How to Ace Your Joint Commission Survey With Lean

An East-coast mid-size hospital passed its Joint Commission audit in December 2010 with flying colors. The lead surveyor had this to say in the exit interview: “So few finding from an organization your size is truly remarkable and unbelievable”. First consider the typical amount of work and stress during the weeks and months preceding a visit from the Joint Commission surveyors. Now think about a future where you are actually looking forward to the visit, and your chance to show off to the surveying team. This is a very attainable goal. Take care of your processes and the Joint Commission survey will take care of itself.

The best way to develop and sustain a process focus and a process improvement focus at your hospital is to embrace the Lean philosophy and principles. The Joint Commission itself has adopted Lean as its own process improvement methodology. For example, see the article “Don’t Just Talk the Talk: The Joint Commission tackles its own processes with Lean and Six Sigma, Quality Progress, July 2009” on the Joint Commission website.

Following are the five critical areas identified by the Joint Commission comments in their survey, along with some recommendations from the principal Lean consultant assigned to this hospital.

Recommendation 1: Launch a Strong Visual Workplace and 7S Program

7S is a formal approach to organization and housekeeping, and is a cornerstone of the Lean approach. The surveyors were very vocal about the hospital’s 7S program. They openly commented that this was one of the better organized work environments they had seen in awhile. To achieve this requires discipline and vision from the leadership ranks. At this particular hospital, the CEO made one departmental 7S project, plus a well-organized office, part of the annual appraisal for all the hospital leadership.

You must also focus on more than just the traditional 5S program that most books write about. This hospital embraced 7S, to include Safety and Security for every project.

Here’s how to ace your survey in this category. Train at least one or two 7S Mentors per department and unit. These individuals are not supposed to do all the work, but to be available to staff members as they embark on 7S projects.

Divide the hospital floor plan into a grid and assign an area to each executive to round for 7S status. Make sure that each executive is aware of the projects that have been completed, so they can poke their heads into the areas and give them a cursory check. Note to the executives: If you walk past a messy area and you say nothing, you are condoning the behavior. If you really want to make a difference, put on scrubs, roll up your sleeves and help 7S the mess. Now you have the moral standing to point out the mess and to demand its rectification.

Recommendation 2: Implement Tight Supplies Management with Kanban

The Administrator of Perioperative Services had her chance to shine by explaining the new and much more efficient supplies replenishment technique adopted by the hospital, the Kanban system. This hospital adopted Kanban as the methodology to replace the PAR system. The PAR level system is a bankrupt methodology that you must abandon as soon as you finish reading this article. The surveyors were also impressed by the organization of the supplies, driven by the Kanban management.

Here’s how to ace your survey in this category. This is a simple one, just implement the Kanban replenishment system for all your supply points. This is one of those issues that you will have to fight with your Materials Management department. Demand that they replenish supplies to your unit using Kanban. You may think that as long as the supplies are there you should not care how they get there. Stop and ask staff how often they have to call materials management, screaming for supplies that should be there. Next ask yourself how rational it is to count every supply every day, which of course, nobody does.

If you cannot get your materials management team to step into the 20th century, do a small pilot project with supplies that are not under their control. Then show the results and try again until they see the light.

Recommendation 3: Achieve a High Level of Staff Engagement

One of the seemingly “trick” questions to the Director of Process Excellence was “and who does the actual project and implementation of all these Kaizens documented by your department?” Their eyes lit up when the answer came back “well staff of course. RNs, Techs, and all the appropriate stakeholders.”

Successful Lean enterprises are not about “the few selected ones” but rather about a culture of continuous improvement that involves everybody. An engaged staff is the trademark of a mature Lean enterprise that will see long term sustainability of its efforts.

Here’s how to ace your survey in this category. Train everybody, and relentlessly remind every staff member of the importance of continuous improvement. Some hospitals hear about Lean and want to rush out to hire some engineers to create their own “Process Excellence” department. We encourage you to NOT do this. Do not even think about starting a “Lean Empire”.

Set up a department to manage and coordinate the training and the projects from each department and unit. This department should not do the projects, as they should be done by staff members in the units that identified the opportunity for improvement.

