MASQUERADING AS 

SOMEONE YOU’RE NOT?

Think about it.  Are you representing your SELF in some way that’s not truly you?  Is it to make a sale? Get a date? Be accepted? Make points? Save yourself from losing face? Is it what you like to see other people do? No? So why pull the covers over the real you? Do you think others can’t see through the façade? Can’t you tell when someone else is faking it?

Authenticity isn’t a make-believe attribute that can be manipulated to suit the occasion. By its very definition, it means being genuine all the time. Authenticity, in other words, cannot exist on a parttime basis, or be in effect one minute and not the next. You either are who you represent yourself to be or you aren’t.

Yeah, some say, but there are always exceptions to everything. Not true! You either believe in God or you don’t. You either love someone or you don’t. You are either real or you’re not. There are no two ways about it. You can’t use Bcc emails to have someone else (or others) know your “secret ” communications and then pretend you are sending someone a private message.

Integrity is often defined as doing the right thing even when no one is looking.

As stampeding technology sweeps us all into lower levels of sociability — actually redefines sociability to be global instead of personal– we can often find ourselves distancing ourselves from others who are physically and emotionally close, in favor of socializing with total strangers who may seem less threatening and who may be more conveniently available to be in contact.

Is this behavior in our best interests career-wise? Possibly. In terms of personal growth and development as a human being who wants to make a difference in the world? Not likely. Performance track-record and familiarity breed trust. People accept and buy from one another (including health services, by the way) because of trust more than any other factor, including price!

How do we take the first step toward becoming more authentic? By recognizing that it is a choice, and then by choosing to live more honorably, and finally by setting up support systems to help ensure continuation of that practice. Is that difficult? If you choose to make it difficult, yes. But, YES,  you can choose to make it easy. Behavior is a choice.

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Hal@BusinessWorks.US  931.854.0474

Healthcare Management Problems

Go Far Beyond Technology Tangles

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

Doctors and Staffs find themselves having to be caught up with 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 (like, for example, the current fad for dedicated insistence on “lean” healthcare) enslaves the other.

Relentless interruptions of non medically-trained government and insurance regulators who seek to satisfy their self-importance at the expense of doctor, staff, and patient stress levels, have the same effect as throwing gasoline on a fire.

Whether rulings require doctors to spend just 12 minutes per patient (likely headed toward 8 minutes!), or to conduct patient gun ownership surveys, the result is negative stress.

Negative stress feeds medical errors. It 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 best guess: Most Practice Managers end up absorbing 3/4 of all the stress generated by the madness of keeping Herculean time schedules, by catering to the administrative needs of the doctors they serve, by managing the daily barrage of staff, task and insurance management issues, and by having to deliver “customer service psychotherapy” to patients and families.

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

ENTREPRENEURIAL

LEADERSHIP MEANS…

Being passionate about your ideas and making them work with the help of others. This means, of course, being emotionally committed to what you’re doing 24/7. By doing that, odds are you’ll never have to solicit and recruit others to your crusade. They will see a place for themselves and gravitate there on their own.

When that happens, others’ commitments will be more solid and grounded than if you had gone out hunting for them and then had to talk them into joining forces. It’s a fact: When people make their own decisions about what they want to do, they are happier and more dedicated to achieving results!

Often acting first and planning second. This does NOT mean rashly jumping from the frying pan into the fire. It instead suggests that over-indulgence in evaluating, assessing, diagnosing, and long-term planning (I call it “analysis paralysis”) wastes time, money, energy, and opportunities.

Entrepreneurial leaders take action, make adjustments, act again, make adjustments, and act again. Except for formal loan and investor-required formal business plans, they limit their planning to the short term — hour, day, week, month. And even those plans are temporary and flexible. Watching the finish line causes stumbling and falls.

Always responding instead of reacting. A key ingredient in the success of this pursuit is stress management. Bottom line: If you always respond instead of react, you can never over-react. If you never over-react, you will be faithfully followed. Built snugly into this thinking is this important awareness:

HOW you respond to someone who

or something that is out of control

. . . IS WITHIN YOUR CONTROL.

And we know this because? Because every behavior — yours, your employees’, your customers and prospects — is a CHOICE. It’s just as easy to choose to make a situation easy as it is to choose to make it hard. It may require some conscious stress management effort but, in the end, leadership is measured by ability to gain results through control and responsiveness!

Learning as much as you can about yourself –your SELF– may be the single most important determinant of entrepreneurial leadership because it is the foundation, the cornerstone, of each of the above criteria, and of any others you might add to the list. Without knowing what makes you tick, you cannot pretend to understand others enough to be a true leader. TALK TO YOUR SELF. Oh, and remember to listen!

