Lessons from the road

This is not a consultant’s or salesperson’s road warrior set of lessons. But rather observations and a few life lessons after a two-day drive home from Florida to Massachusetts. While my husband napped during one of my driving shifts, I had plenty of quiet time to think and observe. Here goes on my lessons from the road:

  • Without the big picture and context, it’s easy to make a mistake. That’s what happened when going around Washington DC day two. I lacked context for the different options. I took an exit based on how I interpreted the signage that caused us to get rerouted and sit in the rush hour traffic we were trying to avoid.
  • You need to ask yourself if shortcuts are worth it and at what cost if you are unsure of the outcome. Near DC, I took the express lane with high tolls when I wasn’t sure if I could exit in time for the next highway that I was supposed to take. My goal was to avoid DC rush hour traffic as much as possible, so it seemed worth it.
  • Estimated hours and schedules for anything is just that, an estimate. You never know what obstacles will get in the way to change it. Watching the ETA on your navigation system can give hope until you run into heavy traffic, accidents, or construction work and the ETA starts bouncing around. We ran into so much of all this on the way down to Florida that we had two 15 hour driving days instead of what was expected to be closer to two 10-hour days.
  • Alerts are great for awareness and/or taking action but you never know the true impact until you get in the middle of the situation. Our map/navigation app gives crash and hazard alerts, whether they have been cleared yet or not, and the number of minutes delay they will cause. In most cases, the delay was far longer than the initial alert said it would be.
  • The higher you go in an organization, the more uncertainty you face requiring a steady hand and focus on the goal. On the way home, we decided to take a route that avoided the big Northeast cities and all their traffic even if it meant more miles. At one point driving through Pennsylvania, we had about 45 minutes at 1600 feet altitude with very heavy fog and near zero visibility. My husband’s steady hand on the wheel was reassuring.
  • Everyone you talk to will have an opinion or advice, but you must decide what is right for you. People who make this trip regularly are willing to start off in the middle of the night to avoid rush hour in a big city. That so didn’t sound like something we would do so we left early morning each day.
  • Even two people make a team and teamwork is critical. Friends who have done this drive talk about doing 5 hour driving shifts before taking a break. Not us. My husband and I would drive as long as we each were comfortable and switched drivers often making our pit stops as efficient as we could. Fortunately, our two furry team members were perfect in the back seat – happily sleeping in between each stop.
  • Technology has changed the way we live and travel – duh! I’m old enough to remember when we used a paper trip tik book from AAA for family vacations as a kid. Probably many of you are old enough to remember when we used to have spiral bound paper map books for a state or city with the tiniest of print. Now we rely on smart car navigation systems and apps on our iPhones.

We spent two relaxing weeks visiting friends at their condo overlooking the ocean. The balcony was an awesome office with a view for keeping up on email each day and doing some time sensitive work calls. Daily morning beach walks and afternoon pickleball, lovely sunsets and moonrises, a few museums and some shopping, and seeing a midnight space launch from a 35 miles distance down the coast. Our two dogs behaved and got along well with their two dogs. Good news – we’re invited back next year. Now that we’ve done the long drive that many northerners do in the winter months to spend time in sunny Florida, we know what it takes and learned a few travel and life lessons along the way.

From an oversubscribed podcast fan

If you’re a podcast listener like me, you probably have subscribed to a lot of different podcasts. You get a recommendation from a friend or colleague, somehow you hear about a new podcast on a topic of interest, so you search for it and subscribe. At least that’s what I do. It results in being way oversubscribed. Let’s be honest, you can only listen to so many different podcasts regularly whether on your commute, when you’re working out, or walking the dogs.

It’s no secret that I’m a huge fan of the This Week Health channels. I subscribe to all three – Newsroom, Community, and Conference. I am a regular listener of the Daily News shows on Newsroom to keep up and because they are nice and short – about 10-15 minutes each except for the Monday show. I listen to many of the Community Town Hall interviews and humbly note that I’m one of the hosts committed to doing one a month. My interviews so far this year have included John Glaser, Kisha Hawthorn, Lisa Stump, Scott MacLean, and Pamela Arora – leaders in our industry you probably recognize.

Since it’s conference season, Bill Russell and his team at This Week in Health have been doing the Interviews in Action series again – 10-15 minute interviews with many health IT leaders which can be found on the Community channel.

