Bleak prospects, but . . . 

Healthcare viability

needs hospitals to

 be re-invented

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

302.933.0116   Hal@BusinessWorks.US  

Thanks for visiting. Go for your goals!

God Bless You and America and Our Troops. 

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

Make today a GREAT day for someone!

R.I.P. PAUL HARP

November 2, 1950 – June 22, 2010

     I lost a good friend today, my friends.

     He was a man I cared about and joked with and shared some serious times with as well. We played year-round softball together, sometimes as friendly foes, and would often rib each other with post-game phone messages.

“Were those your regular glasses you were wearing when you dropped that ball today?”; “Did you know you missed touching first base on that double?”; “I heard you were using an illegal bat on that game-winning hit?”

     To be clear, lest you think we were both great sluggers and agile fielders, Paul’s on-field talents ranked him far beyond my humble skill set.

     The being-on-the-same-playing-field thing may not seem very significant to those who don’t indulge in team sports, and especially senior team sports where camaraderie is special, but it means simply that we clicked, Paul and I. For some odd reason, we took comfort in one another’s smiles, shared stories, cheer-leading, and back pats. 

     “Odd reason” because Paul was a retired Baltimore County Police Officer, and all we had in common in that regard was that I once taught a few years of college law enforcement classes in crisis intervention. Other than that, I’ve always believed in living a law-abiding life and in generally keeping a respectful distance from the worlds of lawyers, cops, and retired cops.

     I didn’t know “Paul the lawman,” but I know others who did . . . and a couple who worked with him. A man of principle and determination are traits most agree he evidenced with every task he tackled. Paul took his contributions to and from life with intensity. He worked hard and played hard. 

     He was a truly exceptional athlete, but Paul was never healthy. In all of our friendship, and by all accounts from those who knew him better and longer –and most certainly from his loving and devoted wife Linda, his sister Rose, brother-in-law Joe, his children and step-children, and his lifelong best friend Fred– Paul was clearly in a permanent day-to-day state of  physical pain.

     It sometimes got hard to watch him living with ice packs and heat pads, forever trooping from one doctor to another.

     At least that suffering has ended, but it doesn’t make his loss any easier. I guess I should have seen it coming. Probably many of his friends and family feel that way. Blindsided.

     We get blindsided with sudden losses all through life and then, with time to heal and God’s help, we somehow raise ourselves and spirits back up from the ground we’ve been knocked to, and reconnect with all the hidden joys of living — the babies and puppies and flowers and trees and hugs and smiles and sunshine and great meals with great company and the sense of accomplishment that elevates our efforts to reap rewards.

     Paul knew all this. He’d been through it with others — good and bad, easy and hard. He rarely let it show. He kept most of it so much inside and some small bits for all to see worn on every sleeve.

     One important exchange of quiet resolve that all who cared about him may want to know as fact: Paul believed deeply in God. He told me so. He told me in a time and place that made me know he meant it.    

     We are blindsided by Paul’s loss, but comforted by his belief, and by knowing that once and for all, he is finally pain-free and at peace.

     I’ll miss you, good buddy, as I know others will. But Kathy and I have gained by your passage through our lives. You made a difference to us, and I thank you for being the kind of friend who was always there when a friend was needed.

     God Bless you, Paul. God Bless Linda and Rose and the rest of your family. You will not be forgotten.                                                                      _____________________________________________

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

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

And now . . .

DANCING TOGETHER

for the first time as

Mr. and Mrs. Business

. . .

     Okay, the honeymoon is over (thanks to our business-deficient federal government leadership that is relentlessly trying to drive small business into the ground). The envelopes of cash have been spent. The champagne has fizzled away and been replaced by more economical tastes:  a “cupala brewskies” we tell the bartender.

     As we settle into the kind of more serious and more revealing relationship that matrimonial vows give way to, we discover reality!

