The Most Expensive Business to Start

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It’s entirely possible to start a new business on a shoestring. We know this, because every publication worth the paper or website it’s published on tells us so:  Forbes, USA Today, Entrepreneur, all of them.

It requires time, grit, determination, attention to detail, great word-of-mouth – oh – and money! More about this in a minute.

The truth is – the concept of starting a business on a shoestring depends on the size of your shoes and therefore, the length and strength of their laces. It certainly doesn’t hurt if they are made of solid-gold, and you can sell them for your seed money.

If you hear a sarcastic edge in this post, it’s for good reason. It’s born of frustration, the feeling that I’m shouting into an empty cave.  I’ve just heard from one more person who has closed up her advocacy practice because she can’t afford it anymore; this on the heels of a conversation last week with one of our APHA Mentors who asked me, “Why do people think they can start an advocacy practice with no investment? Why do they think they can do it for free?”

Good questions. GREAT questions. And sadly, representative of too much reality and too much failure. And, for today, it means I’m going to try to provide this reality check one more time.

Let’s look at that shoestring for a minute. 

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Part IV: The Dirty Dozen Skills, Abilities, and Attributes of Successful Health and Patient Advocates and Care Managers

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And, finally, the fourth and last in our series of skills, abilities and attributes that all successful advocates and care managers must.

We’re wrapping up with 3 additional concepts that are important to the success all private advocacy and care management practices.  Yes – I know the total will be 16 (and we promised only a dirty dozen!) – see Part I about my inability to count 🙂 )

Which of these describe you and your abilities?  Which of them do not?  Where do you go from here?

Do your own assessment! 

 

14.  Never forget  your Allegiance. Allegiance is the foundation of a private, independent advocate’s or care manager’s work; that is – because the patient or caregiver (or someone else whose sole allegiance is to the patient) hires you, your entire focus is on what’s best for him or her.

That is the one major distinction between private, independent professionals and those who work for an organization that profits from the healthcare system. Hospital advocates, insurance advocates – their allegiance is to the companies and systems they work for. While their hearts may be in the right place, and patients may THINK they are being helped, these system-paid advocates are too often, even frustrating to them, unable to offer the best help.

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What Health Advocacy Is, What It Isn’t, and Why Most of It Can’t Be Taught

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One of the websites offered by APHA is a listing of all advocacy educational programs (that we know about).  There are programs offered by colleges and universities, private programs, organizational programs, mentors, and more. Some require in-person attendance, some are offered online. Their quality varies, and their results vary….

Often I hear from someone who tells me they have looked over the available programs, but can’t find what they need. What they are looking for doesn’t seem to exist. Or, here is what they want to learn, and will I tell them whether such-and-such a program will teach them that?

Typically what they want to know boils down to this:  Which program will give them the formula for success?  Which one will provide the protocols, and the processes, and the check-off list of things to do?  Which one is the magic, silver bullet that will shift them from employment today, to successful self-employment as an advocate tomorrow?

To which I answer:  ALL of them. And NONE of them.

Here is the problem:  for most of those who ask, they really don’t get what independent advocacy is. They have this idea in their heads that it’s that magical world where they will get to be the advocates they want to be – because they are. “I’ve been an advocate all my life; now I just want to get paid for it,” they tell me. “My hospital won’t let me tell patients what they really need to know, so if I do this on my own, I can change that.” Or other variations on those themes.

Here’s the point I think they are missing:  Continue Reading →

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Channeling Mary Kay

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I heard from a gentleman this week who represents many of you. Specifically, he was trying to decide whether to pursue becoming an independent patient advocate – or not – because he wasn’t sure if he knew enough to be able to handle every client situation that comes his way.

He wanted a pep talk. He wanted me to convince him he knows enough.

Yes, it was time to invoke one of my favorite quotations, provided to us by Mary Kay Ash (presumably when she wasn’t out washing her pink Cadillac)

“If you think you can, you can. If you think you can’t, you’re right.”

The truth is – it’s not really that simple. In fairness, self-doubt about the ability to do anything new plagues all of us. Whether it was your first job babysitting or bagging groceries, or you’re changing careers at mid-life, or even starting up an encore career at age 60+…  you’re putting yourself out there, you’re testing your own mettle, and you’re taking a risk. The very definition of risk taking means it could go badly. 

But something about his question quite bothered me. It noodled around in my head for a little while, and the more I thought about it, the more I realized he had asked the wrong question.

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A Career, a Profession, and a Calling with Responsibility, Too

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Most of us working as advocates apply the word “profession” to our work.  Those who have been advocates for a longer period of time might tell you it has turned into a career.

I often hear from new advocates, or those who wannabe advocates that they feel that this profession of advocacy (or what might evolve for them to a career of advocacy) is also a calling.  So let’s look at that word “calling” for a minute.

Merriam Webster tells us that a calling is:

a strong inner impulse toward a particular course of action especially when accompanied by conviction of divine influence

Amen.

So now let’s look at “divine influence” – because recognizing divine influence, then acting on it, becomes a huge turning point in one’s life.

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