One Bad Decision Can Cost a Hospital Millions

Things can go wrong without the right team in place

I recently read an article that was attempting to explain the cost overrun experienced by a hospital during the launch of their new EMR. The article was clear on what caused the overrun but failed to communicate why the decision was made that created the cause.

In many hospitals, emotions can run high fueled by attitudes of resistance to change. The pressures and stress associated with go-live can be a challenge to manage; however, allowing those forces to affect decision-making can have lasting adverse financial effects. When all planning, budget, constraints, and common sense that should be applied are set aside, you can almost always expect the worse. It may feel like appeasement is the right thing to do to relieve the stress, but it may not be the best thing. Sticking to the plan, and staying within the budget should always be the guiding factor that drives decisions even when the pressure is great.

It’s unfortunate, but some decisions are based on problems that may not exist at all but are only perceived based on excessive negativity. Having an experienced team in place that can help make decisions based on fact is vital.

Negotiating Skills Do Pay Off!

When doing logistics, treat it like it’s your money

Getting one of the best hotels in the city to give you the lowest rate with great concessions is excellent. In this agreement, the hotel managed the flight itineraries and provided transportation to and from the airport. They supplied one large conference room for orientation and then surprised us in the contract with a complimentary welcome reception for 120 guests with heavy hors-d’oeuvres. Provided two fifty-six seat luxury buses and several shuttles to transport consultants to the training facility and back. They also agreed to use their shuttles to take those consultants that worked within two miles of hotel to work and back each day. Everything listed above was in the price of the rooms $105.09 with tax. Note, this took a huge burden off the consulting firm, and the savings were passed on to the hospital.

When a hospital hires a consulting firm, that consulting company should put forth all effort to save money, not spend money. Creating a positive cost variance (CV) indicates the consulting firm is in fact on your team. Negotiating for the best price is good, but getting the most value for the lowest price is better.

Consultants Saved the Day!

Good consultants can mean the difference between success and failure

I sat in an auditorium with over three hundred consultants when the speaker invited to the podium the senior implementation project manager. “Dr. So and So has overseen the EMR implementation of nineteen plus hospitals please give him a round of applause.” Wow, nineteen projects that’s impressive. However, it turned out to be a challenging project in many areas but mainly with significant workflow issues.

Although it is confusing why this happens, it is clear the leadership was out of touch. Seeking someone with excellent qualifications can be attractive for any hospital, but having someone with the insight that can eliminate problems before they exist is priceless. I am not sure why this project manager didn’t know this.

Fortunate for everyone the consultants came with the experience and knowledge necessary to handle these types of issues. Jumping into action and based on past experiences they began the process of educating the staff and leadership on what works. This go-live would have never survived without the tremendous efforts of the consultant.

The Worst Cashflow Mistakes Small Business Owners Make

The worst cash flow mistakes a small business owner can make can be counted on one hand. They have one thing in common, and that’s about failing to follow the money. They’re about keeping your eye on the prize, and we go through them here, ending with advice about how to track your own company money using expense management software for small businesses…

Failing to think before you splurge. Great! You’ve started a business. You’re on the road to fame and fortune, and now’s the time to invest in an expensive suit and a new car, isn’t it? No, in short, it isn’t. This is exactly the time NOT to commit money – yours of the company’s – to anything you don’t need. So there’s the first lesson. Understand the difference between ‘want’ and ‘need’. To succeed in business you need a phone, but the Armani suit can wait…

Expecting the best. This is about your financial planning. Understand that you’re not going to be a millionaire in the first year. On the contrary, you’ll be doing well if you can afford to pay yourself anything like a salary in Year One. If you overestimate the number of units you can sell, or the clients you can get to come on board, then revenue will be lower than you predict, and you may find yourself overstretched with any finance package you’ve put in place.

Offering credit. Poor paying suppliers can cripple small businesses. If you’re made to wait for payment, that’s like offering them an interest-free loan, and you shouldn’t do it. It’s perfectly reasonable to ask for payment up front, so long as you’re ready to honour your commitment. After all, you wouldn’t expect the local supermarket to give you a month or more’s credit on your grocery shop (though if you’re a supplier to them, the boot would be on the other foot). In general, large organisations are slower payers, and also have complex internal procedures in place about how and when payments can be made. Better to work with smaller companies, where you have direct access to the person with the power to pay.

