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.

Taking Meaningful Action

Productivity. Priorities. Planning.

There are a lot of buzz words right now (and they all seem to start with the letter P!) that are intended to help us make the most of our time and efforts.

But in all the buzz about how to get more done, there is surprisingly little talk about what, exactly, we should be doing. Are all “to do” items created equal? Checking things off a list doesn’t guarantee that we are moving ourselves forward.

Growth Activities

Some things on our list need to get done, and you could argue that they are “important.” Many people fill their days doing client projects and customer service. After all, we have to deliver on our promises. But those are not growth activities.

Of course, we also fill a surprising amount of our time with “distractions.” Some are more obvious than others. Many of us lose hours in reading and responding to e-mails, which might feel like “work” but how productive are we really being?

How many of your activities are true “growth activities.” What things will grow your business? Expand your impact? Allow you to make a bigger difference? Really fulfill your purpose?

When you really look at it, those things happen primarily in two ways. When you create things. And when you connect with people.

Create

As a Content Creation Coach, these types of activities are dear to my heart. I see the power of creating new things. Of putting your ideas into tangible pieces. Whether you are writing a blog article or a book, creating a program, shooting a video, making a new presentation… creating things generates value.

You are increasing the assets of your business. You are putting valuable things into the marketplace (even if they don’t cost money). You are giving value that expands your worth and inevitably returns to you.

I often ask people, “What are you creating next to grow your business?”

The most powerful thing about creating content and other pieces in your business is that it gives you something new to share. Creating something new doesn’t mean anything if others don’t see it.

Which leads me to the second type of growth activity…

Connect

When you connect with other people, that is when all sorts of magical things happen. You might end up with a new client. You could find out about a fantastic opportunity. You could impact that person and create a ripple effect in their life and beyond.

The incredible web of possibilities that exists in a conversation with another person is huge. There is a real art to finding the places where your interests, needs, and capabilities intersect. That’s why it’s called “networking”!

Being able to impact someone else is at the core of our purpose. Each of us brings our own area of expertise and focus to each interaction, of course. But if we approach it openly, each conversation is an opportunity to live out our purpose.

That’s real growth.

And business growth follows real growth.

I’ve been spending a lot of my time recently connecting with others. And I often share things that I have created with the people I am connecting with. Sharing value and making a difference. Win win!

Looking at your task list, how many items involve creating something new or connecting with others?(And sitting at your computer writing e-mails doesn’t count!) Identify some real growth activities to put into your schedule.

Comic Book Industry Blunders

What includes turned out badly inside the business and would it be able to be settled? The assault and loot, according to

a few, may have left the comic book industry panting forever bolster. It appears that for an

industry that has seen so much achievement, the historical backdrop of comic books, has evidently been

jumbled by apparently imbecilic oversights.

The first could have exceptionally well been the begetting of the name “comic books”. The soonest forms

of the purported half-tab (for half newspaper) reprints of the Sunday funnies (the funnies) moved toward becoming

known as “funny books”. This prompted the reasoning as a rule, that comic books contained comic

or on the other hand entertaining material, which we as a whole know, is a far stretch from the real world. Comic books can be extremely

serious, dim or audacious magazines. It has regularly been proposed that there ought to be another

term begat to more readily depict this abstract bundle we as a whole know as comic books. To date, no

other client companion term has been proposed for use in the comic book industry.

A second confusion came when magazine costs began to rise. Rather than expanding comic

book costs, as other effective magazines did, the comic book industry chose to slice pages to

keep the then current sticker price of 10 pennies. This expedited the feeling that comic books

were “shabby” by definition, and ignored the way that a dime was a considerable measure of cash at one time

(steak and eggs cost 35 pennies). This displayed the picture that comic books were only for kids. It

additionally made the item progressively less reasonable for retail vendors to stock. Why take up the

same rack space, when a higher evaluated magazine would accomplish all the more pleasantly. Again the apparent

estimation of the comic book was losing validity.

At that point as the 1950s moved around, a person by the name of Dr. Frederick Wertham, distributed

a book entitled “Temptation of the Innocents”. Using informal research and

suppositions, he expressed that all the country’s ills were specifically identified with kids perusing comic books

(ok well, what?). Fundamental to his proposition, was the misassumption that comic books were entirely for

kids. The more grown-up material, it was nonsensically accepted, was gone for our sweet, guileless

blameless kids. Truly, we do need to secure our youngsters, yet despite everything it disturbs me forever, that

certain vainglorious people trust their present situation is to influence whatever remains of the planet to follow

to their very own convictions. On the off chance that this were the situation, at that point our extraordinary nation would have never been

established.

With this fiercely silly assault on the comic book industry and numerous congressional pioneers

bouncing on the temporary fad, comic books were picking up an awful notoriety. The comic book

industry distributers now, could have united together and proclaimed that comic books, as

films, were not “only for kids”. It ought to have been expressed that the extensive variety of comic book

kinds spoke to was focus to as wide a scope of perusers. Everything except one of the distributers

(William Gaines, distributer of EC Comics) clasped under to this Congressional Investigation and

the Comic Code Authority was made. This represented the substance of comic books and guaranteed

that for the following 15 years or somewhere in the vicinity, the scholarly substance would not transcend that of pablum for

the psyche. Along these lines another slide into extraordinariness for the comic book industry occurred.

Can the comic book industry be spared? Possibly, however when the people accountable for the

sparing are as energetic as ever to commit similar errors once more, what will the result be?

They don’t have all the earmarks of being blade enough to commit new errors.

5 Tips for Typography Best Practices

This was my first year at Typographics 2018. Typographics 2018 is a conference for typography enthusiasts around the world, that’s held at Cooper Union. There were panelists from San Francisco, Berlin, Buenos Aires, and Japan; it really felt like a truly international experience.