Recommendation 4: Understand and Deploy a Lean Management System

The Joint Commission surveyors were very keen on tracking the results of Lean projects with the same metrics the hospital uses to track their performance, rather than creating new ones. It is very important that the fruits of your Lean labors are reflected on metrics like patient discharge performance, patient satisfaction, physician satisfaction, staff satisfaction. This does not mean you should not track other metrics like patient room changeover, shortages per day, and OR Suite changeover but these must lead to improved overall hospital performance.

Here’s how to ace your survey in this category. If you have not done so already, tie your Lean efforts to metrics in the existing dashboards. Every hospital we know has a management dashboard. We encourage you to not create a new one. Keep the dashboard up-to-date and have a methodology to address deviations.

Implement local dashboards and use their physical location to conduct a daily 15-minute accountability meeting with the department’s management. These local dashboards may or may not have the same metrics as the rolled-up management dashboard.

Implement leader standard work. The closer you are to the delivery of value, the more standardized your work is bound to be. If you are a member of the management team, it does not mean that you have no standard work. One example is an end-of-day checklist for the SPD Manager to check the status of the department every day before going home.

Recommendation 5: Insist on Management Commitment

How do you expect a member of hospital leadership to understand and commit to your hospital’s Lean initiative if they do not understand the principles and the tools? They won’t. The best case scenario is that some will do their own research by reading some books (or maybe Wikipedia), while the most likely scenario is that the majority will pay lip service and balk at any request for resources to complete projects and sustain process improvements.

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Three Reasons a Joint Venture Call May Fizzle

As a Virtual Assistant, I am often in the middle of product launches and joint venture calls, which usually involve a teleseminar or telesummit call via phone and/or internet broadcast. I recently gave some advice to a newer coach, and I thought I would share these points with you too, in case you didn’t get the results you were hoping for from your own product launch, or maybe you’re preparing for your first one. Here are three reasons that your joint venture or preview call may fizzle.

Vague Target Niche

The problem with having a vague target niche is when your message is too widespread, people won’t connect with it and the solutions you may have for them. It goes right over their head, even if they would really benefit from your help.

You can still offer your product and services to everyone, but for specific talks, you may have to target specific audiences or a specific theme (money, health, love, etc.) so you can hit specific ‘pain points’. I’ll talk more about this in a future article.

You can tweak your message and talk to the specific issues, and tell your story from that perspective, or stories and successes of your clients (anonymously). Then people think, “Wow, it seems like she’s talking directly to me. It seems like she really knows how I feel and what I’m going through,” and they feel a connection to you.

People want to know exactly what they are going to get out of working with you, and depending on the target and theme, you can specify it (improved health, more energy, more money, more clients, self-love and relationships that work, losing weight and getting healthy). People don’t buy processes; they buy results.

Also, if you are participating in a telesummit with so many other speakers, there are a lot of options for people to choose from and it’s too easy for you, as a speaker, to ‘get lost in the crowd’. You need to make yourself stand out by making yourself an expert on a specific topic so people remember you and think of you as the go-to expert for their specific problems. People want to work with experts.

No Time Urgency With Bonus

If you’ve listened to teleseminar calls before, you’ve probably noticed that a great program, product or service is usually offered to the listeners at the end of the call. You may hear something similar to one of the following:

“Everyone who signs up by midnight Eastern tonight will receive a special bonus… (special discount, audio recording, access to a group coaching call, 30 days email coaching, a bonus one-on-one discovery session, strategy session, or evaluation, etc.).”

“For the first 5 (10, 20) people who sign up, you will receive a free introductory session with me to discover what is holding you back and how you can change it.”

It could be anything that is offered as a bonus, but there is almost always a reward that is offered for those who take action early. If you don’t get people to take action by that first night (because they feel like they are missing out on something valuable if they don’t), then it is less likely that they will choose to sign up for your product/program, as they will put it off and forget about it or change their mind.

Price of Offer is Too Low and/or Doesn’t Contain Enough Perceived Value

Lower pricing doesn’t necessarily mean an increase in sales. Sometimes it means just the opposite because people don’t think it holds enough value or they think you don’t have enough confidence in what you’re offering.

People have found that potential clients or customers may balk at a low price for a product or service, but when they decided to double or triple the price, those same people who balked before now jumped on it because they felt it was more valuable!

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Good News For Joint Pain and Arthritis Sufferers – Goodbye Pain in the Neck!

