How to be Intentional every day

The word intentionality or intentional has become very popular over the last couple of years. Hopefully, the meaning of the word will not be dumbed down to the point of being overused and ineffective.

Intentional- Done on purpose, deliberate

Intentionality- The fact of being deliberative and purposive

I embraced this word almost two years ago and it has become a very important part of my vocabulary and ultimately -- my success.

I attach intentionality to nearly everything I do. Whether it be choosing what to eat for breakfast or looking at my schedule for the day, in that moment, I am focused on giving the best of me and intentionally becoming hyper-focused and in-the-moment.

Here are some ideas that apply not just to career transition but also to you in your everyday interactions.

  1. Be focused on your interactions. Any interaction, whether on the personal or business side, I make a conscious effort to bring some level of value to the interaction. I don’t just pull this out of the sky, I think about it before the interaction actually takes place. However, this does not mean I have to control the conversation. Even when all my plans fall by the wayside, I can be a very intentional listener and that will always bring value to the conversation.
  2. Minimize multitasking. Make the most of your day with “zones.” I am intentional about getting the most out of each and every day. I utilize the concept of zones. Setting my calendar up this way allows me to reach proficiency in one task before moving onto the next zone. I relate it to running because in the beginning, you’re not very efficient, but as you proceed you reach the highest level of efficiency in your stride and breathing with the least amount of energy. However, eventually you will start to tire and you will lose that efficiency. It is at this point that I move into the next zone. I do not allow, as much as possible, outside disturbances to distract me while I am in that zone and I do not engage in multitasking. I am very much in the moment.
  3. Find balance in your daily routine. After many years, I’ve come to realize that three things must be in balance in my life in order for me to be at my best. They are sleep, diet, and exercise. When these are not in alignment, I don’t make the best decisions, nor do I ask the best questions. On days when I’m out of balance, I will minimize my contact with people and not make any major decisions. Even this is intentional. We all have off days. Overall, I am very intentional about keeping these in balance. It’s not just being aware of the need for this balance, but taking action and creating the best, most intentional you.

Intentionality has a great deal do with preparation. Without preparation, how can we really be intentional? Without preparation, how successful can we be? Let us not fly by the seat of our pants, let us be purposeful about what we do, mindful about how we live and what value we have to offer in each and every moment.


Join the WIN (Wiederhold Intentional Network)!

The main purpose of the Wiederhold Intentional Network is to take networking from the typical shotgun approach to the rifle approach.

  1. You will expand your network with little effort on a consistent ongoing basis with individuals at a similar level.
  2. You will gain industry intelligence from these key interactions.
  3. Most important, you will give back to others as a resource and a catalyst.
  4. It's free!

Contact This email address is being protected from spambots. You need JavaScript enabled to view it. to join or click here for more information!

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What is transformation…and why should we care?

“I’d like to introduce Gary Skarke. He is an expert in the area of transformation. His company’s success, for the most part, has been outside of healthcare but has touched healthcare on a small scale. As we all know, healthcare is going through a significant transformation and most of what he will share in the article below aligns well with what is happening in the healthcare industry today.

This is the first in a series of articles focusing on the many types of transformation his company has helped other organizations navigate successfully and how these same situations are occurring within healthcare today.” – Jim Wiederhold

* * * * * * * * * *

In today’s environment, organizations must change – and change dramatically – to survive and thrive. Who remembers what happened to RCA televisions, Motorola cell phones, or Myspace (competitor with Facebook) or how they lost their market leadership? They did not make the dramatic innovations and changes (typically called transformations) to stay ahead of the competition. Businesses have made transformations for a number of years although they were previously called under the headings of quality, reengineering, Lean Six Sigma, and others. Such transformations were made to cut costs, grow, increase customer satisfaction or simply stay in business. United States healthcare similarly has and is undergoing transformations, many of which are mandated by the U.S. government, like electronic medical records. We wanted to share what transformations are happening with businesses so that they can be applied more readily to healthcare.

Organizations are appropriately cautious about transformations. A 2015 survey by McKinsey* found that only 26% have been “very” or “completely” successful at both improving performance and equipping the organization to sustain improvements over time. Transformation is an overused term. It is not a tweek, but an overhaul – a complete change in the way business is done. IBM was at one time only a provider of hardware such as computers but transformed successfully into a provider of consulting services. The amount of effort that goes into the change is proportional to the impact on the organization. The bigger the change, the bigger the effort, and the bigger the potential results. Transformations can be around any or all of the following: strategy, process, systems, metrics and culture. We will cover each of these areas in a series of brief articles.

* McKinsey & Co., 2015, “How to Beat the Transformation Odds”

TBO International LLC provides transformation services to help clients beat the odds for successful outcomes.

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The Importance of Mentorship in Our Lives

We all need guidance. Even the most seasoned professional needs a sounding board from time to time. I am a firm believer that as professionals we can choose to never stop growing, learning, and evolving into the best version of ourselves. Part of this growth is directly influenced by the people we seek out for support.

