Stinkin’ Thinkin’

by Patrick K. Wier, MBA

You say that you have heard this before? The pioneering, motivational speaker Zig Ziglar used this quote many times to his audience to capture the negative behaviors that limit us from achieving our goals. All of us know that moment, what it feels like and how we responded. We especially remember those occasions where the barrier was crushed. However, do you know the limiting behavior that you overcame to arrive at a goal? There are many to list, however, we will keep this discussion to three transformative behaviors that once we are aware of we can then start to implement them in our daily lives.

              Think of a timeline that is the path towards your goal. Along the way we encounter bad days and great days. This can take the shape of an estranged relationship in your personal life or a huge sale or project closed. It is important in these moments to ask, “where am I on the timeline?” Failure is an opportunity for growth and education while success is a time to remind yourself who has helped you arrive at this moment. Nothing happens in isolation. Therefore, failure is an event, NOT a person. When you are at these moments be forward looking, not living in the past.

              Seeing is believing. In a way, if you are seeing events and outcomes in a negative frame of mind then you believe that bad things will come your way. Negativity can come in many forms- you are not where you should be, I do not deserve this. If you flip these sentiments on their head then you have “I am on the way to where I should be” and “I deserve to have this achievement” then you are. A mountain summit is not scaled in one day rather a carefully planned approach requiring smaller distances each day filled with switchbacks, small valleys and rock faces. Take the time each day to plan incremental steps toward your summit then finish your day by collecting your thoughts on what you were grateful for. Completing your day by creating a gratitude journal ends your day with positive thoughts of yourself and others while preparing yourself for the following day’s events.

              Finally, looking at others successes and failures as mirrors for where you should be only gets you to closer to their goals. The priorities you have in life should not be shaped by others. No two people’s priorities are the same. Positive thinkers have values, principles and plans that are non-negotiable. Allowing others successes to reshape your plan is a zero sum game. Stick to your principles and goals and your successes will follow. As Aaron Tippin said, “you’ve got to stand for something or you’ll fall for anything.”

Do you have self-limiting behaviors that you are aware of? Which ones have you transformed into positive behaviors? I would love to hear from you!

Lose Weight, Not Goals!

by Gerald George Mannikarote, MBBS MBA

Every new year, people make all sorts of resolutions.  Probably , the most common one is to lose weight.  And what usually happens?  By March or so, most people forget their resolutions.

Why does this happen?  I believe it’s because there is a fundamental difference between resolutions and goals.  So, what’s the difference between them?

Lose Weight, Not Goals, dMann Training Technologies
Lose Weight, Not Goals

Resolutions vs Goals

The Oxford English Dictionary defines ‘resolution’ as ‘a firm decision to do or not to do something’.  It defines ‘goal’ as ‘the object of a person’s ambition or effort; an aim or desired result.’ This tells you that one is decision, where as one is an object of effort.  One is a thought, one is an end result of action.

I think this is the main reason that people fail to keep their resolutions.  The action to follow through with them begins to wane after a few weeks or months.  A goal on the other hand is different.  It is an end result.  If you map out a line of actions from the end result to your current starting point, you can see what actions you need to do to achieve your goal.  This is a fundamental difference between resolutions and goals.


Setting up SMART goals could be a way to turn your resolutions into a reality.  For example, if it comes to losing weight, creating SMART goals are a great way to make it happen.  SMART goals help you set up a SPECIFIC, MEASURABLE, ATTAINABLE , RELEVANT, and TIME BOUND way of reaching a weight loss goal.  So if your plan is to lose 20 lbs by June of this year, you can make an action plan by creating SMART goals.  And action, as you know, is the right way to lose weight, and not goals!

So, what are your goals for this year?  How will you make those goals SMART? How will you make your plan actionable?  Leave your thoughts in the comments.  You can also contact me at

Big Data in Healthcare Delivery: The Power of HEDIS

Big Data in Healthcare Delivery: The Power of HEDIS

First in a Series

By Patrick K. Wier, MBA

This summer’s never ending debate on healthcare in the halls of Capitol Hill and the virtual halls on the internet is so complex it’s hard to wrap your head around. Why are costs so high? Why do there appear so many inefficiencies? The queries go on and on. One place to begin a greater understanding is the revolution that is taking hold in industry overall, however, at a slower pace in healthcare- big data.

Big Data: HEDIS
Big Data: HEDIS: Patrick Knight Weir dMann Training Technologies

Patients, providers, payors and vendors alike have a shared experience within the system through management of patient data in the form of huge stores of physical folders or electronic health records (EHR). Slowly and at large sums of investment practitioners are transitioning to one of the many forms of an EHR. This is an effort to capture the powerful effect of big data. Effectively utilized big data along with other interconnected electric devices the industry seeks to improve health outcomes while lowering costs associated with managing health conditions.

Leveraging technology to connect patients to providers to payors by linking multitudes of patient data while abiding by HIPPA regulations can bring about significant improvements in leading health complications like congestive heart failure, COPD and diabetes. Understanding patient information in a real time manner while learning constraints on the system can lead to more effective utilization of resources and reduce wasteful spending such as needless testing.