As a person who has spent a high percentage of his waking hours adorned in sporting colours and locked in fierce combat with an opposition or digging deep to find that last bit of energy and strength on the field or on the track, I am fully aware of the physical repercussions as I grow older, and hopefully wiser. How do I now ensure this body keeps functioning like the well oiled machine that it has always seemed to be? The answer may well be as simple as two health supplements, which, when taken in combination are producing promising results.

Our body, like a machine, has a limited lifespan and requires much care and maintenance in order to maximise its potential and ensure it lasts as long as possible. All wise mechanics and engineers will tell you that the key to a machine’s output is best found in preventative measures rather than painstakingly lengthy remedies and cures. For too long I have watched the ageing, as well as fellow sportsmen and women, suffer at the hands of joint pain after years of high physical activity. On most occasions it is not our muscular or skeletal systems that give way to fatigue, but rather it is that which hinges those systems that throws up its hands – our joints!

It had always been in the back of my mind that one day joint pain and arthritis could plague me due to excessive and constant training and competition. Yet it seemed to rocket quickly to the forefront of my thoughts as seemingly simultaneously my father and father-in-law, both elite sportsmen in their day, started suffering from intense pain caused by degeneration with joints such as knees, neck, elbows and shoulders. Their physicians presented them with two options: invasive means involving joint replacements and the like or proven supplements that improved joint function and relieved pain. The results of choosing the latter were and have been remarkable. The key? The highly researched dietary supplements glucosamine and chondroitin.

If you have ever suffered from arthritis or joint degeneration, you will know that it can be a debilitating experience. Without going into the intricate medical terminology and indepth physiological explanations that often confuse sufferers, it is often the combination of a diminishing level of fluids and a breakdown of cartilage that normally creates the easy sliding movement within joints which causes decreased movement and corrosion. Without this slipperiness, grating and scraping occurs and movement is restricted as pain is increased.

It is not just the aged and elderly that suffer from pain due to arthritis, oesteoarthritis and other forms of joint disfunction. Observing a former elite sportsperson who has played sport at the highest level and represented his nation in Rugby League just a few short years ago, I was amazed at a recent sight. I watched him struggle to put his socks on, thanks to joint pain in his knees and back. Such a simple task for one still so fit but it was causing major discomfort. Yet, this discomfort can be radically lessened with the use of a supplement containing glucosamine and chondroitin. It would now place you in grave danger if you attempted to steal them from him! In many ways they are, and have been his saviour!

Thousands of Oesteoarthritis sufferers throughout the world have been rejoicing at the recent news that studies have confirmed. Glucosamine and chondroitin provide long awaited and anticipated pain relief. The Council for Responsible Nutrition says the clinical trial sponsored by the National Institute of Health in the USA, showed that the combined use of the two dietary supplements provide significant pain relief for arthritis sufferers. Many believe that the early use of both will significantly slow the onset of arthritis and joint pain.

Glucosamine and chondroitin are substances found naturally in the body. Glucosamine is also believed to play a role in cartilage formation and repair. Chondroitin is a part of a large protein molecule that provides cartilage elasticity. The combination of both in a single supplement greatly enhances the effectiveness of relieving pain and increasing joint movement. Many users state that it can take up to two months of use until they fully feel the effects of their use. But it is well worth the wait, they say!

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Elliptical Machine Benefits: 6 Ways To Prevent Joint Injuries

Elliptical machines are the ideal platform to use to obtain high level exercise while at the same time preventing injury to the various joints of the body, specifically ones that are often susceptible to injury during other forms of sport and exercise. We’ll take a look at the six important reasons why these fitness equipment help keep your joints healthy and injury-free.

1. Little Risk of Injury

First of all, there is little risk of injury to your joints from elliptical machine use, especially compared to other recreational sports like soccer, basketball and tennis. These sports all involve sudden changes in speed and direction, which can over-stress the joints and cause injury. It is pretty much impossible to suffer joint injuries from cross trainers, as long as they are used properly.

Even if you currently have a joint injury, there is little chance of a cross trainer aggravating that injury. Actually these machines are often used in physical therapy sessions to help people recover from joint-related injuries. I made heavy use of one in my therapy sessions while recovering from anterior cruciate ligament (ACL) surgery which resulted from soccer, and it certainly helped my knee become stronger.

2. Important Joints are Strengthened

Due to the motion of the body during cross trainer use, you are actually exercising some of the body’s important joints. Joints in the feet, ankles, knees, elbows and shoulders are all being utilized and strengthened which helps prevent injury to them. There is increased blood flow to these joints as well to provide them with the healthy substances they need to operate and remain healthy.