One of the things my mother said to me as a young adult was, “You are the company you keep.” I didn’t realize it at the time, but she was talking about mentorship and being mentored in the most basic sense. To affect another in a positive way and to have them do the same in return, all while growing as a person.

Three ways a mentor/mentee relationship adds value to your life:

  1. Lends you a new perspective. Being a mentor or mentee puts you in the mindset of the other person, even if just for a moment. It can be invaluable to get the perspective of another professional on situations that are occurring in your world in which you feel you have little to no control over. This type of discussion could lead to possible action items or solutions. At the very least, you will leave the conversation feeling like someone actually understands.
  2. Growth opportunity. Often your mentor has been in the profession longer than you and can offer additional insight into a lot of different scenarios. Soak this type of information up and learn from it. Take the gift of hindsight they offer you and make improvements and grow because of it. Conversely, a mentor can grow equally from the vision a younger professional may bring to the table.
  3. Expand your network and give back. Share connections with one another. Start building relationships with the professionals that your mentor/mentee connect you with. This is how genuine professional friendships are created. It’s interesting how things work. While you might be the mentee in one relationship, you will become the mentor in the next. In each instance though you will grow as a professional and as an individual. It’s a win-win.

At Wiederhold & Associates we are launching a mentor program offering our large network of professionals the chance to create deep and meaningful professional relationships with one another. With over 25 years in the healthcare industry, Wiederhold and Associates has one of the largest and most effective networks in the United States. Our Mentor Program takes this network connection one step deeper. It gives the mentor and the mentee the opportunity to use common experiences to glean further insight into life and career situations. There is no stronger bond than those created through shared experience.

Interested in joining our Mentor Program? Click here for more information.

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Leadership's Necessary Ingredients

By definition the term Leadership implies that one has followers, but in real life how does one obtain followers? Often individuals are in positions where the job description states very explicitly they will have authority over the activities, schedules, performance, etc., etc., of others. This is a big responsibility but does being in a position of authority make you a leader? If not, does authority require leadership? Conversely, does leadership require authority?

Is leadership essential for positions of authority, or is it just a human trait that would be nice if available? If a person in authority - aka ‘boss’ - does not have to be a leader, then should we say that leadership is not a prerequisite for being a boss? If not, then if the boss doesn’t formally lead then who does? In my experience, I have found that often the greatest leaders in an organization are not individuals who are in positions of authority but nevertheless have followers and influence the organizational team and culture in very significant ways whereupon often the implementation and execution of organizational goals and objectives are directly determined by them - our informal leaders. Some examples of leaders without formal title and authority were Gandhi, Martin Luther King, Nelson Mandela and Joan of Arc to name a few.

I have found that it is optimal if bosses are also leaders, but unfortunately the former does not always entail the latter. Often an organization has people in positions of formal authority and responsibility who are not leaders and consequently have very little influence and leverage over team productivity and goal execution but yet have all the responsibility. Although it must be noted that frequently when a boss is not a leader it is due to no fault of his or her own. Maybe they are new to the organization or possibly young and lack experience, maybe a bad hire and put in the wrong position or maybe they are experts in a vital area but truly possess little ability in areas of communication and or interaction with people. There can be numerous reasons why a boss is not a leader.

These formal bosses may make decisions and create and finalize numerous policies, but still are not able to actually achieve progress towards the organization’s goals and objectives because they have few if any followers. Often, they will experience frustration and or anger and may be tempted to implement and execute policy and protocols with force, fear and intimidation to make up for their shortfall in leadership. Unfortunately, this usually has a disastrous affect, fostering anger, resentment, resistance and or anxiety and paralysis. Ultimately the results show up on the P&L in the form of higher labor cost caused by excessive turnover, unwarranted overtime and lower revenue caused by poor patient experience and lower quality of care i.e., angry or afraid staff just are not capable of giving compassionate, attentive, high quality care.

I have found there are two essential ingredients necessary for genuine leadership; respect and like. Respect means people believe you know where you are going and you know how to get there. Like means they believe you care about them and that you want them to succeed and enjoy the journey. If they respect you but do not like you then they will follow you but they will not stay with you. If they like you but do not respect you then they will stay with you but they will not follow you. To be a true leader and to achieve real success you must have both; competency and compassion, intelligence and heart, respect and like. This will result in followers who voluntarily follow and stay with you long enough to accomplish something meaningful.

There are three key questions then presented:

  1. How do we assure that people in positions of formal authority and responsibility become true leaders?
  2. How do we assure organizational success during their leadership educational journey?
  3. How do we assure utilization of people not in positions of authority and responsibility but who are genuine leaders?

First, to accomplish the aforementioned, we as senior leaders must create through our actions and our hiring process a culture of caring and respect. Simply said, “The Golden Rule must be part of our key criteria for hiring, it should be emphasized in orientation and clearly and strongly stated in our code of conduct and be the center of our continuing education. But most importantly it must be ‘shown’ in our daily walk and talk, emphasized in our interaction with direct reports and leaders of tomorrow and exemplified in our decision making and prioritization of goals and objectives.

