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.

Find Your Success Sweet Spot!

Most people don’t show anyone their scars and bruises or share their “up to their eyeballs in the dirty stuff”, real and RAW stories of what the journey to success is sometimes like.

They usually reveal the rainbows and glitz of it instead.

The pretty and SHINY version.

When only the SHINY and glammed-up version, smelling like roses is revealed it seems off and PHONEY, like they’re disingenuous or hiding something.

And truth is an empowering act — because the Universe only works in the truth of the matter. So, while someone only shows mostly pretty and SHINY stuff she/he has one foot in a false reality and the other foot in some of the truth. The Universe only works in the truth of all matters. Truth be known the Universe led you to speak to this person because she/he has been through what you are struggling with and would share their solution, if she/he knew the truth of what you are experiencing.

That aside, Success comes wrapped up in something called ‘WORK’.

Are you resisting the idea of HARD work in your business or career?

The “Law of Attraction” doesn’t mean that successful people are sitting behind a mahogany desk all day and aren’t PUSHING themselves, breaking a sweat or putting out fires.

And when you resist HARD work you are keeping yourself from LEANING in and getting the dirty work done.

Are you believing the pretty and SHINY version of the Law of Attraction – that successful people had some lucky break or were especially talented or gifted in some magical way and were somehow omitted from the heavy TASK of working?

If so, accept my empathy for the misinformation!

You can decide to make a change and get to work and commit to your success no matter how difficult or afraid of failing you are, and no matter what – LEAN in and figure it out you need to do. You can adopts a ‘Do or die mode. Beast mode’.

That’s the real secret to success.

A persistent “I will figure it out AND WIN no matter what” attitude.

Frequently for some wild reason past clients came out of the woodwork and leave me beautiful grateful email messages and Facebook messages about their success BEYOND working with (some are clients who are from a year or two ago). I treasure each one as if it was the only grateful message I received.

I won’t mislead you that all people show up to work with a committed “all-in” attitude. Many have bought into the ‘secret’ as a magic fix. They are sorely disillusioned when they didn’t create their magical success. Then, I am the one to dispel the myth. I need to help them to Turn On, Tune In and Tap In to the depths of their strength and courage to persevere and do the HARD work.

Somewhere hidden in the recesses of your “contract” is an often overlooked fine-print statement that is quite easily forgotten: The party of the first part (you) to the party of the second part (the Universe), you hereby agree that according to the messages you send out to the Universe, so you shall reap.” This phenomenon is written in the Bible, Galatians VI (King James Version), “Whatsoever a man soweth, that shall he also reap.”

Did you know that every person who has created financial freedom has one or more mentors. Ask Elon Musk, Bill Gates, Warren Buffet, Sir Richard Branson, Oprah Winfrey, Madam C. J. Walker, first female, self-made millionaire, other self-made female millionaires–Meg Whitman, former eBay owner, first CEO for a hi-tech company, Hewlett-Packard, BeyoncĂ© Knowles, pop singer, Danielle Steele, romance author, Taylor Swift, singer/songwriter, Diane von Furstenberg, clothes designer, and Judge, Judy Shiendlin, TV personality.

Together, we developed a plan, and they fought their own demons and WON.

They strapped their grown-up shoes on when the going got hard, leaned in and embraced new ways of being, discovered new found confidence, stepped beyond their comfort zone, and WON.

And they keep on winning long after their initial mentoring work is over.

Anyway…

If you’re interested in doing the work and committing to your success (because there is no success without commitment) book a call and allow me to assist you to create your success and Financial Freedom.

Choosing The Best Accounting Software – Sage or Quickbooks

QuickBooks versus Sage

QuickBooks and Sage One are two mainstream business administration administrations. Both offer marginally unique administrations. QuickBooks concentrates more on accounting and bookkeeping administrations while Sage One is a component rich undertaking administration benefit. The two administrations cover in a few classifications, at the end of the day, the two administrations enable your business to develop in various ways.

How They Help Your Business QuickBooks Online versus Sage One

QuickBooks offers effective bookkeeping and accounting devices while Sage helps keep representatives on-assignment when chipping away at cooperative tasks. Here are a couple of the manners by which both QuickBooks and Sage can help your business:

Advantages of QuickBooks

QuickBooks has been a well known private venture bookkeeping programming since the 1990s and conveys many years of experience to the table. Today, QuickBooks Online saddles new advances like distributed computing to streamline business administration. QuickBooks likewise has a 30 day free trial.

