Dec 10 2017





If you’re involved with or provide healthcare,

and you pick up just one book this year

 . . . this is the one!


     HEALTHCAREPRENEURS is guaranteed to provide what you need to continue to build (or help REbuild) your career, your practice, your department. You get the steps to grow the independent or organization-based, private or group practice or department you work with –now, in 2018 — ahead of the gathering healthcare storm.

     You get the benefit of 40 years of proven healthcare organization, practice, and healthcarepreneur development, coaching, counseling and consulting.

     You get undetectable stress management tech- niques that work all the time for every age and physical condition… for yourself, your family, your staff, and to quickly and easily teach to patients and patient families.

You get informed, detailed input on:

  • How to appear in court, in your community, at organization meetings and events.

  • How to save more time and money. 

  • How to more effectively communicate and deal with pushy detail reps, stuffy fund-raisers, patients, staff, organization administrators.

  • How to eliminate high-priced/ineffective marketing and consulting services/programs.

  • How to simplify difficult career and personal situations, turn 24/7 on-call challenges into opportunities.


Hal Alpiar, MBA (Management) and MA-E (Human Development), is Consultant/Author of the best-selling book for doctors: DOCTOR BUSINESSHow to Boost Practice Growth and Strengthen Long-Term Relationships. He’s the national book award-winning author of DOCTOR SHOPPINGHow to Choose the Right Doctor for You and Your Family, plus six other books. Hal is Co-founder of Bio-Motion of America 3D Motion Analysis for PT; he was Founding President of e-Healthcare Ventures and Co-Founding Director of the Pennsylvania Heart Institute. He served 5 years on the Public Affairs Team of the National Committee for Quality Healthcare, plus two 2-year terms on the SBA Advisory Council. Hal managed practice development programs for over 500 healthcare entities nationwide.


     Learn new ways to strengthen your reputation and relationships, deal more effectively with anger and compulsiveness, with dwelling on the past/worrying about the future… and be able to teach this to others.

     You get hard-nosed firsthand examples of both leading and losing healthcare businesses.

     HEALTHCAREPRENEURS forms the backbone of these straightforward, sleeves-rolled-up, “Your own personal coach whispering over your shoulder” pages. This is the one book you’ll take to the bathroom, the bedroom, the backyard, and breakfast.

     You’ll gain a new or renewed sense of enlightened self-interest techniques, strategies, and applications for achiev-ing and exceeding your personal (practice or department) professional, and private personal goals. And all of it is wrapped in ongoing humorous stories and comments.



This book spells out the paths and steps to take, the words to use and “pictures to paint,” and how to make a genuine difference for your SELF, for those you live and work with, and –of course– for the patient populations you serve.


Who this book is for…


HEALTHCARE PROVIDERS WITH PROFESSIONAL ATTITUDES WHO WANT TO MAKE A DIFFERENCE: Physicians, PAs and Veterinarians (Traditional Medical and surgical; generalists) and credentialed healthcare provider specialists of every description including: physical and behavioral; Holistic Providers such as Chiropractors, Nutritionists, Acupuncturists, Yoga and Fitness Directors; NPs, RNs, CNAs; Dentists and Dental Hygienists; PTs, OTs, SPs, and Behavioral Therapists; Practice and Departmental Administrators, Managers, and Front-Desk Personnel; EMTs; Hospital and Medical Center Managers and Executives; Healthcare Practice Owners, Partners, and Investors . . . Healthcarepreneurs provides the effective take-action guide you can use right now.





Instead of following all the above

links to AMAZON, if you prefer…

…to order (no extra charge) an author-signed first edition of HEALTHCAREPRENEURS direct from Hal, simply text your name and number and 2 best time options to call you to: 1.302.752.8505 for over-the-phone major charge card purchase arrangements. Your text will be responded to within 8 hours from the number shown in red at the end of this post’s sign-off below.

OR send a check payable to:, LLC. at 370 South Lowe Avenue, Ste A-148, Cookeville, TN 38501 for $21.89 (includes sales tax) per book, plus $7.20 Priority Mail total for 1-4 books to one Continental US address below = TOTAL $29.09 for one signed copy; $50.98 for 2 signed copies to same Continental US address; $72.87 for 3 signed copies to same Continental US address; $92.82 for 4 signed copies to same Continental US address.     [Bulk Mail deliveries, book-signing events and workshop programs can be arranged by email or phone to contact information shown below.]

