Business Essentials Shamir
A Monthly Update on Day-to-Day Management Issues for Optical ECPs and Retailers July 2006
Made possible by an unrestricted grant from Shamir
It's Your Business

Inflation rising. Housing starts falling off. Interest rates continue to jump. The federal debt continues unabated. Corporations continue to jettison jobs.

The short headline might simply read, “Uncertainty continues to plague the national economy.”

During periods of economic uncertainty, there is one constant: businesses need to change and innovate. And by doing so, businesses—and professional eyecare practices—have the ability to take charge of their fate and achieve continued success.

Here at Business Essentials, our commitment to eyecare professionals and their practice management team is clear: to provide relevant and timely information that will assist and support professional eyecare practices to build, grow and achieve success.

This is our third edition of Business Essentials, an e-newsletter designed exclusively for eyecare professionals and their practice management team. Along with the authors in this edition and the editorial staff of Vision Monday, we’ll be bringing you timely and useful articles and resources on subjects to help you manage the business aspects of your practice and retail operation. In the coming months, look for articles on marketing your business and case study profiles.

We hope you find this edition—and those that will follow—provide you with relevant, practical and useful information to help you achieve your vision and continued success in your practice.

Click Here to provide us with your comments and feedback.

 
Ask the Experts

Q:
I am about to terminate one of my employees for cause. Do you have any pointers on how to make this process easier?

A:
While terminating an employee can be one of the most difficult tasks you’ll face, there are steps you can take to minimize low employee morale and potential legal liability for your company.

Arrange a time to talk with the employee in person. Do not procrastinate, except if you are awaiting counsel from your attorney or HR staff. All managers should be properly trained and receive guidance about how to conduct a termination meeting.
You should deliver the message in a neutral, private area, such as a conference room. The meeting with the employee should be brief, respectful and to the point. You should never exaggerate the employee’s poor performance or over-justify the decision. Rather, be firm and direct, citing the decision, the reasons, and the information about what will happen next. You should remain calm and professional, and attempt to preserve the person’s dignity. And take time to practice your remarks beforehand.
Be sure to discuss and have available all important administrative documents, like their final pay check, COBRA information, vacation pay, and other state and legally required information. Make sure to retrieve keys, badges, cell phones and all related company property.
After the termination meeting, notify other staff members as soon as possible to prevent the spread of inaccurate or untrue information.

Hedley Lawson can be reached at ( www.alignedgrowth.com).

If you have a question you’d like answered by one of our experts click here.

 
Resource Corner
Easy-reference to web resources about human resource policies and rules
 

Health and Human Services HIPPA Regulations
Click Here

Office for Civil Rights, Privacy of Health Records
Click Here

Discrimination in Employment Guidelines
Click Here

U. S. Department of Labor Compliance Assistance
Click Here

BNA’s wage trends
Click Here

From the Top

Eight Steps to Transforming Your Practice
By Hedley Lawson, Jr.


Whether your practice is a large group practice or a small, independently owned practice, all businesses need to innovate and change. Here are several effective themes and points for you to consider as you and your practice continues to transform.

1. Establish a Sense of Urgency
 
  • Examine market competitive realities
  • Identify and discuss crises, potential crises, or major opportunities
2. Form a Powerful Guiding Coalition
 
  • Assemble a group with enough power to lead the change effort
  • Encourage the group to work together as a team
3. Create a Vision
 
  • Create a vision to help direct the change effort
  • Develop strategies for achieving that vision
4. Communicate the Vision
 
  • Use every vehicle possible to communicate the new vision and strategies
  • Teach new behaviors by the example of the guiding coalition
5. Empower Others to Act on the Vision
 
  • Eliminate obstacles to change
  • Change systems or structures that seriously undermine the vision
  • Encourage risk taking and nontraditional ideas, activities and actions
6. Plan for and Create Short-term Wins
 
  • Plan for visible performance improvements
  • Create those improvements
  • Recognize and reward colleagues involved in the improvements
7. Consolidate Improvements and Produce Still More Change
 
  • Use increased credibility to change systems, structures, and policies that don’t fit the vision or culture
  • Hire, promote, and develop the talent that can implement the vision
  • Reinvigorate the process with new projects, themes and change agents
8. Institutionalize New Approaches
 
  • Articulate the connections between the new behaviors and business success
  • Develop the means to ensure leadership development and succession


Hedley LawsonHedley Lawson is the managing partner of Aligned Growth Partners, LLC, a strategic, operational and organizational consulting, and executive search firm ( www.alignedgrowth.com).
 

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Shamir
 
People Management

Office Etiquette; Interview No No's

Managers

If you are not prepared, you can easily destroy an interview by asking the wrong questions.

Here are a few tips to help you stay out of trouble and keep candidates interested in working for your company.

1. Avoid Humor. Jokes, anecdotes and witticisms are the most readily misunderstood means of communication. To avoid sending the wrong message, stay focused and forthright. Also, attempts at humor on sensitive subjects (gender, age, national origin, etc.) are inappropriate and should be avoided.


2. No Opening Monologue. It is often tempting to have a monologue at the beginning of your interview. Focus on simple introductions and move directly to your list of questions, allowing the candidate to provide you with essential information. If appropriate, feel free to share more information at the end of the interview.

3. Avoid Closed Ended Questions. Avoid questions that can be answered with a simple "yes" or "no". Even if you think "yes" or "no" is your desired response, rework the question to allow for a more thorough and thoughtful response. Unexpected, beneficial information is often revealed when your questions allow the interviewee to elaborate with his/her response.