Second, we must truly believe that our staff are assets and not liabilities and invest our time, effort and resources accordingly. Everything we want to achieve in healthcare involves people. Nothing can get done successfully without them. If we want competent leaders, then we must invest in them as such. We must invest on a continuous basis in their education and training and mentoring and coaching if we expect them to develop the competency required for leadership. Wisdom and prudence demands that we do this so that our most valuable assets – our staff – are leading with up to date knowledge, skills and know-how rather than being ill equipped for the future and getting left behind.

Third, we must create a culture of inclusion which means everyone is part of the same big team. Our culture and belief system must entail the core belief that everyone has equal intrinsic value as human beings i.e, different roles with different responsibilities but all of equal value. This would then be exhibited in our team dynamics where every person in authority, every boss, would value and listen to input and not only allow feedback on ideas and decisions but highly encourage it from everyone. A culture that recruits, hires and trains its individuals of authority to listen and serve rather than direct and dictate i.e, humility. Individuals who intimately understand they do not know everything and are not expected to know everything and have true humility, will identify, value and listen to their informal leaders and use them as champions in a positive way for the betterment of the team, patients, community and organization.

An organization that creates a culture of leadership that exemplifies the Golden Rule; cares for and respects all staff; sees staff as assets and invests in them accordingly; values all individuals equally; is inclusive and listens; and where humility is an expectation of all positions of authority will best be able to assure there is consistent genuine leadership which has followers who both Trust and Like them, because they exhibit Competency and Compassion, Treat their staff as Assets and utilize both Formal and Informal leaders consistently for the good of all.

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Give yourself the gift of networking – how to network during the holidays

The holidays are the perfect time to reconnect with old friends and colleagues that you may not have spoken to in a long time. The season is full of celebrations and parties where you are in the presence of a lot of untapped potential. Potential to make a connection. Spark or rekindle a new or old friendship. Networking is all about finding connection points.

Finding that common ground that endears you to the other person and during the holidays, those connections come even easier with the added ingredients of warm fuzzies (eggnog anyone?) and a healthy dose of good cheer. So, when you are headed to the next holiday party, don’t groan and moan and count the hours until you can be home in front of the fire, look at it as an opportunity to widen your net and build up your network.

How to work a room:

  1. Don’t stand by the front door. When people first arrive to a meeting or party they are nervous and looking for a place to put their things or visit a bathroom. Standing by the door is a sure way to get overlooked.
  2. Spend only five minutes with each person you meet. This is long enough to listen to what makes them unique and for you to establish a connection within exchanged pleasantries. Get their business card and offer yours if asked in return.
  3. Make notes on their business cards. Anything that will help you remember that person when you look them up later is invaluable. There is no way you can keep everyone you meet straight and that one detail about that person could be what gets you that future meeting. It adds the personal touch.
  4. Follow-up. Think of how many times you given out your business card. Now think about how many times someone used that business card to reach out to you after the fact? Part of working a room successfully lies in the follow-up. Connect with the person on LinkedIn, shoot them a quick note telling them how nice it was to meet them and add the fun fact about them you jotted down on their business card.

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Happy Holidays from Wiederhold & Associates

In lieu of mailing holiday cards, and in keeping with the spirit of giving during this time of year, Wiederhold & Associates has made a donation to a charity in honor of our clients, network members and friends for being a part of our lives this year. For 2017, due to the amount of natural disasters the U.S. faced this year, we have selected the Salvation Army as the recipient of our donation.

The Salvation Army helped with all the hurricanes that hit the U.S. this year and are currently assisting in California with the wildfires. More information on their efforts can be found at Salvation Army news.

We at Wiederhold & Associates hope and pray that you enjoy a happy and safe holiday season. As you enter the New Year, never forget what is most important: your faith, your family, and your friends.

Jim Wiederhold and

The Wiederhold & Associates Team

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Three Ways to Work With Recruiters

With over 15 years of executive search work and helping healthcare companies recruit, land and lead talent for their organizations, there are still things in the industry that surprise. One of those is the disconnect between the healthcare executive and the headhunter/search industry.

In this article I will share 3 Ways to Work with Recruiters.

  1. Get to know them before you need one
  2. Often, I get calls from healthcare leaders whom I have never had any prior contact with because they are now out of work due to a reduction in force, a merger or conflict with a board member and a myriad of other reasons.

    An old Chinese proverb states: “The best time to plant a tree was 20 years ago. The second-best time is now.”

    I have talked with thousands of healthcare leaders and I am always surprised when someone tells me this is their first real conversation with a headhunter. In today's fast changing healthcare world your network is key to your future success should you need to do a job search.

    Unfortunately, when an organization decides to do a RIF there is no loyalty to you even if you have spent the last 10 years giving 60 hours a week to the organization. Even when we as leaders expect loyalty from our employees we are willing to cut their legs out from under them when we must save money or our own job. (But I digress). This is a topic for another day.

