“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

MASQUERADING AS 

SOMEONE YOU’RE NOT?

Think about it.  Are you representing your SELF in some way that’s not truly you?  Is it to make a sale? Get a date? Be accepted? Make points? Save yourself from losing face? Is it what you like to see other people do? No? So why pull the covers over the real you? Do you think others can’t see through the façade? Can’t you tell when someone else is faking it?

Authenticity isn’t a make-believe attribute that can be manipulated to suit the occasion. By its very definition, it means being genuine all the time. Authenticity, in other words, cannot exist on a parttime basis, or be in effect one minute and not the next. You either are who you represent yourself to be or you aren’t.

Yeah, some say, but there are always exceptions to everything. Not true! You either believe in God or you don’t. You either love someone or you don’t. You are either real or you’re not. There are no two ways about it. You can’t use Bcc emails to have someone else (or others) know your “secret ” communications and then pretend you are sending someone a private message.

Integrity is often defined as doing the right thing even when no one is looking.

As stampeding technology sweeps us all into lower levels of sociability — actually redefines sociability to be global instead of personal– we can often find ourselves distancing ourselves from others who are physically and emotionally close, in favor of socializing with total strangers who may seem less threatening and who may be more conveniently available to be in contact.

Is this behavior in our best interests career-wise? Possibly. In terms of personal growth and development as a human being who wants to make a difference in the world? Not likely. Performance track-record and familiarity breed trust. People accept and buy from one another (including health services, by the way) because of trust more than any other factor, including price!

How do we take the first step toward becoming more authentic? By recognizing that it is a choice, and then by choosing to live more honorably, and finally by setting up support systems to help ensure continuation of that practice. Is that difficult? If you choose to make it difficult, yes. But, YES,  you can choose to make it easy. Behavior is a choice.

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Hal@BusinessWorks.US  931.854.0474

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

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!

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WANT TO BE MORE OF A LEADER?

TALK AND WRITE LIKE A LEADER.

Over 30 years of writing and training business, industry,

healthcare, and academic leadership have taught me

some important words I now share with you . . .

People who regularly incorporate the use of the following kinds of words in their daily conversations and written messages stand tall among the most successful of worldclass leaders.

This magic pack of words is just for openers. You need to be willing to raise your own consciousness about whether the words you use every day are helping you perform to the best of your own leadership ability. This list can, in other words,  get you started. But only you can decide what works best for you and your personal leadership comfort zone.

The point is: Take a couple of minutes to review this list, think about it and assess yourself. If you can change some words you may presently be emphasizing that are not helping you perform, change them! It’s your choice.

Opportunity. Becoming. Challenge. Team. Can. Forward. Focus. Here and Now. Let’s. How? What will it take? Go! Do I understand you correctly to mean . . .? Us. We. Our. Fun. Enjoy! Together. For example. Passion. Try. Enthusiasm. Empathy. Customer. Diagram.  Innovation. Client. Partner. Listening. Self-esteem. Service. Needs. Desires. Learning. Facts. Exciting. God. Illuminating. Choice. Value. Timing.  Self-confidence. Trust. Authenticity. Genuineness. Objectives. Goals. Strategies. Tactics. Specific.  Flexible. Realistic. Ignite. Timeline. Activate. Boost. Stimulate. Care. Compassion. Spark. Consistency. Measure. Hustle. Effort. Reward. Share. Accurate. Recognition. Implement. Respond. Energy. Responsive. Responsible. Behavior. Spirit. Assist. Invigorate. Results. Invest. Humility. Grace. Please. Thank you. Respect.  Grow. Patient. Happiness. Family.

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When Followers Lead Leaders

You think only a weak leader would step aside when followers close rank and try to take over? Maybe you’ve seen too many wild-eyed-pirate-and-rats-desertion-of-sinking-ship themed movies. You may want to revisit your thinking because in a lot more than some cases, stepping aside is an indication of truly superior and truly successful leadership!

There are probably as many avenues to leadership roles as there are leaders, yet none of them reflects the inherent strength-of-leadership qualities of authenticity and transparency as –like raising world-class children— being able to move confidently out of the way when followers (or your kids) take up the flag and charge forward with it.