     BONG! I’m married to my business! OMG, what’s next? Please don’t tell me we’re expecting a new baby business. I’ve hardly figured out how to get my arms around the big one. Sound familiar? 

     The real problem is that marrying your business has a tendency to overwhelm and upset, and some-times replace, a real husband and wife marriage.

     The business “family” (customers. employees, suppliers and vendors, investors, referrers, business associations and organizations, trade and professional groups and pursuits, and the business neighborhood and community) can readily –by stampede or by creeping isolation– become more demanding, and ultimately more demanding than your real family.

     Hopefully, you saw or will see this coming in time to reinvent yourself and patch things up, or seek professional help. Many do. Some don’t.

     You’re an entrepreneur? It comes with the territory that your life has to suffer at the hands of your business spirit. Or does it?

     Plenty of successful business owners have found marriage partners and family situations that allow them to strike a balance with and harmonize their lives. Seeking and winning this balance should be the first thing students learn in entrepreneur school.

     Unfortunately, very few actually go to school to learn what has historically been a predominantly inherent skill set. Entrepreneurship thrives among those with predictable personalities and character traits.

     Almost universally, entrepreneurs dislike and rebel against authority, discipline, and organizational detail. They are innovators and dreamers with burning desires to see their ideas succeed. They are not –as popularly believed– in it for the money. They do not–as popularly believed– take unreasonable risks.

     And if you are one, you well know that personal life is a challenge that often gets in the way while trying to build a business life.

     Having worked with many hundreds of entrepreneurs over the years, I would suggest that business quests will be easier and quicker to achieve and much more productive when you can first build and strengthen the authenticity of the personal relationships and family that will support your lamebrain ideas and schemes during the tough times that will surely come. And you will be healthier and happier for their love.

     Don’t take my word for it. Take your own. Look in the mirror and remind yourself that your behavior is your choice. Choose first to be a person with a mission to make a difference in life, before running off to chase your vision to make a difference in business.  

302.933.0116 or Hal@BusinessWorks.US  

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

God Bless America, and God Bless Our Troops 

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

Make today a GREAT day for someone!

“THANK YOU

FOR YOUR SERVICE

TO OUR COUNTRY!”

“LIFE IS GOOD!”

says the shirt.

What says you?

“Bah, humbug!”?

“You’ve been a

pain in the butt

ever since

you were born!”

     You own, operate or manage a family business. God Bless You. Now let’s get down to reality. Odds are that you, or at least someone you work with, harbors resentment. And those upset feelings are getting in the way of business growth, perhaps survival. When we collect negative feelings about someone else, resentment is usually the accompanist.

     Resentment often takes the form of a demand that the other person feel guilty. In the classic Addison-Wesley book Born To Win, authors James and Jongeward suggest, “When you become aware that your resentment is growing, handle each situation as it occurs and with whom it occurs rather than collecting and holding your feelings, and perhaps cashing them in for a big prize or on an ‘innocent’ person.”

     The world renown educator/counselor/co-authors recommend the following steps for dealing effectively with resentment:

• “Try to talk the problem over with whoever is bugging you.

• When you attempt this, avoid accusing the other.

• Tell the other person how the situation is affecting you. Use the pronoun ‘I’ instead of an accusative ‘you.’ [For example, ‘I don’t like smoke; it bothers me,’ instead of  ‘You’re really thoughtless the way you blow your smoke around.’]”

• Remembering that the solution to any group problem lies within the group, James and Jongeward go on to urge that in a family group, it is helpful to set up “resentment and appreciation sessions,” which they point out need to have specific rules. Here is how they define that process:

• “Each person in turn verbally states the resentments he holds against the others; (it is important that the others listen but do not defend themselves. The statements of resentment are to be let out but not reacted to.)

• After resentments have been stated, each person tells the others what he appreciates about them.”

     When first learning how to conduct this kind of session, do it daily. After it can be done with ease, stretch it to weekly.

