Saying that you’ll consider the issues (or do the planning, or consider the options, or… “when negotiation with the hospital begins” misses the point entirely. The negotiation has already begun, you just don’t know it. It’s exactly on point with the observation about being at a poker table: “If you don’t know who the patsy is, […]
“From a dog’s point of view his master is an elongated and abnormally cunning dog.” – Mabel L. Robinson Why is it that dogs seem to immediately know someone’s intentions but that it takes us so much longer to figure them out? Perhaps we’re just as good as interpreting the situation but we’ve covered it […]
When my kids were younger, we used to play a game when we left a store. We’d critique the way that the store employees greeted and treated us, whether or not we made a purchase. Think about the last time you visited a store. Were you greeted — in a non-canned manner — when you […]
No, this isn’t a post about self-destructive behavior within medical groups, although that’s a great topic for another day. It is, however, a post about introspection — with a twist. Despite all the news about the economy and falling physician incomes, many medical groups have difficulty competing for talent. Note that I’m not talking about simply […]
There are many reasons why contracts are usually contracted — made compact, that is — by having them contained within one fully integrated document.
What does your ideal future look like? Feel silly thinking about this? It’s normal. Is your ideal future achievable? Maybe … but probably not. But that’s not the point of the exercise. The point is to set a goal, a point in space and in time from which you can look back to today – […]
Improving your group’s performance might be the worst thing you can do. There is nothing wrong with the notion of getting a little bit better each day, month, or year. That is if you discount the fact that improving the current structure of your group might keep you from getting where you really could be. […]
Where do you want to be? Forget about planning as that concept is popularly understood. Planning is a concept that builds on your current position but there’s a far more valuable tool available. I know that the prior post discussed telling the truth about your current position. To avoid confusion, let me explain. The determination […]
“Lieutenant, plot a course to Tahiti.” Okay, but to do so, you’ve got to know where you are now. The first step in determining your future doesn’t have anything to do with the future at all. Instead, it has everything to do with the present, with where your group is now. And that requires that […]
After having represented medical groups with a particular emphasis on hospital-based groups for 30 years, it has become strikingly clear that what distinguishes the most successful groups, from the great majority of the mediocre.
