Archive for July, 2009

The List

July 25th, 2009

Okay, so if you are in healthcare administration and you have any interest in what’s going on in my world, just take a quick read of this descriptive list of services from various organizations with whom I have become aligned.

healthcare_puzzle450

In terms of creating value for any of you, the first organization that I obviously believe should be on your list is SunStone Consulting.  In order to help explain our work, think of the following list:  Transfer DRGs, Worker’s Comp, Compliance and RAC readiness assessments.  These represent just a few of the professional services in which SunStone specializes for hospitals.

What about the rest of the list?

  1. Virtual elimination of  “accounts receivable.”
  2. The building of software bridges to anywhere.
  3. Expertise in telemedicine delivery.
  4. Business flow software systems, like Legos, that can be added for any business unit.
  5. Research software that delivers, white papers, proteomic and genomic research results, and pharmaceutical tie-ins through its unique search engine.
  6. Marketing research for any occasions.
  7. Business development and lobbying services.
  8. Food services.
  9. Environmental savings and income solutions.
  10. Educational training in all aspects of management expertise.
  11. Biofeedback systems for stress management.
  12. Hazardous waste disposal.
  13. Response systems for data breaches, i.e, notification mailings and call centers.
  14. REIT-type investment and building solutions for expansion projects.
  15. Searches for all executive and executive medical and PhD leadership positions.
  16. HR software to ensure objective  employee evaluations for quality improvement.
  17. 24 hour translation services for hospitals and physician office practices.
  18. Comprehensive  proteomic lab services for sophisticated oncology/cancer testing.
  19. Electronic Medical Records
  20. Physician office billing systems.
  21. Strategic planning expertise for hospital medical staffs.
  22. Physician practice diagnosis and “repair.”
  23. Grant writing and fund raising for all aspects of healthcare: residencies, research, job training, nursing schools, and so much more.

If you need to find funds, are looking to have money returned to you that you have rightfully earned, want to improve your business quality and efficiency, are in need of comprehensive analysis to help you start, improve, or garner maximum profitability from a business unit, or just want to improve your bottom line, follow the money . . .

Check out SunStone Consulting’s Global Solutions, and give me a call.  It’s what we do.  (This was not a paid announcement.  Rather, I just wanted to let you know what I’m up to besides board, administrative, and personal consulting and assistance.)

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Non-traditional Thinking Pays Off

July 19th, 2009
health_montageWho would ever consider having 24-hour ’round-the-clock family visiting in a hospital; beds for loved ones to stay overnight; deli-style counters on the patient floors to serve hot meals to loved ones, patients, and staff; popcorn machines in the lobbies; bread baking in the hallways; live music, massage, aroma, pet, humor, and drumming therapy; decorative fountains; and special mammography gowns for modesty? We did, and that was over 12 years ago. Our patient population tripled through the emergency room. The budget tripled, and the number of employees almost tripled.

At a lecture I once attended, Dr. Leland Kaiser said, Give me the creative leader every time. They will always win over the traditional one.”

Well, yesterday, I met a creative leader. This young business entrepreneur was only about 34 years old. He owned a construction business that specialized in concrete. You know, poured basements, slabs, sidewalks, and driveways. When we discussed the current business climate, he smiled and said, “I’ve done okay.” Well, we all know that the construction business is literally on the skids right now and has been since the crash last year. NPR news ran a segment on Thursday about the 12,000 new government jobs being created in the Washington DC/Northern VA area. Seemed like good news until they said that these jobs represented only about a third of the more than 30,000 construction jobs that had been lost to date there.

When I asked our young rock star how he did it, he smiled and said, “I got this idea.” The number of times that those words have come out of my mouth is virtually immeasurable. Yet someone else has later described the related actions as an accidentally brilliant strategy. My response to him was, “So, what was the idea?” He smiled and said, “As soon as I got a bill, I paid it, that day, that minute, that instant.” As an employee of an accounting-type firm, my mind began to race with the traditional thoughts of “Oh, my gosh, how foolish. He could be getting interest on his money for 30, 60, or even 90 days, and he is paying his bills when they arrive?,” I thought to myself.