QuickBooks Online enables business administrators to abstain from depending entirely on a bookkeeper. Here are a couple of the advantages QuickBooks conveys to the table:

Wage and cost following: Easily screen how much cash your business is getting and how much it’s investing over specific times of energy.

Adjust with ledgers: QuickBooks synchronizes straightforwardly with financial balances and Visa accounts, which implies all exchanges made in your records will consequently show up in QuickBooks.

Accounting apparatuses: This is the place QuickBooks truly separates itself from Sage – QuickBooks offers a full suite of accounting instruments to help deal with your business, including pay and cost following, finance administration (on more elevated amount accounts), and budgetary administration devices.

Adaptable designs: If you as of now utilize accounting programming or finance programming, at that point it might appear as though there’s no point behind QuickBooks. Be that as it may, plans scale as indicated by your necessities, and you don’t have to pay for the majority of the QuickBooks accounting instruments on the fundamental arrangement. Plans scale to address the issues of your business and the most minimal level arrangement begins at $12.95 every month with insignificant accounting highlights.

Advantages of Sage One

Sage is basically an undertaking administration apparatus that offers a couple of essential accounting highlights – including cost following and receipt announcing. It’s as yet an amazing alternative for the present organizations, yet it won’t have the capacity to deal with the greater part of the accounting administrations your business requires.

All things considered, Sage helps organizations in various ways, including:

Task administration on the cloud: Businesses are more gainful on the cloud. Cloud-based venture administration is one of the essential advantages of Sage One. Various representatives can at the same time deal with a solitary venture and work together in the cloud.

Solicitations and statements: Every Sage One record accompanies boundless solicitations and statements. You can send a boundless number of solicitations and statements to your clients. These solicitations have your business’ logo stuck at the best and give an expert face to your business.

Include boundless colleagues: Sage offers two designs. On the more elevated amount design, Sage One Accounting Standard, there’s no restriction to what number of colleagues you can have chipping away at a solitary task. That is a brilliant advantage for bigger organizations.

Versatile designs: The least Sage One arrangement, Sage One Invoicing, is generally utilized for following wage and costs and sending solicitations to organizations. The higher arrangement, Sage One Accounting Standard, is an element rich task administration benefit that likewise incorporates everything from the Invoicing plan.

QuickBooks Online versus Sage One Supported Services

Versatile applications: QuickBooks and Sage both offer a suite of portable applications for the iPhone and iPad and also Android gadgets. With the two administrations, you can perform basically all center capacities over the applications – including venture joint effort and cost following.

Online access: You can get to QuickBooks and Sage One from any web associated gadget and all information will match up crosswise over gadgets on the web. Regardless of whether your gadget isn’t upheld by portable applications, you’ll have the capacity to login and see account information from your versatile program.

Cloud bolster: Sage and QuickBooks both utilize cloud servers to synchronize data over all gadgets. Sage spends significant time in offering cloud-based venture administration administrations to its customers.

Similarity: Sage and QuickBooks can be utilized close by each other however they’re not straightforwardly perfect with each other.

Ledgers: Users can include financial balances and Visa records to QuickBooks and record data will consequently adjust over the product. Sage One additionally gives you a chance to add ledgers to the stage, in spite of the fact that exchange data won’t naturally match up.

Online installments: Sage gives clients a chance to acknowledge installments from customers by means of PayPal. Clients can likewise utilize the inherent online installment handling framework, Sage Payment Solutions, which acknowledges Mastercard installments in return for exchange expenses. QuickBooks does not offer installment handling of any kind.

Different Points of Comparison On QuickBooks Online versus Sage One

Free trial: Sage One offers an amazing free trial. Clients can test the product for nothing without submitting charge card information. Clients approach the full suite of Sage One administrations amid that trial. QuickBooks additionally offers a free trial, in spite of the fact that you have to enter Visa information and drop your record before that 30 day time span is finished. On the off chance that you don’t drop your record in time, at that point your record will start to be charged as an ordinary membership.

Boundless utilize: Sage One gives clients a chance to add boundless quantities of partners to a solitary venture. Clients on all designs can likewise send boundless solicitations. QuickBooks additionally gives clients a chance to make boundless solicitations and evaluations.

