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!

 # # #

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!

 # # #

Fired? Laid Off? Graduating?

It’s All The Same Thing:

CONGRATULATIONS!

“Huh? How can being fired compare to graduating?”

Both set the stage for life change.

“But one is negative and one is positive.”

Yup! Congratulations!

“You can’t be serious.”

Why not? Both situations put great opportunities in your hands. You are finally in complete control of your own destiny. And whatever you decide is 100% your choice!

If you’ve ever dreamed of making your mark on this planet, these are the kinds of circumstances (being fired, being laid off, graduating) that can open the door for you. None of them is problematic unless you choose for it to be.

Some of the world’s greatest success stories have come from those who are in, or returning from, the depths of trauma. Great riches historically land on the shoulders of those who decide in favor of moving forward with themselves instead of choosing to dwell on or wallow in the circumstances that led them into darkness.

Strength of character comes from inside you. And it has more to do with what you decide to do with your life than from outside influences telling you what’s best. No one else can ever know more about you than you know about you. So don’t rely on the judgments of others to make up your mind about what’s best for your present and future.

In sports, when someone screws up, teammates yell: “Shake it off!” because the game continues. And standing around feeling miserable about letting down your team accomplishes nothing except perhaps serves to prompt another screw-up and compound the first incident even further. It’s no different in careers or business or life.

Aaaah, and there is also of course a divine presence that deserves mention here as well because –if you believe in a supreme being– surely every major shift in life status represents the chance to re-examine and re-explore whether the ways you are moving are indeed forward, sideways or backwards . . . and this relates to attitude, not career status.

Do the steps you take today serve the best purposes of your own ambitions? Do they serve or lead you to better serve others? Are you taking steps? Any steps? What’s the roadblock? Have you convinced yourself that any steps are too difficult right now? When will that change? Can you simply choose to change it now? Are you choosing to be resistant?

More often than not, forward progress gets stalled when we get ourselves caught up in our own self-sorrow. The world keeps turning. The clock keeps ticking. Your heart keeps beating. Don’t choose to waste your precious time on earth feeling sorry for yourself. A friend of mine once admonished: “There’s plenty of time to sleep when you’re dead!”

# # #

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.

# # #

Just What Americans Need:

Less Healthcare. More Politics.

Shame on you, AARP, and tsk-tsk to Marsha Mercer, “freelance journalist who lives in the Washington, DC area.” Neither of you appear to offer much in the way of common sense, or even the hint of a realistic viewpoint, when it comes to your manipulative and politically-charged-below-the-surface feature story that appears in the AARP March Bulletin.

Your front page hype,”Fixing The Doctor Shortage – Big Changes For Patients” (and guts of the story) deceptively suggests that the evolving physician shortage is one that’s the product of an aging doctor marketplace and by private insurers undercutting Medicare reimbursement rates. Simply not true.

Relentlessly increasing

government control is the culprit.

MEMO TO AARP: Put the premise that your article spotlights in the drawer, and start making phone calls. Ask a few hundred doctors. I have. They will tell you in so many words that relentlessly increasing government control is the culprit.

The article’s lead source, Dr. Steven Berk, is certainly a distinguished one, yet the context of his quote appears to have been quietly tucked away. Surely, Dr. Berk had more to say about the subject than thirty-six words? Could it be that the rest of his comments failed to support the sensationalist undercurrent of your story?

And how about adding the link for 2012 Physicians Foundation survey that you cited so people can check it out for themselves? Check it out here. Certainly the survey IS worth noting. Skewed, though it may be to represent the best interests of its sponsoring organizations, it seems credible enough.

So what is worth noting you ask? How about the glossed-over fact that all the alarming findings referred to have taken place since (and are compared only with) the survey of 2008? Does that strike you as worth noting?

Hmmmm! And what else happened in 2008? An increase-government-control advocate was elected president. So, are we to conclude that most of the problem we face today regarding doctor shortages and the systematic transitions in healthcare that have forced the issue are attributable to physician aging and private insurers, as the article purports? Not likely.

To Find Doctors we should be looking — instead of to state medical associations — to family, friends, neighbors, other doctors, and other healthcare professionals. After all, isn’t it TRUST we seek? Surely, it’s not more government in our lives, or politically-motivated state medical associations trying to justify their membership fees.

Let’s remember that –far and away– the single greatest reason that the vast majority of Americans seek any (even including ER) medical care is to get reassurance. Reality, even for seniors, isn’t a TV hospital show. It’s seeking reassurance.

Oh, and please: FORGET about .gov websites. They are not invested in helping you. They are invested in controlling you! Go instead to private practice websites. Go to The American Academy of Family Physicians and other non-governmental professional physician credentialing organizations. And stop believing what you read in AARP propaganda.

Unless you prefer some politician to give you a diagnostic workup, prognosis, and treatment program?

~ ~ ~ ~ ~ ~ ~  

# # #

SIGN UP FOR FREE blog subscription Posts RSS Feed

Hal@Businessworks.US     302.933.0911

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.

# # #

FREE blog subscription Posts RSS Feed

Hal@Businessworks.US   302.933.0911

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

# # #

FREE blog subscription Posts RSS Feed

Hal@Businessworks.US    302.933.0911

 OVERWHELMED?

Make Decisions.

The most overwhelming thing about being overwhelmed is getting your decision making mechanism activated. The holiday season gives rise to getting your personal leadership gears stuck. People to see. Places to go. Events. Gifts. Special meals. Family reunions. And always, there’s business and career. So much to do and so little time.

