Woman Singing forces flight to make emergency landing…

An American Airlines flight was forced to make an emergency landing and kick a woman off the plane after she refused to stop singing Whitney Houston’s ‘I Will Always Love You” earlier this week.  This has to be the most bizarre story I’ve heard in all my years flying.  I remember an emergency landing from a passenger passing out in the bathroom and another from a heart attack.  But singing?  Check out the You-Tube video when you get a chance.  This shows the passenger being taken off the plane still singing!

What’s the craziest story you have of strange passenger behavior?

Airport Body Scanners Starting to be Replaced…travelers comments

Security official demonstrates full body scanner during  photocall at Hamburg AirportLast month TSA reported their plans to replace the current body scanners, due to concerns of patient privacy rights.  Evidently the current machines show semi-nude images with rather inappropriate clear views of genitals.  There are also studies that suggest that frequent flyers are at risk of radiation exposure.  So, finally…the machines are being replaced with ones that will supposedly provide only a generic outline of the passengers…”parts.”

Thought I would share some of the best TSA customer complaints in regards to the body scanners…some of these are funny.

  1. “No to scanners. You want to see my junk? Fine. But first buy me a drink.”
  2. “You’re really asking us if we want you to be checking out our genitals in the name of national security?”
  3. “I opted out once and I felt like crying because I’m not a touchy feel person and well, when you are using feminine hygiene products, NO ONE wants to be touched anywhere near there…”
  4. “Bunch of perverts! You are slowing down our economy.”
  5. “I spent over 36 years on active duty in the United States Navy. Had numerous very high security clearances and was a qualified Nuclear Weapons delivery pilot. Being ‘frisked’ or forced into an X-ray machine and treated as a common criminal [is] disgusting to someone who dedicated a large portion of his life to the defense of the united States.”
  6. “I love the new body scan system. I have two artificial knee replacements, and was always put in the uncomfortable position of having to step out of line for an intrusive pat-down. Now, I stand in the machine like everyone else, and I guess they see the artificial knees and I go right through. I’m as happy as can be!”

BBQ at the Hotel … a consultant gathering

bbqFor years I was fortunate enough to work with a group of consultants who liked to gather nightly for dinner.  When the weather started getting nice, barbecuing at the hotel was something different to do.  Now if your at a full service hotel, you’ll be going out for BBQ.  However, most of the chains extended stay hotels offer outside electric grills.

The Marriott Residence Inn brings back great memories of barbecuing in Cincinnati.  Each of us would bring something different, I was always the meat and wine guy.  While in Bakersfield, CA we had a huge pool side bbq in 100 degree weather at the Hilton Homewood Suites.  In San Diego, the Marriott Fairfield actually cooked the bbq for us on Monday evenings, with free bottled beer and make your own salads.  In Seattle I stayed at a Marriott ExecuStay with a roof top bbq area, where we would have groups of 10-12 on a weekly basis.  The Palm Springs Residence Inn was the place to make our own guacamole to accompany grilled chicken tacos.

Try something different this Spring and Summer to get you away from those boring chain restaurants where all the menu’s look the same.  Most clients will allow a grocery receipt to be submitted as your meal, minus the beer/wine obviously.  No need to worry about cooking utensils, almost all these hotels offer those as well.  Just remember, certain items like foil, plastic wrap, and plastic silverware are not reimbursable.

Here is my favorite recipe for steak: Blue Cheese Steak BBQ

  • 1/4 cup crumbled blue cheese
  • 1/4 cup soft bread crumbs
  • 4 teaspoons olive oil, divided
  • 1 teaspoon pepper, divided
  • 3/4 teaspoon minced fresh basil or 1/4 teaspoon dried basil
  • 3/4 teaspoon minced fresh oregano or 1/4 teaspoon dried oregano
  • 3/4 teaspoon snipped fresh dill or 1/4 teaspoon dill weed
  • 3/4 teaspoon minced chives
  • 1/2 teaspoon minced fresh tarragon or 1/4 teaspoon dried tarragon
  • 4 beef tenderloin steaks (6 ounces each)
  • 1/2 teaspoon salt
  • 1/4 cup chopped onion
  • 2 garlic cloves, minced
  • 1 cup reduced-sodium beef broth
  • 3/4 cup Cognac or additional reduced-sodium beef broth
  • foil