    The point here; get to know recruiter(s). Even if you just took a new job continue to build your network. I have worked with executives who have taken a new position only to find out it is not the right fit; a board member decides they don't like them or the family isn't happy once they arrive and the need to extract from the situation sooner rather than later.

  3. Take or return their calls
  4. As I stated above, I get calls from leaders who I have never had a conversation. What I didn’t say is that I had never called them. As a headhunter my job is to network, get to know leaders and help you, or an organization find the right fit for an opening.

    I know what you are thinking here. I get way too many calls from recruiters to take or return a call. I am way too busy to speak with every headhunter that calls my office.

    Believe me, I understand this point, but see point number one.

    I am not saying you must return every call every time, but build relationships with more than one recruiter. How many? The number is up to you, but I suggest you have a relationship with 5 to 10 recruiters in the industry. Not all recruiters are the same. Some are transactional and don't want a relationship, they just want the placement, some treat candidates like a head of cattle and just like to run you through the process and some are relational and want to work with you long-term and build a relationship that serves you both to find a job and help you build your team should you need help.

    You need to talk with more than one or two to find the right match for your own personal style. And also understand it is impossible to know about every possible job in the marketplace, nor can we place you in a job if a company is already engaged with another firm, or is unwilling to pay us a fee for the introduction. Therefore, it is important to get to know many recruiters, and the only way you can do this is to return calls, or messages when appropriate.

    I learned, probably like you did growing up to treat others the way I want to be treated. However, I do my best to treat others better than I want to be treated…this is the platinum rule. Most recruiters worth their salt and who have been in this business more than a couple of years are fairly thick-skinned and take rejection pretty well, or they wouldn’t still be doing this kind of work, but I recommend when you can -- return their calls. You will know within a few minutes of conversation whether you can connect with this person or not, and if you don’t just be honest and tell them you prefer they not bother you anymore.

  5. Update your resume every six months and send to your recruiter contacts.
  6. If you are like me and most others I talk with in this business, it gets harder and harder to remember everything we have done or accomplished from one month to the next.

    I suggest every month you sit down and reflect on what you have done to move your team, departments and organization forward. Keep a running document or journal that is secure and saved frequently that you can update each month.

    Schedule an appointment with yourself every month to do this so you don't forget things and they never get added to your resume. I also suggest you do this with your team. I am a coach, and this is a great way to coach your individual team members each month and encourages them to keep working hard and reminds you of how hard they are working. Then guess what? When it is performance evaluation time you have already had 11 sessions with them to help you create their evaluations and now there are no surprises at the end of a year.

    If it is not put on the calendar it will not happen. Put this appointment on your schedule and your teams schedule every single month...you will thank me later!

    Once you have the information on your own personal journal document, then schedule a six-month appointment with yourself to update your resume with the best and most quantifiable information you have from the last six months. Then spend 30 minutes writing a personalized email to your recruiter contacts and attaching your resume.

    This doesn't mean you are looking for a job, it means you are watering the tree after you have planted the seed. You are growing your network before you need it.

    Learn more about mike at www.harbourresources.com

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United States Weather Conditions

Oregon's Eagle Creek fire along the Columbia River

Monday we reflected on the September 11, 2001 attack on the United States. It was a pivotal moment in the country’s history and Americans continue to recognize its importance in our lives on its anniversary each year.

Currently the United States is experiencing another significant chapter with wide ranging weather conditions that affect a large portion of the population. We have had two hurricanes since August 25, and Jose, a third storm following them could feasibly land in the Virginia area; there are dozens of forest fires in over ten western states; and as of Sunday night, 260 earthquakes have been registered in Idaho since September second.

The Wiederhold network extends nationwide, either as current or past clients or simply those we know as friends and colleagues. We continue to think of everyone in harm’s way and hope for the safety of them, their friends and families.

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Leadership Key: Impact Conversations

By Joy W. Goldman | Leadership Coaching

In the March, 2017 newsletter, I introduced the topic of trust and highlighted five ways leaders increase trust in their organizations. Today, I wanted to provide an overview of two very practical tools that can be used to engender trust in ALL relationships, regardless of how challenging you may find some to be:

Conversational Intelligence and Polarity Thinking

You can deepen your learning on Polarities during an upcoming Wiederhold & Associates webinar on Aug 1.

Wiederhold & Associates Webinar
August 1, 2017 - "Polarity Thinking"

Register ASAP to obtain needed pre-work for this interactive webinar

Click to pay Registration Fee

No Fee For Premium Active Network Members and current clients.

For more information contact This email address is being protected from spambots. You need JavaScript enabled to view it.

Judith Glaser in her book, Conversational Intelligence, asserts that ALL work is conducted through conversations. Think about it! Is there anything you do that does not involve a conversation? From a pure productivity perspective, think about the time you could save if most of your conversations were impactful.

