Practical Practice Management

Vision And Purpose At Work


If you are in a position at work where you are required to train others do you find it easy?  I have been training for over 24 years and there are many things that I have learned over the past two decades that have made training not only easier, but it has made the person who I am training have a better understanding of not only what they do but why they do it.

My training secrete is to make sure that the person whom I am training understands what their purpose is while performing in their position.  I have found that more times than not when people go to a new job, they are only shown their job duties and how to do them.  There is a lack of connecting the dots between the job position and the purpose of the position.

When people understand the purpose of what they do and why they do it a new window of connection happens.  They realize the bigger purpose of why they are there.  They connect with the people they serve, the product they offer, and those they work with daily.  It is not just a job, there is a real reason for their job.

This is why is it so important for business owners to have a vision that they share with the people that work for them.  The people need to know why they are there.

Great visions need to have the following:

  • They need to be clear – The people who serve the business need to be able to clearly understand the vision
  • They need to be passionate – Those that work for the business need to feel passionate about what the business provides or who it serves
  • They need to be powerful – There needs to be a strong and powerful urge to serve the vision
  • It needs to be realistic – The vision needs to be obtainable
  • It needs to be meaningful – The purpose of the vision needs to be meaningful to those who serve it.

When a business has a great vision and the people who work for them have been trained in their positions and understand, “their purpose,” then it is likely that the business will grow.  The people who support it will be grateful for their part in bringing the vision to fruition.

“Purpose is Powerful” ~ Tina

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How Do You Hire Super-Stars?

I’m not sure if there are many employers or managers who really like looking for new employees.  I know we want to hire great people who will enhance our team, but the task of looking for the right person and actually finding them can be a daunting task.

Time spent looking for just the right person to fill a position is time well spent once you find them.  As a business owner, you need to know exactly what the job position entails that you are offering.  Do you have a job description and detailed job tasks available for potential candidates to review?

Nothing is worse than finding the right candidate and once they onboard you present them with a job description and tasks that were not discussed during the interview and your new employee is less than thrilled, so much that they gave notice.  The details of the job and the tasks involved are a very important part of the interview process to find the right person for the position.

The goal is to find the perfect fit and that fit also has to be a person who can work with you and your existing team and they are excited about their new job.

A colleague of mine, Jay Henderson, who owns Real Talent Hiring is a real expert on the topic of hiring and finding the right person for the job. (see the links below)

In Jay’s book, ‘The Ultimate Small Business Guide to Hiring Super-Stars” He states that when posting a job ad, it is okay to give the applicants a hoop or two to jump through.  You know some special directions that they need to follow when they apply.

For example, in your ad you can tell the applicant to put in the subject line, “I am the best person for your team.”  If they do not put this in the subject line do not even, consider wasting your time looking at their resume.  The point is if they cannot follow a simple direction from you now to apply for a job that they want, what makes you think they will follow directions after they are hired.

If you want to make hiring a bit easier and actually more exciting and be challenged to find the right person, by knowing what you need to know to hire the right person, I highly recommend Jay’s book.  As difficult of a process that interviewing and hiring new employees is, Jay has made this process much easier to pick the candidates worth interviewing and this saves a lot of time and headaches.

The Ultimate Small Business Guide to Hiring Super-Stars

Real Talent Hiring

Keep moving forward,


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How to Release Anxiety and Stay Present

Happy Wednesday to you all!  I have been blogging for 11 years now and it has been such a great adventure as I have met many of you.  Now I haven’t personally met you but many of us have become blogging friends and even connected through other social media platforms where we have shared pictures of our families and friends together. 

Last year I started a Facebook Group called “Women in Healthcare Keeping Healthy” (please check it out if you are interested Facebook Group Link).  I have since met several amazing women in various fields of Healthcare.  Today, I would like to share a post from one of my new friends from this group, Ginamaria Suarez, PharmD.  

Her article on dealing with Anxiety has information that we all can use in our everyday lives. I have posted Gina’s contact information down below for you.

