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January 1, 2019

Service Starts With The TEAM!

Service Starts With The TEAM!
I often find there is a misconception about service. A belief that service starts with the patients and doesn’t really pertain to the team. In other words we must treat our patients exceptional but not so much each other. It’s as if there is an entirely different set of standards for patients than there is for the team pertaining to attitude, behavior and communication. What I refer to as the ABC Standards.  Service starts with the team!
I have the privilege of working with dental teams nationwide to help them create a happier, healthier and higher performing service culture. I witness some team members (including doctors and managers) treating other team members poorly. That same poor behavior towards a patient would be grounds for dismissal.
We make excuses for our behavior. We use labels and say this is just how we are. For example, I am direct, which really means, I say whatever is on my mind without any regard of how I may make you feel. Or I am a non-morning person, which means because I am a non-morning person others should just understand my moodiness.
What confounds me is watching the same direct or non-morning person flip a switch and turn it on for their patients. It is like watching a Jekyll and Hyde transformation. We believe it is acceptable to turn the respect and kindness filters off for each other. After all we wouldn’t want to be fake would we? We also know they will just accept or put up with our poor behavior. We frequently even turn it off for the people we love the most like our family. I find it thought-provoking that we put filters of kindness and respect on for strangers and acquaintances and don’t for the people we care about and love the most. Something seems a little backward with this behavior.
It’s time to put the filters back on and start service with the team. I teach the Golden Standard; treat each other as well or better than you treat your patients. Now that doesn’t mean lessening the standard for patient service.

Creating ABC Standards for how the team will treat each other will help cultivate a service culture that is happier, healthier and higher performing! ABC Standards increase clarity, unity, congruency, level of service, and your business reputation; while preventing the chafing and disagreements from assumptions and opinions of who is right and wrong.
Have a team meeting with the entire team to discuss ABC Standards for your practice. Ask each team member to share what they feel they need from each other to be able to work together better. I find using a big easel pad with markers to write down the responses helps to generate more participation.   Be specific and define what it means in words, actions, body language and tone of voice. Some examples might be:
Be Likable
Give benefit of doubt
Be Honest
Be Compassionate
Be Trustworthy
Have an Ownership Mentality
Be Respectful
Lead by Example
Be Reliable
Be Appreciative
Be Fun
(If you would like to receive a copy of my ABC’s Sample Standards please email me at JudyKay@PracticeSolutionsInc.net and write ABC’s Sample in the subject line.)
Create a document titled Team ABC’s Standards Document with the team standards. Print it out, frame it and put it on display wherever one can see it daily. A lunch room or locker room often works well. Your daily huddle is a great opportunity to create accountability. Discuss on a daily basis how they did the previous day as an individual and as a team supporting the standards. Where did they rock it and where can they raise it? The more you discuss your standards on a daily basis the more real and alive they become.
It is crucial that the ABC Standards are adhered to by the Leadership Team. The team will look to leadership and mimic their behaviors. Never create something you are not comfortable supporting. Everything starts and stops with leadership. It’s time to model the waddle to a happier, healthier and higher performing team culture!

November 30, 2018

Shifting WIIFM (What’s in it for me) to WIIFT (What’s in it for them)!

Shifting WIIFM (What’s in it for me) To WIIFT (What’s in it for them)!

Our world seems to have become very focused on WIIFM (what’s in it for me). Imagine the effect if we shifted our focus from WIIFM to WIIFT (What’s in it for them). We may not change the entire world but we could definitely impact where we live and work. What if every decision every person made on your team (both at home and at work) was centered on WIIFT?

Think about what it is like to work with your colleagues, employees and employers. How different would your work place be if everyone focused on what they could give or do for each other?   So, instead of thinking what’s in it for me, or how does it affect me. We think about what’s in it for them. We ask ourselves, what could we do to make their life easier or better at work? How could we help them more? Kindness, respect, trust and accountability would thrive in a WIIFT culture! The effects of focusing on WIIFT would far outweigh a WIIFM focus.

A successful leader never focuses only on WIIFM. When faced with a new policy, procedure, product, or service, they should consider the question, WIIFT? The subtle difference is that the leader is thinking about the best interests of the team and the patients instead of themselves.

As a consumer I have had many bad experiences with WIIFM policies. Just recently, I had an experience where the company changed their policy within a few days after we had spoken and would not honor their prior policy. Their WIIFM response was, “We are so sorry but it is no longer our policy!” If they would have taken the time to explain the why based on benefits for me it would made for a very different experience.

Consider if you focused more on serving your patients based on WIIFT. For example, seating the patient early instead of finishing a cleaning or organizing task. Utilizing a Syrijet to make the injection pain free. Purchasing prophy paste and other products based on taste. Supplying blankets, neck rests etc. for comfort.