If you want to keep up and learn from others, check them out and encourage your team to listen as well. As in past years, Bill will be doing the end of year highlights shows – they are a great way to introduce others to these podcasts. There will even be one with all the Town Hall hosts covering highlights from our interviews this year. And as Bill has done every year for the past 5 years (congrats Bill on an awesome 5 years!!), we can count on tweaks to current channels and maybe some new programs in the coming year.

Back to the oversubscribed challenge and a bit of a diversion. Continue reading

Reflections on recent career conversations

I’ve often written about career advice. After talking to several people in transition while I was at the CHIME 2022 Fall Forum last week, I decided it’s a good time to revisit the topic. Here are some of those interactions – anonymized of course – followed by my general advice given the common themes:

  • I asked a colleague who I knew was unhappy with their situation a few years ago how things are going these days. I got the same response as before – still unhappy. I say, time to do something about it. No one should stay in an organization or position where they are truly unhappy if there are options out there.
  • I met a CIO whose position was eliminated due to a merger. While actively looking for the next position, there are concerns that lacking Epic experience at the CIO level is an obstacle. Yes, there are benefits to having worked with a particular vendor and understanding the challenges and issues with their products and services but as I like to say, the CIO is not doing report writing in the tool so in the end, does specific vendor experience matter?
  • I met a CIO who is concerned about ageism. Will they be given a chance if they are 60 years old? There are laws against age discrimination but unfortunately, we know it’s a reality. I say go for it and focus on your experience.
  • I spoke with someone who is mid-career and unhappy in their current organization given cultural issues and limited opportunities. They are actively looking at a wide range of options as they should be.
  • I got an email from someone at a vendor whose position was eliminated and wanted help networking. I connected that person with someone who is well connected in that specific part of our industry.
  • I spoke to a couple CIOs who have retirement dates set. They will be thinking about the next chapter and whether to go cold turkey or stay involved in some way. The beauty of that phase is you can pick and choose, say “yes” to what you are passionate about and “no” to what you no longer want to do.
  • I spoke to a CIO who isn’t ready to retire but is open to working less and considering alternatives. This may be a growing trend after the pace and demands of the past few years.

And I spent time with some of the people I have formally coached in recent years. Hearing how they are doing and seeing how they have grown in their roles and careers is very rewarding. I’m honored that I helped in some small way. Continue reading

A post vacation teaser for future posts

I am just back from a long vacation in Europe. Probably too long away from home but it was wonderful overall. I learned a lot, saw a lot, took hundreds of pix that I now must organize, kept in touch with family back home, and made some new friends.

And I have a lot of takeaways for future blog posts such as:

  • smart technology in everyday life (Europeans seem ahead of us)
  • importance of infrastructure (can’t say enough positives about the train system in Europe)
  • value of language translation tools (Google translate is a great tool for basics)
  • learning value of travel (part of trip was Road Scholar cruise with professors lecturing onboard and local experts on tours)
  • email management (the art of monitoring while on vacation)
  • and yes, some political commentary (Europe knows what it takes to fight fascists and Nazis)

I will be writing some of these posts in the weeks to come as I am still catching up and getting back into work and routines.

I leave you with a quote we saw on a small riverboat in Narbonne, France (which looked like a wonderful place for retirement if you didn’t have family and grandkids you wanted to see often). I used the Google translate app to get this: “If you think adventure is dangerous, try routine, it’s deadly!”

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Vacation season reminders for a more balanced life

4 tips when you must work on vacation

Paying it forward with career advice

I get a lot of calls, emails, and LinkedIn messages asking for career advice. Knowing that people have been very supportive of me over my career, I try to pay it forward. I do a short call, find out where the person is at in their job search and career transition, ask some key questions, and give whatever advice makes sense for their situation. For people I know well and keep in touch with during their search, I often share useful articles that I find. These may include resume writing and layout, prepping for the interview, how to follow-up after the interview, dealing with rejection, how to identify red flags, or building your personal brand.

Many of the resources I have found and shared are from LinkedIn which as we all know is the “go to” for professional networking and content.

A Fortune article by Jennifer Mizgata in March of this year addresses a key question many people are faced with – “Should I take a fancy new career opportunity or stick with the old job I still like?”.  In it she references a great HBR piece, “A Scorecard to Help You Compare Two Jobs”, written in 2017 by a former colleague of mine from Mass General, Allison Rimm. It includes a scorecard tool similar to one I have used when doing career coaching.

