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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Marquee Memories

John Travolta set his boogie shoes strolling in Saturday Night Fever at Miami’s The Omni 6. Angie Dickinson shared her shower with us as she Dressed to Kill at the Concord on Bird Road and 114th Avenue. The revelation, “Luke, I am your father,” had you gripping your plush, gold seat at the Dadeland Twin movie theater as The Empire Strikes Back revealed its shocker.

Plus, who, among people of a certain age, didn’t stand in line to see Jaws at Coral Gables’ Miracle Theatre in the summer of 1975?

“Apparently the whole world saw Jaws there,” recalls Rebecca Smith, head of Special Collections at History Miami. Yes, she saw Jaws at the Miracle, too.

As Hollywood celebrates the best of 2012 with Sunday’s Oscars telecast, movies take center stage once again. In Miami-Dade, the best of Hollywood stood out in grand movie palaces, where red velvet curtains parted across wide screens, where marquees lit the night sky, and where crystal chandeliers hung like constellations above the balconies.

Hollywood premieres? We had them, too.

Press agent Charlie Cinnamon remembers the publicity stunts he’d conjure for the Lincoln Road movie theaters he represented on the mall, like the Lincoln, Carib and the Beach. He orchestrated the opening of Elizabeth Taylor’s epic Cleopatra in 1963 at the Lincoln and the British comedy Those Magnificent Men in Their Flying Machines two years later at the Carib, a theater whose facade above the marquee displayed a full-scale map of the Caribbean.

“I did the opening of Cleopatra and we had a parade down Washington Avenue with the Miami Beach High School. In those days we had big parades and the Lincoln was the theater,” Cinnamon said from his office on Lincoln Road. “For Magnificent Men we had vintage cars and airmen and a parade. Fantastic openings. Hollywood openings right here in Miami. We haven’t had that in years and it’s so sad that we don’t have that kind of premiere anymore where the whole community joined in to have big events and red carpet openings.’’

The theaters got into the spirit during the Golden Age of Cinema. The Byron-Carlyle, on 71st Street in Miami Beach, for instance, had its ushers dress up like Dracula when the 1979 remake starring Frank Langella opened. Cobwebs and black velvet curtains lent an air of Transylvania to the theater, which has since become the home to the Miami Beach Stage Door theater company.

Perhaps the reason The Miracle, now home to the Actors’ Playhouse, stands out for its screening of Jaws is because the theater decorated the lobby in the style of the seafaring movie — netting on the ceiling, nautical props along the walls. The only thing missing was “Bruce” the mechanical shark, but he revealed plenty of himself on the large screen inside.

“That was the whole point, that movie theater was always great to go to because they always fit the theme when you went there,” said Eugene Flinn, the former mayor of Palmetto Bay. “It was a great theater to see things, too. So formal with everything. A throwback theater, even for our age group, and that’s why I’m so thrilled it’s been properly repurposed and it’s a great place to go see plays. What a treasure,” said Flinn, 50.

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New York-Newark is fourth worst area for traffic congestion; DC takes top spot: report

The grass, it seems, is always greener on the other side of the highway median. Ask any US driver about his commute, and you’ll likely get a lengthy tirade about the abysmal traffic conditions on his daily drive.

Whether you live in Atlanta, Los Angeles, Spokane, New York or even Orlando, chances are that you dread the daily commute and believe that traffic is better anywhere else in the United States than in your city.

Thanks to the most recent Annual Urban Mobility Report from the Texas A&M Transportation Institute (TTI), we now know who’s got bragging rights for the latest year studied, 2011.

Robert Kalfus

Traffic in the George Washington Bridge toll plaza coming into New York

According to the TTI, traffic in Washington D.C. is the worst, with each commuter losing an average of 67 hours per year in traffic. Los Angeles and San Francisco are tied for second place, with each municipality taking 61 hours annually from its commuters.

In fourth place is Newark, New Jersey, lumped into one miserable bundle with New York, New York. Drivers here can expect to waste 59 hours sucking down exhaust fumes each year, which is quite a bit worse than fifth-place Boston (with a mere 53 hours annually).

To read more, go to Fox News

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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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Broward doesn’t plan to sit out of Super Bowl

As the Miami Dolphins push Miami-Dade County to raise hotel taxes in pursuit of Super Bowl 50, Broward County’s tourism industry may be fighting for some home-field advantage.

