Sunday, December 31, 2006

2006 Irish America Magazine Business 100: News Release!


A bit of shameless self-promotion but I'm so proud of my Irish heritage that I must toot my blogger horn loud and clear! I've been named to the 2006 Irish America Magazine Business 100. The distinction celebrates the entrepreneurial and business success of Irish-Americans.

What makes me even more proud about this honor is that I am one of just 10 women to be named to the list of 100 this year ... joining the ranks of a distinguished and diverse membership roster that includes Caroline Kennedy Schlossberg, Conan O’Brien, and Bono. How cool or lucky is that?!

Other 2006 honorees include James McCann, founder of 1-800-flowers.com; Alan Lafley, chairman, president and CEO of Proctor & Gamble; and Anne Mulcahy, chairman of the board and CEO of Xerox Corporation

Here is the press release.

Thursday, December 28, 2006

Wisconsin Small Business Expo With Global Feature

Looks like an interesting program. Wisconsin Business & Technology Expo on May 2.

Key to this event:

"In addition to the national speakers, the 2007 Expo will feature several other events to help businesses grow, including The Fittest CEOs program, the Manufacturing Summit and the Expo After Hours reception.

The Manufacturing Summit on Thursday, May 3, will feature a CEO discussion about how Wisconsin manufacturers can compete in a global marketplace."

Sunday, December 24, 2006

Thursday, December 21, 2006

Re-Gifted...(quotes)....1/5


Thought I'd decorate the tree, so to speak, with a few choice ones.

"We are attracted to Essent because its hospitals are financially sound(????) and provide essential, high quality(????) care to the residents of the communities they serve," said James L. Elrod Jr., managing director with Vestar's New York office."Essent's business model is consistent with our investing strategy. We are particularly excited about becoming partners with Hud Connery and his management team."
These are the folks that Hud and bud put on their little show for at the Med Staff meeting so long ago. They're also the ones that chipped in $80M for investment. That's why Hud made such a fuss about RRVR taking a fee from the hospital (false), and why he was adament on getting rid of them. Kind of a Hitleristic approach, might one say? One might. His version of the "big lie".

But, it served two purposes: Tarnish the reputation of RRVR, and allay the investor's fears...making them feel that profits would be up $1.2M (what they were supposedly paying the Radiologists to read films.)

So comes a lesson, of sorts. Just plugging in money to the wrong thing does not success guaranty:
We’ve made significant investments in Crossroads over the past five years, including the construction of three medical office buildings, renovations to the emergency room, and a new 3,000 square-foot outpatient physical therapy facility,” said Bill Heburn, executive vice president, operations, Essent Healthcare. “Despite these significant investments, Crossroads posted a positive operating income only one year out of the five we’ve owned it."

After that, Bill's future was made...or un-made.

Rule Number 1: Never make Hud look bad or laugh at him or contradict him in front of someone. Heads will roll.

One also might wonder about Hal Andrews, and how he disapeared so fast: Apparently he and Hud had rehearsed some song and dance for the Essent board about something. Well, Hal inadvertantly said something that embarrassed Hud in front of the board, (according to HUD , himself) and the next thing Hal knew, he was fired. (Rule #1)

So, Rule Number 2 for PRMC execs: You serve at the pleasure of Hud. It could be that Drew's statement in support of Tony Williams will be imortalized here as well....frank

Tuesday, December 19, 2006

Glad Tidings?...8/10


Getting close, so I'll say Merry Christmas ahead of time. Guess we're going to find out who's naughty or nice....

From the Northeast--Naughty
Physicians at Nashoba Valley Medical Center strike again!!!! Another physician has entered into a Voluntary Agreement Not To Practice Medicine with the Commonwealth of Massachusetts, which was a disciplinary action. Dr. Rimas Maurukas, pulmonologist is the 5th in a growing line of doctors falling by the wayside in Ayer, Massachusetts. The doctors being investigated by the commonwealth are outnumbering the new recruits. Am I seeing a pattern here??? Quality care just seems to be something NVMC can't attain. Are double digits in our future???? Once again check mass med physician profiles (link on left list.)

From Texas--Naughty
Frank,

Radiology is the ugly-redheaded-stepchild of the hospital! Seems that we are being treated to re-runs of Laverne and Shirley: The courtship of Squiggy! Should someone dig a little into his previous work history, they might be surprised. But that does fit the average Essent recruit--dependent on Essent.

The first graduating x-ray class from PJC is taking their boards this month, and the proof is in the testing. With only a few lined up with jobs in a super-saturated market, it does seem like the students going into the field are a bit naive, and not making informed choices. It's going to be like those schools that are promoed on TV at three in the morning which had such pitiful placements. With 10 applications for each x-ray job, one might need to re-evaluate one's career choices.

