Healthcare Leadership Can Mean

Only One Thing… and it’s NOT

Obamacare or “Lean” Management

Thirty years of healthcare and medical practice-development have led me to conclude that some doctors, many therapists and most nurses get it! They understand that healthcare and healthcare leadership is personal, professional and passionate.

Sadly, a great many healthcare business executives and a good number of providers have sidetracked themselves into thinking that HEALTHCARE is all about slogans, smiling doctor billboards, malpractice insurance fees and reimbursement battles.

Reckless opinionated media “reporting” has drawn healthcare providers and business managers into a tangle of confusion. Talking heads thrive on using every opportunity to convolute issues, stir up doubt, be confrontational, and aggrandize politicians who support their network bosses and stockholders. It’s all a game, and we the people are losing.

Increasingly, government political (and more quietly, insurance company) empty suits are playing God. They are continually trying to convince the world that they are answering the call for qualified healthcare leadership. They, after all, proclaim to know more than we do about what diagnostic, treatment, and doctor choice decisions are best for each of us and our families.

They can live in Nevada and pretend to understand what healthcare is about in New Jersey or Tennessee or Maine. I don’t think so! They’re just protecting their own political profiles, pursuits and plans. And many top healthcare executives simply add fuel to the fire by talking and acting like healthcare is simply a maze of administrative or operational management techniques, methods, or styles that they alone have the answers to.

Well, guess what? Reality Check:

HEALTHCARE IS ABOUT PEOPLE!

You’re healthy, you want to stay healthy. You’re sick, you want to get healthy. That’s it! What part of “get and stay healthy” is so hard to understand?

What are all these other hocus-pocus theories, political scams, new tech apps, insurance deals, Congressional posturing, and media “findings” but diversionary tactics? Is it or is it not “dancing around the issues” in an attempt to look good, or to make money, or to win votes . . . instead of just sitting down and solving the damn problem?

Healthcare professionals justifiably rely heavily on emerging technology and associated improvements in methodologies like the “Lean” management fad. But (and this is a big but) . . . BUT these are only tools. In the wrong hands, even a hammer can miss driving nails.

The bottom line is that leadership in healthcare

means stepping up to more than a diagnostic or

treatment provider role. It means having an

Advocacy Attitude . . . being on the patient’s side!

Imagine if every encounter a patient or patient family had with a healthcare provider could be –as was recently noted here in exemplary fashion by Sloan Kettering Cancer Institute provider and provider support staffers– a remarkable, high-five, bend-over-backwards experience . . . professional providers and caregivers acting like advocates on behalf of each patient and family!

Imagine if every patient and patient family could be trained in advance of every provider diagnostic or treatment exam to better manage anxiety. My best guess is that 3-4 minutes of every doctor exam are consumed with getting the patient to relax. With a 12-minute per patient insurance company limit imposed on the doctor in order to be reimbursed, that leaves 8-9 minutes to diagnose or treat . . . none of which ordinarily go well when distress is present. This is not rocket science. It is not a Madison Avenue branding campaign. It is not politics. It is reality.

Done correctly, these solutions cost nothing but initial investments in time and energy and perhaps some coaching. What’s the expected result? More accurate diagnostic readings and better receptivity to treatments. Happier patients and patient families (whose testimonials to others increase volume and referrals), improved staff teamwork, happier provider and staff and their families (who benefit from “take home” method values). Even happier insurance providers.

So, if skills, training and experience are all present, the “tipping point” factor comes full circle back to, yes, bedside manners!

It’s the “CARE” in HEALTHCARE!

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Healthcare Pros STILL

Flushing Money Down the Drain!

Thanks for your visit. We have recently relocated to Cookeville Tennessee (between Nashville and Knoxville), home of Tennessee Tech University. Return here often for new posts in this series for Doctorpreneurs©and Healthcare professionals.

Why not just open the window and throw your money out? Why bother spending it on meaningless, confused thinking about marketing? Why keep feeding the nonperformance of media, mobile apps, direct mail magazines and newsletters, social media and, oh yes, outdoor advertising? Can we look at this open-mindedly?

The business and sports worlds have fed your fires since childhood that you must be competitive at all costs in order to win… that’s 100% false for healthcare professionals! In fact, many healthcare pros have marketing success expectations as unrealistic as imagining that a heart attack can be treated with a BandAid®

REALITY: No one “buys” billboards with smiling doctor faces (or, even worse, the recent trend toward somber looks!). Most people are not so stupid as to think that hospital “magazines” and “newsletters” with feature (dressed-up PR) stories are interesting or meaningful enough to be worth reading. My guess is that –other than the few and far between genuine healthcare educational mailing pieces– most of these exorbitantly expensive items go straight to the recycle pail. All this nonsense came and went thirty years ago. [Interesting how America’s healthcare institutions are accelerating these feeble old-fashioned attempts at marketing. Is it some kind of knee-jerk attempt to cope with the Obamacare muddle?]