In a small bowl, combine the blue cheese, bread crumbs, 1 teaspoon oil, 1/2 teaspoon pepper, basil, oregano, dill, chives and tarragon; set aside.
Sprinkle steaks with salt and remaining pepper. Grill for 2 minutes on each side. Transfer to foil covered area of grill with olive oil; top steaks with blue cheese mixture.
Continue grilling on low with top closed  for 5-10 minutes or until meat reaches desired doneness
Meanwhile, on the other side of the grill lay down new foil with olive oil, and saute onion until tender. Add garlic; cook 1 minute longer. Gradually stir in broth and Cognac, don’t worry if it spills over. Cook until liquid is reduced by half. Serve with steaks. Yield: 4 servings.

FAA sequestration…expect delays

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It appears we are in for some more flight delays across the country.  The reduction in staffing is creating a significant slow down in planes being able to get off the gate, but not nearly as bad as originally predicted.  Most airlines are sending emails to their passengers suggesting you give yourself more time for security and check your flight status.  Today I received letters from both Delta and Jet Blue.

Here is the breakdown released Friday, According to the Associated Press:

In the most extreme case, the furloughs could delay flights up to 210 minutes at Hartsfield-Jackson Atlanta International Airport, depending upon the time of day and other factors. The FAA said, however, that the average delay will be far less, about 11 minutes.

Other airports for which officials provided delay estimates include Newark, N.J., with maximum delays of 51 minutes and average delays of about 20 minutes; John F. Kennedy in New York, with maximum delays of 50 minutes and average 12 minutes; LaGuardia in New York, with maximum delays of 80 minutes and average 30 minutes; Los Angeles International, with maximum delays of 67 minutes, and average 10 minutes, and Chicago’s O’Hare, with maximum delays of 132 minutes, average 50 minutes.

A look at airline mergers and the impact to quality

Last week I shared the most recent ranking of our US based airlines.  Both American and US Air were on the low end of that report in 9th and 10th place.  Now they have announced their plans to merge.  One can only wonder, could two terrible airlines somehow become better if they merge?  Let’s look at some other airlines who tried…

Song – Remember them?  Could have been the next JetBlue.  In flight free entertainment, expanded leg room, and one of the best on time records of any airline.  Delta bought their planes and gutted them out to smash as many customers in one plane as possible.

NorthWest  Airlines – Another casualty courtesy of Delta (again).  These planes were older, I’ll give you that…but customer service was much better.  And how did prices from BOS to DET go from $299 to $499 overnight?

Continental – Merged with United in 2010, surpassing Delta as the world’s largest airline.  Where was United on that list of best to worst airlines?…oh yeah, LAST PLACE!

See if you remember any of these merges.  Wonder if they fared any better?  What do you remember?

·  AirTran Airways

·  Alaska Airlines

·  America West Airlines

  • 2005 – Merged with bankrupt US Airways, retaining the US Airways name.

·  American Airlines

·  Continental Airlines

  • 1934 – Begins as Varney Speed Lines
  • 1982 – Acquired by Texas International / Merges, retains Continental name
  • 1987 – merges with People Express, Frontier, and New York Air
  • 1987 – Acquires PBA and Britt Airways from People Express merger / creates Continental Express
  • 2010-2012 – Merged with United Airlines. Overtook Delta as the world’s largest airline by passenger traffic in 2011, kept United name.