From Texas--Nice
Hi Frank,

Someone is reading the blog because an email was sent out by Cheryl Perry to check your education and make sure all your tests are finished. (Referred to the insertion of educational requirements after the listed due date.)


So "Dash away, Dash away, Dash away all"!

Art Collecting Is Going Global

From India to China to Russia ... collecting art is going global, and prices have room to run. Read the article here.

Friday, December 15, 2006

Martha Stewart Going, Going, Global!

The lifestyle and media company, founded by Martha Stewart (pictured), built on tips for cooking and decorating is looking at expanding food products, retail and its magazines overseas.

Read all about it here.

Thursday, December 14, 2006

Quis custodiet ipsos custodes???12/28


Just when you thought it was getting better:

I've been getting rumors, and now several folks have emailed that I probably should put the warning back on the site as to monitoring of PRMC computers. But, that isn't the only thing....


The clicking that you've been hearing on the phone lines--Yep, Big Brother. The new "smoke detectors"? Some have cameras built in to them. Might be interesting to see what ones actuate from actual smoke....
I've heard that the outlying clinics all have gotten their monitoring upgraded, as well as Aerofit (wonder where the cameras went there! Better keep the swim suits on in the hot tub!)...guess they feel when the cat's away....

Quis custodiet ipsos custodes? (Who watches the watchers?) Me.


Footnote: From a comment, looks like public opinion wins--apparently Huddie doesn't like the flak, and some of the cameras, if not all, have been replaced. Makes me all warm and fuzzy towards Essent. Now we just have to watch the various other appliances to see if they end up in those....frank

Monday, December 11, 2006

Okies from Muskogee....12/12

I'm sorry, I ran out on an ongoing story. MRMC did make a decision, and that was almost a month ago. They selected Capella, and follow the link to see what was agreed to. I really wish they had been the ones bargaining with Essent...for us.

The employees were taken care of:
"• Existing commitments to all employees won’t change."
And standard of care issues as well.

Well done, Muskogee! You get a gold star!

2006 Irish America Magazine Business 100

A bit of shameless self-promotion but I'm so proud of my Irish heritage that I must toot my blogger horn loud and clear! I've been named to the 2006 Irish America Magazine Business 100. The distinction celebrates the entrepreneurial and business success of Irish-Americans.

What makes me even more proud about this honor is that I am one of just 10 women to be named to the list of 100 this year ... joining the ranks of a distinguished and diverse membership roster that includes Caroline Kennedy Schlossberg, Conan O’Brien, and Bono. How cool or lucky is that?!

Other 2006 honorees include James McCann, founder of 1-800-flowers.com; Alan Lafley, chairman, president and CEO of Proctor & Gamble; and Anne Mulcahy, chairman of the board and CEO of Xerox Corporation

More official news to follow.

Friday, December 8, 2006

Just one more...well maybe...12/22

Hud Connery, President and CEO of Essent Healthcare commented, "Doctors Hospital is a perfect fit with the Essent model. Doctors Hospital is an essential hospital in the middle of a rapidly growing community. The hospital provides a fundamentally important service, there is a great team of physicians and nurses, and we hope to make the purchase of this hospital part of a grander scheme. It's just the kind of opportunity we were looking for."

For those who haven't followed the blog, Doctor's Hospital was renamed Crossroads--and is now part of SMS, not Essent, after Hud finally gave up. Cat-herding is rough business.

Okay, so just one more:
Quoted from the Paris Snooze, 7/25/04, "Knizley (PRMC CEO) said the best way to achieve such a prestigious rating (one of the top 100 hospitals) is by finding problems the best way he knows how -- by listening to employees."
We just never expected it to be through tapping phones, and bugging the smoke alarms....

Thursday, December 7, 2006

Global Entrepreneurs Create Domestic and Foreign Jobs

If there's ever a book to read in 2007, it's this one: The New Argonauts: Regional Advantage in a Global Economy

From Publisher's Weekly: Argonauts, Saxenian's mythic term for global commuters employed in the high tech sector, are not the ominous invaders American economic isolationists fear-stealing jobs and ideas from Americans and spiriting them abroad. Rather, Saxenian argues, such global entrepreneurs have created domestic and foreign jobs and reduced the cost of technology for businesses and consumers.

Saxenian is at her best when describing the relatively short history of the international entrepreneur-commuter: the Argonauts, though equipped with Ph.D.s from American universities, hit ethnicity-based glass ceilings in the States and chose entrepreneurship over floundering in middle-management.