     In some working situations, resentment and appreciation sessions can be useful, “particularly where people work together closely and personal irritations occur easily. If it is tried, all members should agree to a trial period — say two months.” At the end of this period, the usefulness of the procedure can be re-evaluated. If “participants decide to continue, they could decide on adaptations and establish regular session times, like meeting once every two or three weeks,” or whatever seems “practical.”

     It should go without saying that an outside professional facilitator or family business coach can play an important role in establishing and moderating this kind of program. The more structured and enforced the process, the more likely it is to eliminate or minimize nonproductive ill feelings and be able to help produce positive results.

     Is all of this easy? Probably not. Does it take time? Yes. Is the risk reasonable? If everyone involved is agreeable to pursue positive and productive solutions, yes. Should you try it on your own? Possibly, if you are not personally involved in the resentment exchanges, or directly related to those who are, and have a firm but compassionate leadership quality.  

# # #

Hal@BusinessWorks.US 

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

Make today a GREAT day for someone! 

“Show me an authentic boss

. . . I’ll show you a winning leader!”

Real. Actual. Genuine. Bona Fide. Not False or Imitation. “Honest-to-Goodness.” Being Exactly What is Claimed. Good Faith. Sincerity of Intention. Legitimate. “The Real Deal.”

How many of these qualities do you carry in your pocket and empty onto the table when you’re talking, meeting, and dealing with others? How often? How influenced are you by good or bad moods? By past experiences or self-doubts?

  Does it matter whether the “others” are customers, prospects, employees, associates, investors, or suppliers? Does it matter whether you’re on the phone, in person, texting or emailing?

   How much do incidents, environments, and issues beyond your control play a part?

What is it that you are most afraid of having others you work with, or sell to, learn about the real you? What’s in the back of your closet that you’re choosing to put in the front of your mind that’s holding you back from being the up-front person you’ve always wanted to be?

Have you made yourself be a victim of circumstances? Is this an identity you cling to?

This is not some ridiculous Hollywood exposé, or some empty suit government or political probe. This is about you, your business, your daily performance, and the way you “come across” to others.

  Here’s why it matters. When you own a business, the business is an extension of your ego. It is the career stage on which you have chosen to perform.

Depending on how true to character you allow yourself to be, and how persuasively you present yourself and ideas, your business will rise and fall with the curtain calls and appreciative audience applause.

If you elect to play a hard-nosed character, and you’re convincing in that role, you will attract hard-nosed critics and audiences who may not hang around until intermission . . . or who are harder-nosed than you!

  I’m not suggesting you or I or any of us has the ability to simply turn the authenticity faucet on and become Mother Teresa. But I am saying that we all have certain qualities of genuineness as human beings.

Exercising these strengths of character (in spite of closed closets) will serve to free up unnecessarily-guarded business behaviors and–in the process–open opportunities we may never have thought possible.

     It’s a choice that that I can encourage, but only you can make. I urge you to take the risk to rise above your own doubts and show more customers, employees, and suppliers more of what the real you is all about. Let them see that they can trust your judgement and earn your confidence.

You don’t have to “become one of the guys” to let others know that you possess compassion and humor alongside your insightful and visionary leadership. Hey, give it a try. You may even like your self better. Have fun!

# # #

Hal@BusinessWorks.US

Thanks for visiting. Go for your goals!

Make today a GREAT day for someone! 

Grab Your Hat

and Get Your Coat

  . . . Then Take

These 5 Steps!

     Think you’ve heard it all? You have. You’ve read the management books, trade magazines and professional journals. You’ve watched every TV special that’s related to your business. You’ve sat through endless repetitive lectures, webinars, seminars, workshops, blogcasts and stage presentations by big-name motivational speakers.

     You’ve checked hundreds of related websites and thousands of related online stories and emails. You’ve even listened to and interpreted the deep-down meanings of favorite songs and the advice of favorite uncles.