I’ve written a lot on career management over the years. My post, “Career advice revisited” from May 2021 has links to most of them. Check it out and share with anyone you know who might find it helpful. In other words, let’s pay it forward!

Note – I am taking a short break from writing new posts over the next month. With all the blog posts I’ve written over the past 8 years, I’m using this break to share some of my “classics”. Thank you for being a subscriber – I hope you will encourage your colleagues to subscribe in the coming year.

What can we learn from sports – part 2

If playing pickleball is considered playing sports, then I can actually draw on my own personal experience for this part 2 post. I didn’t play sports when I was young – Title IX was passed the year after I graduated from high school. As young adults, my husband and I played a lot of volleyball with friends. But that was it until I took up golf about 20 years ago playing with girlfriends on weekends for a few years and then sporadically after that.

I played my first pickleball game in April when visiting friends in Florida. They had gotten into it a few months earlier and said I had to try it. They are addicted and play almost every day. Now I’m getting addicted and meeting people who play whether at the YMCA we recently joined or in the townhouse community we live in. And my husband even tried it this past weekend and liked it. That opens the potential for us to find other couples who play. A good thing!

Unlike the “bottom of the 9th” pressure that I described in the post, “What can we learn from sports?”, back in 2018 after seeing a couple of Red Sox games, pickleball is about having fun and trying to get better each time. It has become a popular sport for all ages in recent years.

From my pickleball playing friends, I’ve been told we’re there to have fun. I’ve been told you never have to say that you are sorry when you miss the ball or have a bad serve. The regulars I play with at the YMCA who are quite good are incredibly reinforcing and affirming when I do something well and give me tips and advice as we play. Two of the best ones played elsewhere recently with people who were so competitive it shook their confidence. That’s unfortunate. So far everyone I’ve met playing pickleball has been nice and just there to have fun.

For people my age, it’s also about not falling. That’s my mantra – don’t fall. Everyone I play with and have learned from says don’t back up, that’s when you fall. I also tell myself, don’t get so competitive that I hustle in ways I shouldn’t and end up falling. Not sure what happened, but I did fall on Sunday when I was playing. I backed up a bit to hit a low ball and lost my balance, stumbling backwards and landing on my bum against the fence surrounding the court. People were at my side immediately checking if I was ok. I was. I got right back up and kept playing. When I got home few hours later though I realized I had bruises on both forearms and a sore thigh. Could be worse. Continue reading

Ready to share your story?

Last week I shared that going forward I plan to use this blog to also highlight the great work that so many of you are doing. I got a lot of positive reactions to that idea. The next step is to connect with those of you ready to talk with me and start lifting up the work you are doing for others to learn from.

In articles and podcasts, it is often senior leaders who are interviewed. I have worked with many awesome staff and management folks over the years. I know many of you subscribe to this blog or read it when I share on social media. Consider this a more direct appeal to you to share your stories.

If you have a particular project that you are proud of, an important initiative that you are driving, or key lessons you want to share with others, I’d love to hear from you. Shoot me a note describing what you want to talk about and I’ll follow-up to learn more. Be ready to share what you did and why, key challenges, results, and any lessons learned that will help others.

How best to reach me? If you don’t already have my email, send me a message on LinkedIn.

Together we’ll keep learning, sharing, and making a difference!

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Time to pivot

Time to pivot

I’ve been writing this weekly blog for 8 years. It has been a weekly discipline and truly a labor of love. I started when I was the CIO at University of Michigan Health System Hospitals and Health Centers (now called Michigan Medicine). I was encouraged to launch it by the then social media coordinator for the health system. My purpose was simple – share my experience as a health IT leader and help develop next generation leaders. As my website “About” page says: “With this weekly blog, I share perspectives on the critical issues facing Health Care IT, the organizational transformations that IT organizations face, the challenges of leadership, and the work we need to do together to keep the paths of opportunity open for all. What we do matters.”

When I left Michigan and started down the path of interim management, consulting, and leadership coaching, I took over the blog and continued to write and publish it myself. I have served in both permanent and interim IT leadership roles for many leading organizations in the past 8 years. When I have been “in the seat” as a CIO, I have had plenty to share and at no loss for new topics.