What about your home life? How different would your actions be if you focused on WIIFT? What’s one thing you could do that would make the biggest impact for them? Reflect on each family member individually. How would changing your actions affect your relationships? How would the overall atmosphere change? The value of focusing on WIIFT may actually benefit you as much or even more!

 

 

My husband Steve is awesome! One of the awesome things he does is that he makes me special coffee every morning before he does anything else. And no there is no alcohol involved! J It is a pumpkin latte with special cake spice drizzled on top. Steve says he is sprinkling my coffee with love. This one simple consistent act makes me feel very loved and special each day. It is an example of putting another person first…in other words WIIFT. How he makes me feel essentially benefits him as well. The happier I am feeling about him the more I want to do for him. WIIFT actually generates a circle of positive responses and actions!

It is important to always tell the other person what you are doing and the benefits. Whether it is a patient or coworker or family member, if you explain clearly how what you are doing affects them, you are more likely to create value. The better you do this, the more they will understand the benefits. Put yourself in their shoes. Think about the benefits. How is what you are doing a value or benefit to them? Will it make their experience easier or better? How will it make them feel? What are the long term benefits? How will it affect their life?

You can help them understand the benefits by completing a formative phrase:

 

  • The benefits of this is…
  • What this means for you…
  • Why this matters…
  • How this will affect you…

 

Can you envision the amazing culture this kind of thinking would generate?   Everybody would be helping everybody to succeed. It would be a win for all. It is more sustainable when everyone wins. The outcome will be a happier, healthier, higher performing culture! Hmmm…It sounds pretty good doesn’t it?

Well, all it takes is one step. Here it is! Ask everyone on your team (both at home and at work) to dedicate this week, as WIIFT week. There is only one rule. Before anyone takes any actions or makes any decisions, they must first ask themselves what’s in it for them (by them I mean others). Their actions and decisions must always be in keeping with what benefits the other person.

What are you currently doing that you could stop doing? What are you currently not doing that you could start doing or do more of?

Just wait and see the awesome benefits of cultivating a WIIFT culture! Have a meeting with your team or family to discuss the changes and benefits at the end of the WIIFT week. The ironic thing is that when we focus on WIIFT we often end up with as much or more WIIFM results! So maybe WIIFT actually ends up being WIIFU (What’s in it for us)!

November 1, 2018

Be on time! Be on time! Be on time!

Be on time! Be on time! Be on time!

For those practice owners who are always late; you might be frustrated or even upset that that I brought up this topic.

You may think I don’t realize or am unsympathetic that you wear many hats and work really hard and often very long hours after everyone else has left. Or I don’t grasp that you not only are the producer you also have to run the business, be a leader and a cheerleader and balance a home life! So in your mind that justifies the right to come in a little late.

I agree with you that as the practice owner you have every right to come in late! But not without consequences! “While we are free to choose our actions, we are not free to choose the consequences of our actions!” – Stephen Covey. Truthfully this is one of the most difficult conversations I have to have. I help doctors achieve a happier healthier and higher performing culture even if it means having a difficult conversation with them.

It’s time to be on time.

Be on time first thing in the morning! Doctors who are the practice owners; if you want to disengage your team arrive late to work every day! There is absolutely no reason in the entire world for you to be late every day! Because you own the practice. If you don’t want to be there at 8am start at 8:30, start at 9:00, start whatever time that will work for you to be on time.

I see this happen often. The patient is seated and impatiently wondering what the delay is after all that’s why they chose the first appointment of the morning…so they would not have to wait. The team is prepped and ready to go! There at the starting gate like race horses chomping at the bit. Everything is set to go except there is no doctor. Fifteen minutes later the doctor arrives and says, “OMG the traffic was bad and the kids…!” You know what; the team and the patients have to deal with traffic and kids! The team and the patients think the doctor doesn’t respect them or they would be on time.

Be on time during the day! Doctors, some of you run by the seat of your pants. You want your schedule booked so tight to avoid any downtime. You consistently run over into the next patient’s appointment. You are sacrificing patient care, service and experience for a perceived profit. It is perceived profit because realistically you aren’t being more productive. You still are taking the same amount of time for the appointment but just squeezing more patients in and running over.

Your team is running their heads off and aren’t able to deliver consistent excellent service or care. They have little or no time to handoff the patient and turnover the room. Details are missed, instruments are lost, and documentation and sterilization suffer. It becomes the norm to work far into lunch and run over at the end of the day.

Your patients think you don’t respect them or their time. You are even training your patients to arrive late for their appointments because they know they won’t be seen on time. Some patients may even choose to leave the practice.