BOTTOM LINE: No one cares! The public simply doesn’t care how great hospitals, doctors, therapists (or any professionals for that matter) think they are! Healthcare consumers may have more (and more personal) issues on the line than other kinds of consumers, but they really and truly only care about the same thing that every consumer cares most about: What’s in it for me? Period.

So if you’ve read this far, perhaps it would be useful to explore and reassess your current “marketing” practices, and decide if your money could be better spent on strengthening patient, patient family, and referral network relations. If you’re looking for a role model institution, consider the Sloan Kettering Cancer Center… you’ll find no shallow representations of professional skills… “Treatment” is their specialty, and it applies to everyone who enters their doors. Oh, and guess what? The only expense is training and training maintenance time.

Marketing –if it’s done right– might sometimes succeed at building brand loyalty for some products and services in some markets and marketplaces. But when the two end-results people seek most from healthcare professionals are 1) Reassurance and 2) Trust, it’s not likely either will ever be achieved with empty images or promises.

Doctorpreneurs© Copyright Hal Alpiar, 1994. All rights reserved.

BandAid® is a Registered Trademark of the Johnson & Johnson Company

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“Got here safe & sound, Y’all!”

AND STILL UNPACKING AND SETTING UP NEW OFFICES . . .

GUESS WHERE?????  Email your guess: Hal@Businessworks.US  (“New Office” in Subject Line) Winning guesses entered in drawing for a FREE first edition signed copy of HIGH TIDE fictionalized account of America’s biggest drug deal! See www.HighTideNow.com

Thank you for your visit.

If you’re new to this blog, please mark your calendar to return on April 16th for the beginning of Tax Return Recovery, and to help kickoff an exciting new series of posts you won’t find anywhere else!

If you’ve been visiting here regularly since the birth of my blog in April, 2008 (and now closing in on 1500 posts), thank you even extra!

You, especially, will want to return April 16th to see what’s in store for innovative, spirited business and healthcare professionals. You’ll get  proven new ways of thinking to boost your sales and make the most of your leadership skills — for profit and nonprofit businesses and professions alike. You’ll get coaching that works in the office and meeting room, on the phone and on paper, on the smartphone and the computer. You will get specific how-tos for building and enhancing your leadership posture in your industry, your marketplace, and your community.

When you return here April 16th, you will get the beginning of an input stream that no one else dares to share . . . on ways to feel better about your SELF (no product or service sales pitches, no lectures, no gimmicks). You’ll get ways to be encouraged, ways to make a difference with your career and family pursuits, ways to rise above the clutter.

You’ll get solid substance based on more years of experience than you probably are old. Not just passive observations, you’ll get frontline/hands-on experience with over 2,000 business consulting and return engagements AND with more than 20,000 students and management training participants. PLUS –as incredible as it’s always been–it will be free on this blog. Try it. You’ll like it. Send your friends.

In the meantime, to better serve our Entrepreneurial Clients (Including Business Startups, SalesPropreneurs©, Doctorpreneurs© and Corporate Entrepreneurs©), BUSINESSWORKS.US and TheWriterWorks.com, LLC will be in the process of relocating to another State. You’ll get the details as soon as we’re settled. In the meantime, Happy Spring!

See you the day after taxes!!!

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Watch where you’re going,

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

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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Yada, Yada, Yada,

 Blah, Blah, Blah…

Odds are that your best leadership response to other people’s yackity-yack is probably NOT:  yeah, yeah, yeah!

When someone who follows your lead is being busy saying nothing (hmmm, sound familiar?), try taking the person off to the side — or into a private setting — and explain that you want to share the value of some of what you’ve learned from successful sales leaders.

Start by noting that virtually EVERY exchange we have with others EVERY day –both on the job and off– constitutes an attempt to sell SOME thing.

Yes, “EVERY” and yes, “SOME.”

Think about it before jumping down my throat with some condemnation for using “ALL OR NOTHING” language. Before you throw exceptions at me, take a minute to dissect them. Odds are you’ll discover that at least one individual in every interaction has a mission to sell her or his self, or ideas, or products or services, or brands, or affections, or . . .

Here’s what the world’s most successful salespeople know and practice: LISTEN 80% of the time and TALK 20% of the time. Maybe not easy, but it IS simple. And it works! This behavior breeds success in all walks of life with all kinds of circumstances where we seek to make a sale or an impression or gain trust or show understanding.

By disciplining ourselves to listen more carefully to those we are charged with the responsibility to lead, and by being more selective and economical with what we have to say to others, we are also becoming more productive with time and energy spent.

When we can save time and energy by communicating more accurately and productively, we are getting a better handle on what others want and need and suggest, and we are saving on wasted time and energy costs and lost opportunities.

But don’t stop there!

Talking less and listening more does NOT mean talking less and HEARING more. Active listening is an acquired skill that involves open body language (no arms, legs, ankles, wrists, hands, fingers crossed and no peering over the top of your glasses), paraphrasing and asking for examples and diagrams, and nonverbal (e.g., head nodding) as well as verbal acknowledgements.

It means paying attention, staying focused, not allowing distractions. Easy stuff? No. Hardly ever is it easy. Active-listening communication is more work and it takes longer. Ah, but you simply can’t compare the success-level results you’ll get with the productivity (or lack of) that accompanies the typical 80% talking communications that surround our daily lives.

