South Florida hospitals could lose $368 million from sequestration

A detailed survey shows that South Florida hospitals could lose $368 million over 10 years in federal budget cuts starting next Friday, if the sequestration program kicks in as scheduled.

The Florida Hospital Association, using data from the American Hospital Association, estimates that over the next decade, sequestration would cause Miami-Dade hospitals to lose $223.9 million and Broward facilities $144.4 million under the Congress-mandated budget cuts that hit virtually all federal programs unless Republicans and Democrats can work out a compromise.

The New York Times and other national news organizations are reporting that sequestration, unlike the New Year’s fiscal cliff, seems virtually certain to take place.

The law requires across-the-board spending cuts in domestic and defense programs, with certain exceptions. Because healthcare represents more than one in five dollars of the federal budget, it will be a huge target for cuts.

For hospitals and doctors, the major impact will be felt in Medicare cuts, which according to the budget law are limited to 2 percent of Medicare payments. Medicaid, food stamps and Social Security are exempted from cuts, according to the Bipartisan Policy Center.

The FHA study calculates that over 10 years, Jackson Memorial Hospital stands to lose $30.6 million, Mount Sinai Medical Center on Miami Beach $27.3 million, Holy Cross in Fort Lauderdale $23.8 million and Memorial Regional Hospital in Hollywood $21.4 million.

“The problem with sequestration is that it just makes broad cuts across the board,” said Linda Quick, president of the South Florida Hospital and Healthcare Association. “The Affordable Care Act is looking at all sorts of intelligent ways to reduce costs,” including coordinated care that will stop duplicated tests and reduce hospital readmissions. “But sequestration takes an ax, and that doesn’t make any sense.”

FierceHealthcare, which produces trade publications, says sequestration cuts over the next decade will include $591 million from prescription drug benefits for seniors, $318 million from the Food and Drug Administration, $2.5 billion from the National Institutes of Health, $490 million from the Centers for Disease Control and $365 million from Indian Health Services.

The National Association of Community Health Centers estimates that 900,000 of its patients nationwide could lose care because of the cuts. The group said the cuts were “penny wise and pound foolish” because they would mean less preventive care while more and sicker patients would end up in emergency rooms.

Like the fiscal cliff, Republicans and Democrats agreed on a sequestration strategy, with the idea that the drastic measure would force the two sides to reach agreement on more deliberative budget adjustments. That hasn’t happened.

The White House reports that the law will mean that nondefense programs will be cut by 5 percent, defense programs by 8 percent. But since the first year’s cuts must be done over seven months, that means in 2013, nondefense programs need to be cut by 9 percent, defense programs by 13 percent.

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Bill to ban smoking on some public land advances

Cities and counties could bar smokers from beaches, parks, and other publicly owned outdoor areas under a proposal that passed an early Florida Senate test Thursday, despite concerns from restaurateurs.

By unanimous vote, the Senate Regulated Industries Committee approved the measure (SB 258), which expands the state’s clear indoor air restrictions to more outdoor venues.

Voters approved the Florida Indoor Clean Air Act a decade ago.

The proposal would allow local governments to create smoke-free areas on publicly owned land as long as smoking sections are also available.

A similar bill stalled last year after concerns over smoking on sidewalks.

The current version of the bill prohibits smoking only on sidewalks in public parks, on public beaches, or in recreations areas while continuing to allow smoking on regular street-side sidewalks.

The bill would also allow cities and counties to extend smoke-free zones from public buildings to 75 feet from the entrance, or the same distance from a ventilation system or windows.

Law-enforcement officials would be required to first alert violators of the no-smoking restrictions and ask them to leave before they can issue a citation.

“Nobody wants to put anyone in jail for doing these things but it does send a signal,” said Sen. John Thrasher, R-St. Augustine.

“This state wants to be smoke free, eventually. . . . This is just one incremental step toward getting there.”

Rep. Bill Hager, R-Delray Beach, filed a House version of the bill this week.

In December, Sarasota County Judge Maryann Boehm ruled that Sarasota’s ordinance banning smoking in public parks was unenforceable, arguing that regulating smoking was a task left to the Legislature.

Thursday’s vote came after representatives of the state’s restaurant industry expressed concerns about the potential of unintended consequences but said they hoped to work with the sponsors to work out problems as the bills progress.

