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.

Breakdancing: The Roots of The Street Dance

Breakdancing is the street dancing which began around 1969. Most people will agree that the superstar James Brown began the whole thing with a dance called the “Good Foot”. James Brown was a real innovator and his dancing was something to behold. He did things with his feet that would give most of us a couple of broken legs!

Simultaneously in the ghetto, what is known as the “dance battle” became very popular and in many cases replaced gangster warfare as a method to end disputes. Breakdancing lent itself very well to the dance battle and the Good Foot was a perfect base for breakdancing.

Street dancers adopted the Good Foot which, for a short period, became known as the B-Boy and then breakdancing. Back then the dance moves were a lot different to the kind of breaking we see today. There were no popular, documented moves such as the headspin or the windmill. The dancers simply used their feet and nothing else. Some would argue that this “old style breaking” is more complicated than the kind of dancing we see these days.

Some of the floor work improvised back then was fantastically complex. If you go to a modern breakdancing competition you won’t see many of the old school moves but you will see a lot of gymnastics. Impressive though this is, there are those that think breakdancing has lost its roots a little. On the other side of the coin you have people saying that it’s just an evolution.

As a way to solve street battles and gang violence it was inspired. You were finding that amazingly, the gangs were using breakdancing instead of fighting. The breakdancing “battle” took on a world of its own. Of course there were still fights and inevitably sometimes a sore loser in a breaking battle would resort to violence.

Out of all this, breakdancing crews were formed. The members of a crew would practice and dance together. This is when the first very basic breakdancing choreography came about. One crew would invent a move which would inspire an opposing crew to go one better. For some of these guys breakdancing was literally the difference between life and death. They were very dedicated to what they were doing.

Just as all these new breakdancing crews were bursting onto the scene a guy called Afrika Bambaataa embraced the genre. Afrika Bambaataa is a legendary figure in the hip hop world. He was largely responsible for bringing breakdancing into the general public’s consciousness. He got to know all the crews and encouraged them to develop what they were doing. Bambaataa’s “Zulu Kings” breakdancing crew became a force to be reckoned with, winning many battles.

Since then breakdancing has continually progressed and more and more very talented dancers were bringing their skills into the arena. There were new moves being invented by the week and it wasn’t long before we had headspins, windmills, backspins and all the other high energy, acrobatic moves we see these days.

The “Rock Steady Crew” were one of the groups to pioneer this new school breaking. These guys along with Charles Ahearn who made the seminal hip hop movie “Wild Style” were to bring breakdancing fully up to date and the dancing phenomenon became much more popular. There was no stopping the onward march of the break dance.

Nowadays breakdancing influences a lot of the choreographed dance routines which are an integral part of a modern pop record release. You have young kids coming up who are really into it and the genre is experiencing something of a renaissance. There’s no doubt about it, breakdancing is here to stay and if you want more info a quick search on the Internet will turn up thousands of references to this modern art form.

Shedding A Light on Green Bonds

The Government is aiming for a greener economy. Businesses and organizations are trying to support their production through green resources. Green economy, green bonds, green business and going green has become the current anthem worldwide! We know what green economy and green business mean but as I wasn’t aware of ‘green bonds’ initially, same will be the case with many of you. So, today with the help of this article, let’s gain an understanding of the term.

Green bonds: In simple language, these are the bonds issued by the Government and are tax-free. These bonds are used for underdeveloped localities mostly by municipalities or federally qualified organizations. The purpose of these bonds is to finance projects which are aimed at achieving energy efficiency, protection of aquatic and terrestrial species, curbing pollution, managing water quality and quantity and clean transportation, to name a few. Due to the tax-free status, purchasing this bond accounts for a lucrative investment when compared to a taxable bond. This tax-exempt status acts as a financial incentive to handle social issues such as preserving energy sources and climate change.

Qualifying for a green bond requires:

1. The building is at least 20 acres in the size
2. The project will receive a minimum of $5 million from the state or the municipality
3. A minimum of 75% of the building is registered for Leadership in Energy and Environmental Design (LEED, a rating system developed to measure the environmental impact of the building) certification.

