Site icon Chiropractic Economics

Delegation Strategies: Playing the Hand You’re Dealt

A local charitable organization has contacted you with a new idea. They want to be the “safety net” for people who need treatment but can’t afford it, or whose insurance company won’t cover it. They’re not quite sure how it’s going to work, or how much money and resources they want to allocate to it, but they want to explore the possibility with you and some of your competitors.This charitable group has explored these types of initiatives before. Some have become good programs, and others were never implemented. You want to be involved in case it works out, but you and all your key people are “up to your eyeballs” in major projects and day-to-day tasks already. Who in your organization can you assign to this project’s preliminary discussions?

Isn’t this always the case? Your plate is already full with high-priority projects and another one comes along. The people you know you can trust with a delegated project are all committed, so you have to dig a little deeper in your organization and delegate the task to someone new. How do you determine who to assign it to, and how do you manage them?

The reality of delegating is, almost anyone of reasonable experience can do the work. The bigger question is how much time and effort will be necessary on your part to make sure the delegated task is handled properly. One way to think about delegation is a poker game. Almost any hand you are dealt can win the pot, but some hands require more strategy and effort to be victorious than others.

The pool of employees you draw from for delegating is much the same way. The relative strengths of the individuals on your team will vary, and you are pretty much left to choose the best “hand” you can for the project. Let’s examine the types of people you have to choose from, assign a relative poker hand value to them, and then see how you must play the hand to win.

The categories of people you can potentially delegate to are called “Flexible Management Types.” Each person brings a different skill set and level of motivation to the task at hand. As a manager you must be flexible, adapting your style to fit their needs and guide them to success.

You can divide your employees into four categories by asking two simple questions: 1) Does the person you delegate the project to have all the ability/knowledge to do it? 2) Is the person secure enough or willing to accept the delegation?

Based on the answers to those two questions, you end up with the following categories of workers and the poker hands they represent:


You hired Mary for a front-desk CA position, primarily to schedule and check in patients. Within a month, she had reorganized and updated the appointment book, the referral file system, and the product resource materials. You promoted her to office manager, and within a year, your complaint rate fell to almost zero. Now Mary oversees patient relations as well as the audits of the billing center. Mary is a Royal Flush.

Jim has been working for you nearly 12 years. He was a janitor/handyman who always volunteered to come in early, stay late, or work on holidays. He made his share of mistakes, but his eagerness and desire caught your eye and you promoted him to services manager. Jim had wonderful ideas for revamping the facility. He explored barcode asset tracking systems, computer terminal upgrades, and wireless patient data systems (some of the ideas you usesd, and some you had to nix because of the cost). In the meantime, Jim’s control of routine expenses had only mediocre success, because he

wasn’t attending to the daily details as closely as he should have been. Jim is a Full House.

Sheri was your most knowledgeable billing person. Whatever the coding regulation, she knew it letter-perfectly. Regardless of what insurance program you asked about, she knew how to solve the problem. There wasn’t a contract or an insurance plan she didn’t know forward and backward. Yet, when you asked her to be the billing supervisor, it took a full year of coaxing to convince her to do it. She has the lowest error rate and the highest recovery rate in the department, and for the last three months you’ve been trying to talk her into a manager’s position. Sheri is a Straight.

Harold is a good worker. He produces the desired results in the repair department, but only after he asks a dozen questions as to what exactly needs to be done and how. Harold waits for assignments instead of seeking out additional work on his own. His work is usually completed on time, but only after you’ve reminded him a few times of the deadline. Harold is Two Pair.

Playing the Hands to Win

When it comes to the different types of employees you may have on board, the key is to play the hands you’re dealt strategically – so you have the greatest chance possible of “winning.”

Those strategies include:

The game of poker would be easy to play if every time you sat down you were dealt a Royal Flush. However, the skill involved in poker is to maximize the potential of each hand, as it is dealt to you. And so it is in business.

You sometimes have to delegate to a less-than-perfect candidate. Your task as a manager is to provide the tactics and guile to maximize every staff member’s potential, so you both win.

Exit mobile version