“When the smoking ban was passed, many businesses spent hundreds of millions of dollars to reconfigure their properties to accommodate both the new law and our customers,” said Richard Turner, of the Florida Restaurant and Lodging Association.

“At the moment, we are concerned that some of these ordinances could impact the investments that have been made.”

Some panelists also expressed concerns, saying they want assurances that beaches and public parks will not be totally off limits to smokers.

“The beach belongs to everybody,” said Rep Audrey Gibson, D-Jacksonville. “And people are different.”

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Oscar Pistorius bail hearing nearing decision

AP

Oscar Pistorius stands in the dock during his bail hearing at the magistrates court in Pretoria, South Africa, Friday.

PRETORIA, South Africa — The defense and prosecution both completed their arguments Friday in Oscar Pistorius' bail hearing, with the magistrate soon to rule if the double-amputee athlete can be freed before trial or if he must stay behind bars pending trial in the shooting death of his girlfriend.

The prosecution vehemently opposed bail to Chief Magistrate Desmond Nair in a case that has transfixed South Africans and brought international media attention on the nation's justice system and police capabilities.

Pistorius is charged with one count of premeditated murder inr the Feb. 14 killing of Reeva Steenkamp. He says he accidentally shot her, thinking she was a dangerous intruder inside his home, lurking in a toilet stall off his bedroom.

Pistorius' hands trembled as he said "good morning, your worship" as the session began in Magistrate's Court in Pretoria, South Africa's capital. For the first time in the hearing, two representatives of the Steenkamp family were present in court, sitting behind and to the left of Pistorius in the public gallery.

Prosecutor Gerrie Nel called Pistorius' version that he shot Steenkamp accidentally improbable and argued that Pistorius did not have to have planned the killing for days in advance for it to be premediated.

"He planned it that night when she (Steenkamp) locked herself in (the toilet)," Nel said in response to a question from the magistrate on why Pistorius hadn't staged a break-in at his home to make his story look more believable. "The fact that we have only one survivor of that tragic night is difficult for the state."

Pistorius' defense lawyer, Barry Roux, brought up culpable homicide as a possible charge for the first time in the case when answering questions from the magistrate.

"He did not want to kill Reeva. He had no intent to kill Reeva," Roux said as Pistorius began weeping again — like he has done for much of his bail hearing.

Roux said it was impossible for Pistorius, as famous as he is and with his prostheses, to escape South Africa before trial and bail should be granted.

"Let me tell you how difficult it is for this man to disappear from this world," Roux said.

Prosecutor Nel earlier countered that everyone, whether disabled or famous or otherwise different from the majority, should be treated equally under the law. Nel noted that WikiLeaks founder Julian Assange is famous but is now holed up in the Ecuadorean Embassy in London to avoid extradition to Sweden to face sex-related charges.

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National Hotel nears end of long renovation

A panel of frosted glass puts everything in perspective for Delphine Dray as she oversees a years-long, multi-million dollar renovation project at the National Hotel on Miami Beach.

“Chez Claude and Simone,” says the piece of glass stationed between the lobby and restaurant, a reference to Dray’s parents, who bought the hotel in 2007.

“Every time I am exhausted and I pass that glass, I remember why,” said Delphine Dray, who joined her father — a billionaire hotel developer and well-known art collector in France — to restore the hotel after the purchase.

After working with him for years, she is finishing the project alone. Claude Dray, 76, was killed in his Paris home in October of 2011, a shooting that remains under investigation.

In a recent interview and tour of the hotel’s renovations, which are nearly finished, Dray did not discuss her father’s death, which drew extensive media coverage in Europe. But she spoke about the evolution of the father-daughter working relationship, the family’s Art Deco obsession and the inspiration for the hotel’s new old-fashioned touches.

The National is hosting a cocktail party Friday night to give attendees a peek at the progress.

Dray grew up in a home surrounded by Art Deco detail; her parents constantly brought home finds from the flea market. By 2006, they had amassed a fortune in art and furniture, which they sold for $75 million at a Paris auction in 2006.

That sale funded the purchase of the National Hotel at 1677 Collins Ave., which the Drays discovered during a visit to Miami Beach.

After having lunch at the Delano next door, Dray said, “My dad came inside the hotel and fell in love.” The owner was not interested in selling, but Claude Dray persisted, closing the deal in early 2007. Her family also owns the Hôtel de Paris in Saint-Tropez, which reopened Thursday after a complete overhaul overseen by Dray’s mother and older sister.