Bright, young, foreign-born entrepreneurs formed technology companies (with the help of western venture capital and management theory) in their home countries and succeeded where traditional development initiatives failed. However, when Saxenian projects the implications of Argonaut activity or their future, she sounds prematurely optimistic; some readers may have a hard time envisioning, as Saxenian does, widespread future interglobal cooperation aimed at solving humanity's problems. [Laurel here ... I don't.]

Tuesday, December 5, 2006

Abridged Borderbuster: 12/5/06

CONTENTS

If you are not a subscriber to Borderbuster, here's a glimpse of what you missed this month:

1. Welcome From The Publisher
2. Feedback From Our Readers
3. Secrets, Lies, and Sweatshops*
4. Business and Cultural Tips: Have Some Fun!*
5. Oh, Canada!*
6. How I Went Global: Ongoing Series // National Defense
7. A Reader Asks: Q&A*
8. Everybody Loves a Freebie -- repeat: FREE OFFER*
9. Unique Gifts From Small Businesses*
10. A Danger in China?*
11. Language Barriers*
12. Blog World: Metroblogging*
13. Laurel’s e-Book: “GODZILLA Global Marketing!”
14. Take A Walk On The Wild Side (TAWOTWS)
15. Wind Behind Your Sail*
16. Miscellany*
|||||||||||||||||||||||||||||||||||||||||

*Indicates exclusive to Borderbuster subscribers only.

Sample section:

5. OH, CANADA!
*Subscriber Exclusive*

Want to jump into the international market? Meet our friendly neighbor to the north.

To read the article, visit: Entrepreneur.com

(Remember, inaction is the worst kind of failure.)

###

To subscribe to Borderbuster, visit:
Sign Up For Borderbuster!

Who's Who in Readership...12/12


Just thought I'd give you an update on who actually tries to find this site, rather than stumbling into it (from what I consider outside the norm):
  • I've had hits from India, the Ukraine, Turkey, Israel, Italy, Austrailia, China, Iran, the UAR, and even one from Vietnam, but that was a fluke. And either someone has been sending links, or one individual has been bouncing off multiple international servers...because the MSN search is exactly the same for about five countries.
  • Numerous mentions have been seen in Power Point presentations given in the Netherlands, Norway, and Germany....
  • Various healthcare groups from all over the nation.
  • Investment companies.
  • Healthcare Management groups.
  • Obviously, the highest percentage of hits are from Texas, Tennessee, Massachusetts, and Pennsylvania, but I was suprised at the high numbers for North Carolina, New Jersey (probably the new CEO for MVH and his family), Minnesota, Florida (not just Andrew's defender), and D.C.
  • The Dallas hospitals love it, the Essent states camp on it after hours, and I don't know how many people have Google alerts for new comments.
  • A chat room would probably lock up someone's server.
I don't get information on the user, just the ISP (Internet Service Provider), and Essent has their own fixed IP (handy for me), as do other various organizations.

Thursday, November 30, 2006

Global Goliath Terrorizes A Small Business

"It would appear that any tiny threat to LVMH's $13 billion in global sales in the first three quarters of 2006 and their 60,000 employees worldwide is more important to defeat than dealing with sweatshop labor it probably employs from factory workers around the globe."

WOW. Powerful statement. Read more about how a Global Goliath attempts to terrorize a small business ... here.

And here at Startup Journal: A Tiny Firm Wins 'Chewy Vuiton' Suit.

Monday, November 27, 2006

Liquid Borders?

Shipping goods from one country to another has always been a paper-intensive process. According to the Organisation for Economic Co-operation and Development, every container that crosses international borders generates 30 different documents. That adds up to roughly five billion documents a year.

But the EU, in partnership with IBM and the Free University of Amsterdam, plans to do away with all that paper, and instead have imported goods counted, monitored and evaluated for tax automatically, without producing a single sheet.

Sound unbelievable? Read more here: A pilot between the EU and IBM could introduce paperless shipping.

Thursday, November 23, 2006

Hard Questions...12/16


Last year, Merrimack Valley Hospital lost $87,205. They have been an Essent hospital for how long? Since 2001.

In retrospect, the first hospital (Crossroads) that Essent bought lost money for all but one year (out of five.) From the beginning, they put serious money into the hospital, but like the Titanic, it just kept going down.

Nashoba Valley made $537,676 last year, approximately the same percentage of return on their gross as PRMC. But, their Return On Investment (ROI) is far better, as the price was only $11M. They still have a little over a year to commit an additional $16M in improvements or a new structure. While ground-breaking for a physician's office building has occurred, we'll see how an actual replacement hospital shapes up in the next year. Kind of waiting until the last minute...maybe hoping for an exception to be granted? Or was the timeline on the new hospital completion left open--sort of like the lawsuit by the gay couple....