The downside of cramming your schedule:

  • Your team will stop trying if there is no possibility of staying on time
  • An unrealistic workload/schedule generates disengaged team members
  • You will lose good team members who are unwilling to underperform or consistently work late
  • You will get a reputation of running behind and running over which will deter attracting and keeping new patients and new team members

The upside of un-cramming your schedule:

  • Patients will receive better care and service and have a better experience resulting in more loyal patients and patient referrals
  • You will attract and retain high performing team members who want to work in a happy and high performing culture
  • The day will flow smoothly increasing job satisfaction and happiness level while decreasing stress and low morale
  • Engaged and optimistic attitudes will radiate
  • You and your team can actually schedule home life

Time to un-cram your schedule. Have a team meeting and together as an entire team discuss and evaluate your appointment times. You will have more solid information if you monitor the schedule for a few weeks prior to your meeting. What treatment do you consistently run over? When do the bottlenecks most often occur? What can and can’t be scheduled alongside in another column? You have a choice of un-cramming your day by extending the day and seeing more patients scheduled appropriately or keeping the same hours and seeing less patients. The more specific you are the more you will empower your business team to schedule appropriately.

Be on time checking your hygiene patients. I understand that the hygiene appointment check can seem like an interruption in your day. However, it is not interruption it is your bread-and-butter! The average dental office obtains 75% of their revenue from treatment diagnosed on their hygiene patients. It is important to also be mindful of how much time you spend chatting about personal topics with the hygiene patient. Having a consistent specific briefing process with your hygienist at the start of the appointment will help you be more time efficient and allow you a little more time for personal conversation. When your hygienist tees up the treatment don’t repeat everything they just stated. Instead respond, “I work with the best hygienists! Sue is absolutely correct that tooth is indeed a candidate for a crown. Because it is a large filling that is breaking down I would suggest we take care of that sometime within the next month. (Know the next available appointments so you don’t create an urgency you can’t fulfill.) Do you have any questions for me regarding the crown?” If they say no, you are done talking about the treatment needed. This will free you up to have a little more personal chat time, less redundant conversation and keep your hygienist on time. Please email me at judykay@practicesolutionsInc.net if you would like to receive the white page for the 60 second doctor/hygiene briefing for a more efficient hygiene exam.

Consider that whenever you are late you are robbing time from those waiting for you. Being on time is the most valuable gift you can give to another person. Be on time! Be on time! Be on time!

October 1, 2018

Achieving Authentic Success! Part 2

Achieving Authentic Success! Part 2

In Part 1 we talked about how confidence can help us be our authentic self. When we are confident we are free to choose who we want to be. We stop worrying about what others think and stop relying on others for affirmation.

This message is focused on how the power of perseverance and commitment can help us to achieve authentic success.

Perseverance is what helps us keep going when the going gets tough. I am an overnight success. LOL that is if you call 12 years overnight. I am blessed to have inherited my mom’s perseverance to succeed. You could often hear her say; “Come hell or high water this is happening!” Trust me it did. We never doubted whether mom would get the job done even against insurmountable odds.

I started my coaching business August 1, 2006. The next six months I visited over 200 dental offices in Minnesota to introduce my coaching services only to receive a resounding NO response. My awesome husband, Steve continued to cheer me on even though his heart was breaking for me. I finally started to get a tiny bit of interest but not enough to really stay afloat. One of my closest friends suggested I stop wasting my time and get a real job. (FYI she is no longer in my life). Her words were a challenge like waving a red flag in front of bull. Growing up on a farm in North Dakota we learned you pulled yourself up by your own boot straps. I had tried to do it all on my own and finally realized I needed some help. Two dental industry giants, Lois Banta and Linda Miles were there to lift me up. I attended my first SCN (Speaking Consulting Network) Meeting June of 2007 and haven’t looked back since. (www.speakingconsultingnetwork.com) I am forever grateful for their mentoring and support and I am honored to call them good friends.

Many of us have had someone during our life time help lift us up. Surround yourself with people who inspire you. Develop strong relationships with others who have complementary skills to help you succeed. Perseverance doesn’t mean we have to do it all on our own. Perseverance means we do what we need to do to succeed. Let me clarify; as long as it is legal, ethical and done with integrity! These fundamentals are a given and expected yet we often see just the opposite. “Success is the ability to lay your head on your pillow at night with your integrity uncompromised!” Here are some reminders of dos and don’ts.

  • Do what you said when you said you would do it
  • Don’t claim you are someone you are not
  • Don’t step on someone else to step up
  • Don’t plagiarize from others
  • Don’t be vague and misleading
  • Don’t do something you know is wrong and think it is okay as long as you apologize later

Commitment is the third component to achieving authentic success! It takes commitment to daily action steps to achieve the results we desire. Remember to avoid O.C.D. …over committer’s disorder. Be realistic about what you can commit to doing consistently. Consistency is the key. Something you do occasionally will never be sustainable. In order for us to sustain something it needs to become a habit. The average habit takes 66 days of precise and consistent practice. Once something becomes a habit we don’t even think about it we just do it. My good friend Dr. Uche Odiatu simplifies how to consistently eat healthy and exercise. He has created a 7 minute exercise routine to help those who don’t exercise at all get started. Don’t forget to celebrate each step of the way. The joy happens during the journey!

