“Huh? Now? But it’s the holidays!”

“Well, Merry Christmas to you! But

after quality family time, remember

1st quarter 2014 is just hours away.”

Why “NOW!”? Just click here: take a quick look at this to see what’s happening this very split second —as you read this— and you’ll realize that delaying this task is simply not in your best interest.

Getting others to refer you/your business is more than a survival tactic, it’s the key to 2014 success. No sales are more important right now than those to the friends, families, associates and online connections of your existing customers, clients, and patients. Because 2014 is bringing increased competitive activity to the surface. And it cannot be sidestepped.

The harder the times, the fiercer the battle! And the easiest, most economical path to increased sales and customer/ client/ patient repeat-sales-and-visits loyalty is a strengthened referral base. Economical? You decide. It costs nothing to delight those who purchase from you.

Cease and desist all marketing? No. But don’t expand it. Instead, consider shifting gears from reliance on expensive media, to fine-tuning attitudes and cultivating a much more pronounced reputation for integrity than you probably imagined being necessary. 

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Hal@Businessworks.US

O.D.  or  D.O.A. ?

When O.D. (Organizational Development) fails to resuscitate a dying enterprise, there are seldom more than two options to pursue. The first, and most prevalent, is to simply roll the victim organization over and declare it D.O.A. (Dead On Arrival).

The second is more challenging and sings to the accompanyment of opportunities: It’s called O.R. (Organizational Rebirth) and is cornerstoned by an massive infusion of E.L. (Entrepreneurial Leadership).

Every size and type of organization —profit AND nonprofit— comes face-to-face with life-threatening problems at some point (and at least once) in it’s lifetime. Most often, it appears that the malignancy stems from some form of poor management, and more often than not appears to evidence itself as an issue of financial shortcoming.

Example: You can’t run a nonprofit organization that’s not conducting ONGOING fundraising and grant procurement efforts. Regardless of good intentions, without money there’s nothing to run.

When the principals who are involved decide that it’s time  to overhaul, restructure, refurbish, rearrange, rebuild, reinvent . . . go for it! BUT, call it something that organization people can relate to, feel positive about, commit to and enthusiastically support. Ask THEM to brand the project with a name and identity.

It’s the leader’s job to determine the purpose, intent, mission, goals/objectives, strategy, and tactics. It’s the leader’s job to “rally the troops,” motivate and guide, to solicit feedback, to listen 80% of the time. Make-believe leaders push. Real leaders pull!

Remember leaders can delegate authority,

but not responsibility.

When it’s time to choose to fold up or buckle up, don’t choose to make it hard. Don’t choose to make it daunting. Don’t choose to make it more stressful than it may be. Don’t choose to make it overwhelming. Don’t be a drama queen. Don’t be overbearing. Choose instead to think like a leader and act like an entrepreneur.

Reinventing yourself as a person or as an organization doesn’t have to be drudgery or negative or threatening unless you choose it to be. Choose for it to be fun! Choose for it to be easy! Choose for it to be positive! Choose to go with the flow instead of over-analyzing what went wrong.

Choose to keep EVERYTHING

in the “here and now”!

Reality: It’s a far deeper process than changing facepaint. The reinventing-survival experience is rarely a simple one, but that doesn’t mean it can’t be fun and easy. Simply choose –and constantly REchoose to reinforce– for it to be easy and fun. With vigilance, the challenges can turn into opportunities in a blink.

Oh, yes, and it’s okay to blink.

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Hal@Businessworks.US

Healthcare Management Problems

Go Far Beyond Technology Tangles

Thanks to what many doctors regard as excessive and medically-uninformed government intervention, 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

 SUCCESS IS THE JOURNEY

. . . NOT THE DESTINATION. 

 It’s entrepreneurial leadership, not the goal!

Losers lack it. Winners exude it. Ask the successful people you know. They will tell you that the most sensible route to organizational success is one that engages and focuses on the passionate pursuit of “here and now” present-moment thinking, instead of dwelling on the past or worrying about the future. VOILA! “Entrepreneurial Leadership.”

Do you sometimes wonder what Barnes & Noble is thinking on it’s way to the Borders graveyard by insisting on following an archaic business model that is completely out of touch with today’s technology and marketplace? Do you wonder why the Post Office’s solution to high expenses is to close on Saturdays, lay off employees and pull in pick-up boxes off the sidewalks?