Certain benefits of green bonds are:

Reducing the cost of the project: These bonds are an excellent system of saving a large amount of capital to support environmental investment. Ideally suited for large-scale green projects such as solar and wind development which require capital investments prior to revenues and which generate modest revenue over a long time-period.

Investor demands: Due to the increasing awareness for a green financial market, there is a constant demand of socially responsible investment projects. Owing to this scenario, investors are expressing strong interest in purchasing of green bonds. While retail investors seek investment through their brokers and fund managers, institutional investors use these bonds to handle social, economic and Government mandates. Before green bonds came into the picture, it was a struggle to address these mandates with fixed income tools. This is the reason why these bonds have been successful in attracting new investors thereby providing a new platform for future issuances.

Building brand value: As the major provider of these bonds are the Government, they strike the chance and brand themselves as innovative and dedicated to keeping pace with the green projects.

Leadership: Talking about the future, green bond issuers are the leaders of the world. With their active participation, they can encourage municipalities to participate and create a reputation for monetary innovation. This will make way for upcoming projects in financing environmental projects.

Sharing the time when efforts are put-in to preserve the environment, green bonds are an altogether new opportunity for investors and issuers. Apart from the above-mentioned benefits, green bonds are known for several other advantages over other financing options, some of which are:

Providing a medium to access sustainable investments in a fixed income market in familiar and low-risk surroundings.

Allowing the municipalities to develop a public-private partnership to speed-up the process of energy efficiency and technological advancement.

Why Is A Tally NET Subscription Vital For Your Business?

Tally ERP 9

Tally Software has proven to be extremely vital for your business. For over two decades, Tally ERP 9 has developed into a high-performance ERP as well as accounting software to cater to the demands of all businesses regardless of whether they are large or small. Irrespective of the industry you belong to, finance and accounting are vital to your business.

Tally ERP 9 is an amazing tool that assists you to execute all activities such as managing inventory, sales, purchase, costing, manufacturing, payroll, accounting, finance apart from excise, statutory processes and more. It also delivers high-end security to protect all data and files. It is the most popular as well as sought after ERP software because it has the flexibility to connect with all staffs, different branch locations, CA’s as well as others, anytime and at anyplace. Tally ERP 9 offers host of products

What is Tally.Net Subscription?

Tally Subscription is a service viewed in Tally ERP 9 which delivers superior abilities namely product updates, remote access services, data synchronization within branches and different locations, access to support center and several more features so as to aid you in improving your business performance.

So, what are some of the advantages of a Tally.Net Subscription?

Remote Access Services

The business data remains locally with you and is never hoarded on Tally.NET servers or on systems using that data through Remote Access by making a Tally login. With the aid of this Tally.Net id you get infinite remote edit services and can control your business on the go. It also enables your CA to get audit services.

Support

Support Centre is an incredible capability incorporated in Tally ERP 9 and Shoper 9, which allows you to report and trace queries from within Tally ERP 9. The queries you post go to your general Tally Service Provider and you’re able to receive instant responses to all your queries. You also have the ability to report the queries and view remotely. One can make use of the reference number/ticket number to raise the issue to Tally’s Customer Centre if needed.

Control Centre

Control Centre in Tally has the feature to allow you to centrally configure as well as administer Site/User belonging to your account. Therefore the Control Centre behaves like an interface between you and Tally ERP 9 set up at your different sites.

Knowledge Base

Tally has merged a huge selection of articles for its users to comprehend the product as well as its applications. One can use the Knowledge Base and seek out what they need from the topics available as per one’s convenience.

Software Assurance Services

You have the ability to receive regular product updates and can upgrade Tally as when you need.

Data Synchronization Services

Exchanging data between two or more Tally licenses (executed at different places) becomes simple with the aid of Tally Service.