He then began to explain the outcome of his decision. “My suppliers love me, and because they don’t have to add in late fees, collection costs, lost interest, or simply lost money from late or uncollectable accounts receivable, this practice got their attention. Because they, in his words, “loved him,” he was able to negotiate better pick-up times for the concrete. This made him more flexible and productive as the trucks arrived at 8:00 AM with the morning’s first load of cement. The suppliers were also willing to negotiate lower prices for him than they could for the other contractors with whom he competed. Why? Because he paid them promptly every time.

He then went on to say that because his costs were lower than the other contractors, he could lower his prices to the builders with whom he wanted to do serious business, and, instead of the six or eight regulars that kept him going in the good times, he was now able to attract about 28 builders who wanted to work with him because he was on time, did good work, and, of course, was less expensive.

So, when he told me that he was doing okay, it meant that none of his employees had lost their jobs, his income had not gone down, and his business was virtually booming in an economy that has meant bankruptcy for more traditional construction oriented businesses. The really great news, however, is that this guy is a long lost, distant cousin about whom I had never known until just a month ago. So, I guess creativity runs in the family. Oh, yeah, and he’s a heck of a musician, too. Seems like Leland was right.

A Blueprint for Transformational Change: Nick Jacobs’ 2009 Graduate School address at St. Francis University’s 2009 commencement ceremonies

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Don’t Drink the Water?

July 8th, 2009

Ever wonder about this whole water, nutrition, thrown-away-or-passed-through-pill thing?  I was talking to a friend who was explaining her box filled with powered, bio accessible supplements to me.   You know, the kind you drink in a milk shake in the morning.  She explained that her house had a septic system and that the annual visit by the septic maintenance truck was usually an occasion to discuss topics that the rest of us don’t get into on any given day.  Interestingly, she asked the septic  guy if things have changed “down there” over the years. (I know, I know. Too much information.)

His answer was terse.  He said, “Yep, all we see now when we start our work is pills, undigested pills.”  I’ve written blog posts about the lack of filtration capability built (or not built) into our water purification systems, and suggested that you move to Chicago if you have high cholesterol because there are so many lipids in the water.

Nicholas D. Kristof, Pulitzer Prize winning columnist for the New York Times has always been one of my literary heroes.  His coverage of Darfur, his reports on the Iraq war, Afghanistan, China, and gender rights issues have all captured my attention and admiration.  His column last Sunday in The New York Times, It’s Time to Learn from Frogs, was deeply disturbing and raised issues that should capture not only our imaginations but also should tickle our most profound concerns.

three legged frog
Photo credit: Discovery Channel/TreeHugger.com

For those of you who did not read it, the basic thesis was one of caution as we see our amphibian friends sprouting extra legs and some developing stunted genitals, while some of their fish companions are devolving into intersex fish that display female characteristics and produce eggs.  The reason for these changes is being attributed to a class of chemicals that scientists refer to as endocrine disruptors.  Some are passed into the environment through the urine of human females on estrogen treatments.  Although these theories for the disruptive changes in nature are still only theories, we have also begun to see a serious percentage of male babies  (7%) being born with undescended testicles and 1 percent being born with the urethra exiting the penis improperly.  Obesity may also be impacted by chemicals that contributors.

As the founder and former CEO of a research institute, our scientists constantly reminded me that 75% of our cancers were produced from the environment.  As we saw completely substantiated reasons in our economy to add man-made chemicals to retard spoilage, discourage bug infestations, and produce larger chicken breasts, or more attractive fruits and vegetables, the cascade of potential consequences caused by these decisions were never really known to us.

Mr. Kristof ends his op-ed by stating that “Those deformed frogs and intersex fish – not to mention the growing number of deformities in newborn boys-should jolt us once again.”