During July’s webinar, Cliff Kayser and James McKenna, two phenomenal executive coaches, illustrated in their usual humorous way, one element of effective conversations: The power of leveraging Inquiry AND Advocacy: two critical leadership competencies. The May/June 2017 issue of Harvard Business Review included an article that talked about four key attributes that distinguished high performing CEOs: the ability to be decisive was one of them. As a leader, “telling,” and “advocacy” is essential in certain circumstances.

The most powerful leaders know how to leverage advocacy AND inquiry, and they know when they’re being effective, and when they risk derailment. Signs of an overuse of advocacy may include noticing that they are doing most of the talking and others aren’t offering their opinions; leaders may notice that their audience seems less engaged. In the extreme, they may also notice that not too many people are following them!

Glaser’s levels I and II conversations consist of “telling,” or using questions that are geared toward eliciting what the leader already knows to be true. They are using inquiry but only with a goal to validate their own thinking. Glaser discusses the more powerful level III conversation that is focused on “Sharing And Discovery.” Level III conversations ask questions for which the leader doesn’t know the answer to the question.

    Sample discovery questions include:
  1. Sample discovery questions include:
  2. What matters most to you right now?
  3. To resolve this conflict successfully, what would need to occur for you?
  4. Tell me what I might not be seeing or understanding right now?
  5. If we couldn’t fail, what would we be doing right now?
  6. If we could better leverage Safety AND Risk, how might we better serve our customers/ community?

When leaders ask questions that come from a place of curiosity, we tap into our audience’s prefrontal cortex and quiet their amygdala, the primitive part of our brain, which kicks into high gear when we feel threatened. Creativity and trust come from our prefrontal cortex: through sharing and discovery conversations.

In healthcare, our habit is to look for problems. Simple problems often have a right or wrong answer. Complex problems/ situations rarely do and are better served by leveraging interdependent tensions or pairs: polarities. Come to the webinar in August to learn more about leveraging Inquiry AND Advocacy.

    In future newsletters, we’ll also explore other healthcare tensions like:
  • Mission AND Margin
  • Confidence AND Humility
  • Centralization AND Decentralization
  • Standardization AND Customization

I look forward to our next conversation!

Joy W. Goldman RN, MS, PCC, PDC
Executive Director, Leadership Coaching
Wiederhold & Associates

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Target Success with Advanced Networking Strategies

Because you've been a part of the Wiederhold & Associates Network, we wanted to share some exciting news with you first.

As you know, networking/connecting is essential to your success both while in transition and gainfully employed. Networking with a purpose is a vital component of anybody's career success but is often terribly neglected. Being intentional is necessary.

Therefore, we have formalized a streamlined process to make it easier for you to expand your network through Wiederhold Intentional Networking (WIN) program. Becoming an active WIN participant will enable you to:

  • With limited effort, expand your own network with quality connections
  • Exchange key information about market and industry trends
  • Increase ability for quality transitions through network connections
  • Affect others in a positive way
Are You Ready to WIN?

The WIN strategy gathers key information from each premium active network member and targets meaningful matches within our client list. As an active member in our program, W&A will introduce you to key members of our current network, helping you gain significant connections that you would not otherwise have access to. Remember, most of our clients are Vice President through C-level executives.

Once you have made the connection, we will send you a short anonymous evaluation form. Each member's feedback will bring value to helping our clients grow their skills in effective networking/connecting as well as passing along current industry trends.

If you want to know more about expanding your network with little effort while affecting others in a positive way, contact This email address is being protected from spambots. You need JavaScript enabled to view it. and she will let me know of your interest and follow up.

Here's to your success!

Jim

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Building and Repairing your Online Reputation

The Internet has changed the game for job seekers. The paper resume has been swapped out for a LinkedIn profile. Face-to-face meetings have been replaced with Facetime. Your local word-of-mouth reputation is small potatoes next to someone with a well-developed online presence. When it comes to the Internet, you are who Google says you are.

Fact: 92 percent of recruiters “Google” potential candidates according to a social recruiting survey. LinkedIn is the clear favorite, with 94 percent of recruiters searching it to find top talent. Potential employers also look at Facebook, Twitter, Google+ and really anything that search engines render when your name is entered.

Can you take control of your online reputation?

Be Informed. Monitor your personal brand. The first step in protecting and building your online brand is by knowing what is being said or has already been said. It’s impossible to control everything that is written about you, but even though you can’t always control what is published, you can at least know and respond to it.

Monitoring your personal brand is a two-step process. First, you figure out what is being communicated around your personal brand currently. Second, create a positive plan to improve it, build upon it.

Easy ways to monitor your reputation online:

  • Google Yourself – do this at least once a month. Look for your name not only in the search results, but also the image search, news search, and video search.
  • Create Google News Alerts containing your name. You can find this screen under google alerts. Note: you will have to establish a Gmail address.

How to repair and build your online reputation:

You’ve Googled yourself and found that there is at least one article that really gets in your craw. Perhaps it’s misleading, a lie, or just not flattering, and it is published on a website you have absolutely no control over. You want to wave your magic wand and just make it disappear. What can be done?