4. Rephrase General Questions. It is common for interviewers to use standard questions that can be used for any job. However, if you ask a generic question, you will likely receive a generic answer. To improve your line of inquiry, try to target your questions to the specific position.

5. Avoid Leading Questions. Be careful to not give your candidate the preferred answers by the way you ask your questions. When you prepare your list of questions, be precise in knowing the exact wording of every question.
 
6. Always Avoid Age. The only times you can ask about age are when it is a requirement of a job duty, or you need to determine if a work permit is required. Avoid inquiries into what year someone graduated from school; it can be interpreted as an attempt to determine age.

7. Never Ask About Race, Color, National Origin, and Gender. It is rarely appropriate or legal to ask questions in regards to race, color, national origin or gender. If you believe that you have an exception to this rule, consult with an attorney for advice before the interview to ensure that you are correct.

8. Do Not Ask About Religion or Sexual Orientation. Although candidates may volunteer religious or sexual orientated information in an interview, be careful not to discriminate. Ask questions that are relevant to work experience or qualifications. Also avoid questions about religious holiday celebrations.

9. Do Not Discriminate for Health or Disabilities. If you have more than 15 employees, you are required by law to comply with the Americans with Disabilities Act of 1990. The U.S. Department of Justice provides a thorough question and answers document about this Act. (See http://www.usdoj.gov/crt/ada/q%26aeng02.htm for additional information.)

10. Avoid inquires about Marital Status, Children, Personal Life, Pregnancy and Arrest Record. You may not ask questions about these topics. While it may be tempting to ask such a question for a position requiring travel, you can only explain the travel requirements and confirm that the requirements are acceptable. If you believe you have an exception to this rule, consult with an attorney for advice before the interview to ensure that you are correct.

There are some rare exceptions to the above rules. To keep yourself and company safe, or should you believe you have an exception to the above rules, contact an attorney and avoid the risk.

 
Shamir
 
Rules and Regulations

Have You Met the HIPAA Security Rules?

Last year, large health plans (those with receipts of at least $5 million) had to come into compliance with new electronic security rules mandated by HIPAA, the Health Insurance Portability and Accountability Act. The rules are a corollary to the HIPAA privacy requirements for individual protected health information (PHI) and specify a series of administrative, technical, and physical security procedures that covered entities must implement to ensure the confidentiality, integrity, and availability of PHI in electronic format.

Effective April 20, 2006, small health plans, those with claims and/or premiums of less than $5 million, now have to comply with these security rules. But note that employer-administered plans with fewer than 50 eligible participants are exempt.

If you sponsor a small plan, make sure you're in compliance now. Here are some of the key compliance action items:

  • Identify a security official within your organization who will be responsible for developing, maintaining, and enforcing required policies and procedures regarding electronic PHI
  • Conduct a risk analysis
  • Adopt appropriate safeguards to protect electronic PHI
  • Develop policies and procedures to ensure that all members of your workforce have appropriate access to electronic PHI and to prevent giving access to those workforce members who don't need it
  • Train employees who handle electronic PHI
  • Implement procedures on how to respond to security incidents
  • Adopt a sanctions policy
  • Implement policies and procedures for responding to an emergency or other occurrence that damages systems that contain electronic PHI
  • Update contracts with business associates to ensure compliance with the security rules

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In this edition...

Article It's Your Business

Article From the Top
Eight Steps to Transforming Your Practice

Article Ask the Experts
Pointers on Employee Termination

Article People Management
Office Etiquette
Interview No No's

Article Rules and Regulations
Have You Met the HIPAA Security Rules?

Article Resource Corner
Links to Important Resources

 


The monthly update about day-to-day management issues for optical ECPs and retailers.

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2006 Eye Exam Insight Survey
Money Matters

Pay Barometer Points to Gains for Second Quarter and Coming Months
Pay Barometer Points to Gains for Second Quarter and Coming Months
The Wage Trend Indicator (WTI) continues to point to moderate acceleration in the rate of private-sector compensation gains in the coming months, according to preliminary second-quarter figures released by BNA, a Washington-DC-based news and information service.

The preliminary second-quarter WTI of 100.50 is up from the final fourth-quarter index of 100.19 (second quarter 1976 = 100), marking the eighth consecutive quarterly increase in the WTI. The last time that happened was in 1997-98.

"The labor market factors that influence wage growth are in place for a modest acceleration," said economist Kathryn Kobe, who worked on the development of the WTI index. "Overall, we think the trend in the rate of wage increases should be upward."

Additional Trends in Employee Compensation
Low inflation and a flat economy have given employers an advantage, and employees have had limited expectations as far as pay increases are concerned, according to an expert panel at a 2006 Compensation Symposium. At the same time, growth in the use of a contingent workforce made up of outsourcing providers, independent contractors, part timers, home workers, temporary staff, and retired employees has been outpacing real workforce growth. And add to the equation employers dealing with double digit increases in healthcare and pension expenses.
These trends are being reflected in compensation structures and the structure of base pay systems is reverting to more traditional pay practices. One way this is manifesting in compensation programs is a move away from broad banding to traditional salary grade structure with a minimum, midpoint and maximum. Current merit spending patterns are averaging 3.5 percent annually. In the pharmaceutical and biomedical industries, some employees have seen merit increases as high as 4 percent to 5 percent due largely to shortages of qualified employees and increasing demand.
In this era of small annual salary increases, employees increasingly are saying, "If you can't pay me more, pay me fairly." Accordingly, internal equity and pay for performance are becoming even higher priorities and things like broad banding, skill based pay, cost of living increases, and lump-sum merit payments are on the decline.

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