# # #

Higher impact with Lower costs.

Business & Healthcare Development

National-Awards & Record Client Sales

Entrepreneurship & Expansion Coaching 

              931.854.0474   (C.T.)

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Jul 27 2013

Business Owners/Operators and Managers

Innovators: KEEP OUT!!!

I’ve been called an entrepreneurship evangelist. I’ve worked with thousands of doctors, business owners/operators and managers, market innovators and entrepreneurial thinkers. Like most, I’ve spent a lifetime taking (reasonable) risks, rejecting authority, breaking rules, and regularly working long into the night,

And I developed a nothing-is-taboo attitude[So don’t tell me what to stay away from!]

But — what’s the old saying?– “The truth will (win) out!” And my experience says that the truth is if we are to make a success of  business, professional practice, career, and life pursuits, we need to set success goals that include what to avoid, as leaders, as people.

My top 7 suggestions of what to avoid and why:

KEEP OUT of jail. Let’s face it. There’s not much of anything positive or worthwhile to be had, or add to your resume, by being in jail. Yes, a handful of inmates out of millions might learn a life lesson or two, but jail is hardly a breeding ground for success at any level. So, stay away from it. Question your motives before you act or speak.

KEEP OUT of courtrooms (unless you’re a lawyer). Courtrooms can be just a stress notch away from jail. The attached anxieties alone are enough to topple years of hard work and good intentions. You may think that courtroom appearances are not always your choice, but if you don’t choose to initiate a legal event, you do choose to set yourself up or put yourself in position that could lead you there. No it’s not always avoidable, but much of it is. Bottom line: Can your business afford for you to put business time, energy, and funds into a pursuit that’s not your business?

KEEP OUT of doctors’ and lawyers’ offices (unless you’re a doctor or lawyer). If you are constantly and consciously choosing to live a healthy lifestyle, you can often avoid doctors and minimize  situations beyond routine healthcare.

Remember that once a doctor sends you to another specialist, you are IN THE SYSTEM, and the most tenacious efforts to escape it’s time and money-consuming clutches rarely succeed. For the same high stress reasons to avoid jail and courtrooms, choose to minimize lawyer visits and limit them to essential  occurrences and preventive maintenance.

KEEP OUT of hospitals (unless you work for one). Contrary to the onslaught of misguided hospital marketing that blankets this country, hospitals do NOT spawn good health. They treat those who no longer have good health, and –in many documented cases– actually contribute to the exacerbation of ill health. This is not to question professional dedication or skills. It is simply a reminder to strive for life directions that have the best odds of helping you avoid hospitals.

KEEP OUT of hiding places (unless you’re playing hide-and-go-seek with the kids) when it’s time for family and church and community. These are the times that define you and what you’re all about as a human being.

KEEP OUT of fights (unless you’re a boxer). Disagreements can be healthy, but disagreements require self-vigilance to prevent them from accelerating to the point of getting out of control. Anger, mean-spiritedness and grudges can ONLY work against you and quickly become the undoing of all you’ve worked so hard at to put together.

KEEP OUT of nonproductive relationships (unless you’re a shrink or a cop and your career calls for engagement). In other words, stay around positive-minded people as much as possible and pursue opportunities to surround yourself with others who consistently demonstrate positive, upbeat attitudes. This: will come back to help you!


# # # or comment below.

Thanks for visiting. Go for your goals! God Bless You!

Make today a GREAT Day for someone!

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Jan 17 2011

As The World Learns

Are you making money


or providing healthcare?


The mission of doctors, nurses, hospitals, and all affiliated healthcare-related and therapeutic professions is to provide healthcare services. Emotional-based businesses and professions trying to sell rational doses of reassurance

The mission of all for-profit and (surprise) not-for-profit entities is to provide products, services, and ideas in exchange for money or other dollar-value products and services. Rationally-reassuring-based businesses and organizations trying to sell emotional triggers.  

And rarely if ever do “the twains” seem to meet.

Yet, each side of that two-edged coin has much to learn from the other.

They can protest ’til they’re blue in the face and spitting wooden nickles, but truth is there is barely a doctor, nurse, hospital or affiliated healthcare-related or therapeutic profession that knows the first thing about the realities of marketing.