20 Ways to Increase Sales With Direct Mail Letters

1. Adapt letter-headed paper

If you’re using company letterhead for direct mail then adapt it to your requirements. The company name and selling benefit should stand out. If you want people to email you, then the email address should stand out. If you want them to phone, then make the phone number prominent. Use the footer as a place to increase sales by drawing attention to a trade association or quality control mark. Make legal information as small as possible.

2. Postal replies

Do you want potential customers to reply by post? Include a pre-paid envelope.

3. Long letters

Don’t be afraid to write long letters (over a page). Nobody will buy something without enough information to make a decision. Keep selling until you have run out of sales points. Every word should be relevant – no rambling.

4. Be friendly

Address your letter to a known person if at all possible because it shows that you care who they are. Second best is to address them by their job or interest, eg. ‘Dear Dog Owner’. The worst salutation is ‘Dear Sir/Madam’.

Sign off in a friendly way. Instead of a secretary signing the letter on your behalf, sign it yourself. Include your Christian name and a friendly title. ‘Customer Services Manager’ says that your company cares about its customers.

5. Powerful headlines

At the top of the letter write a headline that communicates the product’s main benefit. It gives the potential customer a reason to read on. Keep it clear and simple – think communication not clever word play.

6. Powerful openings

Grab your reader’s attention. Study magazine articles and newspapers. How do they it? What works? Use your research. Here is a list of letter openers to get you started:

7. Subheadings

Subheadings make letters digestible. Each subheading should sell the product.

8. Ask for what you want

Don’t beat about the bush. If you want your reader to buy your soaps then tell them so. If you want them to take out a subscription, ask them to sign up (and make it super easy). Ask straight away – don’t leave it until the middle of the letter.

9. Talk benefits

Know the difference between features and benefits. Instead of saying ‘the X65 lawnmower has a barrel of sixty rotating blades’ say ‘the X65 lawnmower develops a healthy lawn within weeks’. Decide which is the most important benefit and put that first. All the other benefits follow.

10. Make it personal

Address the reader as if you were sitting beside them. Make it about them and not you. Every time you write ‘we’ try and change it to ‘you’.

11. Emphasise important points

Emphasise important words by using bold or underline, but don’t overdo it or the power is lost. Indent to emphasise key paragraphs.

12. Make sure the letter flows

Guide the reader gently from one point to another. Sentences should be linked (‘what’s more… ‘, ‘but… ) and ideas should be set out in logical order.

13. Entice the reader to act

Your letter must end with a ‘call to action’. Now you’ve (hopefully!) sold the reader make it easy for them to act. Don’t make it complicated by providing lots of alternatives which involve decisions. Give an incentive too: ‘reply by 20th August and you will receive a free watch’.

14. Provide reassurance

Make sure the reader knows they can’t lose. For instance, say you won’t take payment until the product has been dispatched or that they won’t be charged for 60 days.

15. Use a PS

When you receive a letter do your eyes go straight to the PS? So do your reader’s. There should be a new ‘just remembered’ benefit here to seal the sale.

16. Make it a parcel

You don’t have to send a letter on its own. A creative package is likely to generate a higher response rate. You could include a sample of your product or a promotional item which will be a constant reminder of your company eg. a drink coaster or a pen.

17. Include a reply device

Pre-paid postcards with tick boxes make life easy for potential customers. If you can print their name and address for them, all the better. Reassure people that a salesman will not call and that they are under no obligation to buy.

18. Include an endorsement

Comments from satisfied customers go a long way as do market research statistics: ‘85% of our customers have used us for over 2 years’. Always be truthful. Never be tempted to lie – to do so cheats your customers and undermines your reputation.

19. Involve the reader

Ask rhetorical questions: ‘What would you do if… ? Write questions that potential customers might ask and answer them: ‘How much will it cost?’ Provide an example of a company or individual who reaped the benefits of your product: ‘When James & Son bought our product they halved their production costs in a week’.

20. Overcome objections

Make a list of all the possible reasons your customer might have not to buy. Decide how you would answer these objections and put them in your letter. For example: ‘I can’t afford it now’ could be solved with an easy payment plan. If you think people will want to compare deals with other providers then provide a comparison chart.