This season he is like a replica of Dikembe Mutombo

Just today, the Knights men’s basketball team to score 84 than 99, men’s basketball team lost to the Raptors, not only that, the team in terms of the total score, to score 1 to 2, lost to his opponent.
Raptors Basketball team center player, he is Bismarck – Billon Bo, his performance on the pitch period, a total of 39 minutes, during this period, he contributed to the team out of 7 points, 26 rebounds, four blocked cover record.
1xbet For the outside world Biyombo the player, may not have much understanding, however, Billon Bo who can always be seen, and other players are not the same place. Like, in the recent period of time, Biyombo his offense, it seems there are some problems, it seems like, so actively as before, but, Billon Bo dunk him in context, there is the Basket aspect, efficiency remains pretty good.
However, Billon Bo now Apart from these advantages, it seems that no new provisional findings, Billon Bo and his opponents, during the heads-up, when the opponent simply do not feel there is any threat.
So what about Biyombo some questions, naturally, 1хбeт also produced, for example, why Billon Bo, he will become a lottery pick which one? Why he could, all share Hornets Basketball Team chase it?
Perhaps because no one, carefully to find out about Billon Bo, in fact, in the defense, than the ability Yong Bo, is still very strong, and his defensive ability, if and Kilbane – Dikembe Mutombo, compare it, Nature is neck and neck.
Billon Bo he is like, a master of stealth up, as if to let him play defensive ball, then, he is naturally mention of Biyombo his most deadly stunt, and that is the closure opponents.

More sign: http://www.wefjordan.com/
                http://www.kscgg.com/

Everyone Loves Buttons Inc. Now Shipping For Election Season

FOR IMMEDIATE RELEASE

(Phoenix, AZ)—Everyone Loves Buttons® Inc., one of the leading providers of custom buttons and button-making supplies, has recently announced that they are now shipping orders for the 2016 election season. The company invites candidates, campaign managers, lobbyists, and cause leaders to place their order now for custom buttons that will give them a unique and memorable way to deliver and spread their messages. Customers can browse the array of button sizes and styles available as well as place a custom order directly on the Everyone Loves Buttons® website.

Maura Statman, the owner of Everyone Loves Buttons®, stated “The 2016 campaign season is upon us. This means that voters are being inundated with influences from so many different sources, and it can be difficult for candidates to really get their message across in a succinct yet memorable way. This is where Everyone Loves Buttons can help. Buttons are a keepsake item and the perfect way for supporters to wear their hearts on their sleeves – literally. Our campaign buttons are of high-quality and will make any message – or messenger – stand out.”

Everyone Loves Buttons® Inc. has been in business since 1997. In the last 19 years, they have produced buttons for high-profile Presidential candidates, including John McCain, Fred Thompson, John Edwards, and Ralph Nader. The company was also chosen to create buttons for “No on Prop 8” campaigns. Everyone Loves Buttons® manufactures their own buttons right here in the U.S.A. ensuring high quality and eliminating the expense of the middle man. At everyonelovesbuttons.com, they make the ordering process easy, guarantee their low prices, and have a variety of sizes and styles available for purchase.

“For candidates and supporters who want to be heard loud and clear, it doesn’t get any easier than buttons,” said Statman. “Our team is excited to be able to play a part in helping those who desire to serve our country get their message out to their supporters so that they can spread the word more easily and efficiently.”

About Everyone Loves Buttons® Inc.:

Everyone Loves Buttons® Inc. was established in 1997 in San Diego, CA. and has grown to become one of the top custom pin-back button manufacturers in the country. In March 2005, they expanded their button manufacturing capabilities and relocated to Phoenix, AZ. In 2008, they became a Nationally Certified Women Business Enterprise (WBENC). Their customer service approach helps customers save time and money, allowing them to purchase directly from the manufacturer. All button parts are genuine quality made in the U.S.A. and state-of-the-art electric button machinery is used to produce 2 piece, mylar-topped pin-back custom buttons.