It’s as rare as finding an 1861 three-cent piece in your pocket change that businesses have as much customer care savvy as an ICU nurse or front line physical therapist.

Oh, you say, but that’s not a fair comparison because business is business is business, and who can be worried about a customer problem after she or he has left the store, office, showroom, or work site. After all, we’re not in business to hold hands and pat heads.

Ah, but business is in business to cater to customers before, during and after (and long after) purchase because it’s the only way to grow the future. Boast all you want about your databases and efforts to serve the customer after the sale is made, but reality is that if you’re not doing something dramatically positive with past customers –and especially long after the sale– you’re missing the message!

What can you learn now from your past customers?

How? What’s holding you back?

(You had better be “holding hands”!) 


Hospitals have the whole lifelong loop covered. They are tenacious about providing fall-over services at every level, to present and past patients and families. They haven’t a clue about how to attract attention, create interest, stimulate desire, and bring about action, but they sure do know how to ensure satisfaction (maybe not with the bills and insurance tangles, but definitely one-on-one!)

Businesses need to take a page from that and appreciate that today’s customer should NEVER have  a reason for not also being tomorrow’s customer.


As the world gets smaller by time and communication transmission, we face enormously bigger and better opportunities to learn from one another.

And -yes– even hospitals and healthcare professionals with no business skills have an instinctive sense of customer momentum. Almost all of us could stand a booster shot of customer momentum as we troop through the daily grand rounds of our work sites and work stations, our staffr and employee meetings, and our customer encounters at every level. Think it. Try it. Do it. STOP studying things so much! Surprise yourself! 

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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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Aug 04 2010


Businesses balanced on


the brink of  bankruptcy


have only truth to sell! 


Regardless of how you explain it or how you think you got there, businesses that teeter-totter, balanced on the brink of bankruptcy got there through poor management.

Not enough capital, not enough sales, the wrong personnel, the underestimated expenses, the increased cost of raw materials, the lack of bank loan support, weak operational planning, bad press . . . it’s ALL poor management!

But no need to bury your head about that. 

  • First: You have company. 9 out of 11 new businesses reportedly fail within the first five years, and a best guess is that probably half that many fail after the first five years.
  • Second: Every (Right, “Every”) highly successful venture of the many thousands I am keenly aware of has its success roots traced back to major failure. Forest fires create new and stronger trees.

Not unlike cutting and running on the battlefield or in the sports arena, the choice to fold up the tent is of course always available and, for some, it can gallop into position rather abruptly and become a choice that is no longer a choice.

For many, however, the moment of truth can breed heroics! It has a lot to do with courage, gumption, spunk, resilience, stick-to-it-iveness, passion, and drive.

It also has more to do with common sense and authenticity than most who face the threatening storm typically would care to admit. But facing the consequences with your business on the line — especially where the increasingly common issue of bad press is involved –requires more of one ingredient applied thoroughly and consistently than any other: truth.

Recent bad examples abound on the big business side of the coin with brokerages, mortgage companies, automakers, and scores of big-name corporate product recalls, with the over-exaggerated media hyperbole in oil leak containment effort reports.

Many see the same kinds of mismanaged and basically DIShonest accountings of activities surrounding sinking hospitals, banks, the post office and, sadly, many small business ventures.

There lies deep within these complex business failings a desire to save face at all costs, to cover one’s butt — a desire that is actually stronger than the desire to succeed. 

A sizeable hospital has disavowed it’s attachment to an affiliated and approved and endorsed physician who is alleged to have literally destroyed a community that the hospital has thrived in and nurtured its whole life.

Instead of going to the great lengths and expense and repeated hand-wringing it did to deny a relationship with the person in question (a tragically mentally sick doctor is the only way to describe what the evidence appears to point to), the hospital needed only to:  

  • Step up

  • Own up

  • Tell all

  • Admit past screw-ups and negligence

  • Ask forgiveness, and

  • Act immediately to bring the public to the truth of it.

Resistance to speak the truth in trying circumstances because the consequences are imagined to be humiliating, inevitably ends up making the dynamics and repercussions of the act itself far worse than when it started out.

Toyota’s response to failure was to smother it with marketing dollars. But peoples’ memories can’t be bought off! The hospital referenced will likely fold or be bought out for a monumental financial loss – all because the administration lacks backbone!

