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

Help Jumpstart

My Kickstarter

For many businesspeople, asking for help may come easy, but rarely is it easy for an entrepreneur.

For an entrepreneur, such a request can translate into “having to swallow my pride,” “getting someone to do what I can do better,” “having to trust someone else with my baby,” “admitting a weakness,” or “owning up to my own inadequacies.”

So what? Who appointed you as “Perfect”?

When you consider that all of the above suggested excuses (which I have heard often over my years of business and professional practice development consulting . . . and have admittedly tried myself on occasion) reduce themselves to unproductive ego-based thinking and behavior.

Remember your grandfather telling you:

“No man is an island”?

Ego-maniacal thinking and behavior of course tends to dominate early-on entrepreneurship pursuits until experience and reality sink in and struggling entrepreneurs begin to realize that it’s the idea that’s important, and that any (legal) way to achieve success –regardless of others that need to be relied on– is the right way to go.

For entrepreneurs,

results tend to outweigh process.

Interestingly, the opposite tends to be true in government and corporate life where more relience is placed on analysis of available options than on getting the job done (e.g. deciding which committee to study an emerging market becomes folly in the face of an entrepreneurial spirit that simply drives itself into the heart of the market and adjusts along the way.

I have learned a great deal in the first half of my Amazon Kickstarter site effort that literally requires nerves of steel for me to implement in completing the second half of the effort. Stuff I forgot: Ask for the sale. Ask again. And again. Drive as many people as possible to visit or experience your message. Adjust and improvise. Switch gears. Ask for the sale. Ask again.

Why “nerves of steel”? I’m a creator, not Superman, not Zig Ziglar, not (Thank Heaven!) Steve Jobs, not an award-winning super-salesperson or winning candidate. I’m just a small business owner.

I’m me. I don’t like asking. I have to conjure up massive amounts of courage to approach my friends and family, and online contacts (even strangers) to buy into something I created. I know in my heart that what I have to offer is worthy. I know it’s a great dollar-value. And, yes, the Kickstarter race against the clock means it’s “make it or break it” time. It still feels awkward.

But –ahhh— I’ve always taught that behavior is a choice, so it’s time to get over all that and step up to the plate, right? Okay, so here it is —

Will YOU please help me jumpstart my Kickstarter by visiting this site NOW and making a pledge of some kind  —EVEN JUST ONE DOLLAR!??

In the interests of your love for the arts and creative development, will you also please urge your friends and contacts to visit my Kickstarter site NOW?

I will be forever grateful for this very important bit of support.

Thank you!

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Hal@Businessworks.US    302.933.0911

LEADERSHIP STARTS

WITHOUT FOLLOWERS

Now what exactly do I mean by such an apparent contradiction? Answer: That leadership begins (and thrives) with attitude. “Yeah, Hal, right! Sounds great, but what kind of attitude and HOW does someone get it? Like it falls from the sky, or what?” Good questions. No it doesn’t “fall from the sky,” but it does begin at the beginning.

Leadership begins at the beginning, without a following, without an entourage, without an expedition, without a master plan, without a goal line, and without intentions of superiority or competitiveness. Effective leadership starts simply, with a mindset that exudes integrity at every turn in the road.

Leadership starts with an attitude that explodes in words and actions which set examples. Exemplary words and actions– by their very nature, by their very implementation– attract the attentions and admiration of others. True leadership attitudes ignite, engage, motivate, and sustain without ever having to ask others to roll up their sleeves and dig in to work alongside you. When people step it up and rise to the occasion, others rise as well to follow.

A TRUE LEADER DOESN’T START OUT

WITH A GOAL TO BECOME A LEADER.

A true leader simply demonstrates the qualities of behavior that set her or him apart from the pack, but this is accomplished by taking action, not by talking about taking action, or by aiming to play a leadership role.

Neither do great presentation or oratory skills make a great leader. Walk the walk beats talk the talk. Track-records speak louder than words. Show me what you’ve done and show me how to do it are far more important follower requests than tell me how great you are.