Here are some steps to help you shine!

  • Define your 4 core values.
    • Make sure they are what you are enthusiastic about, and not someone else’s dream.
    • Share your core values with others.
  • Clarify your goals and objectives for the year.
    • Know your strengths and the areas you need to grow.
    • Embrace daily habits that help you achieve your goals.
  • Surround yourself with people who inspire you.
    • Develop strong relationships with others who have complementary skills to help you succeed
    • Focus on what you can do to lift others.
  • Don’t compromise your core values, your health, or your family.
    • Challenge yourself to do difficult things to help you grow.
    • Do only what is legal, ethical and with integrity.
  • Enjoy the journey as much as the final destination.
    • Be grateful for what is and celebrate even the small things daily.

Every day we have the opportunity to show up authentic and be our best us, we can be. Every day we have the opportunity to shine. Every day we have the opportunity to serve and impact others in a positive way to help lift them up to shine. When we do we achieve authentic success! TA-DAH!

 

August 30, 2018

Achieving Authentic Success! Part 1

Achieving Authentic Success! Part 1

 

It seems as if the Universe has been nudging me to write this message. I have been witnessing and extraordinary amount of people being fake by pretending to be who they are not. Just turn on the T.V. and listen to the news. It’s becoming the norm in every industry. So many people talking the talk but not walking the walk. It is not our words but our actions that speak our truth. Thankfully there are still those who choose to live an authentic life.

I love the quote by Maya Angelou, “When someone shows you who they are, believe them the first time.”

The intent may not be to deceive others. It can unintentionally happen when we have not taken the time to explore and know our true self. The fear of what others may think and the desire to fit in also pushes many to be less than authentic.

While sadly to say there are others who intentionally mask who they are and become a chameleon to get what they want. These behaviors are dangerous whether they are intentional or not. They don’t merely hide but transform who we are. We become who we impersonate.

This message is focused on showing up our best authentic us in an often times artificial world. “Today is a great day to show your shine!” ~ Judy Kay Mausolf. This quote reflects the core of my belief system and is the compass of my life. It is my mantra for serving others in this day, not waiting until the opportunity which may never come again.

Do you have a quote or statement that reflects your core belief system, your compass in life, your mantra for serving others? If not, what would you like it to be? As important as it is to have a business vision statement, it is even more important to define personal core values. It is key to limit it to a few core words or it dilutes clarity. What four core words in order of priority would you choose? Having core value words will help guide us in our decision and actions. They will help us show up to shine every day. For example my four core words in order of priority; lifter, authentic, happy and committed.

  • Lifter – lift others up to shine
  • Authentic – be true to who I am
  • Happy – be present, grateful and celebrate life’s gifts
  • Committed – perseverance to continue to succeed in when difficult

In life things don’t always go our way and people can be interesting. Interesting is a great way to describe difficult personalities and behaviors. Having four core words helps us to be who we want to be even when our emotions would lead us astray. I heard a powerful quote from Fred Joyal during a recent interview webinar discussing culture.   “The gap between reaction and response is wisdom!” Our response will support who we choose to be when we take time to think before we react.

Maybe some of you aren’t necessarily thrilled with the role you are playing in your life right now. It is never too late. You can change how you live your life starting today. In every breath we take we have the opportunity to continue to grow and become the person we choose to be. Day dream for a moment. Imagine, what would your life look like if you were your best you? What core values would you add or change? What would you start doing and what would you stop doing? What daily action steps would you need to take to support those values?

It takes confidence, perseverance and commitment to show up and be our best us. Confidence, perseverance and commitment are what separate the people who talk-the-talk from those who walk-the-walk. All three are vital to achieving authentic success!

Let’s start with confidence. The more confidence we have in our self, the less likely we are to sway in our beliefs and give in to the noise from others.   Real confidence comes from knowing who we want to be and accepting our self…our strengths and overcoming our limitations…in contrast to depending on affirmation of others.

I remember when I was starting my business, Practice Solutions Inc. in 2006. I had advice on what the best, proper, or the only way to do things. I realized quickly I had to decide what the core values of my coaching/speaking business would be to avoid having my business philosophy change daily on the whims and beliefs of others. Much of the advice I received focused on monitoring numbers and the bottom line. What rang true to me was to not focus on the bottom line. Instead I chose to focus on happy and healthy doctor, team, and patient relationships built on trust and respect. A healthy sustainable bottom line would be the result not the focus. Yes, it would still be important to know, understand and monitor numbers, systems, and protocols to know the health of the practice.   However, the practice’s success would come from the change in mindsets, attitude, and communication resulting in happier, healthier, higher performing culture.

It’s time we stop worrying about what others think. The truth is we are so busy worrying about ourselves we don’t spend more than a few seconds worrying about others. Do you even remember what the headlines in the news were yesterday? If you are like most you don’t…and it was the headlines. We have been given the gift a life. What a shame it would be to waste our life being someone we are not.

