What does it mean to have quality healthcare? In the 1990s the Institute of Medicine (IOM) defined six elements of quality care. 1. Safe—avoiding injuries to patients from the care that is intended to help them. Huge opportunity to educate patients on what’s painful for them and what should be avoided. So many people don’t…

He doesn’t live in a garbage can on Sesame Street, he lives in our accounts receivable and accounts payable office. Let’s set the stage. Cookies have been selling like MAD. We are buying more from our suppliers than ever before. And since we’ve worked with a few of them for a while we don’t start…

Remember that cookie manufacturer we started a while ago? Good news, business has taken off and people can’t get enough of the cookies! We’re thinking of expanding into retail stores. But there are a million retail stores, which we have no existing relationship with, and the transportation and storing of our cookies that we have…

Divots, bumps, collisions. All signs of friction. All opportunities for growth.

The why matters. Two showed up. One was afraid, the other was glad. Two departed. One out of anger, another out of acceptance. The source, the why, the place from which you are acting, what does it take to plant in better ground?