Hands-on specifics? Keep a journal. Date every entry every day. Separate facing pages into “What Happened” on the left and “How I felt” on the right. This discipline helps sharpen your skills to separate fact and observation from opinion and feelings. Write, draw, diagram, paste photos, spit, whatever floats your boat. It’s YOUR journal.

Attend group and individual “personal and professional growth and development”-type discussion and counseling sessions. Take advantage of local adult education programs that focus on self-expression — from giving speeches and stand-up presentations to writing or painting or photography or music or handicraft courses. DISCOVER YOUR SELF!

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WANT TO BE MORE OF A LEADER?

TALK AND WRITE LIKE A LEADER.

Over 30 years of writing and training business, industry,

healthcare, and academic leadership have taught me

some important words I now share with you . . .

People who regularly incorporate the use of the following kinds of words in their daily conversations and written messages stand tall among the most successful of worldclass leaders.

This magic pack of words is just for openers. You need to be willing to raise your own consciousness about whether the words you use every day are helping you perform to the best of your own leadership ability. This list can, in other words,  get you started. But only you can decide what works best for you and your personal leadership comfort zone.

The point is: Take a couple of minutes to review this list, think about it and assess yourself. If you can change some words you may presently be emphasizing that are not helping you perform, change them! It’s your choice.

Opportunity. Becoming. Challenge. Team. Can. Forward. Focus. Here and Now. Let’s. How? What will it take? Go! Do I understand you correctly to mean . . .? Us. We. Our. Fun. Enjoy! Together. For example. Passion. Try. Enthusiasm. Empathy. Customer. Diagram.  Innovation. Client. Partner. Listening. Self-esteem. Service. Needs. Desires. Learning. Facts. Exciting. God. Illuminating. Choice. Value. Timing.  Self-confidence. Trust. Authenticity. Genuineness. Objectives. Goals. Strategies. Tactics. Specific.  Flexible. Realistic. Ignite. Timeline. Activate. Boost. Stimulate. Care. Compassion. Spark. Consistency. Measure. Hustle. Effort. Reward. Share. Accurate. Recognition. Implement. Respond. Energy. Responsive. Responsible. Behavior. Spirit. Assist. Invigorate. Results. Invest. Humility. Grace. Please. Thank you. Respect.  Grow. Patient. Happiness. Family.

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 SUCCESS IS THE JOURNEY

. . . NOT THE DESTINATION. 

 It’s entrepreneurial leadership, not the goal!

Losers lack it. Winners exude it. Ask the successful people you know. They will tell you that the most sensible route to organizational success is one that engages and focuses on the passionate pursuit of “here and now” present-moment thinking, instead of dwelling on the past or worrying about the future. VOILA! “Entrepreneurial Leadership.”

Do you sometimes wonder what Barnes & Noble is thinking on it’s way to the Borders graveyard by insisting on following an archaic business model that is completely out of touch with today’s technology and marketplace? Do you wonder why the Post Office’s solution to high expenses is to close on Saturdays, lay off employees and pull in pick-up boxes off the sidewalks?

And why does a nonprofit charity mail out fundraiser letters with “2013 Supporter” car magnets that literally fade to invisibility after a day in the sun? What makes the rampant “GOTCHA” greed of so many cable TV, insurance and telephone service providers completely override the wishes and best interests of the customers they serve?

The answer to these –and any other examples you may be prompted to think about– is the same. It is wrapped around societal acceptance of the need to pursue “the end result” at all costs. It is mired deep in the thinking that popularizes “analysis paralysis” as a characterization. It is the antithesis of innovation, and of entrepreneurial thinking and leadership.

“But winning is the American way!,” you may say. Indeed it is. But just because it’s the most desirable mantra for sports and military performances, doesn’t mean it’s the right way for business or life. If anything, it’s probably as far off base as any guideline could be. No business or life flourishes when it is completely devoted to reaching the goal line. None.

Think about it. When you’re running a race and concentrating on the finish line, you stop paying attention to what’s happening at the present moment right in front of you, right under your feet, and -SMASH!- you trip and fall on your face.  Competitors of course will hop over and around you. Winners pay attention to each step AS they take each step.

Entrepreneurial leaders nurture and thrive on the present moment. Something doesn’t work? They don’t analyze the malfunction to death. They simply adjust it and keep moving forward, and adjust it again and again in the process of constantly moving forward (vs. analyzing instant and slow motion replays again and again and going nowhere)!