Payors and patients can learn which providers deliver greater results through established metric ratings developed by the Center for Medicare and Medicaid Services (CMS). An example of this is seen in the Healthcare Effectiveness Data and Information Set (HEDIS) which collects performance measures across 80 different dimensions of care and service. Insurers are constantly collecting data and rating all providers across the country to assess the effectiveness of health care delivery. Through the use of this scoring system health systems are constantly squeezing increased value in business results aligned with improved health outcomes for numerous health complications.

In conclusion, as more and more providers switch to EHRs payors can adjust payout rates to practitioners and deliver improved health outcomes which ultimately trickles down to the patient. Big data is the driver of progress in the industry and needs to be considered in our national conversation and on Capitol Hill when assessing how we carry out one of the most costly concerns in all individuals and families.

What other means can big data serve and address current inefficiencies in the U.S. healthcare system?  Please leave your thoughts in the comments section.  We would love to hear from you.  You can also contact us at

How to Make Your Resolutions Stick

by Gerald G. Mannikarote, MBBS MBA


It’s 4:36 in the morning, in the third week of the new year.  Do you know where your resolutions are?  What’s happened to them?

© 2017 dManntraining Technologies
It’s time to get after it
© 2017 dManntraining Technologies

Is it getting more and more difficult to get to the gym?  Is it getting more and more difficult to read your books?  Is it getting more and more difficult to stay away from the junk food?

Why is it so easy to make resolutions?  But why is it so difficult to stick with them?  It’s as if we make them just to break them.

Tons of media are built around people making resolutions.  Offers to get into new gyms.  Tips on how to eat right.  Pointers on how to sleep better.  Guides on how to save money.  All set around the ‘New Year, New Me’ mentality.

Over the years, I’ve stopped making resolutions.  I’ve realized they are often just lofty ideas.  Pie in the sky dreams.  And as someone once said, a dream without action remains a dream. What I prefer to do now is set goals.

Goal Setting


I have found that it is easier for me to set goals.  Goals allow me to have a finish line.  It allows me to have an end point.  It allows me turn my dreams into goals with action.

Goal setting allows you to create a defined end point that you want to achieve.  Many people make resolutions like, ‘I will lose weight this year’, ’I’ll eat healthier’, “I’ll sleep more”, or “I’ll save more money this year.”  These are great ideas, but there is no definite end point.  When you set a goal, you know where your end is.  So instead of the resolutions, you could make goals like, “I will lose 10 pounds by the end of the year”, “I will have a serving of steamed vegetables at least 3 times a week”, “I will sleep a minimum of 6 hours a night”, or “I will save at least $10 every week.”  By setting definite end points, you will be able to create a clearer vision of a path to get to your goal.

Action steps

By creating action, we turn our dreams into goals.  And eventually, those dreams can become reality.  Steps towards the goal make it easier to get to an end point.  It also makes it easier to see an end point.  You know your path to your goal.

In order to get to your destination, you need directions.  You get a map and plan out a route.  Or even if you have a GPS, you still are shown a planned path to take.  Coaches for various sports provide a game plan or plays so that the players know where should be or what they should do in order to get to the goal. Kate Byar has a great article on LinkedIn that provides insights on making small strides towards your goal.

Milestones or checkpoints

Milestones help us acknowledge that we are getting closer to our goal.  When you go on a trip and you see mile markers; informing you where you are and how far you’ve gone.  In the same way, when you create milestones, it will help you know where you are on your journey to your goal.



Milestones or checkpoints also allow you to review your progress.  Every time you complete a milestone, you should take it as a small victory.  Reward yourself with the knowledge that you are one step closer to your goal.


Set up a reward for yourself for hitting your goal.  As you move closer towards your goal, you should envision your reward along with goal.  A great example of this is with body builders.  They work very hard at maintaining nutrition and exercise, but reward themselves with a ‘cheat day’ after attaining certain milestones.



Accountability may be tough for most of us.  I know that it is for me.  So I’ve employed accountability partners for me for my goals this year. .  I’ve joined a group of like minded folks.  Though it is online, we keep each other accountable.

You hear all the time, it’s easier to go to the gym with a buddy- you’ll motivate each other.  This is true for other goals as well.  I had a friend that once asked me to hold him accountable for his goal of getting out of debt.  He was very successful and is now happily out of debt.

Making it to the finish line

Once you get to the finish line and you achieve your goal, you will have a great feeling of accomplishment.  You may have even included a great reward at the end.  But after that it is over, you may realize that it was the journey to the goal that drove you.

It’s the journey that keeps all of us going.  It’s the journey that humankind desires.  And it’s the journey that will allow you to go further.  So, once you have achieved your goal, it is time to map out another one!  Because resolutions don’t stick, but our need for a journey, our need to find a path, our need to move forward, is what drives us to goals.

I hope these points help you get closer to sticking with your resolutions, or rather help you get closer to your goals.  What are some other ways that you feel can help you reach your goals?  Please leave your thoughts in the comments.  You can also contact me at