Dolphins owner Stephen Ross is pledging to base future championships in Miami-Dade if his proposed financing plan gets approved, and he has come close to apologizing for the central role Broward played as host of the 2010 Super Bowl.

“We are the Miami Dolphins,” Ross said the day he proposed using $199 million in state and county dollars to fund half of the upgrades for the 25-year-old stadium. “We know the NFL headquarters will be in Miami. The last time it was in Broward, way before I got involved. I can tell you, it will be in Miami. That’s who is going to benefit.”

The pursuit of the 2016 Super Bowl looms large in the Dolphins’ effort to win Miami-Dade taxes for the upgrade, with team executives campaigning for a referendum in time for the May meeting when Ross and his fellow NFL owners award the 50th championship game. The push isn’t sitting well in Broward, which paid $2 million toward Super Bowl expenses in 2010 but now warns that local organizers can’t count on the money this time around.

“The news out of Miami-Dade County about what goes where and what may happen with the Super Bowl certainly doesn’t lend itself to Broward saying: ‘How can we participate?’ ” said Nicki Grossman, president of the Greater Fort Lauderdale Convention and Visitors Bureau, a county agency. “Why would we make a significant contribution to the host committee if we’re getting no Super Bowl events?”

Private sponsors fund the bulk of local Super Bowl budgets, which typically land somewhere between $12 million and $15 million, said Rodney Barreto, the longtime chairman of the region’s host committee for the games. In 2010, Miami-Dade paid $1.5 million to the committee, and its tax-funded tourism bureau paid about $400,000. Losing Broward’s contribution would mean more of an uphill climb for the committee’s fundraisers, though Broward would likely offer to pay something in order to participate in the bid.

But the issue is a prickly one. In 2007, Miami-Dade lost top billing for local Super Bowls when the NFL changed the official host from “Miami” to “South Florida.” The regional brand continued in 2010, when Broward played host to the Super Bowl’s official media center, headquarters hotel and other official NFL events. An economic study funded by Barreto’s host committee put the 2010 game’s impact at $58 million in Broward compared to $40 million in Miami-Dade.

But when the Dolphins in 2011 proposed changing state law to allow both Broward and Miami-Dade to raise hotel taxes to fund a Sun Life renovation, Broward commissioners berated the plan. Mike Dee, the team’s CEO, later warned the vote against the plan might cost Broward a role in future Super Bowl bids. And the Dolphins have hinted at a bigger shift south for spending tied to the NFL, with Dee’s telling Miami-Dade commissioners the team wouldn’t rule out moving its training facility out of Davie and into Miami-Dade as part of a financing deal.

Dolphins executives declined to be interviewed for this article, issuing a statement that said in part: “Miami-Dade will receive a significant return on any investment it makes.”

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Water in LA hotel tasted funny for weeks, decomposed body found in cistern

LOS ANGELES — British tourist Michael Baugh and his wife said water had only trickled for days as they brushed their teeth, showered and drank from the taps at the Cecil Hotel in downtown Los Angeles, but they could not have imagined the disturbing reason.

The body of a Canadian woman was later discovered at the bottom of one of four cisterns on the roof of the historic hotel near Skid Row. The tanks provide water for hotel taps and would have been used by guests for washing and drinking.

"The moment we found out, we felt a bit sick to the stomach, quite literally," Baugh said.

AFP/Getty Images

The Cecil Hotel.

AP

Canadian tourist Elisa Lam.

Los Angeles County Department of Public Health officials were expected to release the results of tests on the water on Thursday.

When the body was discovered on Tuesday, they issued a do-not-drink order while a lab analyzes the water, said Terrance Powell, a director coordinating the department's response. The disclosure contradicts a previous police statement that the water had been deemed safe.

Powell said the water was also used for cooking in the hotel; a coffee shop in the hotel would remain closed and has been instructed to sanitize its food equipment before reopening.

"Our biggest concern is going to be fecal contamination because of the body in the water," Powell said. He said the likelihood of contamination is "minimal" given the large amount of water the body was found in, but the department is being extra cautious.

Powell said the hotel hired a water treatment specialist after the department required it to do so to disinfect its plumbing lines.

A call to the hotel was not returned.