Could someone pass the “Fresh Mountain Spring Water?”  Oh, yeah, the one that’s full of heavy metals from the acid rains.  You know, that Grey Goose is looking better every day.

For further reading:

What Are Endocrine Disruptors?

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Happy 4th of July…(Sort of)

July 3rd, 2009

Recently, my youngest child —a wife and mom in her 30’s,  got a new job that came with a company cell phone, a Blackberry. The problem was that she had a “Friends and Family” cell Phone plan, and no longer needed her old phone.  She called the wireless company, explained the situation, and they said, “We’re sorry, but the telephone bill is in your husband’s name, and only he can change this.”  She painfully explained that he is in the Army National Guard in the middle of a war zone.  The wireless carrier’s “Customer Care” representative replied, “I’m sorry, but he must call in, give us his Social Security number and the password or nothing can be changed.  There are no exceptions.”

American soldiers with the 101st Airborne Assualt Division at Camp Pennsylvania make phone calls from a makeshift, and often malfunctioning, phone center. - Photo by Benjamin Lowy/Corbis -Image © Benjamin Lowy/Corbis
American soldiers with the 101st Airborne Assualt Division at Camp Pennsylvania make phone calls from a makeshift, and often malfunctioning, phone center. – Photo by Benjamin Lowy/Corbis -Image © Benjamin Lowy/Corbis

She explained, ”He does not have a telephone to call you from his base in the desert.” The service representative said, “ Then he must send us his Power of Attorney.”  This frustrated young army wife and mother of three said, “We’re not adopting a child or buying a house, we’re trying to change a wireless plan?”   “Let’s see, Osama Bin Laden is still making DVD’s, but you can’t change a phone plan?,” she went on.   “That’s correct,” came the icy cold reply.

Undaunted by this setback, we went to the local wireless store hoping that we would find an employee who was not the Tin Man from the “Wizard of Oz.”  The young lady patiently waited the 20 or so minutes until her name was called, went up to the associate at the counter and said, “I’d like to take this phone off the family plan and move it over to my new company.”   “I’m sorry, he said.  “The bill is in your husband’s name.”  She explained that her husband was deployed.  The mystified sales associate said, “I’ll check with my manager.”

The Tin Woodman speaks

You guessed it,” the manager said, “Just have your husband call.” “He doesn’t have a phone,” she exclaimed.  By this time everyone was listening intently.  The young man said once again, “Have him call.”  It was at that point that I lost it and said, “He’s in the war! They shot at him today.”  A few stations away, a man who was obviously a veteran yelled out, “Give me his numbers, I’ll put a war movie in the DVD and call these jerks for him.”  The next woman over just shook her head.  Undaunted, the red faced associate stuck to his guns.

Clearly corporate America was making a point.  War?  What war?  Who cares?  “Rules are rules, and they will not be altered!”  This was the third time in as many months that she was greeted with this type of callous big business attitude.  Because it was in a new location, the local cable company would not put cable into their home to provide access for the family to communicate with their dad via the internet for under $3,000.  Even when she explained the desperation of a war mom separated from her husband for a year, their reply was simple, “No, it’s $3000,  or no cable.”

She then asked that her satellite TV be discontinued, and was told that she would be assessed another several hundred dollars because the contract had not expired.  She once again explained the Iraq situation and the need for high speed cable, but they replied, “Sorry, but that’s the way it is.”

So, let’s all take this opportunity to thank our wireless company, the cable company, the satellite company, and every other United States-based company who so fervently support our troops and their families. Sung to the tune of America the Beautiful:

The magnitude of gratitude expressed by corporate greed;
Tells all our soldiers everywhere we’re grateful, yes indeed.
We’ll fleece you here and fleece you there as you protect our homes
Just watch us help your families until you all come home . . . NOT!

In the words of Stephen Colbert, you’re on notice.

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