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.

‘Official’ Blockchain Standards for 2019

The succinct statement details the government’s pending official definitions of blockchain regulations. Publicly advertised rationales may appear comparatively innocuous or indeed prudent yet such official justifications are an obvious attempt at the curtailing rather than development of decentralized technologies. Even rudimentary, preliminary investigation of the statements highlight what may generously be labelled as contentious logic.

“China is set to publish official standards on blockchain technology next year, with one official telling Xinhua they will “give the industry some guidance” on the technology.

Li Ming, a director of the Blockchain Research Office under the Ministry of Industry and Information Technology (MIIT), told Xinhua’s Economic Information Daily that work had already begun on forming the standards. Li, however, made clear that while standards would provide some guidance to blockchain developers, authorities did not expect official guidelines to “quickly advance the development” of the industry. Despite efforts to clamp down on the financial risks associated with cryptocurrencies and initial coin offerings, the Chinese government has looked to show its support for blockchain development. China was the world’s biggest source of blockchain patents in 2017, while last September saw a blockchain research center opened by the China Academy of Information and Communications Technology, a research institution under the MIIT.

The new standards being drawn up by the Blockchain Research Office will include guidelines for the application of blockchain in terms of business, information security and reliability, Li told Xinhua. Despite the exciting potential surrounding blockchain, the technology remains in a stage of infancy. Without clear regulations in place, security problems have caused nearly 2.9 billion US dollars’ worth of losses worldwide between 2011 and 2018, according to Baimaohui Security Research Center, a specialist in online security that has worked with Alibaba and Huawei.

The last two years alone have seen 1.9 billion US dollars lost because of blockchain security issues, according to Baimaohui. Not only are China’s leading tech firms and banks applying for blockchain patents and researching how the technology can improve services and boost public trust in supply chains, China’s Ministry of Public Security is also studying how to implement the technology in terms of data storage. Earlier this week, data from China’s Intellectual Property Office showed that a patent application had been filed by the Ministry of Public Security for a blockchain system that would securely and transparently save unalterable data to the cloud. Such a system could be used and shared by police across the country, allowing data to be shared rapidly between various agencies. ( CGTN )”

To begin let’s not forget the differentiation of decentralized capacities versus centralized services. A regionally authorized service naturally adheres to geographically specific governing legislation. For example an international fast food chain may, in some European countries, sell alcoholic beverages over the counter while the same operator is typically not permitted to do so in North America. This variation is possible because of service use being localized. To have ‘official’ guidelines of decentralized capabilities would be to imagine access and or use of decentralized services being regional, or under the same legislation. It may not. It is decentralized.

Secondly it has been calculated by the American Government Accountability Office ( GAO ), that the 2008 financial crises cost $12.8 trillion dollars. This further omits subsequent bailouts, unemployment and broad reaching detrimental consequences suffered by millions.

The causes of the 2008 financial crises have been largely attributed to deregulation, securitization (double dipping and bundling), sales of subprime mortgages and the Federal Reserve’s raising rates on subprime borrowers. In short, actions conducted by government, banking and financial industries.

By contrast for one set of activities to lose under $3 billion over seven years is minuscule. Regardless of political stance, decentralized technologies offer the capacity for individual’s independently enacting personal choice. Personal loss resulting from bad decision making, such as ICO investment, is contained. Moreover it is a conscious participation where any individual may only invest or access a set amount, that which is in their immediate control. Compare this ceiling to unilateral extents achievable by governments and corporations.

To incorporate decentralized technology into one regional government’s operational guidelines may prove nothing more than redundant methods of double accounting. Used by individuals whom may collectively be under no single government’s purview, concurrently decentralized technological capacity must itself be equally discovered.

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.

Why Does a Magician Wear a Tux?

This wonderful question has rarely bothered magicians for decades. It should. Some possible answers might include:

He is getting married today.
He just got off work as a waiter.
He is going to the prom.

Wait! The man is about to do magic. Surely anyone doing great magic wears a tux. It logically follows that a person dressed in attire not worn generally by the public in nearly sixty years must be a well trained and entertaining artist.

I encounter responses such as:

“People won’t know we’re magicians if don’t wear our uniform,” bemoan penguin-like prestidigitators.

“Real magicians must wear tuxes,” cries the part-time professional in his ill fitting and second hand attire.

The question of what magicians should wear has been around for more than a century. The correct answer has been around just as long. Unfortunately, many magicians don’t get it.

Jean Robert-Houdin, the father of modern magic, looked around at how his fellow magicians dressed. The common uniform for a “real magician” was to dress up like a wizard complete with a conical hat. Robert-Houdin chose to view magic as an art. He devised many wonderful effects. He would go out on a bare stage to present his magic dressed in formal evening attire. The attire was appropriate and commonly worn for evening theatrical productions. Instead of dressing in way completely different from his audience, Robert-Houdin dressed just like his audience.

