WHEN “LEAN” IS FAT!

The buzz word in today’s management circles is “LEAN” — not as against a lamppost, but as trimmed back to basics and making the most of computerized technology to produce a measure of quality efficiency. This is a fantastic concept that works in manufacturing (such as with Swiss Screw precision parts, and with automated equipment operations).

Unquestionably, implementing LEAN can make a difference. The problem is that –as with MBWA and Quality Circles and Theory X and Theory Y and JIT and scores of other management and leadership approaches– too many leaders desperate to make a name for themselves by shaking up their organizations tend to latch on to the latest fad, and expect nirvana.

With LEAN, too many advocates of quality leadership in management are attempting to put this square LEAN peg in a round ultimate consumer hole. The result for many of these forced marriages — especially in healthcare (doctors, hospitals, and facilities of every description)– is that they can end up victimizing themselves by a rush to “leanness.”

It’s not unlike cutting back food consumption to lose weight, then ending up dizzy and disoriented. In other words, too much reliance on streamlining the process can easily overshadow the basic thrust of an organization’s purpose.

Consider for example, what the last few letters (hint: Not “EHR” or “EMR”) in healthcare, are all about. All the cost efficiencies and lightning record retrieval systems in the world cannot come close to the only thing that –in the end– really matters:  care.

Of course a LEAN approach in healthcare can mean more accurate, more efficient, more rapidly delivered patient care. But buying into LEAN as if it were the end-all, be-all, ultimate solution to healthcare is like saying that the process of flying the plane is more important than the pilot. And that may well be the case some day but, for now, reality dictates that computer technology apps are simply tools to afford providers the opportunities to provide better quality patient care.

Use LEAN. But give careful budget and strategic planning consideration to the kinds of staff training and practice development avenues that far override the values of LEAN, such as:

1) Staff, patient and patient family communication. [A world-leading hospital I am intimately familiar with has robots delivering meds to patient rooms, but staff physicians who file endless numbers of computer reports don’t read one another’s reports, or communicate with each other. Few even have direct contact with the nurses dispensing the drugs!]   

2) Staff, patient, and patient family stress management [Did you know that the more relaxed a patient is, the more accurate the diagnosis can be and the better the response will generally be to treatment? The better the odds for reimbursement too, not incidentally! Patients and their families seek trust and  reassurance. LEAN may set that table, but only physicians, nurses and professional staffs can deliver the meal.] 

Target your budget and your process emphasis behind the kinds of communication skills and stress management training that providers and provider support staffs most need and least often get if you really want LEAN to work. Diets are great if you stick to them, and success often reduces itself to maintaining an ongoing dialogue about it with someone who supports your pursuits.

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 WRITE THE BOOK.

SELL THE BOOK.

Your great idea will surely fly if you can just sit still long enough to make it into a book. Maybe it will even be a movie!? Well, if you’re already writing a book, you know that writin’ books ain’t no piece a cake. What you maybe don’t know is that sellin’ ’em is a nightmare . . . even if you happen to be a professional salesperson!

Many entrepreneur types might disagree with that thinking, but it’s hardly ever an entrepreneur that writes a book. So reasonable risk-taking is not even an issue. It’s really all about shifting gears in your work schedule and transitioning your mind to an unfriendly and foreign range of engagement. In other words, get ready to suck it up!

Even long after you’ve Googled your brain into delirium trying to figure out all the pros and cons of self-publishing vs. traditional publishing, and after you’ve investigated and perhaps actually tried some “crowd sourcing” adventures, the bottom line is that WRITING the book is the easy part! SELLING it is the real challenge.

For one thing, disenchanted authors often find themselves swimming upstream against well-intentioned reminders embedded in their friends’ and family’s declarations of “it takes money to make money!” And these comments are no doubt accompanied by tsk-tsk head-shakes, knowing nods, and pitter-pat changes in discussion topics.

Oh, and then there’s those football coach-like claps on the shoulders. “It’s gonna be okay, boy!” OR “You go, girl!”—- “Y’all just need to put that writin’ stuff in a drawer and git on with life! Maybe someday, it’ll work, y’know?” Well, maybe someday it will. BUT if “them there is fightin’ words” to you, getting on with life means that someday is today, is now.

(It means you aren’t buying into depression-ridden chatter.)