When joints are subject to long periods of inactivity due to lack of exercise, they weaken and become more susceptible to injury. When they are in a weak state and exposed to heavy load, that is an injury waiting to happen. By exercising numerous joints regularly with cross trainer workouts, you are significantly decreasing the chances of those joints getting injured.

3. There is No High Impact with Cross Trainers

With cross trainers, there is no heavy ground striking, which makes them the ideal substitute for runners who have joint injuries or discomfort. Most runners at some point will experience nagging symptoms to their feet, shins, ankles or knees due to the constant heavy strikes to the ground that are a part of running. By working out on a cross trainer instead, you can get just as good a workout and prevent joint injuries at the same time.

4. Ease of Motion

Cross trainers allow you to exercise in a controlled manner that does not stress or surprise your joints with sudden movement. The motion is smooth and controlled with little change in force and direction, perfect for joint stability. There are no stopping and starting motions like there are with sports, and the ease of movement that cross trainers provide allow your joints to operate in a comfortable range of motion.

5. No threat of Slips or Falls

With outside exercise, there is the threat of tripping, falling and slipping. Of course, it doesn’t happen regularly, but it could only take one time to cause an injury. I’m a runner and over the years I’ve had my share of trips and slips. Luckily I have avoided serious injury but have tweaked my ankles a few times from stepping in holes and on uneven ground. In those instances, I switched to cross trainers to prevent further injury and get my ankle back to normal.

6. Control Over Resistance and Incline Levels

Cross trainers allow you to operate at specified resistance and incline levels, so you can work out at an intensity that is comfortable for your joints. If you just want to expose them to motion without stressing them at all, you can use minimal resistance, and if you are looking to strengthen your joints, you can just simply raise the resistance level. If you start to feel an ache, you can lower the resistance to a more comfortable level and continue with your workout.

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How Joint Ventures Can Help You Grow Your Business

As a business owner you need to be resourceful if you want to grow your client list. One of the most effective ways to get easy access to a volume of qualified customers is to set up joint venture partner agreements. Naturally you need to be selective about who you choose to work with as their conduct will reflect back on your business. But if you get it right it can be a very successful way to grow your business.

There are two ways in which you can set up a joint venture. One way is to link up with other businesses that regularly refer business to you. The second way is to use gifts and free offers from joint venture partners as a way of building relationships with your customers.

Creating An Irresistible Offer

If I were to come to your business and offer you a way to build customer loyalty without any cost to your business, would you take it? Of course you would. Most business owners would jump at such an opportunity. If it is something that you know your customers will love, that they will see as great value, the gesture of giving them a free gift can help you build better relationships with them.

For the business offering the gifts to their clients it’s a way of adding value to what they are already purchasing. For the business that has supplied the gifts, it gives them exposure to qualified customers that might otherwise not know about your business. The customers are happy because they are getting something for free and they feel important. Both businesses win because they are building relationships with clients and building their client lists.

For service based businesses this type of joint venture can work really well. For example, if you have a consultancy you can offer an obligation free session. Or you can offer a free training session. While it may take up some of your time, it is not really costing you anything materially. Remember that the objective is not to sell during these sessions. Instead it’s to offer customers something of real value. Regardless of whether they buy from you or not, they must walk away feeling that the experience was really worthwhile.

Rewarding Referrals From Joint Venture Partners

One way in which I get new customers is to offer a free marketing audit and I use joint ventures to help me promote this. For example, I have a publication that I work with called Grapevine. They send out letters to their customers telling them about my free marketing audit. For any of their customers that take up the offer and become clients of mine, I pay them a referral commission. It’s a win-win for everyone. If the client chooses not to sign up they still got valuable information which they can use. My joint venture partner has still added value to their client, which helps improve their client relationships so they also win. If the client signs up they get a commission which has cost them very little to earn. I’ve gained a new client, and yes I’ve paid to acquire the client, but it’s a far better return on investment to pay a referral commission after you’ve got the client than to pay for advertising with an unknown return.

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Joint Session Politics

President Obama requested to address a joint session of congress to present his jobs proposal. The problem is that it was requested at the same time as a republican presidential debate. House leader Boehner rejected Obama’s request and suggested it happen the following day. President Obama accepted Boehner’s request. What is going on here?