Source: http://www.wandtv.com/story/32037283/news

How I Became An Expert on Services

The Popular Kinds of Video Productions

Corporate Video Production is defined as having audio visual communications material like HD online video, streaming video, or other similar media commissioned usually to a company or an organization and online business websites’ use. The videos are collections of clips that are used to advertise the company and it is where they will be showing the products or services they offer, their integrity, their capabilities and their credibility. This is more often created for specific purposed for a corporate to business environment and are mostly viewed by selected and limited target market. This may include but not limited to the company or the business’ products, services, instructional videos, information videos, and entertainment videos. Here are the most usual kind of video productions.

Product demos or service demos are some of the forms of corporate video production Product demos are very interactive, entertaining and easy to digest so that it can immediately pick the audience’s interest. This will entice the viewers of the video more enticed to buy the product as they will feel like they are really using the product already. This type of corporate video production will most likely leave a great, strong and lasting effect. It will also make the audience want to check the company and then they will become potential customers

Lecture video presentation and seminar video presentation boosts the viewers for your conferences, conventions, seminars, talks, and the like if you live case them on your website then, you can just post the modified version of the presentation afterwards in order to extend or prolong the value of the video. Community service presentations, usually when the business builds their good image in the community or in public by contributing something good or charitable to the community in the form of products or cash or by doing volunteer work. The company may also do community service through funding productions that can be beneficial to a lot of people and that is channeled through a nonprofit organization. The idea is going to be cost effective especially if the company will use its in-house resources.

Video advertising information about the newest and trendiest services and products may be packaged as a news release on websites like YouTube. By using the social media to promote and show the videos, there will be more people can be attracted to watch.

When well organized, news outlets may broadcast the videos for free, especially if the news outlets are highly influential. A concrete example is, a company or a business which will launch or release a new product or service that is tied with a big or known charitable institution could get the attention of many people as the company or business may have mystified them.

Staff motivation video, a type of video that has a content that inspires people, is undoubtedly a truly great way to create a wonderful team that focuses on hardwork, creativity, and loyalty.

Source: Video Michigan

Discover how to cut back $799 or more on your California automobile insurance using our handy guide

Cheap California Car Insurance State In car insurance california 1967, State adopted the uniform automobile insurance legislation which, following Ontario’s lead, implemented a form of 1 limited, optional no-fault coverage.  But more radical action was anticipated in October 1969 when the NDP government in State established hawaii Auto insurance Committee underneath the chairmanship with the.Municipal Affairs Minister, Howard Pawley, “to investigate feasibility of instituting a course of public auto insurance in State.”  The committee’s report, that has been submitted in March 1970, was heavily affected by the Your location model. The findings, otherwise counsel, from the Wootton Report in america were also given considerable weight. Perhaps owning an eye on political considerations, the committee proposed an even more cautious approach than had the Wootton Commission.

Even though the california auto insurance Committee is sympathetic to most from the recommendations, and fully thankful for the scholarly and extensive research supporting the B.C. Commission’s findings, it’s our view that this kind of sudden and radical departure from existing legal concepts and car insurance practices in every jurisdictions of The united states would be unacceptable and impractical for that Province of State currently. We’d rather support an evolutionary movement toward a few of the principles advocated .by the Wootton Commission. In 5 minutes or less you can lower your car insurance rates with Californiacarinsurancerates.org!

In the california auto insurance result, the committee recommended a compulsory addon scheme broadly much like that in position in Your area. A public insurance corporation would have a monopoly in compulsory forms of car insurance. However, the proposed no-fault benefit levels were somewhat higher than others then in position in your town. Income-replacement benefits were set at $50 weekly for total disability and $25 each week for partial disability. Scheduled non- pecuniary loss great things about as much as $6,000 were recommended; as were death benefits ranging from $500 to $10,000 (based on age and marital status of deceased) for surviving dependants; medical benefits up to $2,000 and funeral expenses of $500. After considerable political controversy plus some suspense,  the act giving effect about bat roosting recommendations and creating the State Public Insurance Corporation (M.P.I.C.) passed in August 1970.  Its implementation by means of the “Autopac” insurance plan failed to occur until November 1, 1971.  Apart from alterations in benefit levels it’s remained set up. You can learn something new about California by clicking this link!