The remains of Elisa Lam, 21, were found by a maintenance worker at the 600-room hotel that charges $65 a night after guests complained about the low water pressure.

Police detectives were working to determine if her death was the result of foul play or an accident.

LAPD Sgt. Rudy Lopez called it suspicious and said a coroner's investigation will determine Lam's cause of death.

Before she died, hotel surveillance footage showed Lam inside an elevator pushing buttons and sticking her head out the doors, looking in both directions. She was later found in the water tank.

Lam, of Vancouver, British Columbia, traveled alone to Los Angeles on Jan. 26 and was last seen five days later by workers at the hotel.

Lopez said the hotel has four cisterns on its roof that are each about 10 feet tall, 4.5 feet wide and hold at least 1,000 gallons of water pumped up from city pipes.

Lam's body was found Tuesday morning at the bottom of one cistern that was about three-quarters full of water, Lopez said.

The opening at the top of the cistern is too small to accommodate firefighters and equipment, so they had to cut a hole in the storage tank to recover Lam's body.

The cisterns are on a platform at least 10 feet above the roof.

To get to the tanks, someone would have to go to the top floor then take a staircase with a locked door and emergency alarm preventing roof access.

Another ladder would have to be taken to the platform and a person would have to climb the side of the tank.

Lopez said there are no security cameras on the roof.

Lam intended to travel to Santa Cruz, about 350 miles north of Los Angeles. Officials said she tended to use public transportation and had been in touch with her family daily until she disappeared.

The Cecil Hotel was built in the 1920s and refurbished several years ago. The hotel is on Main Street in a part of downtown where efforts at gentrification often conflicts with homelessness and crime. It had once been the occasional home of infamous serial killers such as Richard Ramirez, known as the Night Stalker, and Austrian prison author Jack Unterweger, who was convicted of murdering nine prostitutes in Europe and the U.S., the Los Angeles Times reported.

By noon Wednesday, the Cecil Hotel had relocated 27 rooms used by guests to another hotel, but 11 rooms remained filled, Powell said. Those who chose to remain in the hotel were required to sign a waiver in which they acknowledged being informed of the health risks and were being provided bottled water, Powell said.

Baugh and his wife, who were on their first trip to the U.S., had planned to go to SeaWorld on Wednesday. Instead, they were trying to find a new hotel. Their tour agency placed them in another downtown hotel with a less than sterling reputation, from what they heard.

"We're just going from one dodgy place to another," Baugh said, resigned, "but at least there's water."

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Broward doesn’t plan to sit out of Super Bowl

As the Miami Dolphins push Miami-Dade County to raise hotel taxes in pursuit of Super Bowl 50, Broward County’s tourism industry may be fighting for some home-field advantage.

Dolphins owner Stephen Ross is pledging to base future championships in Miami-Dade if his proposed financing plan gets approved, and he has come close to apologizing for the central role Broward played as host of the 2010 Super Bowl.

“We are the Miami Dolphins,” Ross said the day he proposed using $199 million in state and county dollars to fund half of the upgrades for the 25-year-old stadium. “We know the NFL headquarters will be in Miami. The last time it was in Broward, way before I got involved. I can tell you, it will be in Miami. That’s who is going to benefit.”

The pursuit of the 2016 Super Bowl looms large in the Dolphins’ effort to win Miami-Dade taxes for the upgrade, with team executives campaigning for a referendum in time for the May meeting when Ross and his fellow NFL owners award the 50th championship game. The push isn’t sitting well in Broward, which paid $2 million toward Super Bowl expenses in 2010 but now warns that local organizers can’t count on the money this time around.

“The news out of Miami-Dade County about what goes where and what may happen with the Super Bowl certainly doesn’t lend itself to Broward saying: ‘How can we participate?’ ” said Nicki Grossman, president of the Greater Fort Lauderdale Convention and Visitors Bureau, a county agency. “Why would we make a significant contribution to the host committee if we’re getting no Super Bowl events?”

Private sponsors fund the bulk of local Super Bowl budgets, which typically land somewhere between $12 million and $15 million, said Rodney Barreto, the longtime chairman of the region’s host committee for the games. In 2010, Miami-Dade paid $1.5 million to the committee, and its tax-funded tourism bureau paid about $400,000. Losing Broward’s contribution would mean more of an uphill climb for the committee’s fundraisers, though Broward would likely offer to pay something in order to participate in the bid.