1) Get legal involved. You may have a case if:

  • Defamation has occurred. For instance, someone has published a false statement that is damaging to the company or person.
  • Google will remove links from search results when presented with a court order, even though they’re not legally required to do so. (Internet publishers of third-party materials may not be required to remove links, unlike offline publishers.)
  • Legal action will come at a high price, on average $5,000-$10,000 per article and may not work.

2) Create and publish online through news publications and social media platforms such as LinkedIn. This is the most effective way to rid yourself of unwanted search results over time. How it works: Say you have a negative news article you want to push off the front page of the Google search results. The more content you publish with your name mentioned the more likely positive search results will be rendered when your name is searched. It should be noted that it takes time to push negative articles down the list and off the first page of results. This is due to a number of complicated algorithm factors, all dependent on Google’s rules surrounding credible content. For example, it will be much easier to bury an article posted by a local or regional paper than it would an article or video posted on CNN. Reason being is that the more credible or popular the site is, the more weight Google gives it. So your goal should be to match or overtake the negative article with your original content published on equally credible sites.

Key Take-Aways

  • Always be aware of what is being said about you online. If nothing is being said, you are uniquely positioned to create a positive online reputation by populating the Internet with content and online profiles where you are in full control of the message.
  • If you do have a negative online reputation, it’s never too late to start the repair process. Ignoring it won’t make those links disappear and the problem will still exist five years from now. Better to take the time now to start rebuilding your presence online.

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Achieve Value-based Results in Healthcare: Knowledge Management/Transfer Through Data Analytics

Physician alignment, integration and engagement in integrated delivery systems are essential elements in navigating the complexity of healthcare service delivery. Healthcare organizations need a simplified approach to realize organizational vision of comprehensive and successful alignment and integration strategies. Creating a common Vision is essential. Healthcare organizations that focus on a vision of “maximizing success in the ever-evolving healthcare industry through physician alignment and integration” will ultimately build capability to meet and exceed consumer expectations in navigating the path to value-based care.

Today’s ever-evolving healthcare industry requires a comprehensive Vision of Integration. Execution of the Vision is best achieved through a Leadership Philosophy of Performance Excellence.

The first key element in fostering a culture of performance excellence is to define the “WHAT” that constitutes excellence, frequently referred to as “the Triple Aim” of healthcare:

  • Operating/Financial Excellence (low cost, highly efficient and cost effective service delivery),
  • Service Excellence (service delivery exceeding patient and family expectations), and
  • Clinical Excellence (best clinical outcomes for every patient and patient population).

The next essential element of a performance excellence culture is to define the “HOW” organization will be led through:

  • Stakeholder Engagement
  • Knowledge Management/Knowledge Transfer
  • Process Management

Organizations will not only achieve the “triple aim”, but will enhance performance through achieving the “quadruple aim” of healthcare. In addition to achieving traditional value-based results, a culture of performance excellence will yield higher levels of provider satisfaction and engagement while redefining service delivery.

As highlighted in previous articles:

  • Value Based Care is here to stay and healthcare organizations must overcome multiple organizational gaps that may contribute to not fully realizing a vision of success in a high performing integrated delivery system. Here
  • Key Stakeholder Engagement is essential to execution of a common Vision:
    • Physician Stakeholders (as well as others) should be engaged in organizational Governance, especially among healthcare providers, is essential to success in a value based environment. Here.
    • Physician Stakeholders should also be engaged in Leadership and Management to achieve sustainable results. Here.

This article expands on development of a Philosophy of Performance Excellence to achieve a vision of success through Knowledge Management/Knowledge Transfer. Measuring, monitoring, reporting, analyzing and improving performance begins with defining key metrics to create a common understanding. Internal and external benchmark measures are available through a variety of sources to build an improved understanding of:

  • Operational/Financial Performance,
  • Service Performance, and
  • Clinical Performance.

Knowledge Management/Knowledge Transfer Through Data Analytics

The days of making claims of high-quality, service oriented and low cost care delivery are gone. Regulatory requirements and consumers of healthcare demand demonstrated proof. On October 14, 2016, the Department of Health and Human Services (HHS) issued its final rule with comment period implementing the Quality Payment Program that is part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The Quality Payment Program is intended to improve Medicare by helping you focus on care quality and focusing on making patients healthier (population health management). The Quality Payment Program’s purpose is to provide new tools and resources to help organizations to provide patients with the best possible, highest-value care. The Quality Payment Program has two tracks to choose from:

  • The Merit-based Incentive Payment System (MIPS), and
  • Advanced Alternative Payment Models (APMs).

Healthcare providers are required and must report key measures of performance in order to maintain a competitive edge and to maximize reimbursement for services rendered. Measures of performance should focus on Operations/Financial, Service and Clinical Excellence. Internal and external benchmarking of performance is imperative. The best place to start is to define your measures, based on industry standards. Engaging your Governance, Leadership and Management representatives, as well as other key stakeholders, in defining performance metrics is essential to gain a common understanding. Begin by gathering potential sources of industry standards (see table).