Learning The “Secrets” of Videos

Video Production – The Best Advertising Tool

As of the moment, 37% of internet content are video productions. Television commercials have been advertising’s most efficient way of reaching a vast number of the audience since the film was invented. The digital films we are enjoying this time also went from humble beginning to different phases until it has become what it is now.

Because of the sudden increase in the sales of Digital Video Recorders, television commercials are getting outmoded. With the aid of the DVR, the audience can choose to fast-forward over the ads. This caused television advertising budgets to be quite unnecessary. That is why many companies are now looking at the Internet and on online advertising.

The Perks of Video

The major reason video production is an essential in advertising is because it can effectively persuade. This is the most basic and vital reason. A study by a business school indicates that when shown a video, there is a 72% chance of customers buying a product or service and they decide more quickly, too. Because of the video presented, many customers feel that they understand the product or service better.

1. Apportioning Video

People who receive film productions review it but more will share with friends and family. The advertising industry observed that advertisements in print are six times lower than the reaction reviews people give for video promotions. Because the videos in business card DVD’S are regarded as more valuable and so are not discarded like ordinary mails. Curiosity can make people watch a whole marketing video, even if they have no intention to purchase.

2. Cost-friendly and consistent messages

3. Videos can reach far-flung markets unreachable by sales people. Video aids in delivering messages to small market places that are in far areas, or to those who cannot afford to pay for live training. Consistency is one of the best things of utilizing a video. It is a reliable training source and can accommodate up to any number of viewers. Small and big corporations can benefit from it alike, and it is affordable. A three minute presentation can be more useful than a large pile of reading materials.

3.Highly Efficient Sales Device

Video allows the product or service be animated, and it is unachievable on brochures. You can use customers are product reviewers and endorsers. It is highly efficient in drawing on investors. And because the video can be created to allow updates and accept add-ons, it is easier to update rather than redo the video.

4. Motion can draw feelings

Viewer’s emotions can be engaged because of the video. Sounds and images can be persuasive. Because it can show images, viewers can easily see the difference between the before and after of a product and see the actual proof of improvement.

The internet is filled with many videos. This is a highly effective style to reach the people. iThe perspective of customers about the product widens. This is an important advertisement tool. Videos and online advertising are the preferred methods of many businesses.

Source: Video Rockford Michigan

Joe Paris Moving Company Announces Special 30% Wintertime Discount

FOR IMMEDIATE RELEASE

FORT WORTH, Texas — The Joe Paris Moving Company, one of the region’s best-rated providers of corporate and Residential Relocation Services, announced a special new discount for the New Year. For a limited time, those who use coupon code “winter30” at the company’s website when booking residential or Corporate Relocation Services will receive discounts of 30% off its already-low, up-front pricing. The new coupon code can save customers up to $200 on services provided by the Fort Worth Moving Company, while also entitling them to the same quality and attentiveness that have made it one of the area’s most successful of its kind.

“Here in the busy Dallas-Fort Worth area, needing to relocate is common year-round,” Joe Paris Moving Company founder and CEO Joe Paris said, “That’s why we’re so happy to be able to introduce this unprecedented winter discount. While the weather stays a little cooler, anyone who stops by our website and enters the coupon code ‘winter30’ will be eligible for some absolutely unbeatable pricing on our top-quality services.”

With an admirable present-day unemployment rate of below four percent and a wide, stable base of local industries, the Dallas-Fort Worth area is one of the nation’s undoubted economic hot spots. The opportunities to be found in the region lead around 150,000 newcomers to settle in Dallas alone every year, with cities throughout the metroplex experiencing proportional levels of growth.

Coupled with the many relocation projects that take businesses and families from one place in the area to another, those arrivals mean that Dallas-Fort Worth also stands out in terms of moving activity. Even with hundreds of companies in the area offering assistance with moving, a few consistently stand at the head of the pack, offering attractive combinations of service quality, pricing, responsiveness, and reliability.