I had the chance to sit in on both the conference and TypeLab parts of Typographics. Here are a few highlights from the panels/breakout sessions that I really enjoyed:

1. Emojis = Pictures + Character (Jennifer Daniel, Google Emoji)
Emojis are images that may translate into different meanings across different devices. Jennifer gave an example about how the “dumpling” emoji looks different across different chat platforms -every culture has a dumpling!
I found an interesting tension in this statement -emojis should have a consistent user experience (across platforms), yet still be personalized to their users.

2. Ubiquitous type is can cause user confusion (Mr. Keedy)
Mr. Keedy created Keedy Sans, a popular font in the 90’s. The font was considered “uncool” 10 years later and used everywhere. Keedy sans is used on teenage girl makeup packaging, as well as winebars. This could create a bad user experience for people because of lack of branding. Last year, Mr. Keedy refreshed his font -to create greater customization and allow Keedy fans to layer the font for interesting visual effects.

3. Braille is a form of typography (Ellen Lupton, Cooper Hewitt)
Ellen talked about how blind individuals read Braille in a unique way -holding it across their body. She also demonstrated a blind person’s experience watching music videos by showing the accessibility voiceover.

4. Brand holds content together with design (Gale Bichler, NYTimes)
Gale foused on how the New York Times(NYT) has branded itself as a publication that experiments with many types of fonts. NYT can play around with different types and massive fonts as illustration. If someone picks up a page from the floor, they can usually tell that it’s from the New York Times because of branding.

5. Picking fonts is like eating ice cream. (Veronika Burian and Jose Scaglione, Type Together)
When combining fonts, look at mechanic and organic feels. Veronika and Jose talked about how people like humanist fonts, with a hint of a calligrapher’s hand. Ideally, you should find a balance typefaces share a common language.

The overarching theme is that typography is wide-ranging and crosses various mediums. Visual languages include symbols, braille, and audio caption. The challenge now lies in how to design the best experiences for these new forms of language.

Home Sweet Home!

He loves to be at home, almost deliriously. Home… sweet home! Some place where you follow the same delicious routine- everyday, day after day. His mother and sisters hovering around him, giving him mouth-watering meals at the appropriate hours-so religiously maintained! Precious moments at every step of the homely existence, sometimes with his father butting in at the most inappropriate ones! And then… the compulsory evening hours before the television set with family, and a lot of nonsense yet fun. This is heaven, he justifies. Nothing can possibly ever make him think of leaving it!

Of course, he reasons, he is no longer a burden on his father’s measly monthly income. Now, he too has a job-a fairly good job considering the fact that he can carry it on royally residing at home. What’s more-he is contributing to the monthly budget in good measure and as a result of that he is getting even more attention from his mother and more pampering from his beloved sisters, he’s almost sure about that! Yes, he had got several other job offers outside his city, but rejected all in an immaculate cost-benefit analysis that he often indulged in. He will get more salary no doubt, but most of that will go to renting flats, cooking for his own sake, transport costs for homecoming and going and other related costs. Therefore, he is ready to give up that extra income in favour of staying at his heaven.

Sometimes he gets bored too, as is natural. The delicious routine becomes a drag if he decides to think of his apparently purposeless existence. But then he reasons even more vehemently. Why-there is lot of purpose in his life, helping his ageing father, giving solid support to his mother, finding ways and means of marrying off his sisters and so on. Besides, home sweet home always has its never-ending store of pleasures. He can lounge out in the portico sofa by the window with a book or have noisy games of cards, ludo, carom, checkers and the lot with family or can join the guests who come almost every day for gossip or can go for a movie.

His heavenly existence was continuing in full bloom till one fateful day. In fact, for many others it would have been a momentous day of great joy and promise. However, for him it was a D-day. He had to take the decision of his life-a choice between his heaven and a future that he did not put much weight on.

He got an unexpected promotion and transfer to a big city. Maybe thanks to his heavenly roots he had been very good in his office job, and just when the employers wanted to reward him for his efforts all hell broke loose for him. He shared this news with his mother and sisters in a very casual manner, not telling about the exact pay package, but only mentioning the additional unnecessary costs. However, one of his sisters got elated at the prospect of traveling to the megacity and staying in her brother’s home. He looked askance at her.

He is more careful breaking the news to his father. He tries to convince him that this promotion does in no way mean a quick climb-up in the hierarchy; rather he’d wait a little longer and get the promotion at his hometown. Or he’d approach some influential person for a settlement where his dad could also help. And the unnecessary expenses that will come inevitably, his cost-benefit analysis in full flow. He is almost sure that his dad is convinced. Any doting father would want his only son near and around only. However, his father’s next action was not at all expected. His father just walked out of home.

It was only half an hour later, but the suspense made it seem much longer. His father comes in with huge packets on his hands. His father calls upon his mother and places all the packets on the dining table. One by one he opens-sweets, cakes, salty delights and all. He just ushers in a big celebration. His heavenly son just looks on.

“Congratulations, my boy! I was really worried about you and your ways. But you proved to be damn good in work, and the way your company is rewarding you is just terrific. Okay… you’ve gorged on home food and comforts for quite long. Enough of your logic and arguments! Now you get a start on your own. And don’t bother about me. Next time I’m coming to have comforts in your home!”

He tries to look pleadingly at his mother. But she is busy, and merrily setting the table. He must celebrate now.

Chinmay Chakravarty is a professional specialized in the creative field with over two decades of experience in journalistic writing, media co-ordination, film script writing, film dubbing, film & video making, management of international film festivals and editing of books & journals. Proficient in providing professional services in these related fields. Presently working in DD News, India.