When the going gets tough, speak the truth. Sweeping the mess under the carpet only makes cleaning harder. or 302.933.0116 or Hal@BusinessWorks.US  

Thanks for visiting. Go for your goals! God Bless You. God Bless America and Our Troops.

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

Make today a GREAT day for someone!

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Jul 22 2010


Okay, before you buy it,


here’s what’s wrong


with our product!


     The smaller the business, the closer it gets to practicing transparent marketing.

     The farmer at his produce stand will tell you that the corn wasn’t picked today, or that the peaches are maxed and need to be consumed within 24 hours, or that the berries may be tart because they’re not quite in season.

     The bigger the business, the more money that’s paid out in fees for ad agencies and PR firms to cover up product and service faults with retouched photos and exaggerated claims. Always intentional? No, not always, and especially not always on the part of the hired creative guns because clients often keep bad news locked up and intentionally mislead their marketing people.

     What kinds of product and service faults? HA! Start with air!

     Soap companies pump air into their bars of soap to give them bulk and make consumers think they’re getting bigger amounts and better dollar value. Note how many more bars of corporate giant soap you go through compared to homemade soap. In the end, the big brand names full of air cost more.

     How about big brand ice cream? Pumped in air? Of course!

     They can fill the containers with less product and make more profit. Do you think consumers ever think about weighing their ice cream? Maybe we should. Guaranteed that volume doesn’t correspond to weight anywhere near as closely as with homemade ice cream (and don’t believe any stories about the big boys using lighter ingredients!).

     And you thought just car dealerships, banks, and hospitals had a lock on dishonest representations?

     How about beauty products? Dense creams used in many big name skin and hair care brands get watered down and sold as “Instant” formulas — as, for example, sprays instead of in jars —  using a fraction of the original thick ingredients from the jar version, and selling it at a higher price because now it’s “Instant.” Uh, that’s “Instant” as in instant profit rewards for adding the water.

     This could go on for a zillion blog posts, but I don’t pretend to be Ralph Nader or Consumer Reports. I’ve just experienced situations like these first-hand and have stories you wouldn’t believe about hot dogs, pickles, bacon, chicken, drugs, doctors, and all the electronic stuff that thrives on planned obsolescence. (And you needn’t go any further than the recording industry on that count!)

     The point is that none of us will ever live long enough to see totally honest transparent marketing (or leadership, for that matter), but the answer is NOT “if you can’t lick ’em, join ’em” because THAT is an evasive political response that’s routinely practiced by dishonest money-crazed government and big business, and WE are small business, right? (No, this is not a rallying cry!)

     We are 30 million strong in America. We are not all honest. We are not all willing to be forthright in our marketing, And we are not all beyond telling some white lies or committing errors of omission when they fit our purpose, but most small business owners are, I believe, basically honest about the products and services they represent and market.

     If you think you need to “pad” the wares you offer or the claims you make or the words that drive your marketing programs, perhaps you should consider re-evaluating where you’re headed with your business and where you see yourself going in life. If there’s not some genuine compatibility evident, you could be setting yourself up for disaster. or 302.933.0116 or Hal@BusinessWorks.US  

Thanks for visiting. Go for your goals! God Bless You. God Bless America and America’s Troops. “The price of freedom is eternal vigilance!” [Thomas Jefferson]  Make today a GREAT Day!

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Jun 14 2009

US Hospitals & Healthcare Need Surgery

U.S. Hospitals and healthcare


proposals waaaaay past 


the point of 1st Aid!






     At some obscure moment in recent history, about 30-40 years ago, it seems to me, someone had the bright idea to start advertising hospital services. And it was contagious. Pretty soon, ripples began to surface amid the vast sea of shallow-mindedness and business incompetency (that many physicians and business professionals still consider a) breeding ground for hospital executives, administrators, and boards of trustees.

     Hey, marketing works for other kinds of services, these do-good-Boy-Scout-type doctor-wannabes were running around proclaiming, why not hospitals?  Sure, agreed the medical professionals who knew even less about business, why not? they said; nothing else you’ve done has worked. And so it came to pass that hospitals then began to compete with hot dogs, beer, cigarettes, cosmetics and car dealers.