Delphine Dray said she thought it would be exciting to work on the 1939 hotel with her father, so she moved with her family to South Florida. She quickly discovered challenges, including stringent historic preservation rules and frequent disagreements with her father.

“We did not have at all the same vision,” she said.

For example, she said: “I was preparing mojitos for the Winter Music Conference.” Her father, on the other hand, famously once unplugged a speaker during a party at the hotel because the loud music was disturbing his work.

“We were fighting because that is the way it is supposed to be,” she said. “Now, I understand that he was totally right.”

She described a vision, now her own, of a classic, cozy property that brings guests back to the 1940s.

Joined by her 10-year-old twin girls, Pearl and Swan, and 13-year-old son Chad, Dray pointed out a new telephone meant to look antique mounted on the wall near the elevators on a guest floor. She showed off the entertainment units she designed to resemble furniture that her parents collected. And she highlighted Art Deco flourishes around doorknobs and handles.

“It’s very important for us to have the details,” she said.

With those priorities in mind, she is overseeing the final phase of the renovation, an investment that general manager Jacques Roy said will top $10 million. In addition to the small details, the renovation includes heavier, less obvious work: new drywall in guest rooms, for example, and new windows to replace leaky ones.

Painting of the building’s exterior should be finished in the next two to three weeks, Roy said. Dray compared its earlier unfinished state to resembling “a horror movie — the family Addams.”

And the final couple of guest room floors, as well as the restoration of the original Martini Room, should be done by the end of April.

“At the end, I will be very proud,” Dray said.

The National’s renovation wraps up as nearby properties such as the SLS Hotel South Beach and Gale South Beach & Regent Hotel have been given new life. Jeff Lehman, general manager of The Betsy Hotel and chair of the Miami Beach Visitor and Convention Authority, said the National has always been true to its roots. He managed the hotel for 10 years, including for a few months after Dray bought the property.

“I think historic preservation and the restoration of the hotels as they were built 70, 80 years ago is such a huge piece of our DNA,” he said. “It’s a lot of what sets us apart from any other destination on the planet.”

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Sleek pizza cafe brightens tech park

Thea Goldman, no stranger to culinary pioneering, has put down roots in a neighborhood on the edge of Overtown dubbed the Health District thanks to an ambitious building project around the University of Miami’s Life Science & Technology Park.

Thea’s Pizzeria and Café is modeled on Joey’s Café, the business she and now ex-husband Joey Goldman opened in Wynwood in 2008. Their bold move spurred a cascade of interest and investment in an area that five years later is a hipster haven.

Here, the willowy, British-accented dynamo has taken a similar approach to an area with few eating options. That is part of the plan, says Goldman who opened in the fall for breakfast and lunch and is testing the dinner waters with Friday night openings.

Though only 15 minutes from South Beach, this tiny and stunning eatery, situated almost under I-95, is worlds away. It’s surrounded by office buildings, warehouses, car repair shops, a technical school and, most importantly, plans for a large hotel and retail space.

Dressed causally in black jeans and T-shirts and hailing from as far away as Naples, Italy, and as close as the surrounding Allapattah neighborhood, wait staff takes its cue from the upbeat boss with sunny smiles and quick service.

A dramatic, 30-foot-wide mural of peonies, roses, daffodils and daisies shimmers with 210,000 pieces of Italian glass pieced together by designer Carlo dal Bianco of Bisazza Mosaico. It’s set against a black backdrop with simple wooden tables set with vases of white hydrangea. Buffed, eggshell-colored concrete floors and soaring ceilings lend an industrial edge, while golden globes of light cast an elegant sheen.

The food is equal parts rustic and refined. Simple starters include pristine salads of baby arugula, mint, escarole and nicely roasted beets and a tiny greenhouse arrangement, all farmed locally.

A nice array of pizzas is cooked in a gas-fueled stone oven. The crust could be a bit saltier and chewier, but it makes a fine vehicle for generous and deftly handle toppings such as sausage-ricotta and anchovy-caper. My favorite is artichoke hearts with arugula, or maybe Gorgonzola with toasty walnuts and truffle oil.

A slightly stiff and too-thin focaccia loaded with shredded pecorino cheese and black pepper could use more loft.

Daily fish specials such as a silken cod fillet over mashed potatoes and a puree of briny black olives are always a good bet, as is the perfectly grilled salmon with lemony caper sauce over white bean and red onion salad. Chicken paillard, pounded thin and served with roasted potatoes and green beans, is simple and satisfying.

