Friday, August 17, 2007

The Real Problem of Compliance

I was recently speaking at a meeting with some fairly large public companies. The topic was a relatively new SEC requirement: plain English explanations of executive compensation. After I spoke, there was a lull and it seemed that no one had any questions. And then, just as the organizers were about to move ahead onto something else, one question came, then another, and another, and another.

Actually, I'm not sure that question is the right word. The tenor was more of a statement ... really, a complaint about the prospect of having to spend even more money for compliance. It wasn't the plain English disclosures so much as all the recent waves of compliance issues. The displeasure really came in several parts: the seeming arbitrariness of many of the regulations, the sense that business is starting to exist for the sake of regulation and not the other way around, the attempt of the SEC to push its requirements into other countries, and the cost of it all.

I could understand the displeasure - I've heard much of this from upper level management before - but this spilled forth in a rush of bitter anger that was palpable. Someone did eventually say, "Let's be fair; he's not with the SEC," which did get a laugh, but it was like putting a spark to gunpowder.

What really surprised me, although in retrospect it shouldn't have, is that so many businesspeople from such a range of companies were acting completely emotionally. Their focus was on themselves, understandably, but in a way that did not allow any improvement of the condition. For example, they were literally saying, "The regulations are killing us!" I asked, "Were your revenues higher this year than last? Did you make higher profits this year than last?" The answers were yes and yes. So I replied, "Then it's not killing you." Oh, no, they said, the compliance issues are killing us.

Again, hearing this isn't new, but I found that as I applied some logic to the situation, they wouldn't change their focus. They wanted to remain in pain, which is a pretty common, if perverse, reaction. But complaining only about how something is unfair is useless. Either it is out of your control, in which case you can't do anything about it and should focus on what you can do to minimize the impact, or it is in your control, in which case you should stop complaining because you're doing it yourself.

But many executives apparently are doing neither. They continue to complain and don't make the effort to find a better way to deal with things. For example, I pointed out that Sarbanes-Oxley business controls documentation gets you maybe 90 percent of the way to real business process reengineering, where you can eliminate a lot of waste and work in a more rational fashion. Their reaction? "It sounds good, but I'd like to see you make it happen here." Yet I can imagine the reaction of any of these people if a subordinate took the complaining approach when being told that there was only X amount of time for a given project.

If compliance is that much of a burden, use the courts and lobbying to see if you can get changes. But in the meanwhile, the real problem, as usual, is ourselves. Instead of feeling crushed, find how you can make the weight lighter at least, or see if you can make multiple times more profit from the expense, by actually using the information you get to improve business.

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Tuesday, May 15, 2007

When Cleaning House Isn't Reform

The New York Times article about executives being fired for outrageous behavior may seem like the beginning of a new responsibility in corporations, but I don't think that it is. If it were, you'd see more executives sent packing when their bahavior came to light internally. But these are always high-profile scandals - that is to say, the corporations are always in reaction to public rebuke. Individuals are, of course, to blame for their own actions, but what sort of business culture permits or even, at times, encourages such behavior? Boards of directors should be setting the tone, instilling values, and insisting on them, even if no one else is looking.

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Saturday, April 28, 2007

Kaiser Permanente and Messy Electronic Patient Records

The Wall Street Journal ran a front page story the other day about Kaiser Permanente and how a 22-year-old turned the company's $4 billion electronic medical record (EMR) project into a public freeway pile-up by sending a company-wide email challenging the effectiveness of the project and whether the CIO had conflicts of interest. While CEO George Halvorson - whom I interviewed a few years ago on the topic of EMR - answered in another email the next work day essentially dismissing Justin Deal's analysis, the company's CIO resigned earlier the same day without a public explanation. Not long after this incident, Computerworld (disclosure - I used to contribute to the publication in years past) had its own reporting based on a leaked 722-page internal document that corroborated many of Mr. Deal's complaints about the system, called HealthConnect by the company.

Ironically, Mr. Deal first sent his complaints to Kaiser's compliance officer and to the board of directors:
Kaiser's assistant general counsel sent Mr. Deal a letter saying that "a thorough investigation" found no evidence of misconduct by the executives, nor of a "disastrous failure" of the HealthConnect project.
And yet there was this internal report. In either case it's clear that the board has some problems. Either it knew of the system issues and ignored them - which would seem like criminal negligance if patient health was affected - or it was incapable of unearthing this report. In either case, this would seem a clear issue of board dysfunction.

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Kaiser Permanente and Messy Electronic Patient Records

The Wall Street Journal ran a front page story the other day about Kaiser Permanente and how a 22-year-old turned the company's $4 billion electronic medical record (EMR) project into a public freeway pile-up by sending a company-wide email challenging the effectiveness of the project and whether the CIO had conflicts of interest. While CEO George Halvorson - whom I interviewed a few years ago on the topic of EMR - answered in another email the next work day essentially dismissing Justin Deal's analysis, the company's CIO resigned earlier the same day without a public explanation. Not long after this incident, Computerworld (disclosure - I used to contribute to the publication in years past) had its own reporting based on a leaked 722-page internal document that corroborated many of Mr. Deal's complaints about the system, called HealthConnect by the company.

Ironically, Mr. Deal first sent his complaints to Kaiser's compliance officer and to the board of directors:
Kaiser's assistant general counsel sent Mr. Deal a letter saying that "a thorough investigation" found no evidence of misconduct by the executives, nor of a "disastrous failure" of the HealthConnect project.
And yet there was this internal report. In either case it's clear that the board has some problems. Either it knew of the system issues and ignored them - which would seem like criminal negligance if patient health was affected - or it was incapable of

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