Take care,



How to Release Anxiety and Stay Present

Often, we lose ourselves in thoughts that bring us anxiety. Usually, anxiety comes from thinking about future events. One great way of managing anxiety is focusing on the present moment.

While engaging in those anxiety-inducing thoughts, stop for a minute. Close your eyes and think:

  • What is it about X issue that’s causing me anxiety?
  • Is there something I can do right now to resolve it?

If your answer to the second question is yes, then take action right away, so you don’t waste another minute not being present and enjoying your life.

If instead, the answer is no, then why even worry so much about it now? Enjoy the present moment. It’s such a powerful way to stop wasting energy while at the same time bringing a spark of joy into your life by easing your mind.

As a way to stay present, add to that the act of being grateful. Look around and actively say what you are thankful for at that specific moment in time. That will be your now, and now is all you have. Be grateful for being able to breathe, for having a place to sleep, or for having money to fill your needs regardless if it’s not much. You can even be grateful for having the capacity to realize that there are some things that you may need to change and knowing that, if required, you can take action later.

Who knows what the future will hold? You only have the present moment to think about and to take action towards what needs to be done. Always stay present, stay grounded, connect with yourself, and don’t worry so much.

Think about a time you were feeling anxious about something else and how it ended up resolving itself, regardless of whether the outcome was the expected one or not. That problem eventually went away, just like everything in life.

If you continuously experience anxiety from a specific issue, you could take some time to journal about it and express your fears and worries in writing. Again, see if there’s immediate action to be taken. If not, create a plan on how you can resolve the issue and what steps you can take in the future to fix it, which can include seeking help. When you finish your action plan, take a few deep breaths, and enjoy a hot cup of tea or chocolate to infuse calming positive energy through self-care. Creating a resolution layout and writing about it helps release that worry. By planning, you know that there will be a resolution to the problem in the future. This way, you can more easily focus on your now.

Ginamaría Suárez, PharmD is a Pharmacist and a Certified Health Coach. As a Health Coach, she helps women that work in healthcare to effectively manage their stress, have a healthier diet, and create time to reconnect with themselves so they can start living a healthy and fulfilling life of purpose. To know more about her work and health coaching program, you can visit her Facebook page or contact her directly through email [email protected].

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How Is Your Medical Practice Working?

As many of you know I have been a Practice Management Consultant for many years.  I also work with my partners Rem Jackson and Dr. Peter Wishnie at Top Practices.  One of the biggest struggles we come across when working with our doctors is them having the time to come up with solutions to many of the problems they encounter in their Medical Practices.   If you have search our site you know that we have many services and products that we offer to help physicians and their staff to take their practices to the next level of excellence.

Rem Jackson has been using Masterminds for years to help our members and this year we are doing our first of many small physician mastermind meetings to work with them and their peers to come up with solutions to resolve some of their top issues.  This meeting will be taking place in Las Vegas, NV on July 31st.  The spaces are limited to keep the mastermind functional and successful for all who attend.  Click here for further information and to register.

Since 2007, hundreds of doctors and their teams have joined the Top Practices Marketing Mastermind Group and transformed their practices into the profitable, efficient, and enjoyable practice they desire. Through effective marketing, these podiatry professionals have been able to fill their reception rooms with exactly the kinds of patients they want to see. More than that, they have reclaimed their nights and weekends. They no longer live like they work for their practice. Instead, their practice now works for them, allowing them to better serve their patients, lead their staff, and care for their families.

Everyone has challenges that are holding them back. Everyone. Everyone has a vision of what they want their practice, their career, and their lives to look like.

Very few of us are achieving that vision and overcoming the challenges we face. Very Few. In fact, the great Napoleon Hill estimated that to be only 2% of us. Patients always come first and there is no time left for physicians and their staff to even begin to take on projects to make the practice run more efficiently and profitably. You make to-do lists but never get to them and even when you do start a project to improve, you or your staff rarely finish and implement it.

Your practice vision might be to scale your practice to the million-dollar mark and beyond. Or your vision might involve scaling your million-dollar practice to 5 million and beyond.