Since 2001, the Joe Paris Moving Company has been a prominent member of this elite group, building up a reputation in the years since as one of the top moving and relocation services in an extremely competitive market. Unlike many companies in the area, the Joe Paris Moving Company offers flat rates on its services, ensuring that customers will know from the start what the total cost of any relocation job will be.

Fully licensed and insured and with all of the company’s relocation experts being subjected to extensive background and drug tests, the Joe Paris Moving Company approaches each and every job as its most important yet. Employing whichever mix of top-quality equipment, packing materials, padding, and other tools will best suit a given job, it consistently delivers the safest, most reliable service available in the area.

With the availability of the company’s new “winter30” discount coupon, this best-in-class relocation service is now also more affordable than ever before. The code entitles those who use it at the company’s website to a 30% discount off the regular, flat-rate prices that are already among the lowest in the whole region, and is good for both residential and commercial customers.

About Joe Paris Moving Company:
With an enduring, unwavering dedication to providing the best, safest, most reliable moving services in the Dallas-Fort Worth area, the Joe Paris Moving Company couples affordability with responsiveness, skill, and diligence, making every move a success for residential and commercial customers.

Media Contact:
Joe Paris
Fort Worth, TX 76008
Telephone: 817-715-3427
Email: info@joeparismovingcompany.com
Website:

Source: http://markets.financialcontent.com/gatehouse.sjr/news/read/31201628

European Marketing Giant GoSocial Purchases Nebraska based PAR Program for $12M

FOR IMMEDIATE RELEASE

(Zurich, Switzerland)–European digital marketing giant, GoSocial recently announced the purchase of Lincoln, Nebraska based PAR Program, INC for 12 million. PAR Program, Inc, is an innovative Internet marketing company offering unequaled e-commerce services, provides website evaluation, client base targeting, recommended marketing channels and a host of other add-on services. Furthermore, the hallmark of the company is its proprietary software, People Acquisition and Retention (PAR).

PAR is an automated, highly user-friendly system which provides invaluable metrics to marketing departments. According to Jeremy Schoemaker, founder and CEO of PAR Program, the program provides ROI computations, demographic reporting, flexibility, transparency, and customer retention, all of which are all highly desired features which PAR provides with ease. Says Schoemaker, who also runs the popular blog ShoeMoney.com, “I have put my blood, sweat, and tears into this email platform for the last year. I couldn’t be happier that it is under the GoSocial umbrella and look forward to working with them”

This was a worthwhile investment, according to a GoSocial spokesperson, who released a statement saying, “We are delighted to include this awesome e-mail retention tool into the GoSocial family. PAR Program has already proven itself as a second-to-none solution provider in the industry as email marketing platform.”

Email has grown as an integral component of customer retention, helping to individualize correspondence and remove the stigma from the marketing game. Social media, on the other hand, generates the interactive experience customers have grown to expect with the companies with which they do business. By combining both of these key features, GoSocial can now better cater to clients’ needs from both of these angles.

About Go Social:

GoSocial is a global player in the social media marketing industry, specializing in affiliate marketing. The GoSocial organization is represented in USA, Canada, Switzerland, Denmark, Norway, Romania and Mexico and has been working in the online marketing industry since 1999.

About Jeremy Schoemaker:

Jeremy Schoemaker also known by the moniker ShoeMoney on the internet, is making his 4th company sale in the last 7 years. Mr Schoemaker also runs a very popular blog at ShoeMoney.com.

About Par Program INC:

PAR Program was founded by Jeremy Schoemaker in March 2015. Since its launch, it has made a global impact in the world of internet marketing, acquiring over 60 industry leading clients such as Blu electronic cigarettes, BabyAge, Chitika, Top Velocity, and even serviced government programs like Nebraska’s First Time Homebuyer program and many other industry-leading brands.