     You’ve listened to the warnings, scoldings, and tidbits of genius dished out over your lifetime by your mother, your father, your teachers, business and marriage partners, and even — in your weaker moments — politicians.

     You’ve heard it all!

     Now it’s time to do something productive with what you know, to put all that input to work. Make it make money for yourself and your family, steer it in the direction of building/strengthening  the reputation you want for yourself and your business, enlist your knowledge in directions that will help others to improve their self-worth. How?

1. By recognizing first and foremost that what you do or don’t do with what you know is your choice.
2. By priming your pump.  Take some deep breaths; get regular 3- times-a- week exercise; sleep and eat better. The more the merrier, but any and/or all of this will make you feel better and perform better.
3. By sorting out your ideas and the information that works best for you in your situation right now. [These are different for everyone] Prioritize them, then start on making Number One happen and keep at it to the exclusion of all the others; then, move on to Number Two, etc.. The most important first step is to take the first step. Some action is always better than no action.
4. By remembering Winston Churchill’s famous battle cry: “Never give up. Never, ever give up!” Be tenacious. Be persistent. Be persevering. Stick-to-it-tive-ness sells! And when you do what you do with grace and respect and confidence, you will engage others, not chase them away.
5. By recognizing that EVERY customer and prospect has an ego that’s as least as big as yours, but has not perhaps promoted it in the same ways. Back off your own self-indulgence and become a fan of the person/company/organization you seek to sell.

     Bottomline: You HAVE heard it all. You KNOW what to do and how to make it work for you. You know this in your heart and you know it better than anyone else could possibly know. You’ve just spent too much time questioning and delaying and doubting yourself. If the risks involved are reasonable ones, put your peddle to the metal. There’s no such thing as a second first chance.

Click Here to work with Hal!                                        

Comment below or Hal@BusinessWorks.US Thanks for visiting. Go for your goals! God Bless You! Make it a GREAT Day! 

When you add

a splash of red

to a sea of blue,

people stop

noticing the blue…

     My wife Kathy (God Bless Her!) has been my business partner for 23 years. It takes an extraordinarily special relationship to survive and thrive in the same workspace AND the same homespace. 

     Oh, but don’t thinkI have a limited perspective on this. I’ve worked with every kind of FAMILY business imaginable … from restaurants, HVAC, farms, clothing, sewage, chiropractic services, heart surgery, landscaping, mattresses, trucking, dentistry, lumber, accounting, candy and travel, to manufacturing of computer and rocket-ship parts that fit under your fingernail. And that’s just my tip- of-the-iceberg list.

     Yeah, you might say, but just doing their brochures and websites doesn’t put you in the thick of things. How do you know what it’s really like? As a management consultant, trainer, coach, and counselor, believe me I’ve seen it all. I’ve managed succession planning, rookie coaching, crisis intervention, family foundations, partnership formations, partnership separations, and one fist fight.  

     The biggest problem with family business is family. Family relation-ships are a hotbed of emotions. Consider the statistics that claim every one comes from a dysfunctional family, which means there are an awful lot of weirdos out there. When the dysfunctional types become part of the family business, people see the business as dysfunctional. When you add a splash of red to a sea of blue, people stop noticing the blue.

Only a handful of really smart family business leaders have the good sense to realize a proven professional can help grow the business AND save the family.”

     When high emotions reign in a family business, you can be sure the business will not be a recommended long-term investment. Business ventures can be immensely emotional and supercharged, but keeping control of all that energy requires great leadership finesse, objectivity, and balance.

     Imagine a ship in a stormy sea, with an angry, blood-vessel-on-the-cusp-of-bursting, near-incoherent, screaming captain at the controls. You’d want to be figuring out the quickest route to the lifeboats. Some family businesses keep these stormy sea antics below deck, but they still take their toll.

You’d want to be figuring out the

quickest route to the lifeboats.”