You might be looking for prosperity and a balance in your life and work, and the ability to run your practice without pulling your hair out every night.

You might be searching for the keys to working much more effectively and happily with your spouse or significant other.

Wherever you are in your practice, the tools, the strategies, and the mindset that will take you there are very, very similar

Physician Practice Business Solution

Keep moving forward,


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Four Must Have Factors For Great Managers

Are you a manager or a business owner who has a manager?  How are things going as far as managing the team and moving the business in the right direction?

There are several key factors for any manager to be successful at their position.  Far too often managers will “fail” to meet the mark as far as their employer’s expectation because these key factors have not been presented as the expectations or trained on.

The employer generally just expects that these important factors are part of who the managers is or that they should know them and be able to perform them without any problems. Why? Because they are the manager and somehow should just know.

Today, I am going to go over just a few of these important factors that managers need to be able to have the ability to do once the expectation has been set by the employer to do so.

  1. Vision: The manager, who will be interacting with the team needs to understand clearly what the vision is for the company.  They know and understand the “big picture” and know how to convey this to the team.  They also must understand how their position and responsibilities fit into the company/employer’s vision.
  2. Goals: The manager needs to have the ability to clearly articulate the goals and responsibilities to each team player that they are responsible for through education and expectation. They must be able to help the team players with their personal goals and overall team goals.  They must also have set personal goals for growth as the manager in education and company production.
  3. Focus/Delegation/Management Skills: Management personnel need to possess the ability to focus attention on critical areas or projects that require a manager’s leadership.  The ability to delegate to team members effectively to accomplish the needs of the business on a daily basis.  They are responsible for making sure the team has continual education and understanding of the industry that they work in, in order to perform to their highest level.
  4. Passion/Commitment: Enthusiasm and dedication to the business and the people who work with them is critical for managers. Without it they will not be able to lead the team.  You cannot fake “passion and commitment” it must be real and come from the heart.  Great managers possess these attributes and the team responds with commitment and engagement to their positions.

These four key factors that managers must have to be successful needs to be cultivated and grown by the employer that they work for.  Without the business owner’s investment in the manager showing them these same four important factors, it is impossible for them to carry them through and demonstrate them to the rest of the team.

“Employees engage with employers and brands when they’re treated as humans worthy of respect.” – Meghan M. Biro

Keep moving forward,


Get Your Free E-Book: Becoming A Great Employee

Becoming A Great Employee

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What I Know About The Unknown

I was talking with the owner of a small business the other day and they expressed that they had been struggling with the question of trying to expand and grow their business or to keep things as they are.  When I asked what were their weighing factors to making the decision, they were very honest in stating that the “unknown” of whether the time, effort, and cost would be worth it if the business didn’t grow to their expected goal.

Ah… the unknown.  How often does the “unknown” stop you from trying to reach your goals?  I know that many times I have struggled with these same types of thoughts and allowed the “unknown” to stop me from ever knowing if I could have achieved something that I wanted and therefore have certain regrets.

Over the years I have learned to weigh the costs better and to take leaps where I wouldn’t have before, it is quite an amazing feeling.

I also have felt the disappointment of my leaps falling short of reaching my intended goals.  But I can say for the most part it has been more rewarding to have taken the leap than to have wondered what it would have been like had I not.  I also have used these times as lessons learned and that equals knowledge.

I read this somewhere and wrote it down, “People who value learning live richer lives than those who do not.”  

Good food for thought…


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Do You Really Want To Hear From Your Employees?

Employers, supervisors, and managers tell their staff that they want to hear from them and will tell them that their “door is always open.”  But when they do show up how do you act?

As many times as I have told my staff, “Please come talk to me about anything anytime” that when they do come to talk to me, I may not always be delighted.  Most often it is because I am in the middle of doing something and my mind is fixed on whatever the task at hand is.  If I do not respond how they were expecting it might start the conversation off the wrong way, not as the employee intended and this has happened.

