problem staff

Consider rolling recruitment for key jobs [practice management tip: human resources]

Do you find yourself reluctant to discipline difficult employees because they’ll be hard to replace if they quit? Is that same fear causing you to retain employees who’ve failed to improve, despite being counseled again and again?When the consequences of poor performance never materialize, underperforming employees will soon perceive they’ re exempt from the standards you’ve set for everyone else. Even worse, your better employees will have to pick up the slack and tolerate negative energy from complainers – increasing the risk you’ll lose the people you value most. Many practices feel squeezed for talent in their local markets. It’s understandable to be concerned about a key job staying unfilled for too long – but, still, keeping underperforming employees can harm your practice much more. Instead of going soft on performance problems, consider amending your hiring practices. For example, a little redundancy in your medical assistant ranks (e.g., maintaining one or two “extra” floaters) ensures coverage when someone’s out sick – or ends up leaving the practice. Those additional hands can also tackle valuable ad hoc tasks that might otherwise get skipped, such as recalls that serve patients better and generate additional revenues. A rolling system of recruiting can also ensure you don’t miss a chance to hire talented new grads. Establish recruitment relationships with local training colleges and med schools, and maintain key job postings for year round. (Be sure to use screening questions on recruitment sites and filters in your email software to help manage the applicant flow.) Even if you don’t need help immediately, being aware of available talent will allow you to hire opportunistically if someone exceptional becomes available. It will also provide a clearer picture of the current talent pool, so you don’t feel compelled to hold on to employees who aren’t measuring up.

By |2022-01-01T22:51:47-08:00May 1st, 2018|

Resolve to give better feedback to staff in 2014

Turnover and hiring are costly.  Staff are so important to your practice's patient service, financial performance and overall functioning.  Given these things, one of the best investments you can make in your own leadership abilities as a physician owner or practice manager is to develop the skill of delivering effective feedback to employees. The importance of giving effective feedback to staff really can't be overstated.  Your ability to nurture better performance and address inadequate performance impacts everything from employee skill development, to team morale, to legal risk. Every aspect practice performance depends on getting the best from your staff, and that depends on giving the right feedback at the right time(s) and in the right way. Giving employee feedback is not easy, and getting really good at it requires effort and focus. But your efforts will be rewarded many times over. One of the best recent summaries I've seen lately on delivering effective feedback comes from the Stanford Graduate School of Business -- a summary of a lecture by Carole Robin.  It's a short list of seven pithy tips, and you can act on it now!  Highly recommended reading.  (A couple of previews: "Do it now" and "Stay on your side of the net."  Read the piece for quick explanations of these ideas -- and five more.)

By |2013-12-24T10:06:33-08:00December 28th, 2013|

Does your smartphone pose risks to your practice?

Let's take a few moments to consider what risks you may be carrying around with your phone.  One common vulnerability is stored passwords on your phone, e.g. within a “notes” program.  Imagine the harm that could come of a thief having access to your banking accounts or practice management software.  Your firm could suffer an immediate financial hit, malicious mischief or a potentially devastating breach of patient data. The start of such grief can be your unattended phone meeting with a disgruntled employee or dissatisfied patient. These risks mean that phone security justifies your consideration. Phone security starts with maintaining disciplined control over the physical device. Naturally, your phone should not be left untended in your office, on a shared counter-top or anywhere else where it might be easily stolen.  While it seems obvious, it’s very common to see busy administrators leaving their phones behind as they scurry about the office.  Luckily, most phones have security features that can significantly mitigate your risk – although many of these features are not enabled by default.  In many phones, a four-number passcode can be readily “cracked” by a thief. Better is a quality passcode (avoid common English words) that uses letters and numbers – with iPhones this can be changed under settings/general/passcode lock.  Keep you phone’s software updated, as security vulnerabilities are fixed as they are discovered. If you use an iPhone, make sure you have the application Find My iPhone installed (and updated) and enabled. iOS 7, the latest iPhone operating system, security has been greatly improved – potentially making your phone valueless to a thief, but you must first have an Apple ID (and remember it!). Phones using Android 2.2 or greater have a built-in application that can help locate or your phone and/or completely delete the contents of your phone and any installed memory (SD) cards.  You’ll need to make sure these features are enabled on your phone (settings/security/device administrators). Regardless of what device you use, be careful when accessing sensitive information when you’re out and about as your phone may connect to an insecure Wi-Fi connection, allowing others

By |2013-10-21T16:13:04-08:00October 9th, 2013|

Prevent and uncover embezzlement: webinar

Joe and Judy's recent webinar (sponsored by Kareo) was a big hit! If you didn't have a chance to attend 'live,' you can register and view it here: Embezzlment-proof your practice Most medical practices are victims of embezzlement at some point -- yes, you read that right! -- so if you haven't already learned how employees can become thieves and employers become marks, this is a must-watch webinar.