·  Delta Air Lines

  • 1924 – Started as Huff Daland Dusters
  • 1928 – Huff Daland Dusters was purchased by C.E. Woolman and renamed Delta Air Service after the Mississippi Delta
  • 1953 – Purchased the Chicago and Southern Air Lines, and flew under the name Delta C&S for the next two years
  • 1972 – Purchased Northeast Airlines
  • 1984 – Established the Delta Connection (ASA, Comair, Skywest, …)
  • 1987 – Merged with Western Airlines
  • 1991 – Purchase of Pan Am’s European routes, and acquired Pan Am’s shuttle, forming what is today Delta Shuttle
  • 1996 – Delta Express began service, ended November 2003
  • 2003 – Song began service, ended May 2006
  • 2008-2010 – Merged with Northwest Airlines. Became the world’s largest carrier by passenger traffic in 2008, kept Delta name

·  Northeast Airlines

  • 1972 – Delta purchased Northeast Airlines

·  Northwest Airlines

  • 1916 – Founded by Col. Lewis Patenaude, under the name Northwest Airways
  • 1927 – Began flying passengers
  • 1949 – With its new routes to the far east, re-branded itself as Northwest Orient Airlines
  • 1986 – Purchased Republic Airlines, and dropped the word Orient from its brand name
  • 2008-2010 – Merged with Delta. Became world’s largest airline by passenger traffic in 2008 under the Delta name.

·  Pan Am

  • 1979 – Merged with National Airlines
  • 1991 – Delta Air Lines purchased Pan Am’s European routes, and acquired Pan Am’s Shuttle

·  SkyWest Airlines

·  Southwest Airlines

·  Trans World Airlines

  • 1986 – Purchased Ozark Airlines
  • 2001 – American Airlines purchased TWA, retained name American Airlines

·  United Airlines

  • – Merged with Capital
  • 2010-2012 – Merged with Continental Airlines. Surpassed Delta as the world’s largest carrier. Kept United name

·  US Airways

·  Western Airlines

  • 1925 – First incorporated as Western Air Express by Harris Hanshue
  • 1926 – Western’s first flight took place
  • 1928 – Reincorporated as Western Air Express Corp.
  • 1930 – Purchased Standard Airlines (subsidiary of Aero Corp. of Ca. founded in 1926). WAE with Fokker aircraft merged with Transcontinental Air Transport to form TWA.
  • 1934 – Western Air Express broke off from TWA and briefly changed its name to General Air Lines, returning to the name Western Air Express after several months
  • 1941 – Western Air Express changed its name to Western Air Lines, which was later altered to Western Airlines
  • 1967 – merged with Pacific Northern Airlines
  • 1987 – Delta merged with Western Airlines (kept Delta name)

If you plant honesty, you will reap trust…

potted_plantA successful business man was growing old and knew it was time to choose a successor to take over the business. Instead of choosing one of his Directors or his children, he decided to do something different. He called all the young executives in his company together.


He said, “It is time for me to step down and choose the next CEO. I have decided to choose one of you. “The young executives were Shocked, but the boss continued. “I am going to give each one of you a SEED today – one very special SEED. I want you to plant the seed, water it, and come back here one year from today with what you have grown from the seed I have given you. I will then judge the plants that you bring, and the one
I choose will be the next CEO.”


One man, named Jim, was there that day and he, like the others, received a seed. He went home and excitedly, told his wife the story. She helped him get a pot, soil and compost and he planted the seed. Every day, he would water it and watch to see if it had grown. After about three weeks, some of the other executives began to talk about their seeds
and the plants that were beginning to grow.


Jim kept checking his seed, but nothing ever grew

Three weeks, four weeks, five weeks went by, still nothing.

By now, others were talking about their plants,
but Jim didn’t have a plant and he felt like a failure.


Six months went by — still nothing in Jim’s pot. He just knew he had killed his seed.

Everyone else had trees and tall plants, but he had nothing
Jim didn’t say anything to his colleagues, however, he just kept watering and

fertilizing the soil – he so wanted the seed to grow.


A year finally went by and all the young executives of the company
brought their plants to the CEO for inspection.


Jim told his wife that he wasn’t going to take an empty pot.
But she asked him to be honest about what happened.