And why does a nonprofit charity mail out fundraiser letters with “2013 Supporter” car magnets that literally fade to invisibility after a day in the sun? What makes the rampant “GOTCHA” greed of so many cable TV, insurance and telephone service providers completely override the wishes and best interests of the customers they serve?

The answer to these –and any other examples you may be prompted to think about– is the same. It is wrapped around societal acceptance of the need to pursue “the end result” at all costs. It is mired deep in the thinking that popularizes “analysis paralysis” as a characterization. It is the antithesis of innovation, and of entrepreneurial thinking and leadership.

“But winning is the American way!,” you may say. Indeed it is. But just because it’s the most desirable mantra for sports and military performances, doesn’t mean it’s the right way for business or life. If anything, it’s probably as far off base as any guideline could be. No business or life flourishes when it is completely devoted to reaching the goal line. None.

Think about it. When you’re running a race and concentrating on the finish line, you stop paying attention to what’s happening at the present moment right in front of you, right under your feet, and -SMASH!- you trip and fall on your face.  Competitors of course will hop over and around you. Winners pay attention to each step AS they take each step.

Entrepreneurial leaders nurture and thrive on the present moment. Something doesn’t work? They don’t analyze the malfunction to death. They simply adjust it and keep moving forward, and adjust it again and again in the process of constantly moving forward (vs. analyzing instant and slow motion replays again and again and going nowhere)!

Entrepreneurial leaders don’t worry about goals. They have goals, but they simply pursue them by staying tuned in to where they are, each step of the way. Like any malfunction, if the goal isn’t being reached as planned or hoped for, they adjust it. Inflexible or unrealistic, or nonspecific goals are as totally meaningless as wishes.

It’s HOW you do what you do each day that determines success. HOW do you handle staying on top of the process and the interactions? Isn’t that hard? Of course it is. The challenge is to be forever on the alert to opportunities, and that’s impossible for those who are thinking or worrying too much about where they’re headed, and for those lost in the clouds of constantly re-hashing where things have been.

Successful entrepreneurial leaders are also HAPPY leaders because they function as much of the time as possible in the present, here-and-now moment. And, like success, happiness is also “The Journey”! Do you make an effort to function each day in the here-and-now present moment as much as possible? Try it. You’ll like it.

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So, you think you know

who you are, huh? Really?

Entrepreneurial Leaders are responsive (instead of reactive). They take reasonable risks (which means they don’t bet the farm, or even buy lottery tickets!). They are goal-driven, but focus more on the steps to reach the goal. When something doesn’t work, they make adjustments and try again (vs. corporate/government thinking that produces analysis paralysis!)

Guess what the number one ingredient is in entrepreneurial leadership — any kind, any level (from running a company to running a work crew or department, to running a family or sports team)? It’s knowing yourself. Your SELF. Because unless you know what makes YOU tick, you can never know what makes others tick.

When you don’t know what makes others tick, you’ll never be able to communicate clearly with them . . . because they do NOT think like you think even if you think they do. They don’t. You are unique. No one else has your brain. No one else can reach inside your brain and control it because every one of your behaviors is your choice!

So, are you still with me? If that little bit of awareness is true for you, it is equally true for each person who follows you. To be truly effective as an entrepreneurial leader (as opposed to a robotic leader!), doesn’t mean you have to be a shrink. It means you have to accept that everyone does not think like you, and you need to do your best to figure out what makes them tick.

Just because you may think you’ve “been around the block a few times,” that you’ve “been there, done that and got the t-shirt” doesn’t mean you can dismiss the need to keep learning about yourself and others because these are different times. What worked for you before is not likely to work again for you without some kind of adjustment.

The place to start adjusting, then, is with how, when, and where you absorb new information. Just as you and your life are constantly changing (even, and usually, when you least expect it or are aware of it), so too are the lives of those who look to you for guidance. I’m not suggesting you become a Google-aholic psych student. Just keep yourself alert. Observe. Listen.

Keeping up with all of that is challenging. But isn’t that why you took the job or accepted the responsibility in the first place?

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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?

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STOP HIRING CONSULTANTS!!

 CUTTING EXPENSES

DOESN’T MAKE SALES!

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

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

NO ONE EVER MADE MONEY FOR

A BUSINESS BY SAVING MONEY!

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

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

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

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

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

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“Whaddayadonfermelately?”

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

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

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

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

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

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

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

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

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

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Hal@Businessworks.US    931.854.0474

 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.

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Hal@Businessworks.US    302.933.0911