Entrepreneurial leaders don’t worry about goals. They have goals, but they simply pursue them by staying tuned in to where they are, each step of the way. Like any malfunction, if the goal isn’t being reached as planned or hoped for, they adjust it. Inflexible or unrealistic, or nonspecific goals are as totally meaningless as wishes.

It’s HOW you do what you do each day that determines success. HOW do you handle staying on top of the process and the interactions? Isn’t that hard? Of course it is. The challenge is to be forever on the alert to opportunities, and that’s impossible for those who are thinking or worrying too much about where they’re headed, and for those lost in the clouds of constantly re-hashing where things have been.

Successful entrepreneurial leaders are also HAPPY leaders because they function as much of the time as possible in the present, here-and-now moment. And, like success, happiness is also “The Journey”! Do you make an effort to function each day in the here-and-now present moment as much as possible? Try it. You’ll like it.

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With Volunteers,

Exceptional Leadership

Can Bring Exceptional Success

But working with volunteers demands exceptional leadership. Why? Because anything less can spell exceptional failure and — at the very least– produce exceptional frustration. When a nonprofit, for example, needs to depend on volunteer groups to handle special or ongoing projects, the odds are that one or more of five problem areas will surface.

According to Ed Bancroft, world renown leader in organization and management development, community development, and race relations, the five “Common Problem” areas that emerge in working with volunteer groups consist of:

1) Having too many goals

2) Lack of an adequate contract

3) Lack of leadership and accountability

4) Lack of rewards or recognition

5) Lack of attention to group process

When a volunteer group of any composition attempts to get started, there is a tendency to attempt more than can realistically be accomplished. So the basic tenets of effective goal-setting need to be addressed right from the git-go. Those criteria, together with some other goal-setting thoughts, are here and here and here.

After starting with a Priority Task List, Bancroft suggests charting answers to: WHAT will be done? HOW will it be done? WHO will do it? WHEN will each task be completed? and BY WHAT DATE will the goal be accomplished?

The most successful volunteer groups start with a (very specific) agreement regarding each person’s role and expectations, and in matching each individual’s strengths to the tasks at hand. (Tight agenda) group meetings, (specific) written job descriptions, and a permanent “How Goes It?” focus on ongoing progress are all means to the ends.

A great many volunteer groups stumble along, reluctant to deal directly with leadership accountability. This single shortcoming can undo the best of intentions and efforts. Clear role definition, including having a fulltime volunteer coordinator (or staff member), who links the volunteers with paid staff, helps ensure that volunteer energies are maximized.

Volunteers work for the good of the cause but also for personal recognition, and some form of reward for specific achievements. And, always praise in public! Volunteers should get priority consideration for staff appointments, be offered as much appropriate training as possible.

Remember to appreciate volunteers for what they give up: Besides time and energy, for example, there are often expenses they absorb for baby-sitting, lunches, and transportation. Free or discounted lunches, work time beverages and snacks can go a long way. Some volunteer programs qualify for Federal funds, United Way, or foundation grants to reimburse volunteers.

Most volunteer groups are not tuned into “Process” — how they work together and how they need to work together. They tend to lack awareness of essential communication and decision-making methods. Workshops focused on these skill sets and an appointed (very objective) Process Observer can be designated to provide ongoing feedback on what she or he observes of group dynamics.

 The excitement and enthusiasm levels generated

 in volunteer groups is directly proportionate to

  the attention given to the issues outlined above.

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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!

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LIFE & LEADERSHIP SUCCESS

IS ALL ABOUT TIMING!

I am a business and professional practice development specialist –many years, thousands of problems, projects, and people– proof beyond the shadow of a doubt that life and leadership success catapult out of having a highly defined sense of TIMING. Period. Yes, PASSION and ATTITUDE. Yes, INTEGRITY. But without TIMING, there’s no success! None.

This doesn’t mean running around like a headless chicken trying to squeeze twenty-five hours out of every day. It means having enough experience, instinct and sense of direction to know exactly when it’s the right time to say and do, when it’s the right time to back off, when it’s the right time to charge forward, and the right time to take steady steps toward target goals.

Think baseball here, imagine you have the world’s greatest bat swing. But if your bat is too early or too late or at the wrong height to meet the pitch, it means nothing. Wrong words–even right words–at the wrong times cost sales, cost relationships, cost court cases, cost lives. The best, most well-intentioned offers and behaviors made at the wrong times can spell disaster.

So doing and saying the right things may get us through life and look like leadership to others, but if the timing is off, even the best words and behaviors will not produce success. The world’s most successful leaders are those who possess a keenly developed sense of timing–knowing WHEN to speak and WHEN to listen, knowing WHEN to act and WHEN to wait.