Ta-ta-ta-dah  ta-dah! You’re brave. You’re courageous. And maybe stupid, but so what? If you’re ready to dig in, dig in! Start working an extra hour at night instead of watching TV news. carry a notebook or smart phone “pad” and jot down ideas as they pop into your head all day, every day, and keep it bedside for insomniac nights.

Here’s where it all comes together. Writing the book. Selling the book. Write and REwrite your brains out. Then devise two marketing plans, two sales plans, and two PR/publicity plans. The first of each of these is a CREATIVE plan (what to say and how to say it). The second of each is an IMPLEMENTATION plan (where, when, and how to distribute the creative plan results).

So, for example, plan what you say for a meaningful drum-up-sales interview, and how you will say it, then go out and drum up the interview. A book signing requires a table, chair, signage, pens, single dollar bills and rolls of coins, a pleasant appearance, beverages and snack foods. A news release had better be newsworthy! Your Tweets better be provocative!

Remember people DO judge a book by its cover! (And you, your in-person and online appearance, and behavior are all part of your cover.) Lest you think this is “all talk,” please visit my new book-for-sale site HERE!  Thank you!

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HOW LONG

CAN YOU HOLD ON?

Maybe a year? Y’think? Six months? Hmmm? Three or four weeks? Whew! Hours perhaps? Ack! First of all, if your answer is “forever” or “a lifetime” or “long enough,” you may want to revisit your brain because if you’re not living IN it, you’re dangerously close to fantasyland.

One thing I’ve learned in this blessed long life I continue to have is that NOTHING on Planet Earth is permanent. Nothing! That may be no surprise to scholars who know that circa 2600 years ago, the Greek philosopher Heraclitus said “Nothing is permanent except change!” (Pretty heady stuff for a guy that old, eh?)

Q. 

What are we talking about here?

Businesses? Families? Friendships?

Entrepreneurial ventures?

Professional practices? Our minds?  

A. 

All of the above!

We “hold on” in five different (yet mostly intertwined) ways:  financially, emotionally, intellectually, physically, and spiritually. And most of the reasons we hold on are anchored in shifting sands. We have numbed ourselves with fear of failure. We have built artificial (and, admittedly, often flimsy) protective walls around our endeavors, pursuits, and ourselves.

So what am I saying? We should all run out and be more carefree? Take bigger risks? Throw away everything we’ve worked hard to earn? Change horses in mid-stream? Stop paying taxes? Buckle under to competitive pressures? Cut off shaky relationships instead of working them through? I’m saying it may be time to reassess what we’re holding onto, and why.

What’s the worst thing can happen by taking a couple of minutes out tonight and thinking through what is and isn’t worth it in your life —  your business or practice, your family, your relationships, your finances, your emotional stability, your intellectual pursuits and development, your body, your sense of spirituality and religious commitments.

Give yourself the benefit of doubt. Just dabble in this arena of yours for a few minutes. Think hard about what it’s all worth, and what you can and are free to choose to do right this minute by making a decision to change things for yourself for the better . . . and then choose it, and do it. It’s really not so hard –and can be fun– once you put yourself on the path.

Letting go may seem –and even feel– hard, but it’s a piece of cake compared with the stress and strain of hanging on to a piece of fantasyland. In the end, for all humans everywhere, reality wins. So why not grab it now and ride it to the finish line? — Your business. Your relationships. Your self. Old song lyrics:

“We may never pass this way again.”

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Are You Expired

Or Inspired?

When did you last check your expiration date? What did it say? What does it say now? What happens if you go past that date? You rot? You crumble? You turn green? You become poisonous? You get taken off the shelf? People pass you up and reach way in the back behind you to bring up some fresh dude who doesn’t expire until 2015?

If this describes you, or you worry about it, or you think it’s inevitable, you’ve got a problem, brother (sister), and it’s time to take a few steps on your own behalf. First off, do a few chin lifts and take some deep breaths.

Don’t run to look in the mirror. Just imagine yourself looking driven and productive and successful as you once were, or perhaps you presently are but feel like you’re on the wrong side of the hill.

Contrary to popular belief, life is not all about discovery. It’s about making the most of what you’ve got to get yourself and others to where you and they want and need to be. It’s about energy and drawing on strengths, acknowledging but by-passing –not struggling to overcome– weaknesses. It’s like knowing what you can and are willing to spend before you go shopping.