Sharon Hospital seems to be the cash cow of the organization: Approximately $3.7M from a gross of $98.5. And they got it at a price lower than that of NVMC ($16M outright and $8M more for improvements)! Guess it was worth waiting for--despite assuming liability for a toxic waste dumping problem in NY.

Paris had a total revenue of $363,370,383...yet only made $1.6M over costs. Maybe it's all those locums?

Southwest wasn't in the mix, but lost almost $2M. I imagine that there were some changes.

It should be interesting this year, since the cost reporting period is over and the figures should be posted soon. For those interested, AHD.com is the website.

My questions are many, but here is the predominate one: Do they really expect to turn around a hospital with some paint and TVs? That isn't the problem, but let's see what happens....

Monday, November 20, 2006

Going Global

When Ogilvy Interactive set out to take IBM Corp.'s e-mail marketing strategy international, it knew it would need to make some adjustments to both messaging and design. It also would need to check in with local ISPs, which can impede delivery rates.

"Deliverability [as a concept] is fairly new to Europe and Asia-Pacific," said Eric Wheeler, CEO-North America of NEO@Ogilvy Interactive, the digital media unit of agency Ogilvy Interactive. "Marketers going into these places need to understand where they are, how to integrate into that region and what kind of technology they need."

Read the balance of the article here.

Friday, November 17, 2006

Your Comments are Welcome...12/15


It's hard not to hear the comments when you mention that you work at PRMC. I've heard of more incidents involving patients in the last year than in the previous six. Some have been relatives, some have been the actual individuals. E-mail them or if you want it as a comment, just comment. This is one forum in which complaints are asked for, and not swept under the rug.

Additionally, if you have a complaint in general, this is seen by Essent corporate at least once a day, most days six or seven times. Some execs even check it after hours. Trust me on this one. They are very aware of this blog.

If you mention that you don't want any identifiable information included, but in order to make the point to me, there are certain 'tells', that's fine. I'll use what I can, and if it can't be told without identifying you, then I just add it to my understanding of what we are facing.

I was asked why radiology was a hot-button issue here? You go with the gold. The topics with radiology were producing more comments than anything else. One post got 77 comments (and the comments are the best part!) If nursing was commenting more, we'd probably have a broader mix. But with RRVR even making the Paris Snooze, you go with success. There has only been one other that has been better (104), and that was a physician lambasting the medical community for sitting on its hands. Got to admit, there aren't too many that draw that kind of attention.

I will have some financial data a bit later, dealing with Essent's balance sheets. We will see how those go over. Just a few of the basics. All public domain, or subscription, but immediately available to the public for verification.

Thursday, November 16, 2006

Is Your Firm Setup Like An Import-Export Business?

It should be.

An excerpt from the article:

According to Polk, it is critical for companies today to develop a world-class "tri-lingual organization" fluent in the "languages" of the consumer, the customer and the company. "What you are doing is translating your agenda into the language of the person who has to execute it," namely the retailer who sells the product. He likes to think of Unilever as an "import-export business," with some good product ideas hatched in Europe or elsewhere and then exported to the United States, or vice-versa. Axe body wash, for one, was a hit in Europe well before Unilever brought it to the U.S. market.

Read the article here: It's All About Dislocating Ideas

Monday, November 13, 2006

On The Rise: Small Businesses with BIG Innovations

I had the great honor to serve as a panelist at the "On the Rise Small Business Conference" on Thursday, November 9 at the Timer Warner Center in New York. The event was hosted by CNN and sponsored by UPS with topics ranging from how to market your business on the Web to global expansion. The purpose of the event was to recognize innovation in small business.

Ali Velshi, one of CNN's top business anchors and a seasoned business and financial news reporter, moderated the evening's discussion and did a fabulous job keeping it lively and on track . Velshi currently provides his signature report "Vested Interest" on American Morning and Prime News with Erica Hill.

Here are a couple of pictures from the event:

Mary Wayman, Founder, Application2Graduation (A2G) and Kurt Kuehn, Senior Vice President, Worldwide Sales and Marketing, UPS.

Panel experts (L-R): Eileen O'Brien, Vice President, Small & Medium Business, Hewlett-Packard Company, Laurel Delaney, Founder and President, Global TradeSource, Ltd. (Globetrade.com), David Young, Founder & CEO, BMI Gaming, Rieva Lesonsky, Editorial Director, Entrepreneur Media Inc., Kurt Kuehn, Senior Vice President, Worldwide Sales and Marketing, UPS, Ali Velshi, CNN anchor and reporter and Helen Morley, Founder and CEO, Helen Morley Designs.

Kurt Kuehn (center), Senior Vice President, Worldwide Sales and Marketing, UPS is surrounded by the proud winners.