The point being made is simple. If you want magic to be viewed as a fine art, take your performance and dress seriously. Let the quality of your magic performance speak to the level of your magic artistry. If you want to be a magic clown, then dress like a penguin.

What about Lance Burton? Great question, thanks for asking. Lance’s performing personality makes wearing a tuxedo appropriate for his performance. Mr. Burton consciously links back to magic’s historical roots. Figuratively speaking, he wears the mantel of magic passed down through the ages. He portrays the great magician out of our past. Lance performs classical magic effects while donning the classical magical attire.

This is completely different from the approach of 99.998% of the other magicians wearing tuxes. Most part-time professional magicians wear a tux without regard to their performing personality. The key to what to wear is your performing personality. Begin with the assumption that a tux is not an option. Examine the key elements of your performing personality that you want to communicate to your audience. Tailor your dress to consciously communicate those key elements.

Another factor to consider is whether you want to stand out or blend with your audience. Let’s say you want to blend with your audience. This is common approach for the restaurant or corporate magician. What will your audience be wearing? Try to dress a little above your audience.

Let’s say you want to stand out. Find ways to contrast with your audience that communicates positively to your performing personality.

For example, assume your performing personality is that odd middle aged uncle that all the kids love but make parents roll their eyes. You know the type, every family has one. His style sense will be decades out of style but he will be clueless that he isn’t the hippest guy around. If that is your chosen performing personality, then the performer’s style will match the outfit. The point again is that the outfit chosen by the magician must relate to performing personality.

Let’s get back to the original question. Why do magicians wear tuxes?

Nobody knows including the magicians. Know your performing personality. Select your dress to complement your venue and performing personality. Treat your magic performance like the artistic performance you want it to be.

Copyright © 2005 J.L. Siefers, All rights reserved.

J.L. Siefers has been performing great magic for years. He has written extensively on many topics in magic. He has shown hundreds of people how to successfully learn to do great magic tricks.

Start Your Future NOW!

Ever think “There must be something else, something more and something better”?

The world is changing at a rapid pace. Job security is a thing of the past, and for most of us, having a j o b barely pays the bills. For most people, it doesn’t pay the bills, and certainly doesn’t allow for holidays or luxuries.

School taught us to work hard, get good grades and get a job. What it didn’t teach us was how to create wealth.

It’s the 21st century, the Information Age and if we don’t keep up we will fall behind, big time!

Traditional jobs are disappearing rapidly. Businesses now use half the staff they used to, and in many cases pay on a performance level rather than an hourly rate. And this is just the beginning of what is to come.

So what can you do about it? The answer is simple – Become an Entrepreneur.

There are millions of people globally who have discovered the secret to creating wealth through becoming an Entrepreneur. And it’s easier than you think.

To become an entrepreneur all you need is:-

A willingness to learn
A can do attitude
Determination and discipline
The desire to become a better person

Anyone can learn Entrepreneurial skills. You don’t need a university degree; you don’t even need to have finished school. In fact some of the richest people in the world had very little if any formal education. What they did have was a desire to make something positive happen in their lives.

Do you want more for your life and the lives of your family? Do you want a future that has quality?

I think we all do, but we are so caught up in the speed of ‘daily living’ that we just haven’t given much (if any) thought to the possibilities that are out there. And believe me there are endless possibilities. It doesn’t have to be all doom and gloom. Life is for living.

Once you learn the basic skills to becoming an Entrepreneur, a whole world of opportunities can open up to you.

So what is an Entrepreneur? Basically anyone who owns their own business.

But don’t panic. It does not have to be a huge company, with employees and massive overhead expenses. Nor does it mean buying a franchise. There are literally thousands of business opportunities out there, if you know where to look and how to find them. And the wealth they can create can make the difference between an average life and an abundant lifestyle. Which one would you prefer?

Remember, you are new to this, so step one is to start part time. Learn the skills whilst still working your current job. And if you are serious about increasing your wealth, you have the ability to earn part time, an additional $1000 plus per month. What would extra $$$ per month mean to you and your family?

For most it would mean a BIG DIFFERENCE.

The time to get started is NOW. Don’t wait. People who wait are waiting all their lives. Do you want the next 5 years to be the same as the last 5? If not, then take action now.

And here’s the secret that most people never realise – The time will pass anyway!

Yes that’s it – The Time Will Pass Anyway! So why not do something to make things better. Unless you are happy with your life the way it is now. It’s entirely up to you.

But here’s the key – if you start now, you’ll be so much better off 5 years from now. And your future self will thank you for it.

Trust me. Nothing changes by itself. No one will jump up and do it for you. And if you do nothing, then that’s what you get in return.

I live by the motto – The only way to predict the future is to create it.

So start your future now. It will be fun. It will be exciting and it will be very rewarding.