2 black & white illustrations, 17 black & white tables
Table Of Contents
The Days of the Giants The Giants' Laments Value Creation Commitment Profit Management by Tradition Hope for the Return of the Business Cycle Find Forms of Less Expensive Labor Find New Ancillary Services Decide to Merge The Keys or the Car? Giants and Dinosaurs Glory Days The Extinction of the Finders The Minders Follow the Finders Enron and WorldCom The Great Recession And, Last, the Grinders Opportunity and Security Diverge The Clinical Analogy Clash of the Titans Flavor of the Month I'll Be the Judge of That! Me and My Knee The Customer Is Always...Responsible Client Choices: The Value of Doing Less On to Commitment Number Three Creating Missionary Resolve Lots to Do, Little to Accomplish The Disappearing Department The Merger of Value Creation and Succession It's Not My Problem! But We're Tired! Where Do We Start? The Simple Case Cooperating Specialists The Efficiency Equation Save Money-Live Better Growth, Stagnation, or Contraction? Building Your Efficiency Numerator The Dreaded Fee Discussion Painting the Picture A Serious Value-Creation Problem But Did We Win the War? Oh, and by the Way You're Not Alone Succession Is Everyone's Crisis The Minder's Lament The Merger of Value and Succession Two Birds with One Stone Happy Retirement! One or the Other? One, the Other, or Both? Good, Better, Best Mourning the Minders' Demise From Theory to Practice Entrepreneurialism by Design Think Big, Sort Of Our Value-Management Model Who's Carrying Whose Water? With or without Mayo? To Merge or Not to Merge Build Your Own Mayo Clinic From Giants to Standards of Care Algorithms People Processes Status and Professionalism We the Practitioners The Journey so Far The Decision Engines Uniformity vs. Linearity So Where Do We Start? Assessment Learn by Doing Deja Vu, Revisited Specialty Competence Specialty Integration Labor Leverage Factor Value-Management Index Referral to Nowhere The New Minders Melancon's Undiscovered General Practitioner The Lineage of the Giants Exit the Finders Exit the Minders So Now What? Your Primary-Care Teams A Simple Measure Cross-Organizational Teams The VMI Challenge-Relationships or Evidence? So What Now? Bibliography Index
Paul Fisher's career in business had its organic beginnings in his lead-guitar-playing, singing, and fry-cooking days in that hotbed of a cultural maelstrom that was Western Wisconsin in the 1970s. He eventually graduated with a degree in accounting from the University of Wisconsin-Eau Claire in 1984 and, inexplicably to some, found employment as a CPA, eventually migrating to the Twin Cities in 1989. Paul spent the next twenty-two years in public accounting practice there. Along the way, he was bought and sold, merged, and generally reorganized so many times that he considered having barcode installed on his forehead to facilitate the continuous vertical integration exercises. In order to bring stability to his professional life, he organized the Metro Firm Leadership Group, a best-practices consortium made up of Twin Cities Metro Area CPA firms currently representing over 1,000 employees. In 2011, Paul left his practice in order to write his first book and form New Giants Consulting, an organization dedicated to building the value-creation capabilities of our New Giants.