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.

# # #

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!

 # # #

With Volunteers,

Exceptional Leadership

Can Bring Exceptional Success

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

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

1) Having too many goals

2) Lack of an adequate contract

3) Lack of leadership and accountability

4) Lack of rewards or recognition

5) Lack of attention to group process

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

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

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

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

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

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

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

 The excitement and enthusiasm levels generated

 in volunteer groups is directly proportionate to

  the attention given to the issues outlined above.

# # #

LIFE & LEADERSHIP SUCCESS

IS ALL ABOUT TIMING!

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

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

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

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

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

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

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

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

work harder at cultivating our sense of timing?

Good timing is not an accident.   

# # #

STOP

“Thinking

   Like A Leader”!

“Thinking like a leader” may get you some pats on the back. Perhaps a few “Hey, Man, he really thinks like a leader!” comments. But leaders who are serious about the pursuit of their missions and the exercising of leadership to motivate others to get where they’re going, are those who are completely invested in BEING leaders.

BEING a leader means getting results through others instead of thinking or talking about getting results.

Of course leaders need to plan. But having a plan is like getting your foot in the door. Worrying about which way to go once you’re inside, doesn’t make the mission happen. Taking steps does. And as a true entrepreneur would respond, if the first few steps aren’t working, take steps in a different direction . . . and then again.

You will almost always get where you’re going faster by moving than if you were to sit still and analyze each direction because the momentum alone will fuel your pursuit. Not happy with that, huh? You don’t like thrashing your way through the jungle just to find out you missed the path? You need your analytical fix?

Okay, go for it, but limit it and target it to make the most of where you’ve been. After all:

HOW ARE YOU GOING

TO GET WHERE YOU’RE GOING

IF YOU DON’T KNOW WHERE YOU’VE BEEN? 

Make it a quick review (not analysis paralysis!). The relevant past is useful to every leader because it can be an invaluable tool for learning from past mistakes and past success, true? So do it. Review it. Then take it –like a football game handoff– and run! The past is over and will not change. And dwelling on the past is a waste of the present.

What’s the rush? Motivating others takes momentum which requires timely and accurate communications. Timely and accurate communications dissolve rapidly when too much time and attention is devoted to past and future thinking. But both gather speed as the leader sparks and ignites. BEING an effective leader means taking action and teaching by example.

“Thoughts” I am told by psychologist friends, are “Things.” But “Things” are not “Actions.”

Leaders Act.

 # # #

Business and Professional Practice

Collaborations, Partnerships,

and Marriage . . .

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

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

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

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

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

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

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

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

# # #

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!”

# # #

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.”

# # #

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

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