Effective leaders are great activists who consistently strive to teach and motivate by quietly doing. He or she is a great innovator, and a great solutions creator who takes entrepreneurial pursuits to completion, who doesn’t stop short with an idea, and who thrives on the sense of accomplishment that accompanies each step of bringing an idea to fruition.

Leaders move constantly forward. They turn over every stone and readily adjust themselves, their approaches, and the processes they use along the way, unafraid of taking action without having all the information.

Focusing on the finish line is not leadership. Focusing on each step, as the fortune cookie might say, prevents one from falling on one’s face, and almost always wins the race. 

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Hal@TheWriterWorks.com     Open Minds Open Doors

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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P L E A S E   N O T E   N E W  D I R E C T   P H O N E   N U M B E R

HAL ALPIAR Writer/Consultant 302.933.0911 TheWriterWorks.com, LLC

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

Open Minds Open Doors

FAULT AND BLAME

 DON’T MAKE SALES!

Here we sit, small business owners, managers, and entrepreneurs, on the day of the first 2012 Presidential Debate. We are seething with anger, frustration, disappointment, and stress over what has and hasn’t happened since the last 2008 Presidential Debate. We blame it all on the political candidate we least agree with. And the harder we blame, the more we lose.

We have seen our businesses and personal finances go every direction except up.

We have become more outspoken about that, especially as we’ve seen respect for America’s military and America’s job and housing markets collapse . . . and food and gas and transportation prices explode through the roof! Normally free-spending customers have become suddenly frugal and stoic. All of that must, after all, be somebody’s fault.

But let’s be honest with ourselves here. How much real fault sits on our own shoulders for not planning properly, for not adjusting our business and professional practice development strategies appropriately, for not having solid contingency plans in place? It’s true that some circumstances prevent proactive business management. But many do not.

The way I see it, we have indeed had pathetic government leadership, but aren’t we just as much to blame as anyone for not keeping our own businesses fluid as they slid sideways across the top of shifting sands. After all, we chose to stand there in the first place. With that commitment, comes the responsibility to be flexible and stay forever on the alert. Am I alone here?

I’m not suggesting that going with the flow is easy. But, with a small business, it’s essential.

And that means staying tuned in to government screw-ups and broken promises because they will–in the end–affect where, when, and if you grow… or even if you survive! Easy to “Tuesday morning quarterback,” yes, but we’re looking at a lot more shifting sand before we see solid ground no matter who gets or doesn’t get elected.

It took us time to get here; it will take time to get out of here. So, there’s no time like the present to reassess your branding efforts, to initiate an overhaul of priorities and to inject time and expertise (necessary business growth ingredients that no doubt feel unaffordable) into monthly, weekly, and daily schedules.

That investment alone can make the difference for you no matter what happens on November 6th. And hopefully something will happen. The bottom line:

SALES MAKE BUSINESSES GROW.

FAULT AND BLAME AND PROMISES DON’T MAKE SALES!

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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

Does Your Mission Statement Have Vision?