Knowledge Management/Knowledge Transfer Process:

The quest for appropriate data analytics to measure, monitor, report, analyze, improve and control can be challenging. Once sources of industry standards have been identified, engage stakeholders in organization-wide effort to define your measures of Operational, Service and Clinical metrics:

  • Review and select meaningful measures:
  • Verify the organizational capacity to measure, monitor and report measures:
    • Be sure all metrics of performance are measurable.
    • Operational and Financial Metrics are typically readily available, but may not be reported in an intuitive format with full-transparency across the organization and among key stakeholders.
    • Service Metrics (patient engagement) should be standardized using a formal survey tool, administered by a vendor approved for use by The Centers for Medicare & Medicaid Services (CMS).
    • Measures of Clinical Performance may present the greatest challenge:
      • While sources of key measures are readily available, the ability to measure performance across all providers may be limited.
      • Desperate systems in multiple healthcare settings increase complexity of data collection.
      • Clinical information may be captured as free form text and may require manual/human intervention for interpretation.
      • Manual data abstraction may present a high cost alternative to automated reporting.
      • Lack of interoperability of information systems creates complexity.
      • Clinical and claims data are not typically consolidated.
      • The good news is: multiple vendors are available with advanced tools to aggregate data to support your efforts to measure, monitor, report, analyze, improve and control clinical performance.

  • If necessary, select reliable vendors to provide external support for the purposes of understanding measurable performance.
  • Create detailed analytics reports across the organization at the Enterprise, Specialty, Practice Location and Individual Provider levels,
  • Determine baseline performance at all levels,
  • Set routine reporting intervals (daily, weekly, monthly, quarterly and annually), as appropriate,
  • Set levels of performance:
    • minimum level of performance,
    • expected/goal level of performance, and
    • Level of performance exceeding goal.
  • Utilize high level dashboard reporting tools for ease of review and understanding across the organization:
    • A simple “stop light analysis” provides ease of review (see below):

    Click here for Reference Sources.
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    The Concept of Networking

    The whole concept of networking is one of my favorite and most passionate subjects.

    In prior articles, we have touched on many aspects of effective networking, whether in transition or not. Building a broad and deep network is so essential to one's success that it cannot be ignored.

    What I have personally observed over a 28 year period and confirmed through colleagues is clear: We can't make it without solid key relationships. Many people will find expanding their network to be challenging, but with practice and effort, you can begin to make meaningful and fruitful connections.

    There are three key components to effective network communication.

    Connecting Point: If you're going to get somebody to take interest in your phone call, you must differentiate yourself so they choose to respond to you. The connecting point is finding something that you share in common. This can be any person, place or thing. It requires homework but it also ensures greater success as you expand your network. Whether you connect on the first attempt, leave a message, text, or send an email. The connection point is the most powerful tool in developing a memorable network relationship.
    Seeking Information: Obviously, expanding your network means making initial calls to people you've never connected with before. For those in transition, resist the temptation to focus on jobs until you have created a solid connection. Seeking information makes it easier for the other person to open the door to friendly conversation. That information could be around what this individual has done, an organization that you're exploring, or a location that you have an interest in. There are a lot of options here.
    Value Statement: It is important that you understand and can articulate your value. When this connection is concluded, that individual should know that you and your team are good at what they do. Your network will not refer you to others unless they understand what you do and are confident that you do it well.

    If you are looking for career advancement, you must become the most effective networker you can be. Include these three components when you're expanding your network and I promise you will find success.

    Here's to your success,

    Jim

    Connect with us on LinkedIn and join our Active Network Program.

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    Effective networking- THE best way to connect. Period.

    Everyone has a passion for something. When networking with others, make it a point to find the other person’s passion. Why? People like talking about what’s important to them. How do you find out what’s important to them? Ask them. Ask what they do for fun. Ask about their family. Ask what they would do if they weren’t in their current job. Ask where they volunteer. Then simply listen. Many times you will find what’s important to other people is also important to you. That’s your connection.

    When discussing yourself be sure to include information that could be potential connecting points- spouse’s name, children’s names, where you grew up, where you went to school, what you like to do, etc. Recently I was speaking with an individual about adding this type of connecting information so I mentioned my wife was from the Twin Cities area. I explained the rationale for sharing such information by stating this would be our connection if his wife happened to be from the Twin Cities. What did he say next? His wife is from the Twin Cities- that is now our connection.

    People instinctively want to connect with other people. Listen for people’s passions, make meaningful connections and you’ll network successfully./p>

    Connect with us on LinkedIn and join our Active Network Program.

