Post about "E-Commerce"

Re-Engineering Healthcare

Early December, 2010 I was contacted by Mr. Stephen Will of The Hendra Agency in New York, New York. Mr. Will had read one of my articles online concerning Lean Healthcare. The Hendra Agency represented Jim Champy, co-author of Reengineering Health Care, A Manifesto for Radically Rethinking Health Care Delivery. Mr. Will proposed that I chat with Mr. Champy, since we seemed to have many of the same interests. I agreed and on January 5 Mr. Champy and I discussed our mutual concerns about health care. Following are some excerpts from that discussion as well as a review of some of the material in his book.December 21, 2010 Laura Landro, healthcare columnist for the Wall Street Journal, recommended Reengineering Health Care written by Jim Champy and Harry Greenspun, M.D., as one of two must-reads for healthcare executives. The other was Transforming Health Care: Virginia Mason Medical Center’s Pursuit of the Perfect Patient Experience. Both books advocated focusing on the quality and safety of patient care. Both books recommended major changes in the way patient care is delivered.In my discussion with Jim Champy I asked if his approach to changing healthcare was similar to the Toyota Production System (Lean Healthcare) and if so, what was the difference (I found his recommended approaches quite similar to the TPS when I read the book). He stated that the approaches he illustrated in the book were quite similar to the TPS but that the difference was that he advocated such dramatic changes in a shorter time frame. The TPS can take 4 or 5 years to significantly change the culture and processes at a healthcare site. According to Mr. Champy, such a gradual approach is too long given the inefficiencies, costs and safety and quality issues plaguing healthcare today. He supports reengineering healthcare in a much shorter time frame.Mr. Champy in our discussion and in his book advocated that clinicians lead the change at healthcare sites. In order to meet the time frame he advocates change must be directed by clinicians and senior executives. One of the early chapters of the book illustrates this approach by detailing the changes Zeev Neuwirth, M.D., brought about in his career. Dr. Neuwirth early in his career instituted significant changes in patient care in the Bronx Veterans Administration hospital. He spent his time there improving the patient experience by focusing on communication and team building.Another section of the book focuses on the lifetime work of Debra Geihsler, who was at different times VP of Mercy Health System in Wisconsin, president of the Advocate Medical Group in Illinois, and CEO of Atrius Health in Boston. Ms. Geihsler focused in much of her work on building the capacities of physician groups. At Mercy she helped build a unified system that provided services on many levels, just short of in-patient hospitalization. The seamless integration of services provided much better communication among the multiple providers in the system, improving both the quality and safety of care delivered while significantly improving the bottom line.Jim Champy in his comments to me said he wrote this book with an eye to readability and easy application. There are many books that give significant details, charts and graphs about improving the delivery of healthcare. He wanted to avoid being too technical, making the book an easier read for executives and laymen. Thus, he focused on real stories about individuals who have made significant changes in the way that care is delivered. He focuses on three main elements of change in the book-technology, processes and people. Technology provides significant opportunities for improved communication and viewing change at the population level, to see the progress of change. Significant change cannot occur without viewing the delivery of care as a process. Making these elements work requires commitment by individuals who have the means to carry out the change.I asked Mr. Champy how he approached overcoming barriers to change. Physicians and other clinicians who have been in the system for some time are often reluctant to endorse changes and, thus, can significantly impede progress. He stated that he would take such individuals to “come and see” the positive changes that have already occurred. In the book, he says it is often easier to start changes with clinicians who have not been in the system too long. They are more eager to welcome changes in the environment. Starting with the younger clinicians, those who are directing the changes should after achieving significant gains, take those who are resistant and demonstrate how the new ways of delivering care have improved quality and safety and that those involved are happy with the achievements and their efforts in making the changes. The resistant clinicians are usually willing to go along with the changes after seeing such positive outcomes. After all, says Mr. Champy, most physicians and clinicians really want to deliver very effective care to their patients but do not understand how to make the changes necessary to deliver ever better care.I asked Mr Champy what one additional chapter he would like to add to the book if he could. He said that he would like to add some additional focus on the continuum of care, such as advocated by Debra Geihsler. The medical care that he receives is coordinated by his primary care physician. He feels much better that the care he receives is not fragmented but is overseen by his personal physician. He believes that the best care is based upon this patient-centered medical home model.I highly recommend this book for organizations that want to significantly improve the care that they deliver and want to understand quickly good ways to effect the changes necessary. The book is a quick read and effectively describes for those who will be directing changes at their site what is necessary to accomplish their goals. The book does not say the path is smooth and easy but that change can be effected through individuals who are dedicated and knowledgeable.