Okay, so how do we develop this skill, this sense of awareness about WHEN to do and WHEN to say? Unfortunately, there doesn’t appear to be any quick-fix approach beyond practice, practice, practice. But being aware of the distinctions between having a full arsenal of life and leadership tools, and knowing when to use them, is half the battle.

The thing is are we truly serious about making a difference with our lives? Are we truly serious about building a track-record for effective leadership that teaches by example and that rallies and inspires others to get things done? Then we need to be realistic enough to recognize that gaining the skills and tools is like getting great medical training. It just sets the stage.

Knowing how to say and use what we have at the time that it’s needed to be said and used is what separates leaders from followers. It is what separates those whose lives make a difference, from those who plod aimlessly along the path of least resistance and accomplish little of value in their families, friend and spiritual circles, or the communities they draw from.

Is it time to reassess where we’re headed, and to 

work harder at cultivating our sense of timing?

Good timing is not an accident.   

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So, you think you know

who you are, huh? Really?

Entrepreneurial Leaders are responsive (instead of reactive). They take reasonable risks (which means they don’t bet the farm, or even buy lottery tickets!). They are goal-driven, but focus more on the steps to reach the goal. When something doesn’t work, they make adjustments and try again (vs. corporate/government thinking that produces analysis paralysis!)

Guess what the number one ingredient is in entrepreneurial leadership — any kind, any level (from running a company to running a work crew or department, to running a family or sports team)? It’s knowing yourself. Your SELF. Because unless you know what makes YOU tick, you can never know what makes others tick.

When you don’t know what makes others tick, you’ll never be able to communicate clearly with them . . . because they do NOT think like you think even if you think they do. They don’t. You are unique. No one else has your brain. No one else can reach inside your brain and control it because every one of your behaviors is your choice!

So, are you still with me? If that little bit of awareness is true for you, it is equally true for each person who follows you. To be truly effective as an entrepreneurial leader (as opposed to a robotic leader!), doesn’t mean you have to be a shrink. It means you have to accept that everyone does not think like you, and you need to do your best to figure out what makes them tick.

Just because you may think you’ve “been around the block a few times,” that you’ve “been there, done that and got the t-shirt” doesn’t mean you can dismiss the need to keep learning about yourself and others because these are different times. What worked for you before is not likely to work again for you without some kind of adjustment.

The place to start adjusting, then, is with how, when, and where you absorb new information. Just as you and your life are constantly changing (even, and usually, when you least expect it or are aware of it), so too are the lives of those who look to you for guidance. I’m not suggesting you become a Google-aholic psych student. Just keep yourself alert. Observe. Listen.

Keeping up with all of that is challenging. But isn’t that why you took the job or accepted the responsibility in the first place?

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Business and Professional Practice

Collaborations, Partnerships,

and Marriage . . .

When two people in business or professional practice agree all of the time, one of them is not necessary.

Things that function —from engines to entrepreneurial (doctors included) ventures– need friction. But it appears that just as many people seem not to distinguish clearly between assertiveness and aggressiveness, as those who fail to keep friction and arguing or temper tantrums separate. (Yes, I once worked with a short-fused surgeon who threw scalpels!)

This collaborative partnership subject emerged during an invigorating get-acquainted discussion I had this week with fellow LinkedIn contact, Robin Standlee, an organizational transformation specialist whose company, C-Level Consultants, LLC. is a collaborative partnership organization that works with entrepreneurs and nonprofits.

She pointed out that the strength of collaborative partnerships has a great deal to do with the care and attention given to defining relationship parameters. Clearly defining role responsibilities encourages partners to feel freer and function more productively. Leadership is the ultimate product.

Working with many partnership entities over time (and actually being one for 25 years) has allowed me a unique perspective on these kinds of work arrangements. I have seen partners scream, threaten and throw things at one another — even a fistfight once between two brothers! From surgical group practices and hospitals to IT, foodservice, transportation, and HVAC companies, no enterprise is immune.

The bottom line is that partnering courtships and honeymoons may flutter hearts and become engulfed in bird tweets and floating flower petals, but the realities that test every marriage will surely come to the surface once a relationship settles in. Defining clearly what to expect and who will do what and what will be jointly agreed to —the marriage contract— is critical to ensure business and professional growth.

When you’re serious about joining forces with another person or entity, the only way to make certain that everyone involved will stay involved, that healthy assessments are met with healthy counter-assessments (in other words, that honest and straightforward critiquing and constructive alternative thinking is encouraged) is to agree on a strong operating platform.

COLLABORATION ARTICULATION = Communicate. Communicate. Communicate. When the glitter goes away, will your partners still stand tall?

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