Yearly Archives: 2024

Season of Gratitude: Balancing Joy, Grief, and Stress

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I started writing this last week on a windy, rainy day from my home in southern New England. It was 61 degrees. We won’t see that temperature probably again for a few months.

Our artificial tree with lights that comes in three parts is assembled and plugged in. I’ll get to the ornaments in the next few days. Our little funky display of holiday figures in our entryway is done. Our decorations are nothing compared to what I see friends post on Facebook or what you can find on Pinterest. That’s OK. It’s ours. And when I get to doing the tree ornaments, hanging the few handcrafted ones my adult daughters made when they were little kids will bring a smile to my face!

I put together my gift list for shopping and have one more present to buy. I mailed the out-of-town gifts to arrive in time.

My husband and I are practicing four choir pieces for our Christmas Eve church service. As part of the glee club in our community, we did three performances of the holiday concert a week ago. My favorite pieces from that program were Prayer for Shalom and Peace, Peace. Music truly is good for the spirit!

This season should be a time of joy yet for many it is a difficult time of grieving, especially when it’s the “first” holiday without a loved one. And for people who shop for a lot of gifts and people hosting family or friends, it can become a very stressful time.

I’ve written a few blogs over the years during the holidays that are worth revisiting. Here are excerpts from a few of them:

Holidays aren’t fa-la-la for everyone

As you celebrate the joy and wonder of this holiday season, make room for those who are grieving. Find kindness in your heart for all around you but give special support and love to those who may need it the most at this time of the year. If you have experienced loss, let those close to you surround you with their love. Continue reading →

Finding truth post-election: staying informed, vigilant and engaged

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It has been over a week since the election. For some of us, an incredibly long week of processing our reactions and considering how we go forward. My first response was disbelief and dread. Then came the sadness. As the days go by, I am thinking more and more about how to continue to have a voice and make a difference. I won’t just sit by and watch. I want to help make a better future for our Nation and for the World.

Misinformation played a big part in our elections. As I said in 2016, we must stay informed, be vigilant and engaged. Separating the facts from fiction is more important now than in the past.

If you share my concern about the level of misinformation, I offer a few resources to consider adding to your reading or listening list.

Heather Cox Richardson writes a daily newsletter called, Letters from an American, which is also available as a podcast. For well over a year, I have made reading her letter my first “to do” with a cup of coffee each morning. As a history professor, she is a master at framing the events of the day in a historical context. The November 12th letter was a master class in “careful what you ask for”. It was downright chilling to read.

Joyce Vance writes a daily newsletter called, Civil Discourse. She is a former United States Attorney, currently a law professor and a legal analyst for MSNBC and NBC. She also co-hosts two podcasts, #SistersInLaw and Cafe’s Insider. As she says, “I believe that being a citizen is the most important work any of us can do. As citizens, a key part of our role is to educate ourselves and stay informed”. She focuses a lot on the legal issues, so I don’t always get through her newsletter but the one dated November 9th, “The Importance of Information” is well worth reading to understand the level and impact of disinformation in 2024.

Yes, you may consider these two sources liberal and want more centrist or both-sided sources, but I am looking for big picture context from fact-based, credible resources to inform and inspire me. If you have other recommendations, I’m open.

A friend and former colleague during my Michigan days recently shared on Facebook that she regularly reads Tangle. They self-describe as a “non-partisan politics newsletter giving a 360-degree view on the news – opinions from the left, right and center so you can decide”. As they say, “unbiased news for busy people”. I just subscribed to check it out.

And as social media platforms are evolving, I’m ready to make my move from X to Bluesky. It’s well past time for that given what X has become.

The future is what we make it. To stand idly by and watch is not in my nature. That’s why I use a wide range of sources, treating each with a bit of skepticism, working to develop a Truth that will help benefit the Greater Good based on facts and evidence supported by optimism. We can always be better – individually and collectively. I will continue to support organizations and political leaders who share my values and sense of purpose.

Your Voice is Your Power: Standing Up for Democracy in a Divisive Election Season

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As we go about our daily work and home life, who can forget that there is an election going on? Even if you are not watching or reading the news you can’t escape it. Nor should you. This is probably the most consequential presidential election of our lifetime. We all must ask ourselves what kind of world we want for our children and grandchildren. Who speaks to our values? Who can we trust with our future and our democracy?

If you know me or are a regular reader of my blog, you know my answer. Yes, I have a button that says, “We are not going back”. And I have my “I voted early” sticker. With this consequential election a week away, I can’t be silent.

I proudly display my RBG art in my home workspace where she is visible over my shoulder on all my zoom calls and podcast interviews. It is often a conversation starter with both men and women when they see it for the first time.

While we may want to shy away from speaking out and openly supporting the candidate of our choice, I have great respect for people who are willing to publicly state their support for Vice President Kamala Harris and Governor Tim Walz as our next President and Vice President. This includes a growing list of business leaders. And not to be ignored, many long-standing Republican leaders and former Trump administration officials are warning us based on their first-hand knowledge and experience that he is unfit to lead and a danger to our democracy.