Being cash poor. If you’ve made careful and conservative cash flow forecasts in the early days of your business, everything’s fine, so long as cash moves as you’d predicted. But what happens if it doesn’t? If you have no cash cushion you could be in trouble. Try to have a couple of months-worth of cash in the bank so you could carry on if you had no income at all. It’ll help you sleep easier, too.

Not making an unpaid finance assistant work for them. Bet that caught your attention didn’t it? This is not about the kind of modern slavery that has people working for nothing, but it’s about technology. It’s about arming yourself with good quality business expense management software for small businesses and being disciplined in its use. In the early days of your business you need to be especially careful with money, because having little of it generally sharpens the focus in the need to be a good money manager. In later years, when you’ve earned a wedge, there’s no reason to take your foot off the control pedal. Keep a tight rein on finance, and you’ll be rewarded with better dividends in the future. Selection of the right small business expense management software will enable you to keep track of expenses very easily, but more importantly, it will allow you to interrogate the data, and show you how effectively you’re managing spending and cashflow – and show where improvements can be made. And picking the right package means it’ll offer excellent value for money, because the savings you make by using it are probably going to be more than the cost of investing in it in the first place.

What to Read and When

Either you need information or you desire entertainment. In either case, a young person’s time fills with activity. Yet, young people stumble and fumble through their early lives because they have not experienced the pitfalls and rabbit path trails of work, love, finances, and real estate. Young people should read voraciously to get an edge on what comes next in their lives. An older person might have more time in the day, but less time in life. Older people possess the wisdom to be selective in their reading. Rather than seeking an edge of knowledge, an older person might juice more sweetness from life by identifying with a fictional character who came out on top by living a moral life in spite of torment and misfortune.

Consider this: regardless of your age, the media bombards you with plenty of information on daily news that will enable you to converse socially. Are you an online social media aficionado? You know that it only takes a few glances and a tiny bit of reading to keep up with current events with your friends. In your profession, yes, you should read to advance your knowledge, but realize that by only reading yesterday’s technical guidance, you neither prepare well for today’s technical problem, nor do you advance technically for tomorrow. Besides that, the technical go-to-person in a company receives visits from people who have technical problems. Unless that person interacts socially with the managers and employees, he or she will not be remembered for promotion. However, the technically astute person who brings fun, happiness, charisma, and stands like a moral rock, might slice through company politics like a hot knife through butter, to advance beyond his or her peers. Read fiction to learn how to be that person.

Why read a made up story? Most fiction writers create interesting stories based on what they know – things that have happened to them. The singer, Prince, famously said, “Before I dreamed it, I lived it.” He meant that he had a better story to tell through song because he sang about things that happened to him. You learn his story, appreciate his experience, and possibly get an edge for yourself while he entertains you with his song. You can get that by reading fictional stories too. Don’t limit yourself to stories that closely align with your life. It will do you little good to read what you have experienced. Instead, if a writer piques your interest in the first five pages of any genre: thriller, mystery, romance, science fiction, drama, history, or comedy, acquire and read that novel. Especially, if you feel a hook in your mouth that pulls you into wanting to read the rest of the story, do it. Don’t walk away with regret.

The time and setting do not matter. A 200-years-ago story on the planet Mars can be relevant to you today, as well as entertaining while you read it. You will perk up when you read about a character who faces a nasty experience similar to one that happened to you at work or at home, yet, he or she determined the effect wanted amid chaos, planned, then acted on a plan that switched them from victim to world-shaper. That information may be far more useful to you than today’s news story or your friend’s latest Facebook photo. Like Prince, you might live it, then dream it. Find a lifetime of free fiction novels online, but understand that inexperienced authors break into the writing business by giving their work away. Don’t deny yourself the better read by being stingy with vending machine snack money. #TAG1writer

Steinbeck Hitchcock and Yes, Lifeboat

What on earth do Steinbeck and Hitchcock have in common? Well, nothing except that they made a film together called Lifeboat. They did not even share any common interests in terms of their work. John Steinbeck created novels such as Grapes of Wrath which is still considered as a literary masterpiece even by modern critics. The novel was highly controversial at the time it was first published in 1939 due to the anti-capitalist sentiments. But it also won the Pulitzer Prize. This and his work later were instrumental in getting John Steinbeck his maiden Nobel Prize for literature. Steinbeck also wrote some comedies such as Cannery Row and Tortilla Flat but thrillers, not any that I know of.