     Here’s the good news: None of it is necessary. Here’s the bad news: Only a handful of family business leaders have the good sense to realize a proven professional can help grow the business AND save the family. The basic principles of anger management, stress management, time management, communication skills (especially effective listening), goal-setting, and leadership transparency are the ingredients of family business transformation and success. Someone who knows how and when to use these tools can help you get the red splash out of your sea of blue, and steady the controls.  

     The more generations involved, the greater the need. The more family members involved, the greater the need. The solution direction is simple. It takes a commitment to want to succeed, a willingness to share “dirty laundry” with an “outsider” (and a sense of partnership and perseverance with that outsider) to combine forces to make a difference.

     Family business growth and development is directly tied to the 4 R’s: Receptivity, Responsiveness, Responsibility and Respect. If those are present, an experienced coach can help them all work for the good of the business, and the good of the family.  

Comment below or Hal@BusinessWorks.US Thanks for visiting. Go for your goals! God Bless You! Make it a GREAT Day! 

Yes, by popular request,

we’re back on “dreams”

(Part 2 of 2)

     Yesterday, we explored the subject of how our estimated 2 hours of nightly dreams can be productive sources of personal and business growth, and that the first step toward making that work is to keep a “Dream Journal.”

     If you’re back for more of that subject, I hope to not disappoint you. If you were seeking a different topic, come back tomorrow, thanks for visiting, and happy dreams tonight! Today, I’d like to share some insights I’ve learned about how to interpret what you dream. Not to worry: I promise to not shrink you out, and tomorrow, we’ll be headed back to reality.

     Anyway, this input offering isn’t going to turn you into some mystical guru or stage personality, and there’s not nearly enough substance to start calling yourself a therapist, but here’s a little more chatter on the subject, and a few basic applications that just might open a door or window, or might send you off to some Googleland searches.

     First, be aware that interpreting dreams is, I think, like mining for gold. Sometimes the payoff can be spectacular. And like the lottery people say, you can’t win if you don’t play. (I am not a lottery advocate; it’s just that sometimes we can get good ideas from bad sources.) But, odds are you’ll find a gold nugget or two that can prove helpful to you which — in the end (or beginning or middle?) can also prove helpful to your business.

     I had the good fortune years ago to participate in a small group study program with Clara Stewart Flagg, one of the world’s foremost educator-authorities on dream interpretation. She represented the following thoughts, which continue to be relevant and repeated, still, by experts today: 

     Look for the double-barreled meaning of dream words, she said. “Being in a bar” may translate to “What’s barring me?” or “walking around the block” may have some bearing on “what’s blocking me?” Dream numbers can have peculiar applications; “1924,” for example, may suggest adding the individual digits to get “16”; what happened at age 16?

     Likewise, predominent colors can suggest characteristics (e.g., brown:tight; yellow:cautious/withholding; gold:possessive; red:emotional; light blue:cool; dark blue:authority, etc. Cars, said Flagg, “are an ongoing self energy symbol . . . faulty parts are faulty self-parts.”

     She equated visions of eating red meat with “good energy,” fish with good sexual energy, vegetables-with-seeds as fertility-related. Water, Flagg claimed to be “mother-oriented.” Dreams of dead people should spur answers to the question: “Why are you here?” or “Tell me something of value here!”  Stairs interpret to stages/levels in life; a sign to look around and see what’s there, what’s left behind, what’s yet to go.

     “You don’t have to be stuck with the dream you wake up to; it can be improved . . . you are in charge. No part of a dream need be useless; make it useful; it’s your mind and you are always in control . . . Wear your dreams in good health!” 

     Oh, and don’t be afraid to look for the business apps in dreams. You do, after all, control both. If you choose to make dreams work for you and your business, they probably will. Like any other life and business development tool, it depends on what you make of it.

Comment below or Hal@BusinessWorks.US Thanks for visiting. Go for your goals! God Bless You! Make it a GREAT Day! Blog via RSS feed or $1/mo Kindle. GRANDPARENT Gift? http://bit.ly/3nDlGF