Media Contact

James Thompson
Zurich, Switzerland
Telephone: 402 306 5750
Email: james@parprogram.com
Website:

Source: http://studio-5.financialcontent.com/mng-ba.contracostatimes/news/read/31092996

The 10 Best Resources For Reviews

Exploring the World of Whiskey

Whiskey is a real man’s drink. If you’ve always wanted to try that drink, the idea may just feel daunting at first. Too many brands and varieties, terms and ways to drink, not to mention strong opinions about how-to’s and all – the world can get complicated out there. First and foremost, whiskey is a general term for grain mash-made distilled spirits. Scotch, Bourbon and Rye are all types of whiskey, which means they will more or less taste and look similar. But they can also have differences – four, to be specific – namely, length of aging, location of distillation, type of cask used and type of grain.

Subtypes of Whiskey

If you’re thinking of trying whiskey, your first question will likely be which type of whiskey to start with.

Whiskey has three subtypes. Single malt whiskey is made by combining whiskey produced from the same distillery, where the age of the combined drink is the age of the youngest whiskey in the mix. This is the most common type of whiskey you’ll find.

Single cask whiskey is another subtype, bottled completely from one cask. You can find this in smaller distilleries or as one of an elite or novelty line produced by a big distillery.

Finally, blended whiskey is a blend of whiskey of the same type, although sometimes, people do combine different types, like Bourbon and Rye.

Drinking Your Whiskey

We now get to the most interesting part – drinking your whiskey.

There are four ways:

Neat

Whiskey neat – meaning whiskey at room temperature in a glass – is considered to be the only pure way of drinking good whiskey. The concept is to experience the spirit as the distiller intended, that is, without dilution.

Combined with Water

Many people think whiskey must be diluted with water. Just a capful should do, and only clear distilled water must be used as chlorine can alter the drink. People actually add water to whiskey for functional reasons. It lets you enjoy the whiskey without hurting your tongue.

Whiskey with ice or on the rocks is a third way of drinking your whiskey. Although quite popular, a lot of people think it wastes the spirits away. And if the ice was made using tap water, the problem of chlorine is also there. If you really like your drink ice-cold, just be sure the ice was made using high quality water.

Cocktail

Of course, drinking your whiskey in a cocktail is always an option, but not high-end whiskey. What a huge waste that would be.

Then again, at the end of the day, it’s only you who can decide how to drink your whiskey.It’s all yours.

Source: whiskey review

Study: My Understanding of Experts

What You Can Get from Direct Marketing

The direct marketing is really a unique sales method which involves approaching the prospective customers. The target for direct marketing is the ability to offer information to the customers without using media. So that the direct marketing becomes successful, there is a need for the business individuals to maintain a really large database of the personal information of the customers.

Direct marketing is actually very common to the business groups or those service providers that have a certain market, thus the traditional methods of marketing like using the radios as well as newspapers are not used. Another excellent reason why this is being utilized by so many companies is that this method can be directly measured. For example, when you send emails to the customers that provide product description, you can know the real number of people who actually responded. Hence, such method of marketing will depend on the customer’s response.

The direct marketing is known to assist or help in solving some of the challenges which have emerged in the market that can enable the business owners to have new customers and then grow on the profitability of the customers. It is thought that there are so many customers that get so many messages which give the business people the opportunity to deliver really good results on the investment.

Through using this marketing method, the business owners are given the opportunity to have a higher efficiency and also reduce the wastage because they target the customers whom they think will respond to them or buy from them. After knowing those prospective customers, it is a lot easier for the business to provide more options to a lot of customers. For instance, you may send request to them and also invite them to join any business affiliate programs since they can get the experience of purchasing your goods. Because of this, you can develop that strong relationship with the customers. It must be noted, however, that through the use of email as a way to reach your customers, you must also be able to follow all the professional approach that can help you obtain more customers.

There are several benefits that you can get through the use of direct marketing with the goal of reaching to those potential customers who will allow the business owners to get more profits from the investment that they make. It would help a lot when you study more about the different advantages that you can get from direct marketing so that you can be convinced about why you should use this kind of marketing method for your business and for you to get the best benefits. Once you have chosen the marketing method that works, then you can surely increase your return of investment which is what you really want to do.

Source: Aquira

Prescription For Hospital Survival Is Growth, Not Cutbacks

The United Health Fund recently reported that 13 of 35 non-profit, acute care hospitals in New York City are in such financial distress that their long-term viability is in doubt — a warning for all health care institutions struggling to survive.