Just because the media and politicians tell us the economy is getting better? Just because we’re looking at a healthcare reform that has absolutely nothing to do with healthcare and everything to do with costing business more money? Just because enemy combatant terrorist situations surface from those we’re told are not really terrorists, and from circumstances that we’re assured do not exist? Just because global-warming hoaxers have us running to refrigeration investments?

~~~~~~~

We’re probably feeling like confusion is nothing new, right? So why not live with a little more?

Well, here’s why: The business you own or manage doesn’t need to be as misguided and convoluted as politicians and the media. Remember they get paid for creating confusion. Your success depends on keeping things simple.

Keeping things simple starts with a foundation of mutual trust, an integrity attitude, tenacious awareness, and consistent hard work.

First off, don’t let anyone tell you to work smarter and not harder. That’s baloney! Every business success comes from hard work. Next, don’t let people confuse you about the characteristics and values of Mission and Vision Statements. [No, they are NOT the same!]

A Mission statement is essentially a declaration of intent, challenge and pursuit. It is your goal statement that clearly and succinctly explains what you plan to accomplish over what specific period of time and by what means. It is action-focused. Its ultimate success will be determined by the extent to which you cultivate mutual Trust among those you work with and oversee.

And, like every meaningful goal, your Mission Statement needs t0 be specific, flexible, realistic, have a due date, and be in writing. [Without all five criteria, you’ve nothing more than a fantasyland wishlist!]

A Vision statement is a heart-and-soul summation of where you see your business in 5-10 years. It is a picture you paint in your mind and share with others. It answers the question: If you succeed in your mission, where will you be? Its success is determined by your practice of —and ultimately your reputation for— high Integrity on a consistent day-to-day basis.

Your Vision Statement is a set of words that best describes what you imagine your future state of existence to be, and how you expect (hope) to be viewed by others: your employees, associates, vendors, customers, markets, industry or profession, and community. It is dream-focused. Its primary value is to inspire pursuit of your Mission.

What’s your Mission for next year? What’s your Vision for  five years out? For beyond 2020?

Oh, and in the same fashion that it helps to start ANY mission with 20/20 vision, it is often most useful to put your 2020 Vision on the table (to keep focused on it) while you develop your present Mission (or while you think up the ways to get where you want to end up).

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Hal@BusinessWorks.US

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

You’re an entrepreneur, right? 

You own or operate a small business or professional practice. You’re in the hot seat 24/7. You’re worried about sales, overhead expenses, taxes, insurance, legal issues, and making the most of social media opportunities. You are constantly trying to be two places at once. You need a break. Just thinking about priorities gives you a headache. You’re talking to yourself?

So maybe it’s time to stop worrying and stop thinking. Keep your goals, but get rid of the “overkill” and simply get on with it. Let it go. Do it. Follow your instincts. Go with the flow. You think perhaps those are crazy unprofessional notions?

I have some news to share:

You got where you are not because you followed some carefully-crafted strategic plan.

Nor did you get to be captain of your ship by dutifully following orders, or a master plan outline, or some naive business school professor’s idea of business development rules, or some archaic family inheritance guidelines.

You are a maverick. But maybe you forgot? Did you forget that you have achieved what you have achieved by taking action and making adjustments and taking action again, and making more adjustments and taking more action?

Trial and error? Sure. So what? Something wrong with that? It worked for Henry Ford and Thomas Edison and Bill Gates and Oprah Winfrey and Mary Kay Ashe and Walt Disney any other success you can name.

But, you might say, you’ve been chasing your tail to survive the economic quagmire (the one that started as a mud puddle in 2007, and has since become the recipient of relentless dumping of mismanaged government quicksand).

Or has your entrepreneurial spirit been dashed by industry or professional incompetence, corporate or union greed, misunderstanding friends or family, or by government interference, and you’ve settled into an acceptance mode.

You need to re-discover yourself! Realize –first and foremost– you are you and you are unique and no one else is exactly like you and you already have the ability and the power to reverse or redirect your engines to get where you want to go without dragging along the burdens that outside influences try to impose.

How? How does one do that? By making the choice. All behavior is a choice. If it’s not an active choice, it’s an inactive choice or the result of something you may have chosen long ago. But you don’t need to choose to keep living with it. You can stop choosing to settle for inferior quality, unproductive activities, incompetent outside influences.

Okay, so you have to pay taxes. But you don’t have to choose to worry about them.

Choose instead to move on.

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Hal@Businessworks.US    931.854.0474

Seeing through it all

…maybe, maybe not.