People are drawn to people who are confident in being real. It’s time to be authentic and show our quirky and unique nuances to the world. Our sense of people’s authenticity has an enormous impact on how much we trust them, how comfortable we are with them, and how willing we are to follow them. Sharing our authentic self is a vital, essential piece to becoming true to our self and our core beliefs. When we share who we really are and what we are passionate about, our message comes across loud and clear and rings true!

Tune into Part 2 to read about the power of perseverance and commitment to achieve authentic success!

June 1, 2018

Rise Above the Pain of Change! Part 2

Rise Above the Pain of Change! Part 2

In Part 1 we covered the first 2 essentials to rise above the pain of change and make it a positive process; trust in leadership and a clear and consistent direction!

The third essential is for leadership to work with the team to develop a well-structured plan. If you want the team to embrace a change ask for their suggestions and feedback on how to implement the change. If you want the team to have ownership give them authorship as well. A well-structured plan is well thought out and clearly defined. I teach teams the R.I.S.E. Implementation Process to help them work together to create a well-structured plan. R.I.S.E. is an acronym for Review, Implement, Sustain and Evaluate.

  • Review
    • What is it we are currently doing
    •  What is working and what is not
    • Keep what is let go of what is not
    • WIIFTT – What’s in it for the team if we make the chang
    • It is important for the value/benefits to rate an 8 or above on scale of 1 to 10 or it is difficult to sustain
  • Implement
    • What are we going to change
    • Who is going to do it
    • Who are we going to do it for
    • When are we going to do it – including time, sequence and flow
    • Where are we going do it – very specific location
    • Why are we going to do it
      • WIIFTT if we make the change – there must always be something in it for the team for the team to sustain the change
    • How are we going do it
      • Practice verbal skills
      • Practice role playing – yes I know it’s weird but it’s effective
      • Practice the entire physical walk through – never test it out for the first time on a patient
      • Create standard operating procedure
      • Schedule the roll out date
  • Sustain
    • In order to sustain it is important for the new change to become a habit
      • It takes a range of 17 to 257 days to form a habit depending on the difficulty with the average being 66 days
    • Give any new change at least 60 days to get comfortable before considering any changes
    • Be precise and consistent to form a habit much sooner
      • Same sequence and steps for every team member every time
    • Support the change positively in words, actions and attitude
  • Evaluate
    • Is the process still working effectively
    • If not what is the value and benefits in a change
    • Any change takes ongoing tweaking

The fourth essential is to schedule appropriate and adequate training and practice time. I have found that the most positive and successful changes happen when the team has time to train and practice.

Team meetings are the perfect opportunity for training and practice time. Utilize your team meetings to:

  • Review and update systems and protocols
  • Implement new ideas
  • Monitor process of yearly goals
  • Practice, practice, practice
    • Verbal skills, role playing and physical walk through

Team meetings are most effective when you:

  • Schedule often enough
  • Schedule time enough
  • Schedule when most can attend
  • Get feedback from the entire team
    • Encourage solution focused suggestions on how to overcome potential obstacles

The fifth essential is to be realistic with the workload. It will be very difficult to get the team excited about embracing something new if they are already swamped and consistently running behind. It is important to evaluate whether there is enough time, money and people to successfully implement the change. Don’t firehose your employees with changes. Implement only one or two new things at a time. Even the most committed employees will become resistant to change if they are consistently overwhelmed.

Cultivating a culture with these 5 essentials will help you rise above the pain of change and make it a positive process!

May 1, 2018

Rise Above the Pain of Change! Part 1

Rise Above the Pain of Change! Part 1

You may have heard the quote; “The only thing that is constant is change!” It is true, change is inevitable but not always positive or successful! The reality is that some work cultures support positive change, while other cultures sabotage change. There are many factors involved, such as team workload, other current changes in progress, team beliefs about change, clear communication about the change, benefits of the change, appropriate training, coaching and support provided during the change, etc.

I have the privilege of helping dental teams nationwide create a happier, healthier and higher performing culture that they will enjoy coming to everyday. This always involves making changes. I often observe team members roll their eyes and let out deep sighs of frustration when they hear there is another change heading their way. They stress and worry about how it will affect them and how long it will last. This article is dedicated to learning how to rise above the pain of change and make it a positive process.

Change for many of us is often scary. The fear of change comes when we start the assumptions of “what if” thoughts! How many times have you been afraid to make a change because of saying to yourself, “But what if this happens”? You just “what if’d” yourself right out of action. Think about this. It’s a biggy! How many times has fear stopped you? The ironic part is that fear is really only a negative prediction of the future. In most cases, what we worry about doesn’t happen. What actually happened, we didn’t even think about or worry about, and yet we still survived. Its proof that worry is a total waste of energy and time. If we can learn to evaluate the real danger, as opposed to the perception of danger (what if), we will get a more realistic viewpoint and we will be less afraid to make the change. Imagine how much happier you would be right this second if the fear of “what if” had no impact on your decisions. What would you do or change? What would your life look like right now?