Most of the time the White House will negotiate with congressional leaders before they make a joint session request. Due to congressional schedules, it can be difficult to make a joint session fit into everyone’s schedules. It appears this did not happen in this case (though there is some dispute about this). That is problem one.

Problem two is that the joint session requested would have happened at the same time as a republican presidential debate. Obviously this means that Obama would be center stage that evening instead of the people running against him next November. Some on the right saw this as a political gimmick from Obama.

So why did Obama go ahead and request a joint session with those problems so apparent? Obama has been saying that he wanted to present his jobs plan as soon as congress was back in session. The earliest possible time to have a joint session is the evening requested since the House does not convene until 6:30pm that day. So from that angle, it makes sense. But why not wait until the following day or following week?

Obama knows that he not only needs to put his proposal out there as soon as possible, but also knows that he needs to reach as many people as possible with his address. Doing the speech Wednesday night at 8pm ensured he would reach as many people as possible from the east coast to the west coast. The following evening is the NFL kickoff game. The sad fact is that more people will be watching that game than the President that night. That is why Obama is scheduling his speech before kickoff at 7pm. But that lowers his potential audience because 7pm EST is only 4pm on the west coast, therefore many people will still be working.

Obama wants as big of an audience as possible as soon as possible. The date he requested meets those requirements, though it does have obvious issues. In the end Obama accepted Boehner’s request to move the speech to Thursday night. From what I can find through research, this back and forth spectacle on when to have a joint session has never happened in public before.

This shows the sad state of politics today. If asking to speak to congress causes a back and forth, imagine what will happen when legislation actually begins. The partisanship is going on strong in Washington making it harder to get things done. With the super committee responsible for finding cuts in spending and/or tax code changes, things could get really ugly soon. Some might argue that is a good thing and point to the late 1990s when the GOP controlled congress caused a stall in Clinton’s legislative plans. Those years the economy was doing great. Today is different though. When our economy is still in shambles I can’t see how gridlock in Washington is a good thing for anyone.

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How Joint Ventures Can Help You Grow Your Business

As a business owner you need to be resourceful if you want to grow your client list. One of the most effective ways to get easy access to a volume of qualified customers is to set up joint venture partner agreements. Naturally you need to be selective about who you choose to work with as their conduct will reflect back on your business. But if you get it right it can be a very successful way to grow your business.

There are two ways in which you can set up a joint venture. One way is to link up with other businesses that regularly refer business to you. The second way is to use gifts and free offers from joint venture partners as a way of building relationships with your customers.

Creating An Irresistible Offer

If I were to come to your business and offer you a way to build customer loyalty without any cost to your business, would you take it? Of course you would. Most business owners would jump at such an opportunity. If it is something that you know your customers will love, that they will see as great value, the gesture of giving them a free gift can help you build better relationships with them.

For the business offering the gifts to their clients it’s a way of adding value to what they are already purchasing. For the business that has supplied the gifts, it gives them exposure to qualified customers that might otherwise not know about your business. The customers are happy because they are getting something for free and they feel important. Both businesses win because they are building relationships with clients and building their client lists.

For service based businesses this type of joint venture can work really well. For example, if you have a consultancy you can offer an obligation free session. Or you can offer a free training session. While it may take up some of your time, it is not really costing you anything materially. Remember that the objective is not to sell during these sessions. Instead it’s to offer customers something of real value. Regardless of whether they buy from you or not, they must walk away feeling that the experience was really worthwhile.

Rewarding Referrals From Joint Venture Partners

One way in which I get new customers is to offer a free marketing audit and I use joint ventures to help me promote this. For example, I have a publication that I work with called Grapevine. They send out letters to their customers telling them about my free marketing audit. For any of their customers that take up the offer and become clients of mine, I pay them a referral commission. It’s a win-win for everyone. If the client chooses not to sign up they still got valuable information which they can use. My joint venture partner has still added value to their client, which helps improve their client relationships so they also win. If the client signs up they get a commission which has cost them very little to earn. I’ve gained a new client, and yes I’ve paid to acquire the client, but it’s a far better return on investment to pay a referral commission after you’ve got the client than to pay for advertising with an unknown return.