But now that I am not doing interim engagements myself, I am removed from the day-to-day issues and challenges, and the many lessons learned from them. I continue to coach and help grow new leaders plus spend time connecting people to new opportunities. So even as I pivot, sharing leadership lessons will continue to be a focus area as well as commenting on significant events in our world as they relate to the work of healthcare and IT.

While blogs as a medium may have had their day, podcasts seem to have taken over in recent years. I listen to many different podcasts though I still read a lot too – finding ways to continually learn from others. I continue to share through other forums – our StarBridge Advisors blog, as a monthly host on the This Week in Health IT Town Hall/Community channel interviewing guests (my foray into podcasts), as well as speaking on webinars and panels.

So, what’s my pivot? I will continue to write but I am going to find ways to highlight the work of others and get their perspective on key issues. There are so many of you doing incredibly important and impactful work in our industry. I’m not sure how I’ll approach this change or if I will adjust the frequency of posts.  I consider it a work in process.

If you are interested in having your work highlighted or sharing your perspective on a key issue for a future post, please reach out. And if you have topic ideas, I’m all ears.

My work and writing continue…..

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Making time for reflection

STEM or not, own your career

Did you know that November 8th was national STEM day? I admit that I didn’t realize it until I was tagged in a comment on a LinkedIn post about national STEM day. Geeta Nayyar, SVP Executive Medical Director at Salesforce, shared some important but disappointing statistics on women and STEM in that post. While women make up about 47% of the total workforce, she notes that we are statistically underrepresented in science, technology, engineering, and mathematics – STEM fields. Women make up only 29% of the STEM labor force, 19% of STEM company board members are women, and among STEM industry CEOs, only 3% are women. No wonder I so often am the only woman in the Zoom room when talking with technology firms. We can and must do better.

In her post, Geeta encouraged people to tag inspiring women leaders they know. I’m grateful and humbled that Linda Stotsky, Content Marketing Strategist at Boston Software Systems, tagged me and several other women in her comment.

I have long been a proponent of more women going into STEM fields and have willingly shared my own stories. I started out as a programmer in the early 1980s and then moved into health IT management for the rest of my career – a field that has been male dominated. I recall a long stretch in the late 1980s when I was the only woman on an all-male IT leadership team and the challenges I faced. Challenges I overcame and that I have helped other women overcome since then.

I was honored to be one of the first women interviewed for the new podcast series, The Game-Changing Women of Healthcare, produced by The Krinsky Company. In this interview I share stories and lessons from my career, give career advice, and provide tips for developing next generation leaders.

As I always say, you have to own your own career and be open to the possibilities. Technology continues to evolve at a rapid pace and the possibilities are unlimited. If a STEM career is right for you, go for it. Be sure to find role models and mentors who can support you and help you overcome the challenges you may face.

Related Posts:

Make career choices right for you

10 tips for next generation leaders

Career advice revisited

When to use a career coach

What I learned this week

When I’m stuck and don’t know what to write about, to trigger ideas my husband asks me “what did you learn this week?”. As I wrote in last week’s blog post, it’s handoff time as my interim CIO engagement at Boston Children’s comes to an end. The past 4 days was a packed schedule for the new CIO, Heather Nelson, and me. A good amount of time was in standing meetings already on the calendar where Heather got to meet individuals or groups in the IT department as well as some senior leadership meetings. In all the non-meeting time, (the white space on the calendar), I inserted sessions for just the two of us to go through the lengthy 10-page transition outline I had prepared.

Heather joked each day about being a sponge and wringing it out at night to start again the next day. She now has multiple lists of to do’s and discussion items for others as she gets started. Her priority in the coming weeks will be listening. What did Heather learn this week? A lot!

What did I learn? Through these standing meetings and handoff discussions I learned how much more there is to do that I didn’t have the time or opportunity to focus on. At one point I told Heather that maybe I’d write about “regret” this week. She was quick to say, no, look at how much you got done in a short time. My CIO colleagues know that our work is endless. We just need to step back occasionally and appreciate what we have gotten done. That’s true for ending an interim engagement as well.

And I learned how much value there is to being in these standing meetings together as part of the handoff so I could debrief with Heather afterwards adding more context and color. Without getting too distracted, using Zoom chat during the meetings to clarify and add context to topics being covered was also a plus.

And during this very busy handoff week, I learned (again) that moving is indeed a stressor! Continue reading