Archive for December, 2009

An Innovation Mindset – Essential Skill for Physicians Leaders To Thrive in Health Care



The current dynamic health care environment creates many challenges for physician leaders. An innovation mindset is a skill that health care leaders must develop to thrive in this dynamic environment. Current issues include implementation of accountable care organizations and medical homes. Determining how to implement these concepts and whether to implement these concepts within your organization requires an innovation mindset. This article will describe the characteristics and benefits of the innovation mindset.

Innovation is Every Physician’s Business

The health care landscape is changing. Electronic medical records are being placed into medical offices. Physicians are struggling with decreased reimbursements and fear whether their practices will be financially sustainable. What will the medical practice of the future look like? What will the medical business model look like? In fact, change brings opportunity. To recognize the opportunity and implement the changes necessary to thrive requires an innovation mindset. Are you ready to develop the innovation expertise?

Innovation is an Attitude

You are a highly competent clinician. Simply working harder will not be enough. You will need to figure out how to add more value to your organization or team. You must have an attitude to come up with ideas, successfully bring them to life and take advantage of new opportunities. The innovation attitude must be how you approach your work or clinical practice everyday. Innovation is opening your mind to what can be improved or changed. Innovation is opening your mind to new opportunities and initiating new projects. A new project initiative can be exploring the accountable care organization concept or the medical home.

Benefits of an Innovation Mindset

1. Transform yourself from being a competent clinician to a sought-after talent

2. Do your job more effectively

3. Transform your practice to accomplish more with less stress

4. Discover hidden opportunities to grow your practice or team

5. Discover hidden opportunities to grow professionally

6. Help your organization or practice to survive and thrive in the fast-changing health care environment

7. Master new ways to overcome obstacles and produce results

8. Live a deeper and richer life as you solve problems in new ways

9. Rocket your team or practice to the next level

10. Increased job satisfaction so that you cannot wait to come to work

11. Increased engagement in your work so that you draw upon your best self

12. Make innovation your secret strength

Innovation is essential to survive and thrive in the current dynamic health care environment. Develop an innovation mindset and attitude to carry you through the changes and to open your mind to the opportunities.

Health Care Reform Bill Levies 3.8% Tax on Sale of Residential Real Estate



IS IT TRUE? WILL THE RESIDENTIAL REAL ESTATE BE TAXED 3.8% AS PART OF HEALTH CARE REFORM BILL?

Recently, a friend of mine mentioned that the new health care reform bill was going to include a 3.8% sales tax on the sale of homes. I think I blurted out, “you’ve got to be kidding me!”  Of course, I had to come home and research the details.

Before I got to doing the research, I had all kinds of expletives circled around in my head. Thankfully, they stayed inside there. Other thoughts included; could our leaders in Washington really be that stupid? Hasn’t the housing industry already gone through enough trauma? Why would Washington want to kill the real estate business and therefore the economy?

My research did verify the new health care reform bill does in fact have a provision to charge 3.8% sales tax on the sale of homes, but there is much more to it than that though. The 3.8% real estate sales tax only applies to single tax payers making more than $200,000 or joint taxer payers making more than $250,000 AND you wouldn’t pay on the first $250,00 in profits for a single tax payer or $500,000 in profits for a joint tax payer.

Whew…I was worried there for a minute.  All the residential real estate I own has dropped 40-50% in value so no need to worry about profits. For many us real estate types, it will be many years (if ever) before we work off carry forward losses from real estate activities of the last several years, so income thresholds aren’t an issue either.

My friend made it sound like it was a straight dollar for dollar 3.8% sales tax, which would have been the single stupidest thing Washington could have done since the beginning of the republic. I am never glad to hear Washington is tinkering with the market in which I earn my living, but I am glad to know that this 3.8% sales tax only applies to profits over 500k for joint filers. The 500K profit threshold pretty much eliminates most home sales unless the homes are selling for millions of dollars, which is a very small percentage of homes.

I think the potential bigger issue may be commercial properties owners where buildings that cost millions of dollars could easily appreciate a small percentage but increase in value $250K or $500K in net terms. The year you report the sale, your income would be increased by the net profit from the sale of the building.  For example, a retired couple on a fixed income could sell a commercial property from a business they once owned. Even though the couple is on a relatively small fixed income, the sale of the building would trigger them into the 250K income class when the profit of the sale exceeds 750K. Again, this might not happen that often, but one thing we know for sure…Washington put the provision in to raise revenues and that it will.

Anti-Aging: Defy Age and Look Younger



Wrinkled eyes and sagging cheeks are passé. What excites one now is not the well-preserved look where you are considered good looking for your age, rather, you want to look younger; defying age and all its effects on your looks. Anti-aging as a topic can be reviewed and researched by many and the data available on this should satisfy even the most stringent academics, but those who are serious about this will most probably get to work on it right away and actually begin to apply this knowledge to start their journey immediately on anti-aging.

Beauty as an ideal to strive for has existed since time immemorial and women have always laid great store against looking their best; while what makes one beautiful can be debated and in fact, what is beautiful seems to change over the ages (beauty as defined forty to fifty years ago is quite different from the way it is now); but the pressure is ever mounting to a stage where our young women now depend on images they see televised or advertised as the ideal look and try and conform to the same.

Yes, beauty is but skin deep, and yes, it is completely important to impart this wisdom to our children; that the person you are is more important than how you look; however, reality forces us to acknowledge that how you look plays an important role in how you are perceived. Rather than depend on the plain old adage of “Beauty is as beauty does”; one needs to recognize the effect that media has on susceptible innocent minds and try and educate them on the healthier options that are available in the beauty space; to teach them that looking well-groomed is still an essential for any person regardless of who they are or want to be. And what better way to teach them this than to maintain a healthy and well-groomed look which can be nourished further with the use of anti-aging products.

There is no ideal age when one can start using anti-aging products for the best effect. Obviously, the earlier the better, though you may want to cross your teens before you even begin to pay this segment of cosmetics too much attention. After all, preventing a wrinkle is easier than trying to erase one away and to this purpose, the use of anti-aging treatments such as creams is recommended to be able to maintain a healthy and glowing skin.

Dermajuv- a miracle worker

Of the great anti-aging miracle products available in the market, Dermajuv seems to get raving reviews by users, some of who seem to have noticed effects right after the first trial, a feat in itself.

Dermajuv provides a cream which completely rejuvenates the system by giving you a fair chance at erasing the fine lines that appear on your face and also works on wrinkles. The effect is a youthful look which enhances your beauty. This is a must have product if you want quick and effective results and should be added to your cosmetic collection on the day you start working on your anti-aging treatments.