Jim felt sick to his stomach, it was going to be the most embarrassing moment of his life,

but he knew his wife was right. He took his empty pot to the board room. When Jim arrived, he was amazed at the variety of plants grown by the other executives.  They were beautiful – in all shapes and sizes.  Jim Put his empty pot on the floor and many of his colleagues laughed, a few felt sorry for him!


When the CEO arrived, he surveyed the room and greeted his youngexecutives.


Jim just tried to hide in the back. “My, what great plants, trees and flowers you have grown,” said the CEO. “Today one of you will be appointed the next CEO!”


All of a sudden, the CEO spotted Jim at the back of the room with his empty pot. He ordered the Financial Director to bring him to the front. Jim was terrified.. He thought, “The CEO knows I’m a failure! Maybe he will have me fired!”


When Jim got to the front, the CEO asked him what had happened to his seed,
Jim told him the story.


The CEO asked everyone to sit down except Jim. He looked at Jim, and then announced to the young executives, “This is your next Chief Executive Officer!


His name is Jim!” Jim couldn’t believe it. Jim couldn’t even grow his seed.


“How could he be the new CEO?” the others said.


Then the CEO said, “One year ago today, I gave everyone in this room a seed.

I told you to take the seed, plant it, water it, and bring it back to me today.

But I gave you all boiled seeds; they were dead – it was not possible for them to grow.


All of you, except Jim, have brought me trees and plants and flowers. When you found that the seed would not grow, you substituted another seed for the one I gave you.

Jim was the only one with the courage and honesty to bring me a pot with my seed in it.

Therefore, he is the one who will be the new Chief Executive Officer!”


* If you plant honesty, you will reap trust 

HIT Impact Study from HIMSS Informatics

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Today HIMSS released a report stating an improvement in HIT adoption during an hour webinar.  Seems rather low doesn’t it?  It’ll probably come to no surprise to see the other low scores from clinicians regarding value of HIT from workflows, communication, and reporting perspectives. Many of the statistical values were broken out to show the variance between Pharmacists and Physicians…as clearly there is a true value to patient safety and communication within pharmacy. Interdisciplinary clinics with low executive buy in to the value of clinical transformation, received terrible scores. Hospitals considered “High Technology focused” received considerable higher scores for physicians versus those organizations with less than stellar investments in HIT. Read more on their website below. Let’s face it, until we are able to convince those investing in consulting services to agree to also invest in early adoption planning…we will see on going delays in implementations and increased costs.  The full report is available on Himss website.

2013 Airline Quality Rating Report

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The annual report shares some interesting ratings on all the US based airlines.  The first thing I read was that Delta had more pets die on its planes than any other.  Not that I ever travel with a pet, but interesting statistic just the same.  I just had to share that tidbit.  Ranked in order of timely arrivals, baggage handling, overbooked flights, denied boarding, and customer service are:

  1. Virgin America
  2. Jet Blue
  3. AirTran
  4. Delta
  5. Hawaiian Air
  6. Alaska Air
  7. Frontier
  8. Southwest
  9. US Air
  10. American
  11. American Eagle
  12. SkyWest
  13. Express Jet
  14. United Airlines

Here are some passenger oriented key points:

  • Virgin America comes out on top in terms of timely arrivals, baggage handling and customer service.  83.5% of all flights arrived on time (industry average is 81.8%)
  • The second-ranked airline in terms of overall quality was Jet Blue, which posted better than average performance in terms of on-time arrivals, mishandled bags and customer complaints.
  • In last place, United Airlines, came in well below average in all categories; 77.4% on-time arrivals, 1.83 denied boardings per 1,000 passengers, 3.87 mishandled bags per 1,000 passengers, and 4.24 customer complaints per 1,000 passengers.  Wow, sorry for you all who fly United.
  • Hawaiian Airlines has the best on-time performance of all the airlines in the report, at 93.4%.
  • American Airlines had the worst, at 76.9%.
  • United had the most customer complaints of any airline.

I wish I had more opportunity to fly Hawaiian Air!  You can find this report at Forbes.com and on most airline websites.