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3 Tips to Finding a Joint Venture Partner

I’m sure that you must have heard about how people make a ton of money promoting their products or services through a joint venture partnership. Joint ventures can also be called strategic alliances because you are strategically aligning your business with someone who can advertise your product or service to their customer base. That is smart selling because you leverage the power of many to sell your stuff. Of course, you can hire sales people as part of your business model to convert those leads into sales but they can be very costly. And if you’re either starting out with limited resources or bootstrapping your marketing, then you need to be creative to find free or inexpensive ways to get more business.

So, how do you get joint venture partners on your team? Here are 3 tips:

1) Create relationships with people

* Chances are that if you just email people and ask them to joint venture with you, they will say “no”. It’s nothing personal but they don’t really know who you are and they probably get lots of similar emails every day. If they have large lists, they will understandably be very protective of their members as they don’t want to drive them away with junk offers. So, form a relationship with a potential joint venture partner by commenting on their blog or buying their service and then commenting on how good it is etc. You get the picture. Also, you can go to networking events as it’s always easier to form bonds with people whom you can interact with rather than on the internet where you don’t see their faces.

2) Make it easy for them to promote your product or service

* When you get a joint venture partner, make it as easy as possible for them to promote your product or service to their list. Write out all the emails they would need to send with all the benefits to their members. Automate as many things as possible so that it will be a no-brainer for them to want to work with you again.

3) Create a win-win situation

* When you approach a potential joint venture partner, you must make it attractive for them to want to partner up with you. The standard in the industry is 50-50. If they have your ideal customers then it might be worth it to give them half of what you get. Of course, it may also vary according to what you are promoting. If you are selling a product (especially a digital one), then it is easy to give 50%. However, if you are selling a one on one service where you are doing all the work (ex. a coaching session), then it will be more painful to give them 50%. You can get around this by giving 50% for the first session with a client you get from you joint venture partner and then keeping the rest for future session. You will have to figure out what is the best way to create a winning situation for both of you.

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Invite Your Significant Other to a Therapy Session

When you are dating someone for a long period of time, you might find that they come up in your therapy sessions often, maybe once a session or so. If that happens, you might find it useful for your significant other to join you in a session, to discuss issues in your life, for them to voice concerns or in order to work out issues that are arising from your depression. This is not an easy thing and should not be approached lightly. However, if you think that this is a move that would be beneficial for you both, then there are steps to follow to both invite them and make the session productive.

To invite your Significant Other, start by simply sitting them down and discussing what has been talked about in therapy. Tell them that they have been mentioned, referring to the context as well as the content. The important thing to stress in this conversation is that the purpose of this session is not to attack, but to discuss issues. The idea of a joint session could be seen as a confrontational time, so it is important to stress the neutrality of the event.

Once you are in the therapy session, you want to avoid attacking each other. Issues should be discussed without hostility. The therapist should act as a neutral arbitrator instead of a commentator. But most importantly, what is said in the session should stay in the session. Feelings that are voiced should not be grounds for a fight later. That ensures that there will be no hesitation in discussing things.

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Oakland County Joint Custody – What Happens When You Mediate

You typically get involved in Oakland County joint custody mediation when the court orders you to go, or when you and the other parent agree to give it a try. Either way, the process is usually the same.

Preparation

Before attending the first session, you want to decide the issues to negotiate and the obstacles to reaching a settlement. Preparation includes choosing what you consider the best result, the next best result, and your bottom-line position. You also want to consider the strengths and weaknesses of your arguments.

Preliminary Meeting

At the first meeting, the Oakland County joint custody mediator needs to get everyone organized. This is usually a joint session where the custody mediator describes the process. The mediator will explain that his or her role is to keep the debate civilized, moderate discussions, keep the negotiations going, and bring the process to a close. The mediator may also gather basic information from each parent.

You may be asked for a brief statement of your position and a summary of your arguments supporting your position. At this point, the mediator will begin to focus the issues down to specific questions that need to be addressed. A good mediator will take control of the process and not let the discussion disintegrate into squabbling and name-calling.

Joint Sessions

After the preliminary meeting, you may return to the mediator’s office for a series of joint sessions. Depending on the mediator, these sessions may last as little as 30 minutes, or as long as two hours. And they may conclude within a few weeks, or stretch out over several months.

In these sessions, you will discuss the problems. Usually, each parent is allowed to talk without interruption and is given a chance to express concerns. Every issue is on the table during the meetings, including school involvement, discipline techniques, medical needs, and more. By letting you and the other parent talk, the Oakland County joint custody mediator seeks to help you understand each other and reach a satisfactory agreement.

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