     Well, sure, alcohol and tobacco advertising have since taken a big hit (thankfully), but guess what? Hospital marketing has just continued to get worse. With very rare exception, today’s hospital advertising and marketing programs are ineffectual, misdirected, and unnecessarily expensive. The job is simply not getting done, and they keep spending more to make it not work!

     Present federal government administrative healthcare overtures are equally misdirected and will cost taxpayers a fortune, not to mention the staggering losses in professional healthcare skills that will certainly accompany socialized medicine.

     The problem with what the government proposes is the same one that hospitals have struggled with all these years. It’s that the ideas behind it all are being manipulated to appear creative and the public is being sold on the creativity.

    Unfortunately, creativity does not sell. Everyone on Earth can be creative. Very few are innovative. Innovation gets things done.

     The bottom line is that hospitals need to shape up and start to get their messages straight; the public isn’t as stupid as hospital executives think.

     Similarly, the federal government needs to shape up and get its thinking straight, start being innovative, start thinking these empty, ill-suited proposals all the way through in the context of reality, not fantasy.

     The uninformed, incompetent socialistically-manipulative people being relied on may be well-intentioned, but they haven’t a clue about the business of healthcare, or any business for that matter.

     In the end, communities, citizens, healthcare professionals, and taxpayers will suffer. The time to step back and reassess is NOW. Remember that in the end, after all is said and done, it’s YOUR body and your family’s bodies that will be, so to speak, on the line.

     Do you really want hospital business administrators and government representatives with zero or inadequate healthcare knowledge and experience dictating to you what doctor you need to see and when and where? And do you really think socialized medicine will reward you with quality care? Think again. 

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Thanks for visiting. 

Go for your goals, good night and God bless you!

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May 07 2009


You’re partly pregnant? Uhuh… 


     Two months ago, I took my car to an independent service center for a quick oil change, and was told I needed a new air filter. The mechanic showed me a thin layer of gray that had settled on a few of the white edges. I was quoted some ridiculous rate for the new filter and labor. I said I’d wait ’til next time and got back a couple of tsk-tsk’s and an undertaker’s smile. 

     A few weeks ago, I took my car to the dealership it came from to have the oil changed and asked them to check the air filter. It’s fine, I was told, a little dirty but nothing to worry about…but the tires! You need four new tires and soon! We can do it now if you can wait. Only six hundred and change. Er, I think I’ll wait. Well, don’t wait too long! Right.

     Today, I got a flat tire (first one in 20-something years, so now I know I’m doomed to have to pop for the six hundred and change). But God Bless Ernie. Ernie is my neighbor who is a walking Google of auto/truck/Harley mechanic info.

     Ernie inflates my tire with his portable compressor and says that for $10 the guy up the street will plug the nailhole that caused the flat, and that if I’m getting new tires, can he have mine for driving to California and back because they’ve still got another 20,000-30,000 miles on them!

     I get the tire plugged for $10 and the tire guy says these are nice tires you have; would you consider selling them? Now I’m laughing and buying the tire guy coffee.

     What’s the point? What does “PARTLY PREGNANT” have to do with plugging tires? (Nevermind. Bad metaphor!)

Here’s the bottom line:



     Why? Because businesses like the service center and the dealership are ripping people off. Because these–and many other– businesses are basically greedy and have now become panic-stricken by economic impact. Because no one has ever told people like this that:


     Integrity is not something to be toyed with, turned on and off like a faucet, or underestimated. INTEGRITY IS DOING THE RIGHT THING ALL THE TIME REGARDLESS OF WHETHER SOMEONE ELSE IS WATCHING OR NOT! There’s no such thing as “partly pregnant” and there’s no “partial integrity” either!

When you exercise integrity, you must exercise it 100% of the time regardless of what the economy does or doesn’t do.

     The US Postal Service, airlines, ferry services, banks, and even hospitals are all adding insult to injury and they don’t even realize it (let’s at least hope they don’t). My message to all of them is that when the going gets tough financially: THE SOLUTION is NOT to raise your prices and lower your service.

     THAT is exactly the kind of thinking that has been leading us into economic spirals to begin with. THE SOLUTION is to make sales by exercising integrity…in-person, in writing, via Internet, and on the phone…consistently!    



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Send your input anytime: (”Businessworks” in the subject line) or comment below. Thanks for visiting. Good night and God bless you! halalpiar              # # # 

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