Consultant bill rates…have they reached their peak?

peakHaving monitored bill rates for consultants over the last several years, I’ve seen a new trend…flattening out.  Does this mean we’ve seen the peak in the industry and the needs for consulting services is slowing down?  Perhaps the market is so saturated with firms and resources.  Or maybe hospital purses are a bit tighter now than a few years ago.  I’m going to say a maybe to a couple of these and suggest a few other hypothesis that are worth considering.

Let’s look at the first suggestion that the market has peaked in the industry.  This is absolutely not the case.  With EHR vendors continuing to see profits year after year, our industry of consulting will see similar growth.  Reports from Epic, Meditech, Cerner, and several others all show continued growth in new clients both domestically and internationally.  2012 report shows less than 55% of hospital have even tapped Meaningful Use stage 1 requirements, and even less for stage 2.  Remember, this is for EHR conversion requirements giving the hospital money to do so.  Did I mentioned the impending doom of ICD10?  Finally don’t forget about all those small physician practice and specialty clinics being swallowed up by nearby eager hospitals to extend their referral base into the rural areas of every state.   The need for consulting services will continue to grow and boom in most vendor spaces….(well, not McKesson or Siemens).

Every day I read about some new consulting firm that is now offering EHR consulting services.  Billion dollar companies want a piece of the action and are buying up the small shops (since when did companies stop making photo copies to move into Healthcare IT?).  March of 2012, KLAS reported 45 unique firms that focused on Epic consulting services.  March of 2013, that number grew to 60.  What that means for the client/hospital is lot’s more options.  It used to be about quality of the consultant, now it’s expected they are all the same…and price shopping by firm is certainly cutting into bill rates.  And don’t forget about independent consultants, who if they can get in the door..are eager to bill $15-$20 less than you.

Is the market saturated with resources?  I don’t think so.  Look at LinkedIn on any given day and you’ll find literally hundreds and hundreds of job postings.  I myself posted a handful today and noticed the same jobs had already been posted by other firms.  We are desperate to find more consultants to fill those roles.  Everyone is desperate.  In my little town of Boston, there are 5 major hospitals converting to Epic within the next 12 months all within 60 miles of each other.  Where do you think they will be getting their resources?  Yep, watch the emails start flying from recruiters when the realization hits them all that there are not enough people in the state of Massachusetts to meet their needs.  Some will try to pretend they don’t need us, then they’ll call 6 months into it.  There is plenty of work for all of us.

Purse strings and budgets are certainly tightening up.  Hospitals can go to Neiman Marcus (Epic) or Target (Allscripts) to meet their budget, and most will get them to MU requirements.  But what about physician buy in and patient safety?  Hospitals are starting to consider the higher end vendors in favor of internal cooperation.  That leaves less and less for consulting services.  The hospitals don’t worry at first, as they are told they won’t need consultants.  Oops, I guess that was an error on someone’s part.  The money will come from somewhere…it always does.  However, when high end firms approach the $150+ an hour there is some consequences.  Mainly; restrict travel expenses.  Things like use local consultants, provide long term housing with bi-weekly travel, no per-diems, shared transportation, and roll travel costs into bill rate…are all becoming ever more popular.

Regardless of bill rate, consulting services will continue to be in demand.  Don’t be alarmed if you see a drop in bill rate…or don’t even know what your bill rate is.  Make sure your bonus structure is around hours worked, not bill rate…and be sure your expenses are covered.  Firms will have to work a little harder with clients to stay competitive.  Hospitals will have to continue to depend on firms to bring in qualified subject experts to get their software installed, their end users trained, and their IT staff confident to manage without you after go-live.  We are years away from peaking this industry.

What if airlines charged by passengers weight? Samoa Air is doing just that…

I think the concept sounds a little crazy, but yet Samoa Air makes the announcement to charge $4.16 per kilogram for the passengers weight with their luggage.  The airlines suggests that it encourages their passengers to be healthy and watch their weight.  I’m skeptical at best, and not because I’m over weight.  If anything I never check and my luggage never weighs much at all.  I like the idea of charging for bags by weight and size maybe…but certainly not the passenger.  Just my thought…