The Alzheimer's Store winners Mark and Ellen Warner with Kurt Kuehn (center), Senior Vice President, Worldwide Sales and Marketing, UPS

Money Savvy Generation winners Michael and Susan Beacham with Kurt Kuehn (right), Senior Vice President, Worldwide Sales and Marketing, UPS

All the winners in a very happy pose!

Panelist's company websites:

Helen Morley's
Laurel Delaney's
David Young's
Eileen O'Brien's
Rieva Lesonsky's

Winner fact sheets, videos and websites:

1st place: Application 2 Graduation

2nd place: Money Savvy Generation

3rd place: The Alzheimer's Store

Read more about the 2006 contest here.

Read more about the 2006 winners here.

Read the press release here.

And one shameless plug for UPS that will enable you to take on the world.

For the Beancounter in You...11/29


I guess I was too harsh on the bean counters, since I did get several replies defending their honor. A few observations were made that need the light of day, as to why Essent and Paris weren't the right mix:

1. Essent didn't have the assets to be able to swing this large an endeavor. They were very exposed coming into this deal, partially because of a poor evaluation during the 'due diligence' period. They had no idea of the magnitude of what really needed fixing.

2. Short term goaling. Corporate put them on a fast-track schedule, with milestones in the monthly/quarterly timeframe, rather than planning for the long haul. Sort of the difference between Japanese and American corporations: Japanese take a longer approach, while American corporations are more instant gratification driven.

3. Lack of real understanding of the politics of the situation.
They had no real concept of the animosity between the "Holy House" and "Big Mac" crowds, and how it actually impacted Paris healthcare. (Note: the quoted descriptors were not mine, but they seemed to illustrate the point....) Additionally, the dynamics of the physician groups that had formed were foriegn as well.

4. Inability to adjust to the situation. Despite descrepancies in their conceptualize viewpoint and reality, they insisted on staying with the original plan and milestones, forgetting that feedback, adjustment, and re-evaluation are important steps in a project.

5. Mis-evaluation of the area's labor pool. In metro areas, there is always a supply of staff, due to the population base. But, in the Paris area, there are a couple of fallacies in that equation: There is a smaller population and limited draw to the area. The metroplex pays far better. Why drive the same distance to one and get paid less? It's like what put some of the nails in McCuistion's coffin: A Dallas-based management team that assumed the business climate was the same as the metroplex, and implemented policies that drove away their physician tenants.

And the result? Patients are leaving in droves. Shuttle bus services to Texarkana, Tyler/Longview, and Dallas are having to buy more vans. (Maybe Essent invested in those!) Services and procedures that we could previously count on are here no longer.

All we get in return is a visit from a military dictator, who meets with the hospital CEO--probably sharing tips....

Sunday, November 12, 2006

Turf War...1/9


What's happening in the so-called war between out-patient radiology and "Red River"? Seems as if the imaging center wins by default. This is not an exclusively Parisian situation, but it does impact the financial health of the hospital.

Typically, studies help spread the fixed costs of a department. When the number of studies for the hospital day shift is only 50 or 60, the result is a net loss per exam. Right now, they should be coming into their heavier census period, but if out-patient studies continue to go down, that won't help them.

What is the solution? For Essent, the automatic solution is to cut staff, one of the largest costs. How does that affect the new graduates appearing in December? It can cut in several direction: Hire the top guns in the new class, paying them entry level, and raise the performance bar to the existing technologists, hoping attrition would create openings and lose some of the higher paid staff? Or not hire any FTEs (Full-Time Employees), merely keep a supply of PRNs on tap to fill the peak periods through May. Or, just cut staff.

However, the solution may be taken away from them. The new class has been working in several different clinical settings, and has seen the differences in facilities. They might opt out of the PRMC setting for other markets, should that be viable for their situation.

Tuesday, November 7, 2006

Abridged Borderbuster: 11/6/06

CONTENTS

If you are not a subscriber to Borderbuster, here's a glimpse of what you missed this month:

1. Welcome From The Publisher
2. Feedback From Our Readers
3. Navigating China’s Labyrinth*
4. Business and Cultural Tips: Have Some Fun!*
5. China’s “Chuppies” Are Buying American*
6. How I Went Global: Ongoing Series // Orhan Pamuk
7. A Reader Asks: Q&A*
8. Everybody Loves a Freebie -- repeat: FREE OFFER*
9. 2006 Online Harmonized Tariff Schedule*
10. 2006 Report on Foreign Trade Barriers*
11. Plan Globally, Deploy Locally*
12. Blog World: Managing Globalization*
13. Laurel’s e-Book: “GODZILLA Global Marketing!”
14. Take A Walk On The Wild Side (TAWOTWS)*
15. Wind Behind Your Sail*
16. Miscellany*
|||||||||||||||||||||||||||||||||||||||||

*Indicates exclusive to Borderbuster subscribers only.