“Personal Leadership”? Yes, I did mention that. As in leading your SELF  through all the excitement, clamber, congestion, over-indulgence temptations, and disheartening year-end assessments, to a place of reckoning.

That translates to getting UNstuck by getting back in touch with your ability to prioritize and make decisions. There’s really no place else to start except with yourself. If you aren’t healthy and moving forward, how can your business be?

Here’s an old standby method that always works and will help you get UNstuck now. . .

START by listing the 6 critical personal leadership categories at the top of your Word page or Excel grid or piece of paper: spritual, intellectual, physical, emotional, mental, financial. Then itemize random points/parts/ issues that need attention under each heading. Maximum 3 minutes for each column. (If it takes longer to think of, it’s not critical!)

Then, consolidate all items that can be addressed in a bundle fashion or that may represent duplication of effort.

Next– and always with the understanding and expectation that priorities can change in an instant– assign priority number values to each item in each column. Maximum 1 minute per column.

NOW, assign * or ** or *** to each #1 item in each column, then to each #2 item, etc. Take *designated #1 item and attack it. NOW. When it’s done, move on to *designated #2 item, and so on, through **designated #1 items, etc.

Always be prepared to re-prioritize based on what may end up in your face that changes the circumstances. The trick is to use determination and stick-to-it-ive-ness to take each challenge to a point of resolution before moving ahead to the next one.

When you clear the decks of issues that jam up your personal leader-ship skills, go for the rest of the overwhelm. You will be enormously more successful at business, career, and family leadership when you simply start making decisions about how to first deal with you so the rest of what you do is coming from a position of strength, and a true leadership posture.

Oh, and take lots of deep breaths and make it fun whenever you can. Those are choices, you know.

# # #

FREE blog subscription Posts RSS Feed

Hal@Businessworks.US    302.933.0911

AS ZIG AND ZIGGY SAID . . .

“We should enjoy life while we’re here

’cause there’s no here, there!”

(Worldclass cartoon character Ziggy)

“You can have everything in life you want,

if you will just help other people

get what they want”

(Worldclass motivational sales guru Zig Ziglar who left us this past week,

to hopefully join Ziggy for some fun and enjoyment “there”!)

What’s the point? Entrepreneurs have a way of becoming so driven and preoccupied by the race to achieve their ideas, they rarely take enough time out to enjoy what they already have, like family and friends, and life itself. They can also become so readily entrenched in “doing” for themselves and the growth of their ideas, they can often forget about helping others.

If, like many entrepreneurs, you think you have been put on earth to better mankind by pursuing your great ideas to the exclusion of taking time outs for your self and your family and friends, or to the exclusion of taking time to help others in their moments of need, you might want to revisit your sense of reality and the purpose of your life and business leadership.

My recommendation for how to proceed with this thought for the next minute is to simply take one more step and have a little fun by entering “Ziggy” in the search window to the right, then scan the three blog posts that surface, then enter “Zig Ziglar” in the search window and scan the fifteen or so blog posts that mention or quote him.

I promise –that between the two quick searches– you’ll be amused or prompted to action, if not both. Most assuredly, you will be as I have been by re-skimming these posts, enlightened. I stand humbled by the inspiration I draw from each. You?

 # # #

Hal@Businessworks.US    931.854.0474

I am thankful for my

 Kickstarter Backers!

Happy Thanksgiving!  I hope it is a time of great rest, relaxation, reassessment and re-energizing for entrepreneurial leaders everywhere. Certainly, it is a time for family, friends, and appreciation . . . a time for prayer and caring and tolerance.  

Thanksgiving is for me personally —and most of all— a time for saying thank you to those who have locked arms with me through the two years of harsh realities and trauma that ended with Kathy’s death this past March.  

It is only because of that allegiance and outpouring of love and support for my personal and business survival that I have indeed survived. It is with full and deep appreciation for all that Kathy meant to me and the joy she brought to my life, that these friendships and offerings of time and help, and support (even food!) have prompted me to do what she urged of me consistently (but that I unwittingly resisted) over her last two years: to move on! 

AMAZON Kickstarter, as many of you know, has enabled me to step forward with the wonderful book manuscript –HIGH TIDE— that occupied thousands of hours of my spare time (and much of Kath’s) over the past twelve years. But Kickstarter is just a platform, a format.  

It took a concerted effort by a small army of close friends and family members to give me the faith and incentive and encouragement to bring that format to life… to move on. As it stands this minute:  it works!         

In the middle of my Kickstarter website, you’ll find a lengthy list of individuals who stayed with me through the long haul and who passed me the torch to light up HIGH TIDE. 

Many others, too many to list here, have eagerly jumped on the bandwagon to help. They know who they are. I will thank each publicly as soon as I can get through the Kickstarter project, regardless of outcome.  

I will simply say here and now that I am deeply grateful to each of you who have taken the time from your own busy lives to reach out and pull me a rung or two up the ladder and for bringing God’s blessings to my doorstep. Thank you. I love you all. And God Bless YOU.  

~ ~ ~ ~ ~ ~ ~

I ask also that anyone reading this please be sure to remember all the families still suffering from Hurricane Sandy, and to send God’s blessings to them, as well as to all our young men and women serving in America’s armed forces and emergency services throughout the world. Pray to grant them all continued courage, resourcefulness, patience, forgiveness, and understanding.

# # #

FREE blog subscription Posts RSS Feed

Hal@Businessworks.US    302.933.0911