Yes, you’re right! That’s called leadership! Genuine leadership has no expiration date. It may shift gears at certain ages or after certain accumulated experiences, but true leadership –like true grit, true integrity, true honesty, true passion– doesn’t fade or need to reinvent itself. It simply is.

How to get it? How to keep it? How to have it take you far beyond someone else’s (or your own) imagined idea of your expiration date reduces itself to being forever on the alert to what INspires you rather than to what EXpires you. So it’s a matter of attitude? Hmmm! That’s over-simplified! Hmmm? There’s more to leadership than attitude! Hmmm?

Well then, if leadership is all about attitude, what does anyone need to read a blog post for, since attitude is a matter of choice, and we can just choose it? Do you trust yourself to just choose it, and stay with that? So maybe the difference between expiration and inspiration is self-trust? Hmmm.

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STOP HIRING CONSULTANTS!!

 CUTTING EXPENSES

DOESN’T MAKE SALES!

To paraphrase an old presidential quote, “It’s the government, stupid!” America’s entrepreneurial leaders are grasping for a lifeline to avoid being swept out to sea by the daily onslaught of misdirected government speak and arrogant government attitude — a trickle-down mindset — harbingers of total economic collapse. And it could be just around the corner.

Forget all that stuff your grandparents used to preach about turning out lights and closing doors to save money. You might save electricity and keep out drafts, but in small business, that kind of save money mentality has been the ruin of many startup ventures. In reality this government-style thinking process accomplishes nothing on the road to survival and growth.

NO ONE EVER MADE MONEY FOR

A BUSINESS BY SAVING MONEY!

Biting into economical practices does not make sales. Only sales make money! “Ouch!” you proclaim, “but I’m not a sales type!” Well, then, become one. Or find one. Or give up your business and go to work for the government. Or show some guts and stick it out. You can make your idea work if you stop taking government advice about how to make it work.

This is not suggesting you do an entrepreneurs gone wild act. A mainstay of our current government, though it may be, this post is not about spending. It’s about what you can do now to turn your business around and stand up to the sleazy, ramrod, phony compassion-soaked policies of the current administration that is desperately trying to control small business.

Just because you have an exciting idea and some startup funding doesn’t mean you can let your enthusiasm run rampant. Business success is about extraordinary customer service and relationship-building. It is about channeling energy and making the most of opportunities that present themselves within your realm of pursuit.

Chase one rainbow at a time! And remember that the best leaders are those who make leaders of their followers.

Running recklessly in too many directions at once will simply produce frustration, exhaustion, and distress — especially in this bare-bones economy. But you CAN run a bare-bones business. After all, small business is based on TRUST. Got some?

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Beware GEEKSPEAK!

GEEKSPEAK. It’s another name for Tech Talk. Too many tech people are talking to too many tech people in too much tech-eeze and the real world of small business owners, professional practice principals, and even top corporate management is passing them by. If you are looking to make sales and grow your business, think twice about GEEKSPEAK overload.

In other words, don’t let website designers write words for your content. They haven’t a clue about effective marketing writing. Don’t let IT people decide on what and how to communicate with clients and customers and prospects. They know not where they come from . . . nor, it often seems, where they’re going when it comes to clarifying issues for non-IT people!

Don’t let your business messages get caught up in branding lines, site content, collateral/promotional material copy or news release text that contains language your grandmother wouldn’t understand. Nothing is so complicated that it can’t be simplified. Nothing is too technical to be communicated in easy-to-understand language.

When I ask you what time it is,

don’t tell me how to make a clock!

It simply takes more time and is harder work. But it’s often the difference between an enthusiastic buyer and a puzzled, overwhelmed one. Suffice it to say that all communication — interpersonal, impersonal, and otherwise, takes more time and is more work. Decide on what you want as a result, and if the extra effort is worth it.

Promoting and presenting complicated diagrams and examples only serves to underscore an oblivious, uncaring attitude to the markets you’re trying to reach. What’s the old axiom? Keep it simple, stupid! And don’t make the excuse that the prospects you seek understand tech talk because odds are pretty good that their bosses who need to approve purchase decisions don’t.

Sourcing people ultimately report to financial and/or operations people who hold the purse-strings. If those folks don’t understand a GEEKSPEAK message, they simply shut down their budgets. And why not? Would you buy something for your home or car that you have no sense of value about, can’t relate to, or fail to understand what you’re getting for your money?