Alfred Hitchcock lived thrillers and absolutely thrillers. However, he did take some diversions into other genres such as comedies in Mr. and Mrs. Smith and also some nonfiction films just before the Second World War. After the war, he mostly stuck to what he knew best and that was making thriller movies. I don’t know what Steinbeck was thinking about while writing Lifeboat. Was he intentionally making a thriller or just an interracial film with a hypothetical situation about people from various communities of German and allied forces getting together and having to do battle together? I think it’s later and that’s where Steinbeck came into the picture.

Originally the screenplay of Lifeboat was credited to John Steinbeck. But after the film was released Steinbeck requested his name to be removed from the credits because he felt the film had unkind words against organized labor. However, the British and American press at the time thought the film glorified German characters and denigrating the US and British characters. Modern critics see things differently though. Hitchcock defended his characterization because he respected his movie villains. Characterization of a villain has been the hallmark of Hitchcock films over the years. The moral of the story in his opinion was to get the allies together to fight against Nazis.

Lifeboat was nominated for 3 Oscars but received none and it was not commercially very successful either due to the negative publicity and controversies surrounding the film. It was Hitchcock who came up with the idea for the film and considered several top writers at the time for the project including Ernest Hemingway and A J Cronin. Hitchcock didn’t use music in the film as he thought it was imprudent to do so. Where would music come from in the sea? He retorted when asked about it. He was countered with where would the cameras come from in the middle of the sea?

I am a diehard Hitch fan and have seen all his best work and more. I never felt him being racist or unkind to any community unless it is for the characterization. The very fact that he chose Steinbeck for this project confirms this fact for me. But it is a strange combination all the same. After so many years of Hitchcock, it is difficult to associate him with a writer who is not at all a thriller writer. It is a lonesome but great alliance all the same.

What To Note While Shipping To China

With a lot of players entering the international logistics market, shipping to countries that are located thousands of miles away from you, has become a hassle-free task today. Gone are the days, when you had to wait for relatives or strangers from a particular country to pass on things to your near and dear ones staying there. With international logistics becoming highly cost-effective as well, you can use them for your business and personal purposes quite easily. One of the hot shipping destinations is China. It is one of those economies that has been growing at an exponential rate. Hundreds of thousands of items worth millions of dollars get shipped to China on a daily basis. Here are some of the important processes that are involved while sending goods/shipment to this country.

1. Customs clearance/paperwork

When you want to send anything to China, you should be aware of the custom laws and regulations prevailing in that country. Items, whose values are quite low (approximately lesser than 500Yuan)are free from customs duty. If you are sending items that are worth more than this value, you need to pay the required customs fee and submit all relevant paperwork, so that your shipment doesn’t get rejected. Chinese laws are quite strict when it comes to documentation. You should have a checklist of the requirements and plan accordingly, so that you don’t miss out on anything.

2. Method of packing

Whenever you ship anything to China or any other country, you need to take extra care while packing your products. Fragile items should be covered in cardboard boxes that are well corrugated so that they are well-protected against abrasions and friction. All the items should be sealed to avoid leakages, breakages, spillage and other related mishaps. Your shipments involve a lot of investment; therefore, it is only natural that you take enough care in ensuring that they reach their destination safely and perfectly.

3. Banned items

This is one of the most important points that you need to keep in mind when you are shipping anything to China. Every country has different laws related to the list of prohibited items. You should be fully aware of the rules that stop you from taking certain items into Chinese territory, so that your package is not confiscated at the time of security checks. Prohibited items mostly related to food, electronics and other materials like wood, cane, bamboo etc. Under each category, you should know the list of items that are allowed or disallowed, permitted weight and other aspects, in order to get your shipments cleared without any hassles.

4. Service provider

This is the first step that you need to follow when you decide to send your shipment to China. Choose a service provider who is highly reputed in the world of international logistics and who has enough experience in this field. When you choose the right company, you will be given professional guidance about the items that can and cannot be shipped to a particular destination, saving you lot of time and embarrassment.