Additional expenses: Sage One charges additional for adding managers to your record. As a matter of course, all designs have a solitary executive and including more administrators costs $10 every month. Something else, the value you agree to accept is the value you’ll likely observe on your month to month charge. QuickBooks constructs its evaluating in light of highlights, and the more you’re willing to pay, the more highlights you get. The most elevated amount designs match up your record with Intuit Online Payroll, where you’ll have to pay $2 per representative every month to document finance charges.

Our Verdict On QuickBooks Online versus Sage One

Sage One and QuickBooks give two unique sorts of administrations. QuickBooks has practical experience in accounting administrations while Sage One has some expertise in customer invoicing and venture administration.

Nonetheless, the two administrations do cover in a few classifications. The two administrations let clients track salary and costs over characterized timeframes. In that class, the two administrations are for all intents and purposes meet, despite the fact that QuickBooks has a slight edge because of its capacity to naturally match up exchange data crosswise over financial balances.

When contrasting QuickBooks versus Sage, you ought to likewise consider the extra administrations offered by the two stages. On the off chance that your business every now and again expects workers to team up on ventures, at that point a task administration benefit like Sage One is a phenomenal method to spare time. In the event that, then again, you don’t have a decent accounting administration, at that point QuickBooks can help.

Obviously, there’s nothing preventing you from utilizing both Sage One and QuickBooks. A few organizations utilize Sage One simply as an invoicing and undertaking administration apparatus, while QuickBooks handles all other accounting usefulness. That is alright as well.

Basically, QuickBooks is an element rich accounting program that lets you consequently synchronize business data crosswise over financial balances, while Sage One is a cloud-based task administration benefit with broad invoicing highlights. The two administrations offer impressive incentive to your business without burning up all available resources.

If you want to upgrade to sage then visit the site Sage Tech Support Phone Number [https://sage.mysupportphonenumber.com] and upgrade to sage 50 2018 edition now.

How Prepared Is Your Board for Cyberspace?

While cyber security is an important issue for boards, it has not always been top of mind. Because a major corporation like Equifax had a breach in its IT system, many companies are rethinking how to secure cyber security.

Boards around the world are examining the Equifax case to determine how to best secure their organizations valuable information stored in their IT systems. So who is responsible? Since the CEO has stepped down, it is apparent he was being held accountable. However, where was the board of directors?

In today’s world of cyberspace, corporate boards have to think about more than governance, CEO compensation and strategy.

As it stands, it is in the board’s best interest to ensure the company is not exposed to debilitating risks. Companies have workplace safety standards and sexual harassment policies to mitigate lawsuits. They even have disaster recovery plans in the event of natural disasters or occurrences like the World Trade Center plane crash. These plans and policies are in place to keep business running smoothly and perpetually. It protects customers and employees.

However, with sophisticated computer hackers around the world, it is no news that computer systems and valuable information can be breached and stolen. There are hackers who breach computer systems as a business. They ask for ransom in the amount of tens of millions of dollars. If it is not paid, they threaten to release the companies secure information, which sometimes could contain private email communication from top executives.

While many enterprises as large as Equifax may have disaster recovery plans for their physical operation, they may not have the same plan for cyber breach. The disaster recovery policies would include immediate action steps based on size of the breach, who made the breach, what information was taken, were company smart phones breached, what to communicate to employees, the public and shareholders as well as other important factors.

In some cases, it may make sense to inform the FBI. In other cases, it may be better to pay the ransom. The challenge with calling the FBI is that the hackers could be in countries like Russia. In Russia, the FBI may not pursue them. Why? Because the Russian government is always looking for good hackers. If the FBI exposes the hackers in Russia, the government may hire them, which can present long-term problems for the US. When it comes to paying ransom, it’s tricky. If you pay, they may hack you again as though you are an ATM machine. If you don’t pay, they may expose confidential information. These are also the kinds of challenges that directly involve the board.

What’s most important is that the board is talking about cyber security before there is a problem. There should be constant audits of the cyber security system to mitigate any risks. In addition, as a board, they should hold the CEO accountable for that security. Furthermore, there should be clear policies to guide the board and the executive team on how to handle the various moving parts in a delicate situation. Boards with disaster recovery plans and high accountability with the CEO are more likely to be forward thinking about cyber vulnerabilities and proactive about updating the security system.

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.