    Recent comment in this post
    Mike Jones
    Great advice. Thank you for sharing your thoughts.
    Wednesday, 01 March 2017 14:48
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    Executives- Read this if you made $100k or more last year

    Last year your employer gave you a bunch of money- what did you do for it? If you cannot clearly answer this question, you are vulnerable. In today's competitive market it is imperative to create value for your employer. Employers have problems- executives are hired to solve these problems. You must be able to clearly demonstrate a ROI on your salary- otherwise you are simply unnecessary overhead. If you cannot measure improvement in profit, sales, quality, customer satisfaction, efficiency, or cost reduction from a year ago I guarantee your employer is wondering if they are getting commensurate value with the money they are giving you.

    How do you create value for your employer? First, make certain you completely understand your boss's goals- they are your goals. Second, make sure these goals are quantifiable. Third, achieve those goals. If you rinse and repeat this process year after year you will continue to create value for your employer. In turn your employer will keep giving you fistfuls of cash.

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    Keeping your edge- staying marketable in today’s competitive environment

    As an executive it’s easy to lose touch with staying marketable in today’s competitive environment. We all get busy doing our own jobs- it’s easy to forget about maintain and growing our network, keeping a current resume, and understanding the needs of employers. Here are a few tips on staying marketable:

    >

    • Perform in your present job. Create value for your employer. Be intentional about achieving the results that your employer desires.
    • Build and maintain a network. Ideally you want to make 5-10 phone calls per week to grow an active network.
    • Help others, including recruiters and colleagues. Helping others is a simple way to maintain your network.
    • Maintain (or better yet, have a professional do it) a current resume. Resumes change every 2-3 years. You want to stand out and appear relevant. You do not want an old resume as this makes you look out of touch.
    • Know and communicate your value proposition.
    • Know your number (X-Y’s). How have you moved the needle on service, quality, growth, market share, profitability?
    • Grow professionally. Earn a degree, certification, or extra training.

    If you need to sharpen your competitive edge, contact us at www.wiederholdassoc.com to learn more about staying marketable in today’s competitive environment.

    Connect with us on LinkedIn and join our Active Network Program.

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    Safeguarding your Business History for 2017

    One of the most important housekeeping tasks that executives have a tendency to ignore is creating a personal backup of professional achievements. By this I mean the Tier 1 and Tier 2 achievements that show how you have made the organization better.

    Many times our clients struggle to come up with hard data for their resume because they neglected their personal information file cabinet. Very often separation is sudden and there is NO chance to look at past strategic plans, or board reports for the numbers or percentages.

    Even if a report is confidential to the system you should be writing down your accomplishments somewhere to make sure you have access to your information in the future.

    Create and keep an updated list of contact information for superiors, peers and subordinates for every job in the last ten years.

    Don’t let another year go by without making sure you have access to your ever increasing list of accomplishments.

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    Happy Holidays from Wiederhold & Associates

    In lieu of mailing holiday cards, and in keeping with the spirit of giving during this time of year, Wiederhold & Associates has made a donation to a charity in honor of our clients, network members and friends for being a part of our lives this year. For 2016, we have selected the CURE Childhood Cancer charity as the recipient of our donation.

    CURE focuses entirely on children's cancer efforts and funds the work of some of the best and brightest scientists in the field of pediatric cancer, as well as address the critical and urgent needs of patients and families. If you would like to learn more about Cure Childhood Cancer, visit their site at curechildhoodcancer.org.

    We at Wiederhold & Associates hope and pray that you enjoy a happy and safe holiday season. As you enter the New Year, never forget what is most important: your faith, your family, and your friends.

    Jim Wiederhold and
    the Wiederhold and Associates Team

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    Networking During the Holiday Lull

    The time to kick your transition work into high gear is right now, while everyone is celebrating. The minute you finish reading this get out your list of healthcare executives you know.

    Why? December is the very best time to raise your visibility and re-establish connections, personal AND professional. Don’t bring an agenda, apart from extending cheer and good will. Hand write a short note in a holiday card, even if it is just to say you hope they have a prosperous new year. And don't forget to hand address the envelope too. Don’t ask about job opportunities, instead sincerely ask about them. If you only know their email address send them a personalize note that way. But send something so they know you are thinking of them.

    If you are asked about your work or your search, be ready with a short, honest and upbeat answer. Of course, follow the conversation if your colleague wants to talk about work, but don’t press it. This is networking of the joyful kind – strengthening bonds to your family, friends and community that will nourish you the rest of the year.

    I suggested this a few years ago and here is what one of my clients experienced.

    Try it and see what kind of response you get!

    Connect with us on LinkedIn and join our Active Network Program.

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    A Tribute to the American Worker

    Labor Day means more than great BBQ and spending time with friends and family. For me, it is a celebration of American leadership, strength, and ingenuity.

    In the days following World War II, when the economic strength and power of America was all that stood between the world and the return to the dark ages, Pope Pius XII said, "The American people have a great genius for splendid and unselfish actions. Into the hands of America God has placed the destinies of an afflicted mankind."

    Wiederhold & Associates joins in the national tribute to the American workers who have made contributions and achievements to the strength, prosperity, and well-being of our country and the world. Happy Labor Day!

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