Jan 31 2013

MEDICAL PRACTICE UNCERTAINTIES

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

Open Minds Open Doors

   Make today a GREAT day for someone!

  God Bless You and Thank You for Your Visit!

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Jan 05 2012

“DOCTOR BUSINESS”© (2 of 2)

How To Boost Healthcare

 

Practice Volume NOW!

 

Hi Doc! You’re back? [See yesterday’s post for Part I] Well, that’s great because THIS post will get you started with a practice volume boost agenda that you will never get from a medicine world insider

~~~~~~~

 

“Marketing” is a reflection of society. YOUR marketing is a reflection of you and what you are really all about. So it’s important to keep in mind that marketing is both external (websites, signage, traditional and social media, direct mail and email, promotions, PR events and news releases, and internal.

Internal is the most effective. I refer to it as “Quiet” marketing. It includes such things as the appearance of your personal self–neat, clean clothes and a scrubbed look, your office and waiting room, your equipment and staff, and the manner in which communications are conducted . . . on paper, online, in person, and on the phone.

This means active listening, clear simple speech, using examples and diagrams, soliciting questions and feedback, and applying this attentiveness to not just patients, patient families, staff, and associates — but to other doctors and nurses, lawyers, pharmacists, insurance providers, suppliers, detail reps, even cleaning and delivery people.

Quiet marketing also includes paying careful attention to the frequency and quality of communications with those in your networking resource and referral systems, and to your SELF. Why? Because Quiet marketing success at any level has most of all to do with how you conduct and represent yourself to others!

This translates to how you walk, talk, sit, stand, listen, touch, gesture, and treat everyone around you every day.

These actions add up to the statement you make about who you really are, and why you are trustworthy of the confidences and care of others.

Remember: someone is watching your every move, and noting your every word.

                                                          

Effective marketing also requires consistency in looks, words, color schemes, traditional and online media use, branding theme identification. [You don;t need an “I’m lovin’ it” slogan or any less-than-professional statement, but some appropriate identity that patients can relate to is essential]

Your marketing messages surface through observations of your interior and exterior office decor, your business and appointment reminder cards, stationery and uniforms, promotional literature, educational talk materials, ads, signs, merchandising items, online content and access to you, newsletters, and news releases.

All of what you do and the message you seek to project must be absolutely and strongly reinforced by your staff in everything they do and say with every office contact, every minute, every day. No exceptions.

Professionalism in the eyes of a patient means more than training and skills. It includes appearances as noted and–most critically– professional empathy and reassurance skills . . . because every patient and potential patient (regardless of pretenses) is literally filled with fear. Fear is very real to 99% of the population.

Perceptions are facts.

What we perceive is what we believe.

And Perceptions + Performance = Referrals.
 

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Hal@Businessworks.US    931-854-0474

Open  Minds  Open  Doors

Make today a GREAT day for someone!

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Oct 25 2010

DOCTOR BUSINESS

WHASSUP, DOC?

  

Dear Doctor –

When I wrote DOCTOR BUSINESS© (the book, a 5-star Amazon selection), it was six years before the 9/11 that changed the world. It was at a time when medical and surgical skills were measured by case experience and mortality numbers, not “patient volume.”

Having survived the struggle to be allowed to practice medicine gave you what many called a “license to steal.” 

In the mid-90s, and before that, where you did your internship and residency actually mattered. Public outcries for better bedside manners were surfacing more frequently. The extent of your family’s wholesomeness or dysfunctionality was a much-admired or maligned affair. Your vacations were flamboyant.

With whom you played golf on Fridays was a measure of your community prominence.

You stuck up for other doctors even when they were wrong (and even those you didn’t like). Because doctors then were doctors. And while everyone around you watched and listened to you, even when you least knew it, and whether they liked you or not, you were never disobeyed.

In short, you were God. 

                                                                            

But all that has changed. Now there’s computerized rigmarole, electronic record-keeping, patient emails and texting, Google and Bing. There’s supposed to be less, but it seems now there’s more paperwork.

Your liability insurance premiums could choke a horse. Society’s contentious mindset chews up your precious time (you have no inventory, right?) in legal tangles.

And the bumbling federal government hasn’t even a clue about how to run healthcare, or the need for nurturing free-market competition in order for healthcare to survive as a profession.

Your professional practice and what’s left of your personal life are so dictated by know-nothing politicians that there’s not much room to wiggle free, except onto a shrink’s couch or into an early grave.

                                                            

Let’s face reality.

                                                                     

Like professional sports, medicine has become big business. The difference is that professional athletes have agents to handle their business needs. You have you, and you never learned business.

Maybe you’re entrepreneurially-minded, but it’s highly unlikely that you ‘ve developed enough expertise in finance, marketing, human resources, management, and customer service in addition to medical skills to make the final cut as a businessperson. Yet you are a businessperson. You might hate it, but it’s who you have to be in order to survive as a doctor.

This means you need to rely on others who are probably not as reliable as you. (Medicine does, after all, teach reliability.)

Here’s the bottom line:

You can find qualified and proven lawyers and accountants and marketing (practice development) experts (and, no, these are not people who deliver subs and popcorn and ethnic luncheons to referring physician offices!), and you can find a good leadership manager type to be your office manager or practice administrator, but if your grasp of human resources and human relations and customer service isn’t working, none of the other business helper arrangements will work.

                                                                            

Concentrate your business learning on strengthening your communication skills.

You don’t need to run for office. You need to facilitate having others run your office for you.   

 

HELP SAVE THE ECONOMY . . . Support those

who endorse free market competition healthcare 