There’s an awful lot of talk in top management circles trending to the favor-ability of transparent leadership, but reality often dictates the need to exercise the exact opposite, at least for certain situations. Two-facedness? Manipulative? Irresponsible? Lacking integrity? Ruling by exception? Well, even open windows do not always afford a clear view.

When every word you say and move you make is public to all around you, it can be inhibiting to decision making that might be for the good of all involved. Adhering to a policy of transparency can instead take on a neurotic life of its own which can prevent meaningful forward motion.

Consider, for example, the advisability of sharing content of investor or prospective investor discussions as they occur, with all employees. . . or, publicly airing the private meeting critique of an under-achieving employee. Actually, many if not most sensitive-type bits of information might best be kept private and only be shared on a need-to-know basis.

We badger government officials to maintain transparency because they are elected and paid by us to represent our interests, and we are entitled to know what they think and say, and how they behave. But business (thankfully, for the cause of cultivating entrepreneurial spirit and the capitalism that fuels our economy) doesn’t conduct itself that way.

Private enterprise shareholders are entitled to know how business management represents the interests of a given company, but not have a say in every issue. Shareholders are instead invested in the integrity of the management that represents the company they are invested in.

Effective transparent leadership may translate to open-door management for many, but even those who take their doors off the hinges have been known to beef up their effectiveness with periodic whispers and private notes. Because sharing everything with everyone can easily create more problems than it solves.

Another way to think of it is simply that not every organization member is capable of understanding areas of specialization beyond what she or he is directly involved with, and to expect that that’s the case is to invite confusion and delay that will block progress. It’s healthy to look at the total leadership picture before throwing all the doors and windows open.

To paraphrase Lincoln’s famous quote: “You can be transparent to all of the people some of the time, and you can be transparent to some of the people all 0f the time, but you can’t be transparent to all of the people all of the time.”

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Hal@Businessworks.US    302.933.0116

“The entrepreneur is

essentially a visualizer

and an actualizer.

He sees exactly

how to make it happen.”

 — ROBERT L. SCHWARTZ, Founder, The New School for Entrepreneurs

When I “graduated” from what was once The New School for Entrepreneurs in Tarrytown, New York, it was with my feet on the ground and my head in the clouds. I had the entrepreneurial success idea of all time percolating in my professorial brain all during the program’s intensive retreat-style weekends, but could bring only a Fortune 500 corporate background to the table.

I came away from the Entrepreneurs program experience with lots of material to weave into the college classes I was teaching. I came away with a better understanding of who I was and what I was all about, and that I was “an entrepreneur” of sorts for being so hellbent on making ideas work (and not the weirdo I was sometimes accused of being).

I ended up creating and copyrighting “Corporate Entrepreneurs” and “Doctorpreneurs.” I used what I learned to help start hundreds of successful businesses.

I learned that the Entrepreneur does not fit any definition. But being one usually means you share a number of characteristics and traits evidenced by other entrepreneurs.

• You are first and foremost a catalyst of society.
• In your own–usually underestimated–way, you are a “mover and shaker.”
• You possess the unique combination of vision and follow-through.
• You take reasonable risks.

You are the key —the secret— ingredient that’s missing in corporate think-tanks, and in every level of government.

A true entrepreneur running the U.S. Postal Service, for example, would be competing head-to-head with FedEx and UPS instead of folding up sidewalk mailboxes, cutting back offices, hours, and work schedules and raising prices. You would know that you have the world’s greatest address delivery database and network, and you’d figure out how to take over the world of email.

But what entrepreneur in her or his right mind would want to spend a lifetime untangling a 237-year-old pile of knots?

Entrepreneurship is not dead. It is lurking.

Entrepreneurs are sitting quietly in the shadows watching and waiting for the ever-dwindling opportunities that earmark today’s economic quagmire to show some signs of life. Entrepreneurship-driven activities are on hold waiting for revitalized and more encouraging government responses. Entrepreneurs are waiting for renewed trust in government representation.

• Who, after all, wants to initiate (or pay for) an innovative new business venture that gets over-taxed and over-regulated before it even gets its startup feet wet?

Entrepreneurs and entrepreneurship and entrepreneurial spirit will rise again. And when they do, they will usher in a new “Age of Enterprise” unlike any we have ever known. And besides revolutionizing the Internet and smart-phone worlds, part of the fallout will be that the U.S. Postal Service will no longer exist. Another part will be a new sense of self-enlightenment!

What are YOU doing now

to ensure that your business survives and thrives?

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Hal@Businessworks.US