But the issue is a prickly one. In 2007, Miami-Dade lost top billing for local Super Bowls when the NFL changed the official host from “Miami” to “South Florida.” The regional brand continued in 2010, when Broward played host to the Super Bowl’s official media center, headquarters hotel and other official NFL events. An economic study funded by Barreto’s host committee put the 2010 game’s impact at $58 million in Broward compared to $40 million in Miami-Dade.

But when the Dolphins in 2011 proposed changing state law to allow both Broward and Miami-Dade to raise hotel taxes to fund a Sun Life renovation, Broward commissioners berated the plan. Mike Dee, the team’s CEO, later warned the vote against the plan might cost Broward a role in future Super Bowl bids. And the Dolphins have hinted at a bigger shift south for spending tied to the NFL, with Dee’s telling Miami-Dade commissioners the team wouldn’t rule out moving its training facility out of Davie and into Miami-Dade as part of a financing deal.

Dolphins executives declined to be interviewed for this article, issuing a statement that said in part: “Miami-Dade will receive a significant return on any investment it makes.”

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Election reform, bridge repairs top Miami-Dade Commission agenda

Miami-Dade commissioners are expected Wednesday to urge the state legislature to allow Election Day voters to drop off their absentee ballots at their local precincts, and ask the mayor to identify funding to repair and upgrade the county’s 203 bridges.

Returning absentee ballots to local precincts was one of 13 recommendations in a report by an Election Advisory Group that needs local and state approval to become law. Now, absentee ballots can only be returned to election headquarters in Doral.

The advisory group, created after the embarrassing November presidential election saw people waiting in lines for up to six hours, also wants to change the name of absentee ballots to “Vote by Mail.”

Other recommended voting changes include expanding early voting days from eight to 14, including the last Sunday before an election; expanding the number of permissible voting sites; limiting ballot language on constitutional amendments to 75 words; and expanding the number of days elections supervisors are allowed to total and check votes from 15 to 20.

Commissioners are also expected Wednesday to urge Mayor Carlos Gimenez to identify funding sources to repair the county’s bridges. The county estimates that over the next two decades it will need as much as $450 million for repairs. The issue came to light in early January when the county was forced to close down the west-bound half of Bear Cut Bridge leading to Key Biscayne, after structural flaws were found.

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Some problems as NYC school bus drivers return to work

New York City school bus drivers who serve tens of thousands of children were back at work Wednesday after a monthlong strike that forced students — many of them disabled — to take taxis, public transportation or car services to school.

"We're happy to be back," said driver Philip Pan, 57, whose dashboard was adorned with a hand-drawn "Welcome back" card, complete with a picture of a bus.

"We're like a family. We're really close with these kids," said Pan, who's been on the job eight years.

But not all parents were happy. Sadia Awan, 34, ended up taking her seventh-grader to school herself because their bus didn't come.

Getty Images

School buses rolling again in Queens

Her son, Hurrera, has a prosthetic leg. They waited about 90 minutes before giving up.

"I was calling, calling, calling, waiting, waiting, waiting. Nothing," said the angry mother said outside Middle School 88 in Park Slope, Brooklyn. "If he's late, the school's going to go after his academics. It's not good for me, it's not good for him."

Awan also said she had struggled with the online reimbursement process to cover her son's taxis during the strike. They cost $20 a day. "That's rent money," she said.

"I understand the drivers need security but they shouldn't have done it to the kids," said Awan.

Regular schedules resumed on all 7,700 routes serving the nation's largest public school system. Five thousand of those routes were affected by the strike. The city has about 1.1 million children in public schools.

Drivers and assistants known as matrons from the Amalgamated Transit Union Local 1181 walked off the job Jan. 16, the first school bus driver strike in the city since 1979.

Union officials called off the strike Friday after leading mayoral candidates promised to address job security issues if elected.

Matron Sandy Cardinale, 56, said her time off the job "was horrible."

"It's nice to be working with these kids again," said the 14-year veteran. "We missed them. I'm so glad it's over."

The city spent roughly $20.6 million in transit cards, taxis and gas mileage to get tens of thousands of stranded students to school during the strike; some still didn't get there at all, schools Chancellor Dennis Walcott said Monday. But he estimated the city saved $80 million because it wasn't paying bus companies during the strike.

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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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