Building E-Commerce Niche Websites and Using the Right Hosting Company

When you are ready to build an e-commerce niche website it is important to find a company that can handle hosting your account. Since the beginning of e-commerce there have been a ton of hosting companies pop up, but not all offer the same things that you may need to build an e-commerce niche website. You need to make sure that whatever hosting company you choose that they have great customer support.Some of these hosting companies are free while others cost a little. If you are planning to build an e-commerce niche website on a small scale then one of the free ones may work for you, but you will be limited on what you can do. If there is any thought of you really getting in to e-commerce on a larger scale you may not want to consider going with the free hosting company.Unfortunately going with a hosting company that charges money is the only real way to go. They will be able to deal with credit card payments, handle large amounts of traffic, and you get a ton more space to build web pages.When you’re starting to build an e-commerce niche website you will need to pick a really good domain name and have it registered. Most of the hosting companies will also offer registration of your domain name as a part of their package.Consider yourself lucky if you already know all the coding for build e-commerce websites because it want take you much time at all to build an e-commerce niche website. For those of you that do not then there are many different companies that offer templates you can use to build your site. There are also a few sites that allow you to put up your site and also get the different bids from different people. Also many of the hosting companies have a few web designers on hand that can build a good quality e-commerce website for you.If money is not a problem for you then hire someone to build a professional looking site for you. Just make sure that they have the credentials inside of their portfolio to see if they can actually build an e-commerce niche website. If this is not affordable you could also try to use the WYSIWYG to build your e-commerce site. There are many of little sites out there that can help you build an e-commerce niche website. Make sure when you build an e-commerce niche website to include pictures and descriptions of your products.

5 Empowering Tracks From Female Icons To Make You Feel Inspired

Sometimes we all need a little lift. Whether you’ve had a recent knock to your confidence, have been going through stress in your personal or professional life, or have always struggled with your self-esteem, music is an essential tool for lifting your spirits and making you feel better about yourself.

According to a study by Heriot-Watt University, the type of music you listen to not only influences your mood, but also your personality, with indie and rock/heavy metal fans reporting the lowest levels of self-esteem, while fans of jazz, blues, opera, classical, pop, rap and soul all reported high levels of self-confidence.

So if you’re having a ‘down day’, why not boost your spirits by listening to some powerful, uplifting tracks? Here are five perfect confidence boosters.

Britney Spears – Toxic
Britney’s own struggles with her mental health and conservatorship have made her an inspiration for many people across the world.

This classic song is timelessly sensual, and the heavy beats throughout make it impossible not to dance to. A welcome blast of nostalgia, this tune has filled dance floors across the globe with fans old and new.

The video features Britney as a female spy playing the sexy flight attendant, seducing her passenger before she makes her escape on a motorbike and breaks into a high-security facility guarded by a laser security system.

This track and video is a guaranteed way to feel invincible, and deserves a place on your playlist no matter your mood.

Kelis – Milkshake
A cheesy classic that is guaranteed to make you feel all warm and gooey inside, Kelis pumps up the heat in this 00’s RnB track. Underpinned by intricate drum beats and electric elements, Kelis’ self-confidence is infectious, and it’s hard not to find yourself smiling at the lyrics.

This track is a great way to get into a flirtatious mindset, making it a great choice before going on a date or heading out for the evening.

And if you’re staying in? It’s a great mood lift. But beware! You may find yourself craving a sweet treat.

Eve (ft. Gwen Stefani) – Let Me Blow Your Mind
This RnB classic will capture your attention with its assertive rhythm and powerful vocals from 00’s icons Eve and Gwen Stefani. Featuring a laid-back – yet self-assured – beat, and catchy guitar riff, this is a great track for driving, and its empowering feel is sure to help you feel motivated.

Got a job interview lined up, or thinking of asking for a raise? This anthemic number is a quick way to feel positive and more assertive.

The video features Eve and Gwen Stefani crashing an exclusive event on quad bikes, causing a stir among the privileged attendants, and shoving the performer off stage to perform their own music, before finally being arrested and taken to the station in a police van.

This ‘baddie’ track helps you to tap into the hidden ‘bold’ side of your personality, and lifts your mood while keeping you feeling calm and cool.

Fergie – MILF$
If you have kids, it can be difficult to feel sexy. When you’re running around cleaning the house, changing nappies, or up to your elbows in dishwater, you can easily forget your sensual side – leaving you feeling frumpy and lacking in confidence and motivation.

Thankfully, Fergie’s comeback track is a quick remedy to your low mood and lethargy.

Featuring attractive mothers dressed in curve-hugging latex and silky lingerie going about their daily life in a dreamy, colourful suburbia, this track is a quick way to transform your self-esteem and transport you to a world where you are not just a mother, but a goddess too.

Why not shake off the day and tap into your feminine energy with Fergie, your sexiest PJs, and a bottle of your favourite wine?

Marina And The Diamonds – How To Be A Heartbreaker
Low confidence after a breakup? You’re not alone. Having your heart broken can leave you feeling depressed, undesirable, and unmotivated. So flip the tables on your ex and become a heartbreaker with Marina’s catchy club classic.

This empowering dance track will make you want to move your body and get in touch with your bad girl side, with its heavy beat and pounding rhythms.

Plus, if your libido has suffered as a result of your low mood, take a sneaky peek at the video – it will get your blood pumping with its steamy shower shots and smoking hot male models.