Sample section:

5. CHINA’S “CHUPPIES” ARE BUYING AMERICAN
*Subscriber Exclusive*

We hear plenty about Chinese imports -- the flow of goods manufactured in China and sold into the United States -- but not so much about U.S. exports sold into China. And yet, "China is one of the fastest growing markets for U.S. exports."

Find out more at IndustryWeek, visit:
China's "Chuppies" Are Buying American

(Remember, inaction is the worst kind of failure.)

###

To subscribe to Borderbuster, visit:
Sign Up For Borderbuster!

Monday, November 6, 2006

Should I Stay Local or Go Global?

Among the biggest challenges firms face in going global is that of performing a rigorous analysis to determine which functions should stay at home or go global. Then, too, firms sometimes fail to clearly understand their customer bases and value propositions. If a company depends on close relationships with certain business partners or customers to deliver value, then outsourcing may create new barriers that add layers of complexity to processes—offsetting any financial gains.

Read the article here.

Thursday, November 2, 2006

Say AAAHHH....11/15

We're all healthcare professionals, aren't we? Okay, except for the beancounters, I mean. Which means we come to work, sick or not.

Personally, I hated going back to designated sick days--PTO was the best incentive to make it in no matter what...that way I could tack on a few extra days to a vacation that otherwise wouldn't be there. For Christus it was a good deal, they had less unplanned absences, which meant better staffing effiency.

Retrogressing to sick days opened the gates to people taking un-planned-for absences, rather than scheduling time off. Essent's new policy is slap in the face to anyone with children, an ill spouse, or chronic conditions which keep them from building up a surplus of sick days.

The policy (amended this month) is that in order to be paid for a sick day you have to have forty hours of sick time accrued at the time of the call in. To be paid on the second day if you are sick you have to have twenty hours accrued. So, if you have an extended period of illness, come back to work, and have a relapse--you won't get paid for the first day if you don't have a week's sick time banked! If you didn't have at least half a week, you wouldn't get paid for two.

I have plenty, but I know several people that this would knock to their knees. I would venture to say that the northeast doesn't have to put up with arbitrary B.S. like this--because of the union contract. I can feel myself drawn to the dark side....

Wednesday, November 1, 2006

Look At India For Your Next Market Entry

India offers so many opportunities that Wharton has decided to launch India Knowledge@Wharton. Their network already surpasses 750,000 subscribers worldwide. Must be something going on there -- beyond our typical radar. Better take a look.

Visit knowledge area here.

VISA's Global Gateway Launches New Small Biz Website

VISA launches a new small biz site and contest. You could win a solution package (hopefully it includes advice on how to go global!) worth U.S. $10,000. Looks like VISA is getting a little edgy. That's a good thing.

Go for the prize here. Deadline for applications is December 31, 2006.

Monday, October 30, 2006

Top 10 Global Sourcing Issues to Consider

So your small business is experiencing better-than-expected growth, and you're ready to take the next step and expand globally? Think about when you go shopping -- more often than not, you may notice phrases like "Made in Mexico," "Made in Sri Lanka" or "Made in Italy." Perhaps they're on your clothing tags, your daughter's new doll, the towels in your bathroom or the radio on your desk.

Read the article here.

The Worldly UPS

UPS just launched an interactive overview that illustrates their knowledge, experience and tools in helping small businesses expand internationally. Check it out here.

One other thing. Quit thinking of UPS as just a domestic carrier. They move goods anywhere in the world.

Saturday, October 28, 2006

Retaliation...11/10

Commenting in the blog has been risky, but the courts have made it likewise for employers. A dismissal for cause is hard to justify on the basis of suspicion. In a right to work state, however, you can be fired for wearing the wrong style of shoes. Right to be fired for any reason might be more appropriate. So the northeastern crowd has the advantage.

One of the things that I was referred to was a legal guide for bloggers, which may turn out to be quite handy.

But, as they say: "Don't worry, be happy...."

Tuesday, October 24, 2006

Social Global Entrepreneurship

"Social entrepreneurs identify resources where people only see problems. They view the villagers as the solution, not the passive beneficiary. They begin with the assumption of competence and unleash resources in the communities they're serving." ~ David Bornstein, author of How to Change the World: Social Entrepreneurs and the Power of New Ideas.

Visit site here >> The Skoll Foundation

And meet more new global heroes like Bornstein here.

With your drive to take on the world, are you adding human importance to your bottom line?

Friday, October 20, 2006

Free Speech...or is it?...10/31

Apparently, according to sources, Essent has filed a complaint with the Texas Attorney General's office against the blog. The Attorney General is progressing with an investigation as to validity of charges.