Like the menu, the wine list is modest but well done. Most of the two dozen or so labels are available by the glass, including a robust sangiovese from Emiglia Romana coincidentally named Thea.

With the exception of imported ravioli, pastas are of the boxed variety but well handled. We sampled the indulgent rigatoni with nicely browned coins of sausage and Italian ricotta.

Desserts are as simple and elegant as the place itself. Icy frozen espresso, granita topped with whipped cream and salted caramel ice cream are fine choices, as is a light but deeply flavored chocolate cake with a simple dusting of powdered sugar and a handful of plump raspberries.

Thea’s is a bustling hive of activity at breakfast and lunch, and dinner is growing more popular. Like a bright patch in a weed-strewn lot, this burgeoning eatery is full of promise.

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Nike suspends contract with Pistorius

EPA

Oscar Pistorius, seen in court Thursday, has lost the support of sponsor Nike.

Nike suspended its contract with disgraced Olympian Oscar Pistorius.

The athletic apparel company released a statement on its website Wednesday announcing a split with Pistorius, the South African Paralympic runner accused of shooting his model girlfriend to death.

"We believe Oscar Pistorius should be afforded due process and we will continue to monitor the situation closely," Nike said in the statement.

Pistorius had previously appeared in a series of Nike ads. One commercial, titled "Always On," features him discussing his goals and dreams, overlaid with shots of him running using his prosthetic legs.

Another commercial shows a montage of obstacles that "Blade Runner" overcame during childhood.

Two other Nike-sponsored athletes have faced controversy in recent years. Nike terminated its contract with cyclist Lance Armstrong after he admitted to using performance-enhancing drugs. However, the company continues working with golfer Tiger Woods, even after news of his infidelities emerged.

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Caribbean cell phone company asks South Florida relatives to buy minutes for family back home

An Irish billionaire’s telecommunications company, which has revolutionized cell phone usage in some of the world’s poorest countries, is bringing it’s latest marketing pitch to South Florida.

Digicel is tapping into South Florida’s close ties to Haiti and Jamaica in a campaign that asks families stateside to send minutes home.

Irish billionaire Denis O’Brien has staked a claim in the telecommunication industry by building his cell phone company in developing countries in the Caribbean and South America The South Florida Digicel campaign includes bus bench ads, billboards and television spots. The message is simple: “Send minutes home.”

Customers stateside can pay to send airtime minutes to family and friends’ pre-paid cell phones in the Caribbean. The concept is not new, but Digicel is seeking to broaden it’s reach.

It is a nod to South Florida’s ties to the Caribbean and the financial influence of the region’s diaspora. Families in Haiti and Jamaica rely heavily on remittances from abroad.

Haiti received $2.1 billion in remittances in 2011, which represents more than one quarter of the national income, according to the Inter-American Development Bank . In 2011, Jamaica received nearly $2 billion in remittances.

“We understand the value of the diaspora,” said Valerie Estimé, CEO of Digicel’s diaspora division. “They are our lifeline.”

Typically the company relies on ethnic media outlets like radio programs and niche publications for advertising, but there was a gap in reaching second- and third- generation Caribbean Americans, who are more plugged in to mainstream media, said Andreina Gonzalez, head of marketing in Digicel’s diaspora division.

“There was an opportunity to step up and go a little further,” Gonzalez said.

The campaign comes at a time when the company is facing some public relations backlash in Haiti and Jamaica. Customers from both islands have taken to social media to decry shoddy connections and poor customer service.

In Haiti, the problems were so acute that Digicel released an apology letter to its customers in December. When the company tried to integrate Voilà, a competitor Digicel acquired, into its network, the integration caused system failures.

“Quite simply, we did not deliver what we promised and we did not communicate effectively with customers through the problem times,” Damian Blackburn, Digicel’s Haiti CEO wrote in the apology.. “We apologize for letting our customers down and want to thank them for their patience and understanding.”

In South Florida, the marketing pitch is family-centered and draws on the diaspora’s need to stay connected. Digicel representatives say airtime minutes are as valuable as the cash remittances families send to the Caribbean.

The advertising features members of a culturally ambiguous animated family smiling and talking on cell phones.

The ads that appear in Little Haiti, North Miami and North Miami Beach are largely targeting the Haitian community. In South Broward, the focus shifts to the Jamaican population.