But the traditional cost-cutting and layoff prescriptions for health care providers in trouble are not sufficient to solve this growing problem. Hospitals cannot continue to slash their way to survival without sacrificing quality and patient services. Traditional cost reduction often leads to additional market share erosion and revenue loss. As the health care system moves into an environment focusing more on patient/customer satisfaction, the traditional management responses could result in even greater losses for the hospital. Patients may stop coming because of reduced or non-existent services, the fact that their doctors have gone elsewhere, or the perception that the hospitals reputation is declining. Doctors may leave due to declining service quality, experiences with inadequate clinical and support staff, and frustration with outdated equipment and facilities.

Maverick Healthcare Consulting has found that financial difficulties can often be more effectively solved with growth strategies that expand and enhance existing revenue streams, create new sources of revenue and increase market share. These strategies include investments in enhanced quality to increase patient and physician satisfaction; investments in equipment and staffing that will speed the patient experience, improve convenience and increase patient volume and throughput; and investments in new services that enhance a hospitals profile and make it much more competitive for market share.

Maverick Healthcare Consulting has had the opportunity to assist a number of Greater New York hospitals in designing and implementing creative approaches towards growing out of the financial doldrums. Following are some examples of these types of improvements. In addition to improving quality and service, such actions were instrumental in avoiding layoffs and other sacrifices for the communities they serve, and in creating new employment opportunities as projected revenue streams and services were successfully achieved.

A New York City community hospital was losing hundreds of thousands of dollars each month and was about to close its doors. Although its cost structure was well below almost any of the other hospitals in the area, it was still suffering financially. In light of declining reimbursement and patient volume, and with a growing concern regarding continued liquidity, in order to preserve its vital core of services for the community, the hospital turned to the tactic that had helped it avoid past financial difficulties: cost reduction. However, this time the tactic worked against the hospital. Having eliminated virtually all of the fat from the organization, in desperation, the hospital was left with little to reduce other than the muscle. To better manage expenditures, the hospital reduced surgical hours of operation, postponed needed investments in the expansion of surgical services, and delayed replenishment of surgical equipment required by many of its surgeons. This resulted in surgeons beginning to take their patients elsewhere. Vital patient flow improvements to the emergency department (the major source of admissions for the hospital) were postponed, and increasing overcrowding resulted in more patient walkouts and more frequent diversion of ambulance traffic to other hospitals. Admissions declined, exacerbating the financial crisis. Vendor payables were stretched to the limit and the hospital began having difficulties receiving shipment of necessary supplies. The hospital was in a classic downward spiral.

To halt the precipitous decline, the popular prescription for a sick hospital was changed, and an entirely different regimen of investment and growth was implemented. Through a strategic mind-shift, management took a new approach towards the situation. Cost cutting and layoffs were out, and focusing the remaining capital of the institution on investment in growth became the master game plan. Investments were made in quality and staff education, surgical and emergency services capacity, and in service lines that both fill a vital community health need and produce a positive bottom line contribution. The hospital’s investment orientation, and its careful selection of key productive assets in which to invest, was the fulcrum around which a new team turned itself around and became an inspiration to its community, physicians and employees

The hospital has not lost a cent in the last six months and is well on the road to recovery.

The North Shore/Long Island Jewish Health System on Long Island in New York is another organization that has improved its market position through investment and growth. North Shore/LIJ is one of the larger not-for-profit health-care systems in the country with 18 hospitals and revenues in excess of $3.2 billion. The System has a record of stellar growth over the last decade as it came to realize that cutting costs was not the only way to prosper in a competitive New York environment. Instead, the System focused on growth through development of new services for existing markets throughout Long Island, Queens and Brooklyn.

Early on, the Glen Cove Community hospital joined the North Shore /LIJ System. Glen Cove was a very traditional community hospital facing an increasingly hostile competitive environment. Its board realized that if things continued the way they were going, the hospital would soon deplete its reserves. A new direction was needed. So it joined the North Shore/LIJ Health System.