and job creation tax incentives for entrepreneurs! 

____________________________________ 

www.TWWsells.com or 302.933.0116 or Hal@BusinessWorks.US  

Thanks for visiting. Go for your goals! God Bless You.
 “The price of freedom is eternal vigilance!” [Thomas Jefferson] 
Make today a GREAT day for someone!

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Jul 03 2010

Hospitals Bite Doctors’ Hands

Bleak prospects, but . . . 

                                     

Healthcare viability

                                          

needs hospitals to

                                         

 be re-invented

                                                                              

     Like a rotting apple in the middle of a basketful, poor management skills can breed themselves into a virtual (and often literal) sea of incompetency before anyone realizes they’ve been overtaken by dumb and dumber, suffering damage that’s too late to reverse.

     DOCTOR BUSINESS is a book I wrote fifteen years ago after more than twenty years of healthcare management consulting experience. It extolled the virtues of entrepreneurial thinking and business management techniques as essential to successful medical practice development.

     The dynamics and principles of that book still apply today, but — with hindsight — I can now see that I failed to recognize the ever-building tsunami of hospital administration ineptness which was emerging and gathering force at the time.  

     Power-crazed hospitals  — rather then entrepreneurially adapt themselves to technology and market-place changes, and do a better job of running their own businesses —  have instead stuck their noses into commandeering business-unsavvy physician partnerships and professional associations.

     Doctors who lack business sense have been buying into hospital physician relations programs that infiltrate and end up controlling their practices. In the process, many of these business ability-shy hospitals have effectively choked off all prospects for medical practices to function as viable business entities.

     Compounding the antics of small-minded hospital muckity-mucks, the new Obamacare health system will have the same kind of disastrous financial and healthcare environment impact as the millions of gallons of oil that continue leaking into our planet’s seas.

     It’s hard, nearly impossible, to excel as any kind of business manager when what it is that you’re managing comes under the scrutiny and control of a bigger, less capable entity that’s operating at cross purposes with your pursuits and interests.

     For more than the past two decades, many hospitals have been being run by groups of administrators whose sole qualifications are typically that they are or were wannabe physicians. Many are med school or government or academia dropouts.

     Some have MBA and MS degrees tucked in their pockets, but it’s my best guess that the vast majority have no meaningful small business experience or sense of reality.

     Wielding limited skill-sets, these people continue to assume controlling positions with running the business affairs of medical practices without having any solid small business management experience or expertise.

     The result, not unlike most government programs, is frequent failure.

     I have had up-close-and-personal vantage points to witness half a dozen hospital failures (and am presently watching another in the making) and the demise of a dozen physician-run medical practices at the hands of intrusive hospital controls.

     Medical practices are small businesses. They need to be run like small businesses in order to survive and thrive. It’s in the best interests of all Americans that this happen.

    But birthing a competitive free market healthcare system doesn’t mean clamping down on medical practices or trying to consolidate all insurance entities under a government umbrella, or having politicians control physician and treatment choices.

     It does mean doctors need to learn more about business and accept that role, and it does mean that hospital administrators need to back off trying to manipulate affiliated practices and start driving more energy into re-inventing themselves to ride marketplace changes more effectively, and anticipate those to come.  

302.933.0116   Hal@BusinessWorks.US  

Thanks for visiting. Go for your goals!

God Bless You and America and Our Troops. 

“The price of freedom is eternal vigilance!” [Thomas Jefferson] 

Make today a GREAT day for someone!

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Apr 05 2009

GOT BUSINESS? (Are you selling BENEFITS?)

Bite-The-Apple Time!

                                                                        

     An Amazon 5-star selection book that I wrote (DOCTOR BUSINESS…How To Boost Your Practice And Build Long-Term Relationships, for physicians) presents an example of a dentist who was running an expensive series of totally ineffective newspaper sports section ads headlined: “Yes, now we have mucosal blade inserts!” (Well, at least he used the magic number of seven words you always hear me harp on!)

     When I asked him about the message, he explained that the mucosal blade inserts were mushroom-shaped devices that he surgically implanted in the jaw to anchor dentures more securely than with the use of adhesives. He said patients would have much stronger use of their teeth.

     I redirected his ad into a major senior citizen news publication (at a much lower rate than he had been paying), and revised his ad to say, “Now you can bite an apple again!” My seven words outperformed his seven words by an astronomical amount. In fact, his phones wouldn’t stop ringing. Denture-wearers were lining up to be evaluated for the procedure.

     So, yes, choosing the right audience and the right vehicle to reach that audience is half the battle, so to speak, and simplifying the message to sell the benefit is the other half.

     What are your sales messages saying right now? Are they focused on product features or customer benefits? Are they running in inappropriate print environments or inappropriate broadcast environments? Are you making the best possible use of the Internet? Website(s)? Links? Blog(s)? Emails? Webinars? Podcasts? Social networks? Business networks?

     Did you know that most of these suggested Internet vehicles can be free, and can actually have more impact than pricey traditional advertising approaches? If you’re not at least actively exploring these options, you either have very deep pockets, an influential relative in traditional media sales, no budget, or (hopefully not) you’re invested in growing yourself a reputation for reckless spending!

     If you are exploring all this, but having trouble with the confusion crunch, or with sorting out the high-priced smoke and mirror SEO specialists from the outdated email database suppliers, who are looking to rent you their email lists that include prisoners, newly-born infants and 27,000 dead people… or you’re simply not sure that your message is the best it can be… send me an email Hal@TheWriterWorks.com with “Confusion Crunch” in the subject line. I’ll respond promptly.   

Good Night and God Bless You!  halalpiar     

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