I am encouraged to see healthcare leaders willing to post their very insightful support for the Harris/Walz ticket on LinkedIn which is supposed to be a professional network and not political. Continue reading →

Embracing life’s fragility: personal connections and enduring friendships

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It’s been several weeks since I last wrote. In my last post I talked about cultivating your professional network and the give and take of relationships. In this post, personal connections and friendships are top of mind.

Shortly after my last blog post, I had a lovely 2-week vacation with my sister and my husband traveling the varied beauty of California from the ocean to the giant sequoias to the canyons and mountains. My sister’s husband passed away two years ago, and we have become her favorite travel buddies. This is the second year that the three of us have taken a trip together. Any time we spend together is a treasure.

But my West Coast vacation ended on a sad note. I added a few extra days to my trip so I could attend a memorial service in the Northwest for a good friend who had died unexpectedly a month earlier. She was a friend we didn’t see or talk to often but when we did, our close friendship with her and her husband picked up easily where it had last left off.

There is nothing like a memorial service and talking with a grieving family to cause deep reflection and introspection about one’s own mortality and to remind us what really matters in life.

My drive from the airport to the town they live in was a 2-hour drive through a beautiful part of Washington state. I had plenty of time each way in the car alone to reflect on life. While my husband and I have joked about making sure I know all the passwords if something happens to him, the sudden and unexpected loss of a loved one is anything but a joke. It rips your heart out and leaves you and your family devastated. But time heals. And you carry on. And that’s what my friend and his family are doing, hard as it is. They have lost a spouse, a mother, a grandmother, a daughter and a sister. They have lost one of their “big rocks”.

I’ve written about “big rocks” a few times in the past. We need to know who they are and put them ahead of all the little rocks and distractions that take our time and energy. We need to live life to the fullest and love deeply those who matter most to us. And we need to be kind to all who cross our path. As the family eulogies at the memorial service pointed out, we will be remembered not for what we did or accomplished but for the kind of person we were and how we made others feel.

Related Posts:

Do you know your big rocks?

Take time to reboot

Time to stop and smell the roses

Time to stop and smell the roses – part 2

Cultivating a network that works for you and others

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My adult daughters have called me the “network queen” at times. They appreciate that I’m willing to introduce them to people who might be helpful to them and their careers in some way. It’s no secret that I do that for anyone who asks.

The value of having a broad network of people you can call on for different situations is priceless. And if you have nurtured your relationships over the years and given graciously of your time, when you ask, you can count on people responding quickly and with a sincere willingness to be helpful.

I had a couple examples of this in the past month.

As part of due diligence on a new business relationship, I reached out to a former colleague and friend who worked with them. She was quick to reply, gave me her input and suggested someone else I should talk to who we both knew. She made the re-introduction for me, and I was able to connect with that person a few days later for additional insight.

My StarBridge Advisors partner and I needed some business advice in an area we were unfamiliar with. We both knew who our “go to” person would be given our past experience with him. I reached out and we were able to do a very valuable 3-way call later that same day.

Someone I knew from my board service with a non-profit organization several years ago reached out to me for advice on a new opportunity she was considering. After catching up on family and life since we last talked a few years ago, I was able to provide useful insight on the organization and opportunity plus offered to serve as a reference in her continued job search.

As I worked on a proposal for services to a new client, I reached out to someone I worked with almost 30 years ago to see if she was still working in the same field that I needed help with. We reconnected and I learned about her new consulting services which I have already referred to someone.

Relationships involve give and take. Maintaining positive mutually beneficial relationships means being available to others when they ask. They are much more than a “connection” on LinkedIn.

As we go into the Fall conference season and have the opportunity to see colleagues in person and make new connections, keep in mind the value of your network to not only you but how your connections might help others. After all, you can probably name many people who have helped you along the way. Be generous with your time and willing to help others. It will pay off many times over.

Related Posts:

Networking and navigating a tight job market

The power of your network and learning from others

Networking, learning and giving back

Championing DEI – personal stories and lessons from leaders

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We learn from our own experiences, and we learn from other’s experiences when they are willing to share their stories. The impetus behind starting this blog was to share and help teach others, especially next generation leaders.  I have shared lessons learned both professionally and personally over the years. And I have shared many stories along the way.

My latest contribution in this sharing space is based on my ongoing commitment to promote diversity, equity and inclusion. As a member of the CHIME DEI committee for the past few years, I’ve come to know many colleagues in deep ways as we share our stories with each other and work to educate the broader CHIME community.

The newest offering from the committee is a video series called “Inclusive Insights: Personal Stories of Diversity in Action”. An insightful interview with Cletis Earle last month was the first in the series. Cletis is the CHIME DEI Committee Co-Chair and former SVP and CIO at Penn State Health and College of Medicine. I encourage you to view it here. He covered how DEI played a role in his career, why organizations should not turn away from DEI, how he advocates for DEI at work and in his community, and shares advice for colleagues trying to enhance diversity, equity, inclusion and belonging in their organizations.