So, in our office we have established an “unwritten policy” among us that when we need to speak to someone about a problem, a question or some help, as we approach them, we ask, “Is this a good time to talk to you?”  Or, “When you have a few minutes can I talk to you?”

We have found that this has made our conversations much better as both parties are ready to listen and communicate with each other.

If there is a matter of urgency, we understand that this policy does not apply.

Since establishing this “policy” I have found that my conversations with staff personnel are so much more productive and thought through as I am ready to really hear what they have to say and know that I have the time to engage with them to discuss their need, care, or idea.  They have found this just as beneficial as they no longer feel like they are interrupting me or that I am in a hurry.

I hope you have a fantastic week at work!

Tina 🙂

P.S. Here is the link to my e-booklet on “Becoming a Great Employee”

Becoming a Great Employee

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3 Tips To Build A Happy Work Environment

We probably have all experienced going into a place of business whether it be a doctor’s office, a restaurant, or the neighborhood deli, but when you were there things just felt a bit off possibly a bit toxic.

Maybe you have experienced this in your own place of work. It can be very hard to try to put your finger on what is causing the toxic feeling.

As we all know happy workplaces don’t just happen, they take work and effort by all who work there, and they need someone at the helm directing them with the right attitude and vision for creating a great work environment.

Below are three tips for the entire team to take into consideration when trying to create a happy and productive workplace.

  1. Talk less and listen more.  By practicing this you not only hear more you learn more about those you work with.  You also will hear more about what is going on in your workplace that can be helpful in making it a better place.
  2. Avoid controversial topics. It’s hard to keep the work environment happy and pleasant when people will bring up issues or topics that they know their coworkers don’t agree with or it is upsetting to them. Keep the peace at work no matter what it takes.  Be considerate and leave controversial topics at home.
  3. Practice kindness and respect. The greatest gift we can give to those we work with is to be kind to them and respect them as fellow human beings. Peace in the workplace is worth its weight in gold as when we have peace, we can reduce stress and create a betting work environment overall.

It takes the effort of everyone at work to create a place that everyone wants to return to each day.  If your workplace goal is to create a great environment, then there is no reason why you cannot find a way to create it.

“If you want to be happy, set a goal that commands your thoughts, liberates your energy, and inspires your hopes.” – Andrew Carnegie

Keep moving forward,


Free E-Book On Becoming A Great Employee

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7 Ways We Tune Out On Conversations

The way we communicate with others can either make or break the relationship or encounter we are having with them.  I’m sure you have had a conversation at some point where you realized that you were the only one having the conversation.

Our values, beliefs and thoughts make us who we are.  They are the lenses through which we view the world.  They influence how we communicate to others and how we perceive what others are communicating to us.  They construct our reality and are a direct cause of what we say and do.

People often will think when you talk about communication that you are referring to how you talk to others, but the most important communication skill is how you listen to others.  If you are not listening and processing what someone is saying to you, then there is little chance that your response will be on the same track as what they were speaking.

Many times, we tune others out, unintentionally, they are talking to us because our minds are thinking other things.   Ask yourself the following questions to see if your listening skills need a tune-up.

  • Do I formulate my own reply while the other person is speaking?
  • Does my mind wander to other things I need to be doing?
  • Do I “tune out” a point of view that differs from my own preconceived ideas?
  • Do I interrupt speakers before they are done?
  • Do I finish speakers’ sentences for them?
  • Do I talk while other people are speaking?
  • Do I only hear what I want to hear?

People need to feel heard before they can hear.  In good communication, we need to gather the most information that the person is saying before we respond.  Have you ever spoken to someone and you know without a doubt that they really are not listening to you and have already drawn a conclusion to what you are saying before you even finish?  How did this make you feel?  Listening is a skill that we develop and it takes time and lots of practice to get good at it.

Here is an interesting fact; The Chinese character for listen, which is pronounced Ting, is made up of four characters: the heart, the mind (full attention), the ears, and the eyes.  Pretty amazing…

Have a great Thursday and practice those listening skills!


Free E-Booklet Becoming A Great Employee

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