A similar campaign has also been launched in New York.

Prices range for $7 to $60 to add minutes to a relative’s Digicel account. Transactions can be made online or at participating stores in South Florida.

“You’re able to make a very big difference with a very small amount of your disposable income,” said Estimé. “We know how important it is to be able to get in touch with a mother, a sister or a brother.”

The company recognizes that some of its older customer base prefer the retail model, while younger and more savvy consumers would rather send pay for minutes directly from their computers or cell phones.

“It was really impressive to see Digicel online,” said Geralda Pierre, a Miami Gardens resident who sends minute to Haiti. “It’s so convenient to add minutes for my dad in Haiti who is sick. It makes it easier for me to get in touch with him.”

For now, Digicel says it will continue to mix the old and new. The Creole-language advertisements on Haitian radio and Island TV, a Creole language cable network, are here to stay.

“We are bringing first world convenience in some cases to third world countries,” Estimé said. “Digicel has in a way improved the lives of our loved ones back home.”

Follow @nadegegreen on Twitter

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FAU stadium strikes deal with prison firm

Florida Atlantic University’s announcement to change the name of its football stadium to that of a private prison corporation accused of human rights violation has surprised and outraged students as well as South Florida’s pro-immigrant activists.

FAU announced Tuesday that it would name its stadium GEO Group Stadium after reaching an agreement with the private prison company that included a $6 million donation to the university, to be paid over 12 years. GEO is the company that owns the immigration detention center in Pompano Beach, about 10 miles from the stadium.

FAU President Mary Jane Saunder initially agreed to talk about the news, but after hearing questions about the immigration detention center, a university spokesperson said they would have to return the call later. At press time, the university had stopped responding to El Nuevo Herald’s calls.

But in a press release sent out earlier on Tuesday, Saunder praised GEO’s philanthropic gesture of making the largest donation the university’s athletic department has ever received.

“This gift is a true representation of The GEO Group’s incredible generosity to FAU and the community it serves,” she said.

Noor Fawzy, a political science student at FAU whose parents are Palestinian immigrants, is not so happy with the news.

“The fact that they are locking up people of color and immigrants like my parents is shameful,” said the 22-year-old, who is an elected member of the student government. “We don’t want our university to be associated with an entity that is being investigated for human rights abuses.”

Besides the United States, GEO Group also has private prisons in South Africa, the United Kingdom and Australia, where in 2003 it lost a contract after evidence was found that children detained in its facilities suffered cruel treatments, The New York Times reported in 2011. The company, which controls thousands of beds in private prisons and is worth almost $3 billion, is now in the middle of a multimillion-dollar lawsuit about mistreatment of prisoners.

Laura Pérez said the news was like a “pitcher of cold water.” In 2010, the Perezes were detained in the detention center at Pompano Beach known as Broward Transitional Center. Laura’s brother is now an FAU student. She asked for her brother to remain anonymous.

BTC has recently been in the mist of controversies after activists and people detained in the place denounced irregularities. Some complained to the media that they weren’t getting the proper medical care while others argued that they have been detained for lengthy periods of time at BTC despite meeting the qualifications to be eligible for prosecutorial discretion offered by the Obama administration.

GEO wouldn’t accommodate a phone interview on Tuesday. Instead, the firm asked to address questions in writing. A GEO Group executive said through email that the purpose of the donation is to help FAU’s academic priorities and athletic programs. GEO Group’s headquarters is in Boca Raton and the company’s president, George Zoley, is an FAU alumnus and a former chairman of the university’s board of trustees.

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Witness heard 'non-stop shouting' from Pistorius home before fatal shooting

REUTERS

Oscar Pistorius stands in the dock during a break in court proceedings at the Pretoria Magistrates court in South Africa today.

PRETORIA, South Africa —

A witness heard "non-stop shouting" coming from the home of Paralympic track star Oscar Pistorius shortly before his girlfriend was shot dead, the lead detective in the murder investigation said on Wednesday.

Warrant officer Hilton Botha, a detective with 24 years on the force, also told the Pretoria magistrates court that Pistorius' girlfriend, model and law graduate Reeva Steenkamp, was hit by three bullets, in the head, elbow and hip.

Pistorius, a double amputee known as the "Blade Runner", broke down in tears as Botha presented his testimony.