By |2011-11-18T11:27:10-08:00November 18th, 2011|

Leadership: It’s about treating people well

Joe Capko did a webinar with Medical Practice Management Web Advisor earlier this week on how effective leadership translates to more productivity from your staff -- and vice versa.  One of his themes was establishing trust by listening and treating people fairly, and letting them know they are valued.  People give more to their jobs when they know you care! Aptly, today's email tip from Harvard Business Review was called "Engage Your People," and featured some of the same ideas Joe offered.  Basically, less top down, more listening, more working together. To read the HBR tip, click here.  

By |2022-01-01T22:52:41-08:00October 27th, 2011|

Hire slow, fire fast

The old Silicon Valley adage "hire slow, fire fast" is actually apt for any type of small business, including medical practices.  The smaller the team, the more powerful this idea is, because as team size shrinks, each member's contribution becomes more critical to success. Moreover, a single poor performer or "bad apple" can disrupt a smaller team much more effectively than a larger one. Medical offices are generally small operations where everyone knows a lot about each other, and sometimes it can feel like a family.  And firing a member of your family ... now that's hard!  You want to be that nice person who supports someone who's having a tough time.  That crabbypuss who comes in late every day, "forgets" to do the insurance checks that are her primary responsibility and never seems to notice when charts are lying around waiting to be re-filed has a family to support after all.  Oh, gosh, do we really have the heart to fire her? Well, the problem with that "nice" thinking is that while you're being very, very "nice" to the poor performer, you're being decidedly NOT nice to everyone else on the team.  They're all picking up after her, correcting her mistakes, putting up with her lousy attitude and starting their full work-day on time -- without Ms. Crabby, who's late again.  Left unaddressed, this situation kills the morale of the good performers -- who may start performing poorly themselves or just leave for a job where they feel good work is recognized. Here's a nice essay on the subject from the CEO of Gilt in Inc magazine -- Gilt is an internet shopping site, seemingly with little in common with medical practices, but Kevin Ryan's observations are instructive for any sort of business. Firing the Wrong People Is Just as Important as Hiring the Right Ones

By |2022-01-01T22:52:41-08:00October 27th, 2011|

Could your team be great? Aim for real.

Harvard Business Review posted a great tip today about "real teams."   The pointed out that "real" teams -- i.e., groups that really work together as one -- all share three important characteristics: Shared sense of purpose Flexible skills Mutual accountability There's a great lesson here for medical practices.  Physicians set the tone of purpose and accountability.  Good training policies and skilled practice management ensure cross-training keeps everyone fresh and the practice able to withstand absences and staffing changes.  Hiring people who can fit with the ethos of the team keeps everything humming along. Read more at Harvard Business Review.

By |2022-01-01T22:52:54-08:00August 23rd, 2011|

Dealing with conflict

Addressing and resolving conflicts is something most people avoid, including doctors! But in reality, conflicts will always emerge. But, conflicts left unattended will cause much anxiety and furor. Resolving conflict requires a specific set of actions and determination.Know where you are. Get a grip and examine the situation with the intent to reach a “realistic” solution. Recognize that this can’t be accomplished if either side is unwilling to budge. Help the opposition to understand your position and seek to understand theirs and how they arrived at such an outlook. A reasonable solution is likely to require compromise on both sides, so be willing to bend.Be impartial. This is not an easy task. You may have an inflated opinion of the value of what you bring to the table or possibly a misconception about the opposing party. Data is the best way to achieve objectivity. This can be accomplished by comparing data to national averages for your specialty. Such standards are available through professional associations such as the Medical Group Management Association,MGMA, and the National Society of Certified Healthcare Business consultants, NSCHBC. Be a good sleuth. Listen carefully to everyone’s viewpoint, most importantly those you are trying to sway. Understand where they are coming from and what is important to them. The more you know about the opposition, the better prepared you are to address the issues important to them.Clarify the desired outcome. What is essential to you and what are pracdtice leaders “really” want to achieve. It’s a matter of recognizing the ideal outcome and the “acceptable” outcome that prepares you for effective negotiations.Respect different viewpoints. It’s unlikely that everyone will see things from the same perspective, but without respecting others varying opinions we are unable to dig dipper to understand them and how to achieve an acceptable solution from their viewpoint.Just the facts. Bring facts to the table. It will diffuse subjective opinions and provide an opportunity to sway others and develop a consensus. Objective reasons will outweigh subjectivity, but you must stay on course and keep coming back to the facts. This is when you will begin to

By |2022-01-01T22:52:59-08:00February 6th, 2009|
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