/Consultant 302.933.0911 TheWriterWorks.com, LLC

National Award-Winning Author & Brand Marketer – Record Client Sales

Open Minds Open Doors

When is a pat on the back

actually a kick in the butt?

A client tells you your service is great, then complains about it later to others. Assuming nothing changed along the way to erode the value of your praiseworthy performance, your sense of anguish may simply be the result of of a mixed message. Mixed messages find their way into everyday business exchanges with increasing regularity.

“Pretty good job . . . for a woman!” is a typical example. “You’re doing this the right way, but you need to slow down and think it through better!” is another. Have you ever heard something like: “We need to move forward with plans to collaborate, but not at the expense of our own department (division, team, group)?”

Mixed messages are nonproductive. Mixed messages often couch hidden agendas. Unlike much problem solving that requires “two to tango” and cannot be realistically addressed by a single entity alone, mixed message situations can be resolved by one person taking preventive measures. These include paraphrasing, note taking, feedback, diagramming, and offering/ requesting examples. 

1)  PARAPHRASING. Instead of simply taking statements at face value and then squirming with them later, ask: “Do I understand you correctly to mean . . . (and repeat back what you think you heard, using your own words)?”

2)  NOTE TAKING. The biggest problem with note taking is that most people do not take notes. And even when they do, they fail to directly request the speaker to allow for it. “Would you mind please slowing down on (or repeating) that point for me  so I can make note of it because I don’t want to forget what you said.” is not just called for; it’s flattering to the speaker. But write it!!

3)  FEEDBACK. Speakers need to pause periodically and take inventory: “How are we doing here so far? Do you have any questions? Is all of this information clear?” Listeners need to politely interrupt periodically and take inventory: “Excuse me. Can we take a ‘Time Out’ minute here to summarize this last bit of information? I want to make sure I understand what you mean.” Write it!!

4)  DIAGRAMS. When speaker or listener is not 100% sure that communications are clear, ask for a diagram of the information; arranging keywords and ideas visually helps ensure accuracy, and can often illuminate a new perspective.

5)  EXAMPLES. Ask for them. Very few exchanges of information fail to become transparently clear when examples are offered and discussed.

Getting tangled up in miscommunication can be frustrating and annoying, and stressful. One person who is determined to “get it right” the first time, and who is willing to accept that it may take longer and be more work, will ultimately experience greater accuracy in dealing with others, and accuracy spells success.                               

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HAL ALPIAR Writer/Consultant  302.933.0911 TheWriterWorks.com, LLC

 National Award-Winning Author & Brand Marketer – Record Client Sales

When to draw the line_______

You’ve already done all that you were contracted to do, but the client keeps making changes, causing delays in the agreed-to timeline. The result is you are unable to move forward (or even sideways) with the next phase, and unable to send an additional invoice. Okay, so maybe a “client-changes” policy should have been put in place or made clearer from the outset.

But what’s done is done, and here you are, getting stressed.

What to do? When do you draw the line?

“I know, I know,” you say,

“it’s just a matter of being more assertive.”

Right! That always sounds like the right answer, but you run the risk of losing the client, future business and referrals if you are perceived as too pushy or demanding, or if some request you make for added fees gets interpreted as sounding unreasonable.

What to do? When do you draw the line?

Renegotiate.

Okay, that makes sense, but every professional salesperson will tell you that the starting point for virtually every successful negotiation or re-negotiation is to ask questions!

So maybe the answer to: “What to do? When do you draw the line?” is:

As soon as you have a strong, meaninful,

and productive list of questions to ask!

When you start with questions, you can use questions to make your point without risking your relationship.

Y’think?

Well consider how you’d respond to being told that you look like a nervous wreck and should get better control of yourself vs. simply being asked: “Are You Breathing?”

Think about your present circumstances. What are the three most important questions you can ask to win your client’s relationship security, project support . . .  and open the door for your next invoice? Making things change is, after all, your choice. Yup! YOUR choice!

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HAL ALPIAR Writer/Consultant 302.933.0911 TheWriterWorks.com, LLC

National Award-Winning Author & Brand Marketer – Record Client Sales

Writin’ Ain’t No Easy Job!

In case you thunk that writin’ business stuff be a snap, thunk agin! (And especially if you’re expecting an office assistant or website designer to be a writer!)

Oh, and just to kick it in gear, you might do the thunk agin part with a blank screen and a blank piece of paper in your face. Thirty years of business writing taught me that very few day-to-day business tasks are more challenging than performing a creative process that most people seem to think is simply a mechanical function. It’s not. Try it. Then be embarrassed.

Write a business plan for us, will you? I need it for an investor meeting next week. (Most effective business plans take months!) And, before you get started, knock out a couple of TV commercial scripts for the sale that’s coming up. (At least a few weeks, if there are expectations of having any impact.)

Oh, and we’ll probably need three or four blog posts (another week) and an online banner ad about that sale too (a couple of days). Will you also fit in a speech for me to give to the Roundtable Club? Say 25-30 minutes? (Another week!)

Sour grapes examples? No: Reality. If you own or operate a business and expect someone to write AND GET IT RIGHT, realize that the creative process doesn’t turn on and off like a water faucet. Effective writing is not about writing; it’s about RE-writing! RE-writing takes time and effort and knowledge and skill and experience. The simpler it is, the harder the task.

