With any large scale and rushed sets of actions, there are both intended outcomes and unintended. The unintended can be either a major improvement over the previous circumstances, or just a new set of problems. Our national, state and local response to the COVID infections have generated some of each. From the chiropractic side of things, the vast majority of my clients remained open as a provider of essential services. Most clinics initially ran on a skeleton crew with reduced hours, but not all. Even with the Screening and Cleaning protocols in place, most clinics ran at reasonable … [Read more...] about Unintended Consequences
Economics
Hierarchies
In traditional organizations, hierarchies are the normal state of affairs. While this may chafe those at a lower level of the chart, there is usually no thought to getting rid of a hierarchy, it’s more about finding ways to get on the top of the pile. However, in more progressive organizations and societies, hierarchical structures are much flatter, looser or may not exist at all. In many ways, medicine in all forms has some aspects of both types of systems, which can plant the provider squarely in that uncomfortable transition zone. Hierarchies are very much the norm in many types of … [Read more...] about Hierarchies
Quotes for business
None of these are new, but I think they all have use and seem to apply to a lot of what I spend my time with. No particular order: Never put off ‘til tomorrow what you can put off ‘til the day after tomorrow. -Mark Twain A nice jibe on the subject of procrastination. A major challenge today, in the era of distraction, overload, too many choices and extremely heavy marketing. The cost is what you pay; the value is what you get. -Warren Buffett The most talented investor in the history of investing shares the incredibly obvious with us peons. This message is crucial for … [Read more...] about Quotes for business
Common Management Errors
Since we are required to spend a good deal of our working lives managing people, becoming more skilled at it is something that will help us deliver our primary service much more efficiently. However, many doctors have little or no training in this vital area, and are not well disposed to increasing their skill levels. It becomes a vicious cycle, where the ideas of “I’m not good at this” and “I don’t want to spend my time doing this” feed on one another worsening the dysfunction and incompetence that already exists. For doctors who do want to improve their managerial skills, this blog will … [Read more...] about Common Management Errors