The North Shore at Glen Cove growth plan began with the development of a patient rehabilitation program. Once this program took hold and was successful, a second phase of growth was started. A surgical services program was created and an orthopedic surgeon employed. As a result, this 250-bed community hospital is financially solvent and a successful member of the North Shore/LIJ Health System.

North Shore applied this successful formula in several other institutions on Long Island, including, for example, Syossett, Plainview, and Forest Hills – all of which are successful organizations and prospering from investments in growth initiatives.

Additionally, early in its formation, the System invested in a rigorous quality management system that has shown its worth through the introduction of common policies and procedures geared towards the measurement and production of higher quality outcomes. Working in concert with the medical staffs of each of its member hospitals, the System has been able to raise the standard of care for all patients and the expectations of its medical staff to levels not previously available on Long Island. A direct result of these activities is the designation by AARP of the North Shore University Hospital in Manhasset as the Best Hospital in America for customer service by its membership.

Obviously, not all hospitals and health systems have the resources, stamina, desire or know-how to implement a successful growth strategy similar to NSLIJ. In fact, some have determined that in light of the risk and challenges associated with a merger/acquisition oriented expansion strategy (despite the success of NSLIJ, there have been many other publicly discussed merger/acquisition failures), they would be better served to invest in quality of service and throughput improvements in their core facility. The University Hospital in Newark, associated with the University of Medicine and Dentistry of New Jersey, presents an example of a hospital that has done this last approach extremely well.

Like most other large academic hospitals, years of continuing governmental and commercial reimbursement reductions, deferring investment in aging plant and equipment, increasing indigent volume and escalating costs of labor and materials had taken their toll on University Hospital. To break the downward spiral, University Hospital leadership developed a multi-tiered growth plan. The first tier of the plan focused on the financial stabilization to stop the spiral. The organization focused the talent of hundreds of skilled employees and physicians on the design of dozens of Strategic Work Group (SWG) initiatives to improve the core operational and financial process effectiveness of the hospital. SWG success provided investment capital to fund the second tier of activity: Strategic Growth. University Hospital invested in the renovation and enlargement of its trauma center, the enhancement of staffing and equipment, and in the redesign of dozens of cross-departmental processes that had previously created barriers to entry in the ED. Similarly intense investment and improvement efforts focused on the Operating Room. Key ancillary and support departments such as the Laboratory, Radiology, Admitting, Discharge Planning, Environmental Services and Transport were redesigned and enhanced to support an increased volume of patients. At the same time, improved contracting and physician services brought more throughput to revenue generating centers such as the OR, ED and Patient Care beds. This leadership insight and courage produced results: hospital revenues, cash and volumes increased dramatically, and in 2003 the hospital experienced its first positive operating margin in many years.

These experiences are just a few examples of why growth in times of crisis, as opposed to layoffs and cutbacks, can be exactly the prescription to hospital illness.

Moreover, the impact of such growth strategies can be optimized when an organization establishes aggressive goals in each of its functional areas; selects a measurable approach, monitors activity, and addresses underlying process and workflow redesign resulting in positive and lasting change; allocates sufficient resources to achieve growth; and measures progress against objectives making necessary modifications along the way.

In place of cutbacks and layoffs, hospitals should be thinking about the following strategies to preclude or overcome financial instability:

o Increasing quality, capacity and patient flow in areas that produce revenue

o Producing new business from new patient bases

o Expanding revenue-producing areas

o Improving medical research and grants management.

To build the revenue base and increase market share, health-care organizations should also consider:

o New program development

o New ambulatory services strategies

o New provider/payer network planning

o New mergers and acquisitions

o Increasing quality of care, patient safety and satisfaction

o Increasing physician job satisfaction.

The winds of change continue to blow throughout the health-care system, scattering old ideas and failed solutions. But one major change is long overdue: struggling hospitals must begin to choose growth over decline. From better access management to improved staff scheduling and patient care, to the development of new businesses and markets, a turnaround action plan can be implemented without cutbacks and layoffs. It is one medicine with very pleasant side effects.