Also Reality: “Creative” people in business (or anywhere, for that matter) are more sensitive as a rule than say lawyers or accountants or investors or engineers. So –like flies– you’ll catch more with honey! Try always to give them extra time, to provide them with extra input, and then to stay out of their collective hair!

Nothing wrong with asking for rough drafts or updates, but avoid harsh criticism– as you would with a customer–if you’re interested in getting outstanding work back. Explain points you disagree with the same way you would want others to explain points that they might disagree with you about. It’s not that hard, and you will gain both respect and greater effort.

It’s one thing when someone takes twice as long as you think she or he should to perform a routine mechanical task, but quite another when you assume that the creative process is routine and mechanical and proceed to set unrealistic deadlines . . . unless you really don’t care about a quality image or delivering a meaningful message?

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HAL ALPIAR Writer/Consultant 302.933.0911 TheWriterWorks.com, LLC

National Award-Winning Author & Brand Marketer – Record Client Sales

“Thank you for your

Mom and Pop Businessess

Are Alive and Well In

Every Industry

and Marketplace

Because so many entrepreneurial ventures are launched, or brought on by, or result in hardworking people who also share a couple relationship (and because the marriage and work relationship I had with my wife lasted over 25 years), it seemed appropriate to devote a post to the subject. Maybe a couple of experience points here can benefit others?

• FIRST: If you are in a love/work relationship and not killing each other every night, congratulations and God Bless You! You have somehow managed (or are at least still managing) to beat the odds. Being the spouse of a business owner or the spouse who is the brains behind the business owner (or are an involved but not-married business couple!) makes you special!

Very few relationships can withstand the attack on emotional, rational, and physical sensibilities that are brought on by the stress of running a business together, while living under the same roof. It’s important to stay “here-and-now” as much as possible. Have flexible, specific, realistic, due-dated goals (and write them down!), but remain focused on the present.

RELY ON HUMOR.

It takes a special way of relating to one another that requires greater sensitivity and sense of purpose than  a typical marriage where one or both partners leave the home each morning and return each night. I have often counseled to paint a line around the bedroom doorway and threshold beyond which, business discussions are not allowed . . . and communicate, communicate, communicate! Listen, listen, listen!

• SECOND: Extreme trust and extreme sacrifice are the two characteristics of successful work/love relationships that cannot be compromised under any circumstances . . . ever! The temptations will be endless, but violating your love/work partner’s trust or not pulling your share of the load spell instant business failure, and often instant relationship failure too!

This distills down to being constantly conscious of not putting yourself in situations that could undermine the well-being of either your work or emotional relationship. Don’t go out partying on your own. Don’t hang out at bars or strip-clubs or trade show suites when you’re on business trips. Don’t wear provocative outfits when you’re on the road or attending meetings. Making a business and a relationship work at the same time requires integrity.

In other words, don’t ask for trouble

 because you’ll surely find it.

Working couples need to accept that friction will always be present. The trick is to work at making it be positive and productive friction. It takes far greater tolerance, patience and understanding than a non-working-together-couple relationship. The trade-off is that working couples–two people with one mindset–are almost always more effective and successful than flying solo.

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Hal@Businessworks.US    302.933.0116

Don’t try to be

something you’re not!

A good many over-zealous entrepreneurs (are there any other kind?) seem to think that the solution to their financial woes is to try to be all things to everyone…”Whaddever ya need, we got it!” I heard a small business owner say recently, and he wasn’t talking about one type or category of products or services. He meant, literally, that he could provide ANYthing.

Well, of course he couldn’t really do that, but he was ready to pounce on any opportunity to make a buck — willing to stand on his head and spit wooden nickles if he thought it would part you with the money in your pocket. A huckster? Not really. He was simply misunderstanding that those who purport to be jacks of all trades are no longer credible or desirable in today’s world.

When economic times get tough,

dig in, don’t spread out!

People want knowledgeable, reputable, professional specialists –doctors, plumbers, teachers, builders, most retailers, consultants, lawyers, manufacturers, online businesses, et al. Most of us save up to deal with fly-by-night generalist businesses for when we’re on vacation and expect to get “taken” by those who cater to tourists . . . but not the rest of the year!

It’s easy and tempting to jump on a customer request when it’s not something that’s really up your alley if you’re expenses are dragging you closer to the brink of desperation than your income can comfortably offset. It’s easy and tempting, but it’s also stupid! In the end, trying to be all things to all people will turn around and slap you in the face . . . or kick your butt!

Force yourself to stop and think about what YOU want when YOU are on the buying end. If that’s not enough to turn your brain around, remember the old  Miracle On 34th Street Christmas movie storyline about how much the Macy’s Santa does for Macy’s by sending customers that Macy’s had no ability to serve to Macy’s competitor, Gimbels.

That’s not just some fantasy Christmas movie. There are millions of similar dynamic incidents that drive successful entrepreneurial enterprises today. What people want from you is trust. They want honesty. They want you to help them solve a problem, not try to sell them something they don’t need or want. Should you send everyone to your competitor? Of course not.

But customers don’t want to deal with a business that pretends to have the answer to their dreams because it represents a “quick buck” opportunity. Professional salespeople know this. Many entrepreneurs do not, and continue to try being something they’re not. Bottom line? People are not stupid. They know when a business owner is pretending.

The best solution is authenticity. It wins more business in a minute than years of make-believe.

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Hal@Businessworks.US