No one ever said that being a parent or playing a parental role in business and professional practice development would be easy. In fact, parenting of any kind may well be among the hardest of life challenges. On the heels of committing to the ongoing practice of nurturing and investing in self-responsibility, personal and career parenting is certainly job one.

Why would self-development come first? Because if you cannot be true to yourself, you cannot be true to others. If you don’t know and aren’t continually searching out what makes you tick, you can’t possibly be in a position or mindset to lead others. If you don’t value your self and appreciate your own strengths and weaknesses, how can you measure and guide others?

When followers lead leaders, it may be because the leaders have faltered or it may be because the leaders have thrived on showing the way, on lighting the path, on motivating others to see that light AND the path, and on stepping out and onto it.

Weak leaders work at keeping followers following.

Truly great leaders

inspire followers to become leaders.

Which are you? Which are you becoming? Where are you aiming? What’s your target? Your goal? Your objective? How will you get there? The more you help others to grow as leaders, the more you grow as a leader. And since all of this swirls around what you think and how you behave, it’s worth remembering that thoughts and behaviors are a choice.

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Your PEOPLE are your

  most important asset.

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

Failure to recognize this truism is at your own peril.

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

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

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

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

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

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

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

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

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Innovators: KEEP OUT!!!

I’ve been called an entrepreneurship evangelist. I’ve worked with thousands of doctors, business owners/operators and managers, market innovators and entrepreneurial thinkers. Like most, I’ve spent a lifetime taking (reasonable) risks, rejecting authority, breaking rules, and regularly working long into the night,

And I developed a nothing-is-taboo attitude. [So don’t tell me what to stay away from!]

But — what’s the old saying?– “The truth will (win) out!” And my experience says that the truth is if we are to make a success of  business, professional practice, career, and life pursuits, we need to set success goals that include what to avoid, as leaders, as people.

My top 7 suggestions of what to avoid and why:

KEEP OUT of jail. Let’s face it. There’s not much of anything positive or worthwhile to be had, or add to your resume, by being in jail. Yes, a handful of inmates out of millions might learn a life lesson or two, but jail is hardly a breeding ground for success at any level. So, stay away from it. Question your motives before you act or speak.

KEEP OUT of courtrooms (unless you’re a lawyer). Courtrooms can be just a stress notch away from jail. The attached anxieties alone are enough to topple years of hard work and good intentions. You may think that courtroom appearances are not always your choice, but if you don’t choose to initiate a legal event, you do choose to set yourself up or put yourself in position that could lead you there. No it’s not always avoidable, but much of it is. Bottom line: Can your business afford for you to put business time, energy, and funds into a pursuit that’s not your business?

KEEP OUT of doctors’ and lawyers’ offices (unless you’re a doctor or lawyer). If you are constantly and consciously choosing to live a healthy lifestyle, you can often avoid doctors and minimize  situations beyond routine healthcare.

Remember that once a doctor sends you to another specialist, you are IN THE SYSTEM, and the most tenacious efforts to escape it’s time and money-consuming clutches rarely succeed. For the same high stress reasons to avoid jail and courtrooms, choose to minimize lawyer visits and limit them to essential  occurrences and preventive maintenance.

KEEP OUT of hospitals (unless you work for one). Contrary to the onslaught of misguided hospital marketing that blankets this country, hospitals do NOT spawn good health. They treat those who no longer have good health, and –in many documented cases– actually contribute to the exacerbation of ill health. This is not to question professional dedication or skills. It is simply a reminder to strive for life directions that have the best odds of helping you avoid hospitals.

KEEP OUT of hiding places (unless you’re playing hide-and-go-seek with the kids) when it’s time for family and church and community. These are the times that define you and what you’re all about as a human being.

KEEP OUT of fights (unless you’re a boxer). Disagreements can be healthy, but disagreements require self-vigilance to prevent them from accelerating to the point of getting out of control. Anger, mean-spiritedness and grudges can ONLY work against you and quickly become the undoing of all you’ve worked so hard at to put together.

KEEP OUT of nonproductive relationships (unless you’re a shrink or a cop and your career calls for engagement). In other words, stay around positive-minded people as much as possible and pursue opportunities to surround yourself with others who consistently demonstrate positive, upbeat attitudes. This: will come back to help you!

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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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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.

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