Change requires us to have courage to face our fear of “what if” in unpredictable and unknown! Regardless of how dysfunctional, unhappy, unproductive or toxic the current culture may be it often feels safer to keep the status quo. The known almost always feels safer than the unknown. That is why it is imperative that the value of the change be clear to those asked to make the change. It is essential that the value and benefits of change rate an 8 or above on a scale of 1 to 10 with 10 being high. Otherwise, the chance for the change to be positive and sustainable is limited.

I have found 5 essentials to help dental teams rise above their fears and embrace change as a positive process.

  • Trust in leadership
  • Clear and consistent direction
  • Structured plan
  • Adequate training and practice time
  • Realistic workload

The number one essential necessary to embrace change is trust in the leadership. If the team members trust their leader(s) they will be more willing to step into the unpredictable and unknown. Leaders can build trust by embodying the following traits:

  1. Model the waddle is the number one leadership principle – in other words lead by example
  2. Have a clear and consistent direction
  3. Be transparent by communicating to keep the team in the loop as much as possible
  4. Be open to suggestions and feedback
  5. Address any obstacles, fears or concerns the team may have about the change

The second essential is to communicate a clear and consistent direction. It is important to use a decision strategy to avoid fly-bys and emotion driven decisions in the heat of the moment. I teach the following four strategic steps:

  • What’s in the best interests of the patients, practice and the team – not any individual and long term
    • Think about 10 months and 10 years instead of next 10 minutes or 10 days
  • What is practical and realistic based on time, people and money currently available
  • What is the precedent being set
    • Is it fair, if we can’t do it across the board for everyone on the team it will feel like favoritism and divide the team
  • What is the level of passion we are willing to support the decision
    • Will we support it when push comes to shove even if it may result in losing an employee or a patient

Set your team up to succeed by communicating the change clearly and concisely. I suggest the following communication process:

  • Clarify expectations
  • Ask questions to make sure everyone understands
  • Write objective down in bullet points if more than a couple of things
  • Identify equipment and supplies necessary
  • Schedule adequate training and practice time
  • Set realistic expectations for completion time and date
  • For more involved longer tasks schedule a check in

Read Part 2 to learn all 5 essentials to rise above the pain of change and make it a positive process!

April 1, 2018

How to Build a Culture of Trust

How to Build a Culture of Trust

Imagine a culture where:

*             Leadership was by example

*             Everyone worked together for the greater good

*             Co-worker’s didn’t question each other’s intent

*             Open respectful communication was the standard

*             Gossip ceased to exist

*             Accountability was self-maintained

*             Honesty was the only policy

It may sound like a fantasy, but TRUST me… its real!” These are the results of a culture built on trust.

The dictionary defines trust as instinctive unquestioning belief in and reliance upon something. The culture of trust I am suggesting is not one of blind faith but instead one of confidence! Confident trust is based on consistency!   Consistency of good reasons to trust based on significant past evidence and experiences.

Think of the people in your life that you confidently trust. Take a moment to reflect why you feel confident in trusting them. Confident trust does not just happen overnight. It takes time to nurture and grow. However, breaking one’s trust can happen in a heartbeat. The great news is that trust can be rebuilt. It takes a sincere daily commitment to be transparent, consistent and realistic. An actionable and measurable process is to assess your every action, attitude and conversation by checking off the following list.

*             Am I being transparent

*             Am I being consistent

*             Am I being realistic

Breaking trust is seldom intentional. Many people break trust because they are people pleaser yes people. Their intent is good. Their results are not. They have OCD…Over Committers Disorder! They commit and commit and commit because they are nice people. They want others to like them so they don’t say no. OCD’s believe that by saying no they are letting a person down. Perhaps you know someone like this…could it be you? Yet the reality is by over committing we are letting everyone down including ourselves. I suggest utilizing a caring response to say no to over committing. For example: “Our relationship is so important to me. I would never want to let you or any of my previous commitments down. So I am going to say no because I can’t commit 100% to yes.” It is not necessary to explain why to the other person. Some people will continue to push hard even after they have been told no. A simple no thank you I am going to pass and end the conversation.

A team meeting is a great format to discuss trust in the practice. Discuss the benefits of having a culture of trust pertaining to patients and team. It is important for the entire team to understand how a low trust level affects the patient experience, practice culture and the bottom line. As a team assess the current level of trust in the practice. Define what builds and what breaks trust in the practice. Use a large easel pad and write down all the answers being shared by the team. I like the self-stick pads with individual pages that can stick to the wall.

