• Leno, NBC, and Innovation — One of these is not like the others!

    NBC Universal reportedly will announce Jay Leno Show, hailed in September as the future of network television, will be moving to 11:30 pm; thereby, pushing the Tonight Show back to Midnight.  This experiment in pop culture lends itself to a great business lesson. Some would say the lesson learned is not to tamper with a good thing.  For…

  • There’s a crowd but I am all alone!

    The New Year brings with it crystal ball forecasts and visions of a future world.  Technology-laden lives focused on brining the world closer to each of us is an ongoing theme.  An article in USA Today, the author writes, “What consumers want is access beyond their laptops and smart phones to the vast array of…

  • Marketer’s Salvo: Book Review of The Shift: The Transformation of Today’s Marketers into Tomorrow’s Growth Leaders

    Falls far from being the Christmas Miracle!  The book is a plea for a seat at the table instead of a playbook for strategic growth. Christmas Eve I finished rewarding The Shift:  The Transformation of Today’s Marketers into Tomorrow’s Growth Leaders.  Authored by Scott M. Davis, this 2009 publication promised to provide a playbook for…

  • Long Term Care is Essential for Systems of Care

    14 December 2009   I was cleaning out some files and my bookcase and found files and Healthcare Advisory Board materials related to the Clinton Health Care Plan.  Lesson learned – either clean out the bookcase more often or everything old is new again.   The pending healthcare reform legislation is apt to create a…

  • The fable of the new CEO and the culturally unfit

    “Good leadership involves responsibility to the welfare of the group, which means that some people will get angry at your actions and decisions.  It’s inevitable, if you’re honorable.  Trying to get everyone to like you is a sign of mediocrity: you’ll avoid the tough decisions, you’ll avoid confronting the people who need to be confronted,…

  • Recommendations for the final 2010 budget push

      ·         Total staff expenses have been reviewed; cuts made for those roles viewed as less than mission critical.  The impact of those cuts has not been completely experienced to date although there is an overall sense within the business unit by employees that they are working harder to earn less. ·         Direct and indirect…

  • What Makes Medicare Advantage So Popular?

    Since inception, Medicare Advantage has been the center of debate, questions, and questionable motivations. The tremendous growth in enrollees indicates the product has identified a value for its consumer; but at what price? In some respects, Medicare Advantage products has brought out the worse in the industry concurrent with highlighting the best in the system.

  • Lessons learned from the nursing home industry

    A very wise person once told me  culture trumps strategy.  As a social worker and healthcare strategist, this made perfect sense   emphasizing the yin and yang  facings strategy development, budgeting, organizational enhancement, or performance improvement.  Devotees of LEAN, Deming, and the other sundry philosophies to create change all provide varying levels of respect and homage…

  • Is the umbrella big enough for all of us?

    24 September 2009   The economic turbulence of 2008 and 2009 has led many to throw their arms in the air when considered 2010 planning.  During the past two years the focus has been on reengineering the care delivery process.  Systems who embraced physician integration and an integrated system approach to care patted themselves on…

  • A Perfect Storm…or, Healthcare’s Three Legged Stool Lost A Leg

    Robert Browning is credited for the following,”Never the time and the place and the loved one all together.”  (1883).   No less than a year ago a leading American healthcare consulting firm proudly announced in their 2008 seminar series presentations that we were coming upon a perfect storm for reform – players, industry, government were in…