Skip to main content

The Choice In Front Of You

Grow or die! Every business is a growth business! The growth imperative! To read these slogans, you'd think growth is squarely on everybody's mind, every day, all the time. You'd be wrong.

Especially in health care, there's frequently a missing, albeit crucial step: DECIDING to grow! What's that you say? Of course we've decided to grow! OK, let's think about that for a moment.

What was on the agenda at your last all-hands leadership meeting? More importantly, what was FIRST on that agenda? Budget? JCAHO? Compliance? HIPAA? Quality? Satisfaction? Policies and Procedures? All important topics, for sure. But where on that agenda was BUSINESS GROWTH?

When was the last time you identified someone who managed to grow her business in spite of all the usual organized resistance and inertial drift, pulled her out of the audience and made her a hero? You do that for leaders who hit their budgets, don't you? For those setting the patient satisfaction benchmarks, too, right?

Maybe you think growth isn't worth spotlighting. Maybe you think it's a happy accident or due mostly to circumstances beyond your control. Maybe the growth agenda is firmly locked away behind the the executive suite's paneled door. And, come to think of it, why make someone a hero when she was lucky to be in the right place at the right time? For heaven's sake, what message would THAT send to the rest of the organization?

Oh, I dunno. That growth matters, maybe. That it's everyone's responsibility to stretch themselves, think differently, compete furiously. That you grow market share zip code-by-zip code and doctor-by-doctor. That sometimes you do get lucky and that there are such things as happy accidents, but track records are made from consistently winning the small battles for customer loyalty.

So decide! Decide to compete. Decide to win the battles, large and small. Decide to make it #1 on everyone's agenda. Decide to be tough to compete against. Don't take it for granted. Decide to grow.


Comments

Popular posts from this blog

Michael Porter On Health Care Reform

Michael Porter, writing in the New England Journal of Medicine, proposes "A Strategy For Health Care Reform - Toward A Value-Based System." His proposals are fundamental, lucid and right-on, meaning they're sure to be opposed by some parties to the debate, the so-called "Yes, but..." crowd. Most important, in my opinion, is this: "... electronic medical records will enable value improvement, but only if they support integrated care and outcome measurement. Simply automating current delivery practices will be a hugely expensive exercise in futility. Among our highest near-term priorities is to finalize and then continuously update health information technology (HIT) standards that include precise data definitions (for diagnoses and treatments, for example), an architecture for aggregating data for each patient over time and across providers, and protocols for seamless communication among systems. "Finally, consumers must become much mor

"An Affordable Fix For Modernizing Medical Records"

...from the Veterans Health Administration and Midland (TX) Memorial Hospital. I know enough about my own strengths and weaknesses to know that I'm no IT expert. But I am acutely interested in examples of people and teams thinking differently to solve long-standing, intractable problems and, for better or worse, there are lots of those to be found in the IT realm. Yesterday, it was a story about a team adding iPhone portability to MEDITECH functionality, delivering to harried physicians better access to clinical data and more productive hours in every work day. (Wow. Apple in the boardroom AND the physician lounge. Has to be an IT traditionalist's worst nightmare. But I digress...) Today, the Wall Street Journal features a story about Midland (TX) Memorial Hospital finding an affordable, open-source alternative to proprietary EMR systems : "In the push to digitize America's hospitals, Midland Memorial faced an all-too-common dilemma: a crying need for information

Are the "Apocaholics" Wrong?

Will society avoid collapse and continue prospering? Yes, thanks to the innovators among us says zoologist and Economist editor Matt Ridley in his new book "The Rational Optimist." "...with new hubs of innovation emerging elsewhere, and with ideas spreading faster than ever on the Internet, (expect) bottom-up innovators to prevail. (Ridley's) prediction for the rest of the century: “Prosperity spreads, technology progresses, poverty declines, disease retreats, fecundity falls, happiness increases, violence atrophies, freedom grows, knowledge flourishes, the environment improves and wilderness expands.” We could still screw things up.  We could, for example, stifle innovation and trade while inflating the importance of restrictive bureaucracies. "Our progress is unsustainable...only if we stifle innovation and trade, the way China and other empires did in the past. Is that possible? Well, European countries are already banning technologies based on the preca