Bite the bullet and give your business communications — especially to your customers, clients, and prospects — the extra effort that will make what you have to say clear from the git go. Not sure if what you’re saying comes across? Ask your grandmother.

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Hal@Businessworks.US 

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

“Whaddayadonfermelately?”

In today’s instant gratification world, many professional healthcare practices, B to B firms, and customer service business owners hear some version of this question with increasing regularity. Not a bad thing to be asked. Huh? Well. because there’s always room for an answer when you know what the question is.

In fact, NOT hearing some version of “Whaddayadonfermelately?” is far worse than being asked because the unasked question itself portends a “not much” answer.

Savvy proactive service business owners and managers never allow any form of this question to surface in the first place. Their secret? Regular, ongoing “How Goes It?” inventory exchanges. Meetings and discussions (note NOT text messages or emails, which are too superficial) that chunk up and evaluate workflow, deliverables, and performance.

These usually daily or weekly assessments (which generally best occur on Monday mornings to set up the week ahead) are typically followed by a call to action — adjustments in the timing, speed, quality, quantity, agility, relevance, attitude, goals, roles, responsibilities . . . whatever steps will help ensure productive forward motion from point to point.

And when you were a kid (no doubt possessing prototypical entrepreneurial characteristics such as resentment of authority in school and reluctance to follow rules), you might have thought report cards were nonsense — or perhaps unpleasant harbingers of parental lectures?

But “report card” dynamics in service businesses –especially when they’re self-imposed– have saved many client accounts and relationships from collapse. Instead, as  some family elder likely forewarned us as children when we had clearly overstepped or under-achieved, it’s a good thing to “nip it in the bud” when it comes to following a problem direction.

When you, the service provider, take the initiative to nip problems “in the bud,” by requesting regular, ongoing feedback and assessment from your client/customer/patient, you are exercising a form of positive preventive maintenance. And this is not even to mention the other values attached to the client’s impression of your commitment.

Asking for feedback is an admirable posture all by itself but, more importantly, you are opening the communication expressway to allow for more give and take, and a healthier more communicative and more rewarding relationship that operates from a position of strength and confidence, instead of one of cowering and covering your butt.

How do YOU feel about doing business with s0meone who makes assumptions instead of asks? Or someone who disappears when the going gets tough or when you have issues to discuss? Hmmm?

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Hal@Businessworks.US    931.854.0474

 DON’T SURROUND YOURSELF

WITH YOUR SELF!

Besides the number one ailment of entrepreneurs –being under-capitalized– a close second place is awarded to the All-American crushing entrepreneurial ego! This business venture is my idea. I can do it better than anybody. I want people working with me who will ask how high when I say “Jump!” Yup! BTLS (“Born To Lose Syndrome”) it’s called.

Generally speaking, and it’s unfortunate, most people who start, buy or inherit a business or professional practice tend to think the opposite of proven success experience, at least at the outset, and completely blow off the idea of hiring and surrounding themselves with those who are better, smarter, wiser and more experienced than they are. 

Don’t rely on my opinion. Ask any successful business owner or manager you know. You’ll find that those who truly make a difference with the pursuit of their ideas are those who surround themselves with excellence. It’s the mark of a true leader. If you have an ego problem, work at it. If you don’t, it will kill your business or practice.

Accept the fact that someone who has studied and practiced law or accounting or IT or training or marketing or operations, or finance is probably better equipped to make and recommend decisions in their areas of core competence than you are, even though you are great, have great ideas, and are probably a better salesperson than you could ever hire. 

Rule of thumb for successful startups and departmental streamlining: Find and hire the best, smartest people you can in every area of the business that you do not have exceptional command of. Support them. Encourage them. Challenge them. Reward them. And, above all, respect them and listen hard to their recommendations.

DON’T SURROUND YOURSELF

WITH YOUR SELF!

Although it is commonly misunderstood –and many attribute the categorization of being “a jack of all trades” to the word, “entrepreneurship”– entrepreneurship is in fact a really unique form of leadership. It’s unique because it carries the added burden and challenge of being creative while it benefits by the opportunities that creativity produces.

Carry, in other words, entrepreneurial spirit into all that you do while you drop the limitations that entrepreneurial ego fosters. Surround yourself with high quality, high energy people who know more than you and focus –not on competing with them, but–  on being their leader and the spokesperson for your brand. Success will come MUCH quicker.

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Hal@Businessworks.US    931.854.0474