Posts Tagged ‘vision’

The Health Care Reality

May 15th, 2009

1979 was the year in Johnstown, Pennsylvania when I decided that it was time to leave teaching and transition into business.  For those of you who don’t remember that year, it was the beginning of some serious financial challenges for our country, but it was also two years after the Johnstown Flood of ’77, and there was an unemployment rate of 19.5% in Cambria County, PA.

1979 Rolling Stone cover Blues Brothers SNL Dan Ackroyd John BelushiIn 1980, when I accepted a job with a then bankrupt nonprofit organization in Somerset, PA, what had been a booming coal industry went into the skids. My house mortgage was about the same as the unemployment rate, 19%.  The job that I took was in the arts and Ronald Reagan was interested in cutting funding to the National Endowment for the Arts.

In 1985, my new job was with a tourism agency, and that was the year that then-PA Governor Casey cut funding to tourism.

In 1988, when I entered healthcare, it was clear that Johnstown could no longer support four hospitals, and the next decade and a half resulted in the closing of two (and almost three) of the four hospitals in that area.

Turn the clock forward to last October, when I announced my decision to become a healthcare consultant.  The stock market crashed, eight of every ten hospitals stopped, postponed, or scaled back needed capital projects, 58% of hospitals are now reporting  increases in uninsured patients using the emergency departments, 48% of hospitals have cut staff, and 80% have reported cutting expenses that include consultants.

As a consultant, the first thing I would tell anyone is that “No matter how bad things appear to be, you can do it.”

  • Our successes as a teacher continue to remain evident as former students ranging in age from 38 to 58 continue to remind me of great memories of our time together.
  • The arts organization became the largest and most successful rural arts organization east of the Mississippi.
  • The Convention Bureau went from almost closed to the fifth largest agency in the State, and most of you have tracked the successes that we experienced at Windber.

Not unlike the little engine that could, we focused on the positive, forgot about the negative, and never dealt with “Mr. In-between.”

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There are those who approach life cautiously, carefully, and very conservatively, and then there are those of us who drink from that same cup in big gulps and dream about how things could be rather than how they are.  There are those who are afraid of failure, and those of us who embrace failure because we know that it is getting us closer to more dramatic successes.

The only boundaries that we have are between our ears.

Because the future is a design function. Let me close this blog post with the ending from my commencement address to the graduate students of St. Francis University (with the help once again of Dr. Leland Kaiser):

  • Nothing has to be the way it is.
  • We can invent (or prevent) our future, because all limitations are self imposed.
  • We can empower ourselves to create a new world.
  • Reframe any limitations to become opportunities because…
  • Tremendous limitations breed success. They open doors.

So, as we design our future, remember that we should not work to create what people will like, but instead work to create what people will love!

…and we will know success beyond our wildest dreams.

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Never Look Back

January 21st, 2009

Never look back.

That should be the motto of every outgoing president. You did the best that you could. You did what you thought was right. You gave it your all, but when the power changes, when the new world order takes shape, and when you fly off to your new life, it will be forever evident that what you did will not be what your predecessor will do. It will not be what you fought for, believed in, or worked so hard to accomplish. So, never look back; George W., Bill, George, Jimmy or Nick. It was what it was; it is what it is, and you can’t change either the past or the future. You can only go on with your life.

With the changing of the guard this week in Washington D.C., the entire process was very moving to me. Things that are being proposed seem so obvious, so clear, so amazingly right, but they too will most probably be disassembled almost before the door is closed on our next president’s final helicopter ride. The only worst situation would be if all of President Obama’s former loyal leaders would stay behind and make those disassemble decisions on the next inauguration day.

In the raw emotion of abstract observation, it dawned on me that, my time as a president is over, too and that change will happen as it is permitted to happen by the leadership left behind. It also became clear to me that my role should now be one of elder statesman not that of interfering has been.

We built this city on rock ‘n roll” is a song that plays over and over in my head. In our case, we received international recognition because of the uniqueness of the institutional soul that evolved there. It was an open, progressive environment, but, more importantly, it was an environment filled with positive energy.

My role now as elder statesman is to offer advice only if asked, to realize that my time is indeed over as a president, and to help those who believe in what we once created to do the same for their organizations.

It is not to attempt to stop motion, no matter which direction it is flowing, but this part is damn hard, and I don’t have a library to focus on building.

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