Some examples of a low trust culture are:

*             Not keeping in the loop with details that pertain to them and the practice

*             Adding rules or steps for everyone to compensate for the inadequacies of a few

*             Extra staff to cover for lack of a accountability with a specific team member

*             Redundant systems and processes

A predominant sign of low trust with the leadership team is difficulty getting the team on board and willing to follow their lead. Imagine how much more productive a practice would be if the team confidently trusted leadership and each other?

Gossip is another sign of low trust that results from lack of transparency. If the leadership team does not keep the team in the loop they will talk to each other. Gossip that is made up from assumptions will run rampant.

Your team will no longer feel trusted and become frustrated when you make rules that affect the entire team to compensate for the inadequacies of few specific team members. You may even end up losing your good team members.

The next step at the meeting is to ask the team to share what they feel they need from each other (including leadership) to build trust. Some examples might be:

*             Be transparent by keeping in the loop

*             Be consistent with daily tasks

*             If you have a concern talk to the person

*             Help when you see help is needed

*             Ask for help when help is needed

*             Ask don’t assume

*             Take ownership – do what you say you will do when you say you will

*             Focus on the greater good instead of WIIFM (What’s in it for me)

*            Don’t gossip

*             Tell the truth and be compassionate

*             Don’t be late or absent for trivial reasons

Together as a team create your list of Trust Standards. Next print it, frame it and put on display for future reference. It will be important to review whenever you hire someone new or…because old habits die hard; whenever someone’s behavior deems it necessary!

TA-DAH…you have just established Trust Standards to build the level of trust in your practice! The awesome part is that when people create it they own it!

The bottom line is that trust is not just a social virtue it greatly affects patient experience, practice culture and the bottom line!

Contact Judy Kay today if you would like to learn more about how she can help you cultivate a culture of trust!

March 2, 2018

Five Steps to Stop Gossip!

Five Steps to Stop Gossip!

This message is dedicated to learning how to stop gossip resulting in a happier, healthier and higher performing culture. Gossip is often perceived as just a normal part of life! I often hear the following statements regarding gossip: It’s a woman thing, women just have to gossip, it’s really not a big deal because everybody does it, and you can’t stop it even if you try. Gossip is either accepted, allowed or not addressed in most dental practice cultures. If we truly comprehended the negative impact gossip has on the practice culture, patient experience and bottom line it would no longer be tolerated.

It’s time to clear up a few myths regarding gossip. Gossip is not just a woman thing…men do it too they just call it venting. Gossip is toxic and is a big deal! You can stop it if you are serious about having a no gossip office culture.

I refer to gossip as The Poison Triangle of Mistrust because it often involves two people talking negatively about a third person behind their back. Once the person overhears or learns about the gossip a triangle of mistrust is formed. They no longer trust the gossiper (the giver) or gossip-ee (the receiver) of the gossip.

Gossip affects:

*           Trust

*           Communication

*           Team Performance

*          Morale

*           Patient Experience

*           Bottom Line

That’s just to name a few. Gossip is not fluff stuff. It is really big stuff! We can create a happier, healthier and higher performing culture when we choose to no longer accept or allow gossip.

I teach a five step process to stop gossip.

Step One – Start with a team meeting with the entire team including the doctors. Share with the team the impact gossip has on the team and the practice and that in the future it will no longer be tolerated. Ask everyone individually to verbally agree to support a No-Gossip Culture in the practice. For example, I agree to support a No-Gossip Culture. Once they verbally agree they can no longer say I didn’t agree. I just didn’t say anything.

Step Two – Define what gossip means in your practice. I define gossip as anything that is negative or private about another person that they do not want others to know. As a team agree on a word or phrase to use if someone starts to gossip about another team member to them. It could be something as simple as peace (as in keep the peace), please take it to the source, please stop, or remember we said we weren’t going to gossip anymore. It doesn’t really matter what word(s) you use. What is important is that everyone knows what it is and agrees to use that specific word or phrase.

Step Three – Establish consequences for gossip. I suggest the same consequences as any other behavior that sabotages instead of supports the standards of the practice. Establish consequences that you know you will be willing to carry out. It is very important that the entire team understand what the consequences will be for gossip. If you would like to receive a complimentary copy of my white pages on consequences please email me at Judykay@PracticeSolutionsInc.net.

Step Four – It’s time to actually stop the gossip. This will take practicing many times before it becomes more comfortable. Stop talking to other people about others and instead go to the person you were going to gossip about and talk to them to resolve the concern. If you are on the receiving end of gossip you are just as responsible as the initiator. You play 50-50 role because if they have no one to tell the gossip stops. If a team member starts to gossip to you or you over hear two people gossiping about another team member say the word or phrase. Please be mindful of your tone of voice and attitude. Always speak from a place of care and concern not judgment and criticism. If they continue to gossip remind them once more by saying remember we agreed as a team we would not gossip about each other. Old habits die hard and we want to be supportive and help each other to stop the gossip. If they are gossiping to you and they refuse to stop physically remove yourself from the conversation. If they continue to gossip to another team member inform them that if they do not stop you will inform the doctor or manager (whoever handles conflict resolution in the practice).