While not a public company, Essent certainly has a public presence. Everything published in the blog is available on the net for the price of a connection. Generally, links are included. Any comments from individuals, with the exception of spelling/grammer, are published verbatim.


But, who knows, they actually might be able to shut it down. Hopefully not. Based on the popularity and contributions from readers, it seems needed.


If it is taken out of play, it would seem that freedom of speech is becoming very limited in the state of Texas!

Thursday, October 19, 2006

Become Exclusive Distributor Of a Foreign Product

After studying Japanese in college and living in Japan for part of the ’90s, James Allard always wanted to do something in business that was Japan-related. When he and Steve Rosen decided to start a business in 2004, they went to Japan to search for a product they could import to the U.S. In a Tokyo department store bathroom, they spotted an electric hand dryer made by Japanese conglomerate Mitsubishi.

Find out what happened here: The One and Only

Wednesday, October 18, 2006

For the Best...10/19


I guess it is for the best: an interventional program that was top-notch, reduced to "we do most." If you saw the original write-up for the interventional suite, it seems a shame to have all that potential going to waste. But, the alternative is to have radiologists working in unfamiliar settings, with unfamiliar staff and equipment, doing procedures that they haven't practiced in possibly years. Not what I would call a best case scenario....

But, here is what others are saying:


Check it out! Essent updated the website. They removed all of the procedures that they no longer perform in the radiology department. So the listing on this site now is the only record of what used to be available. Still the site says, "All radiologists affiliated with the program are board-certified." Technically, this is true since there are currently NO radiologists affiliated with the program. It would also be correct to say that "All radiologists affiliated with the program shoot themselves in the head each night before going to bed." This would be equally true because once again, there are NO radiologists affiliated with the program.

Regarding all of those wonderful nuclear medicine scans that the new website mentions...funny that it doesn't mention that none of them can be read after hours on call. So if the ER doc needs a V/Q scan...better wait until tomorrow if you want to get it read. As to the after hours sonography...better hope that the sono tech knows what he/she is doing. There will be NO radiologist to consult until sometime tomorrow, and that radiologist may be in another state!
And, I've heard that Paris Imaging is jumping in the Nuclear Medicine market with their own camera. Sounds like the hospital is going to get a run for their money. So all the outpatient studies will be available in a new facility, and generally cheaper. Too bad our insurance (the hospital's) won't cover the entire cost, but you know, I figure it would be worth the additional expense....frank

Friday, October 13, 2006

...and Then There Were Two....11/20

MRMC narrows list of suitors to two
Phoenix Staff Reports

The Muskogee Regional Medical Center Board of Trustees selected Community Health Systems and Capella Healthcare Inc. as final candidates to run the city-owned hospital.

The board voted unanimously Friday morning on the two suitors after emerging from an executive session to narrow the list of choices.

Board Chairman Chris Condley said that some time during the next 10 to 12 days, each candidate will sign a letter of intent stating they want to move forward toward a definitive agreement.

After the letters are signed, the hospital will have the right to conduct more research on each company, and the companies will have the right to investigate the hospital.

Condley said the board hopes to decide on one company before the end of the year.

Guess Friday the 13 was bad luck for Hud!



yer out!

Wednesday, October 11, 2006

Catastrophic Population Shrinkage?

Yes, shrinkage. True, the total global population has not yet finished increasing. But nearly half the world's population lives in countries where the native-born are not reproducing fast enough to replace themselves. This is true in Western Europe, Eastern Europe, Russia, Japan, Canada and the United States. It's also true in much of East Asia, pockets of Latin America and such Indian megacities as New Delhi, Mumbai (Bombay), Kolkata (Calcutta) and Chennai (Madras). Even China is reproducing at levels that fall short of replacement.

End result: the United States reaches a demographic milestone with an anticipated population of 300 million -- behind only that of China and India -- thanks largely NOT to Lou Dobbs but rather to immigration.

Read the article here.

And how does this impact globalization? Legal immigration is part of our national culture. The United States helps create great global companies like Google, eBay and Intel.

We should not only be proud but lucky to be a part of it all.

Out of date...Out of their minds....10/31

E-mails keep on coming, and this is a beaut. Actually, it combines a couple....

Have you checked out the website that Essent maintains on PRMC lately? The information is so out-of-date that it is laughable. Still, PRMC's own website documents the services that USED to be available in the Radiology department rather than what is actually available now.