BLADE RUNNER'S HARROWING TALE OF HOW HE DID IT

PROSTHETIC STRAP-ONS KEY TO 'MURDER' RAP

ANGUISH, OUTRAGE AT REEVA FUNERAL

The shooting has stunned South Africa and the millions around the world who saw the track glory of the athlete, who had no lower legs, as an inspiring tale of triumph over adversity.

Steenkamp was in a locked toilet adjoining Pistorius' bathroom when she was shot in the early hours of Thursday last week. Botha said the angle at which the shots were fired through the door suggested the shooter had aimed specifically to hit somebody on the toilet.

Botha, who arrived at the scene at 4:15 local time to find Steenkamp dead at the bottom of the stairs, also said police had found unlicensed .38 ammunition in Pistorius' house in an upmarket gated compound north of Pretoria.

In an additional revelation Wednesday, police said they found two boxes of testosterone and needles in the Pistorius' bedroom.

Pistorius' defense lawyer, Barry Roux, said the substance found in the bedroom was a "herbal remedy" not a steroid and not a banned substance.

Prosecutor Gerrie Nel said police are not saying that Pistorius used the substance, simply that it was found in his bedroom.

In an affidavit delivered on Tuesday, Pistorius said he used to sleep with a 9-mm pistol under his bed and had grabbed it when he awoke in the middle of the night thinking an intruder had climbed through his bathroom window and entered the toilet.

The 26-year-old then described how he fired into the door in a blind panic, in the belief the intruder was lurking in the toilet.

He said he and Steenkamp, 30, had been asleep in bed before he woke up.

In contrast, Nel painted a picture of a premeditated killing, a crime which carries a life sentence in South Africa. "If I arm myself, walk a distance and murder a person, that is premeditated," he told the packed courtroom on Tuesday.

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Remote employees require care to feel like part of the team

Working from home, hundreds of miles away from your boss, may sound like a perk, but that’s not always the case.

Ken Condren remembers the moment when he experienced the frustration his remote employees face. He was working from home, participating in a conference call and heard a side conversation going on, but had no idea what was being said. “I felt so out of the loop,” Condren recalls.

Today, businesses want the talent they want – and are more willing to hire or retain someone to fill a job even if they live or move thousands of miles away. Yet even with a great number of employees working remotely, nobody wants to be that guy who doesn’t get the inside joke during a conference call.

When the success of a team depends on the people, and all the people are scattered, it’s the manager who must make sure relationships stay vital and productivity high. Getting the most out of remote workers takes a manager who knows how to motivate and communicate from a distance. “Virtual workers still need a personal connection,” says strategic business futurist Joyce Goia, president of The Herman Group. “They want camaraderie and to feel like they are part of a team.”

More managers are using technologies such as videoconferencing, instant messenger and other collaborative software to help make remote workers feel like they are “there” in the office. Not being able to speak face-to-face can quickly be solved with Skype, Face Time or simple VoIP systems.

Condren, vice president of technology at C3/CustomerContactChan-

nels in Plantation, uses Microsoft Lync to connect virtually with a team spread across geographies and time zones. Employees see a green light on their screen when a colleague is available, signaling it’s a good time to video chat or instant message. Instead of meeting in physical conference rooms, team members get together in a virtual work room where they can hold side conversations during conference calls or meet in advance to prepare for the call. “You lose the visibility of waving hands during an in person meeting, but we can build that with virtual workspaces.”

Beyond that, Condren says he holds weekly video conference calls with his staff to help his remote workers become better team players. He also sets aside 45 minutes to an hour each week to check in with his remote workers. “It’s a little extra effort to make sure they are giving me the updates that happen casually in the office.”

Condren says adapting to a virtual workforce has allowed him to hire talent in any geographic market with the skill set he wants. And he has been able to hire them at competitive salaries.

In the current economy, such flexibility can be critical for a company looking to attract top talent. CareerBuilder’s Jennifer Grasz says the recession has created a less transient workforce, making it difficult for workers to sell their homes and relocate. “Employers are turning to remote work opportunities to navigate the skills deficit.”

Even from a distance, managers say there are ways to hone in on remote workers who are having problems. Billie Williamson managed virtual teams as a partner for Ernst & Young and would focus on the tone of someone’s voice during a group conference call. She would even listen for silences. “Silence can mean consent, or it can mean the person you’re not hearing disagrees or is disengaged.” If she sensed a team member was lacking engagement, she would follow up immediately.

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