Step Five – The doctor or manager holds the team member accountable by following through with the consequences. It is important the entire team understands the consequences for participating in gossiping. Yes you can terminate a team member for participating in gossiping. It is important to make it very clear what the consequences are for gossip and include as a part of your written communication standards. Following through with consequences is where the line is drawn in the sand. It will determine whether you succeed or fail at creating a No-Gossip Culture. Gossip is really big stuff! It affects trust, communication, team performance, morale, patient experience and your bottom line. Isn’t it time to stop gossip and end The Poison Triangle of Mistrust?

Contact Judy Kay today if you would like to learn more about how she can help you end The Poison Triangle of Mistrust in your practice!

February 1, 2018

Say Bye Bye to Fly-Bys!

 

Say Bye Bye to Fly-Bys!

This message is focused on developing a We Team decision strategy to avoid fly-bys! Let’s by start by illustrating a fly-by.

Foundation of a Fly-by!

It’s another busy day! Doctor you just stepped out of treatment op 1 and are hurrying to hygiene ops 3 and 4 to do checks that have been waiting for at least 10 minutes. The hygienists have buzzed, messaged and are now tapping their feet with impatience. You avoid eye contact with the three team members (office administrator, assistant and hygienist) lining the hallway as you know they are all waiting for you. A blur of questions assault you as you pass by them. “Doctor can I…, Doctor what do…, Doctor how would…!” All you want to do is get to the hygiene rooms before the hygienists get more upset. So without lifting your head you mutter responses on the fly…yes…no…do this starting now. You’re not even sure what you said or to who. All you know is that you cleared a path to get to the next room. You have just successfully completed another fly-by.

Fly-bys may seem like an effective and efficient resolution but can be very toxic to the team and practice culture.   There is no time to process benefits and consequences, get team feedback and input or discuss with the entire We Team (leadership team).   A new standard or process is put into place with a few sound bites of discussion with the one lucky or unlucky team member who happened to ask the question. Everyone else on the team including the other members of the We Team are unaware of the decision and new process. In a short time, the We Team will no longer be cohesive and the team will start to doubt what the standard is for the day. The team will no longer fill confident or empowered to take even the smallest action without asking questions. This will result in consistently fueling an even longer line in the hallway. If you hear your team say ask each other; “do you know if we are doing it this way today,” you know fly-bys are happening. Fly-bys fuel incompetence, uncertainty and divide the team. Doctors, fly-bys are neither effective nor efficient.

I would like to introduce my W.O.W. Decision Making Strategy.

W.O.W. is an acronym for weed out weeds. A weed is anything that does not benefit the patients, practice or the team. W.O.W. Decision Making gives the We Team a positive, practical and proven decision making strategy. The results are decisions that are consistent, fair and support the team, the patients and the practice.

The W.O.W. Decision Making Strategy is based on the following concept questions:

  • Patients, Practice & Team
    • What’s in the best interests of Patients, Practice and Team – not any individual (including doctor)
  • Practical
    • Does it make common sense
    • Is it realistic with resources available regarding Time, Money, People, Or are you willing to invest
  • Precedent
    • What precedent is being set? If it is done once for one team member, it becomes the expectation for entire team. If it is not across the board, it will feel like favoritism or inconsistency and, therefore, it will be unfair. Only say “yes” to what you want to set as a precedent.
  • Passionate
    • Is the We Team passionate enough about the decision to defend it – even to the point of possibly losing a patient or a team member? I suggest not implementing anything that the We Team thinks it is just a “nice to do”! “Nice to do” won’t be worth defending if the practice could lose a patient or team member. On a scale of 1 to 10 with 10 being high does it rate 8 or above. Don’t implement anything that does not rate at least an 8 or you will not be willing to sustain the change.

Team Behavior Decisions

When we don’t see the results we desire from a team member we get frustrated and tend believe it is a behavior issue that warrants consequences. However, before we take any action we need to identify whether their lack of performance was truly a behavior issue. Maybe it was an issue with training, expectations, or communication that caused the problem. It is critical to not just react to what you think it is because you really don’t know. This is why it is so essential to meet with the team member and ask questions. The reality is that we could clear the majority of our team problems if we just asked questions. Schedule a time to meet with the team member and ask them questions to verify if:

  • They have been trained to do the task
  • They were clear on what was expected
  • They were clear on what was communicated

In many cases you will find it is either a lack of training, expectations or communication and not behavior that causes the performance problem. If that is the case the ownership lies on the person delegating and not the receiver of the task.

Utilizing W.O.W. Decision Making Strategy will help you say good bye to fly-bys and cultivate a happier, healthier and more cohesive We Team, Team and Practice Culture!

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