It is a sobering thought to realize that most of these interventional procedures
have been shut down by the actions of Essent and are no longer available--to the detriment of the patients:

-Angiograms, Vena Cava Grams
-Peripheral Angioplasty
-Arteriograms, Artery Embolization
-Arthograms
-Biliary Stent Placements
-Biopsies
-Cyst and Abscess Aspirations
-Intra-Vascular Stent Placements
-Nephrostomy
-Renal Infarctions with Alcohol
-Spermatic Venograms, Varicocele Embolization
-Compression of False Aneurysm
-Occluding Embolization
-Transluminal Atherectomy
-Transhepatic cholangiogram
-Thrombolitic Therapy for Dialysis Shunts
-Thrombolysis Therapy
-Percutaneous Gastrojejunostomy Tubes
-Renin StudÆ
-Ureteral Stent Placement

There was a time when the hospital was proud of its radiology department and loudly proclaimed its services and expertise. The procedures listed above were virtually unheard of in a town of this size. We truly were a "regional medical center".

Unfortunately, an outdated website is the only remaining evidence of how outstanding this hospital used to be. And how is this for false advertising: "Radiology Department Prevention and Treatment Paris Regional Medical Center's progressive radiology department performs all diagnostic and most interventional procedures. All radiologists affiliated with the program are both board-certified and interventional radiologists. Radiographers, members of the hospital staff, work closely with the physician radiologists. They, too, are highly trained and board-certified."

Gee...is there a true word in that last paragraph???

progressive radiology department --They must be kidding, right? Now,
how old is that equipment? How responsive is their servicing?

performs most interventional procedures. --Really??

All radiologists affiliated with the program are both board-certified and interventional radiologists --Tell that to all the doctors who order interventional procedures and are told to wait until next week or the week after next when one of the locums who does some interventional procedures might be in town.

Radiographers, members of the hospital staff, work closely with the physician radiologists. They, too, are highly trained and board-certified. --Where do I begin. Many radiographers are temps--hardly members of the hospital staff. Just how closely do you think that temp radiographers work with temp radiologists?? And don't we have some non-licensed/limited licensed techs employed?

Computerized Tomography
"Technically known as the Picker PQ5000V Spiral Computed Tomography System, the equipment lessens ...." There hasn't been a licensed Picker PQ5000v on either campus for years, per state records.... The picture is current, but not of a 5000. What they have is better, but it still falls far short of a current state of the art...but maybe their computer folks have more pressing issues to take care of---spying on employees comes to mind....

Monday, October 9, 2006

Friday, October 6, 2006

No More Famous Quotes???...10/19

Suitor tells MRMC he would answer questions, but not in public
By Donna Hales Phoenix Staff Writer
The chief executive officer of one of four suitors seeking to purchase Muskogee Regional Medical Center said he will answer any questions from the board, but not in public.

MRMC officials told the Phoenix last week it had “tough questions” for W. Hudson Connery Jr., president and CEO of Essent Healthcare, Inc., based in Nashville. MRMC set up a public board meeting Monday evening for Connery to answer those questions.

However, Connery wrote MRMC Board President Chris Condley on Sept. 29 that he would respond fully to questions MRMC told the Phoenix it wanted answered, but not at the public meeting.

Connery could not be reached for comment.

The board posted a note at MRMC saying the meeting was canceled because Connery declined to attend. In the letter, Connery told Condley that most of the questions already had been answered in information sent to MRMC.

Condley said the negotiations with suitors bidding for MRMC is in the analyzation phase and he could not make any comments. Condley also said it would not be appropriate for him to comment on any suitor.

Condley would not say why MRMC didn’t release Connery’s written reasoning for declining to attend the meeting.

Connery wrote that he was deeply concerned that the private proposal process — involving confidential exchanges of information by both parties — is evolving into a public proposal process.

Connery’s letter to Condley said he understood that “Essent alone of all other bidders will be asked in a public forum to answer specific bid or planning questions not publicly asked of other bidders in a process very different from that originally outlined to us.

“What’s more, to fully and truthfully answer these and other questions you may have, we must reference the private MRMC information you have provided to us, which would violate confidentiality agreements we have signed with you if used in a public setting. In brief, we believe a public discussion is an untenable process for both of us, and Essent cannot participate in it.”

Connery said he understood from a Phoenix article that some of the expressed concerns stem from Connery’s absence during MRMC’s recent visit to Paris Regional Medical Center, an Essent facility.

“It is our philosophy that the corporate CEO does not attend those visits to provide the visiting board unfettered access to local hospital leaders, physicians and community members. We believe that this practice provides visiting boards the best opportunity to see the value of our work,” Connery wrote.


It would appear that Hud is getting gun shy. Since it's a community based hospital, doesn't the community have a say??? Apparently not. As to violating confidentiality agreements, a signed waiver of liability & indemnity from the hospital would probably do the trick.

But, Essent is not a public company, and maybe they do have something to hide...as opposed to the hospital, which must maintain a higher degree of open records....

One would think that the undisclosed reason that he failed to appear might be this forum....