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Your PEOPLE are your

  most important asset.

Do you think your organization’s product or service inventories are the most valuable assets to protect and nurture? You may want to re-visit where you and your organization/business/professional practice/group/ department/team would be without those who comprise the entity that makes you a leader:  your followers, your people.

Failure to recognize this truism is at your own peril.

Often those who work for and with us can –by virtue of the choices they make– unwittingly draw us into the flames they ignite. And leaders often end up compounding issues that arise by adding more bad choices –like throwing gasoline onto the fire. Victims of circumstance? Rarely.

Victims of failure to nurture and challenge and publically reward and frequently appreciate and reassure is more like it. Laziness and slacking off is more like it. So too is getting too big for one’s leadership britches!

Leadership is a fulltime function and minimizing bad choices is job one.

When leaders fully appreciate and frequently celebrate the performances of those who follow, they are ensuring renewal and continuance of loyalty and perseverance. This is the stuff that has built empires and won wars. The world’s most successful leaders know that the single most important craving that human beings have is for recognition, reassurance, and trust.

Seeking recognition, reassurance and trust is the conscious or unconscious pursuit of practically all human beings in virtually every circumstance of life, and –in addition to employees, associates, staffs, and teammates– this includes the vast majority of all physician and healthcare service patients — even those who go to emergency rooms!

It is our nature as people to look for ongoing approval, reassurance, and trust — a sense that we are performing okay, that we are okay, and that we will be okay.

This does not translate to everyone being neurotic or for leaders having to be shrinks, or having to pat everyone on the head and love every follower. Great leadership is not always transparent!

It translates to the need for leaders to appreciate basic human instincts and directly address them with actions and words by communicating directly, with authenticity and genuineness — instead of ignoring, patronizing or pandering, and beating around the bush. Remember poison ivy often grows around bushes!

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 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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Doctors know where they’ve been

but they don’t know

where they’re going!

Today’s medical professionals are strapped to a rudderless ship at sea that’s being sucked into a raging storm.

Some politicos would have us believe that the scandalous fifteen-thousand-page Obamacare program (and when, by the way, was the last time anyone you know read 15,000 pages of anything?!) need not be such a shocking insult to healthcare consumers because after all, it helps “less fortunate” people to get medical care.

Steamrollered through an inept Congress, Obamacare appears to have little if anything to do with the realities of healthcare. Instead, Obamacare hints at having everything to do with the crippling economic and personal freedom limitations brought on by the relentless White House pursuit of dictating increased government controls on American lives.

The end result? We will definitely end up with fewer competent physicians.

And those who remain will clearly not be providing adequate care –regardless of competency–  because of the restrictions Obamacare piles on top of the restrictions already imposed on them that limit their ability to deliver meaningful health services.

But computerization is what tightens the noose around healthcare necks, some say. Not so. The mismanagement and misappropriation of administrative computerization advances by interfering and uninformed government misfits and ignorant insurance providers is what is at the root of today’s healthcare delivery shortcomings.

The de-humanizing of humanizing services is the characterization that uninformed and manipulative individuals, agencies, and organizations have wrought as they’ve twisted administrative computerization advances into shortcut invasions of patient and physician privacy. Have we lost even having thoughts of human dignity?

When “DOCTOR’S ORDERS” becomes “DOCTORS ORDERS” (as in orders issued to doctors by the White House) to conduct patient gun ownership surveys to build a bigger “Big-Brother-Watching” database universe designed to gain yet more government control, do you think this might possibly get just a bit in the way of doctors performing healthcare services?

Of course EMR (electronic medical records) and EHR (electronic health records) have succeeded at putting patient care over paper care. But are these important advances enough to be really helping doctors to know where they’re going?

And the Internet has fully armed healthcare consumers to be better prepared to understand and manage their own healthcare issues, to be more informed about diagnostics and treatments, and to work more productively with their doctors. But are these advances enough to be able to really help doctors to know where they’re going?

The whole lean organization, lean management fad (where did Quality Circles go?) may be a solution, but is not THE solution. It is simply a band-aid acknowledgement that things have gotten so bad, we can no longer afford for the physician to spare a minute or two extra with each patient and patient family to help heal, and help ensure and reassure a sense of well-being.

More dollars are saved. Care is more efficient. But –at the ultimate point of care– doctors don’t get to spend more time with their patients, so is this increased efficiency really enough to help doctors know where they’re going?

Being preoccupied with efficiency necessitates lower levels of individual healthcare delivery. And last time I looked, healthcare was a profession dedicated to individual care. Perhaps it’s time to redefine the word “care”? The bottom line is that doctors are literally trapped.

Adherence to rules and regulations designed to increase control over their skills and abilities to earn livings commensurate with their training and societal value is squashing the very lifeblood out of healthcare. And Obamacare will surface as the culprit when it’s too late to matter — unless enough small business owners and practice administrators and doctors start to make waves

. . . NOW.

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Hal@Businessworks.US   302.933.0911