I’m honored to be the second person in the series to share my story – it is available here. I covered common myths and misperceptions about DEI, challenges I have faced in my career and how I overcame them, the role that mentorship and sponsorship play in fostering diversity and inclusion, the role of allies, and more.

When I first joined CHIME as a new CIO in 2000, the makeup of the group was very different from what it is today. There is far more diversity among health IT leaders today compared to back then. CHIME’s explicit commitment to DEI in recent years through the committee’s work and the programming at in-person conferences is encouraging.

We have made progress but there is more work to be done. We’re in it together.

Related Posts:

The transformative power of bold leadership in healthcare

Celebrating Women’s History Month: Championing Diversity in Health IT

One year later – an increased focus on diversity, equity and inclusion

Timeboxing: balancing work and vacation without the stress

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I’ve written a few times over the years about the importance of taking vacations, having true down time, and the elusive work-life balance. Talking with one of my mentees this morning and one of my daughters last night, I was reminded of how important vacations and time away from work can be. Especially for young families where working parents are constantly on the go between their work, their kids’ activities, and basic home life. Packing and getting ready for vacation both at work and at home becomes one more stressor.

I’m a big proponent of taking a vacation where you shut work off completely and let others cover for you and delegate as much as possible. But I know that’s not always possible. And shutting off completely may cause some people even more anxiety. My approach and advice in those situations are to “timebox” an email session each morning (30-60 minutes max) before everyone else gets going for the day. Review the high priority/time sensitive emails and respond only if required. At a minimum, by reading them you will be aware of what’s happening. Don’t get into an email exchange that will carry into the day. Ignore the non-urgent or non-important ones. Delete what you can.

With you and your colleagues taking vacations at different times over the summer months, it can be difficult to keep certain projects and initiatives moving forward. Try not to have everyone dependent on you such that something must come to a halt until you return. In healthcare, we can’t shut the organization down for a week while everyone takes a vacation. I can understand why small companies who can do just that in fact do it – often around July 4th or between end of year holidays.

On this eve of July 4th, while I watch the news and worry about our democracy, I wish you all a happy and safe July 4th weekend and a fabulous summer vacation whenever you decide to take it!

Related Posts:

Vacation season reminders for a more balanced life

The 6 Rs of summer

4 tips when you must work on vacation

Take time to reboot

Maximizing health IT investments requires a holistic approach

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Evaluating the value of IT investments in healthcare is a significant challenge for health IT leaders and their organizations. With the growing demand for digital health solutions and the increasing interest in AI, establishing a comprehensive IT investment valuation process has become crucial for health systems both large and small. My colleague at StarBridge Advisors, David Muntz, recently wrote an excellent blog post describing what we call the VOI framework – “An Effective Strategy for Valuing HIT Investments”.

Traditional metrics like ROI, IRR, and TCO are often used to assess IT investments. While these financial measures are important, relying solely on them can be insufficient. As David outlines in his blog, StarBridge Advisors has developed a Value of Investment (VOI) framework that combines traditional financial metrics with additional elements that capture the broader impact of IT investments.

I encourage you to read David’s entire blog post where he expands on these core elements of the VOI framework:

    1. Flexibility: Modern IT solutions provide new capabilities, such as using smartphones to locate the nearest mobile imaging device or utilizing AI for image evaluation with high precision. This flexibility improves operational efficiency and patient care.
    2. Intangibles: Non-physical assets like clinical outcomes, patient satisfaction, and brand loyalty play a crucial role. Personal stories that highlight the human impact of IT investments often provide the most compelling evidence of value.
    3. Social Value: IT solutions that meet patient and family needs, such as enabling control over care environments or providing interpreter services, significantly enhance patient experiences and outcomes.
    4. Risk Management: Effective risk management is essential to achieving the anticipated value of IT investments. The framework identifies nine risk categories with targeted questions to help organizations determine acceptable risk levels.
    5. Accountability: Ensuring that those responsible for implementing and using the IT asset are accountable for achieving results that drive continuous improvement and better outcomes.

Additional analyses include stakeholder impact, capability-based assessment, market positioning, strategic alignment, and intellectual capital.

Evaluating IT investments requires a comprehensive approach. StarBridge Advisors offers the expertise and tools to help you develop and deploy a personalized VOI framework. David and I are happy to explore with you how we can help you maximize your investment.

Related Posts:

What do healthcare CEOs want from technology in 2024 and beyond?

Beyond cost cutting: Health IT’s role in financial health

 

A decade of blogging: 10 years of insights on healthcare, technology, and leadership

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This week marks 10 years since I became a blogger! With a focus on the intersection of healthcare and technology, a lot has happened in 10 years. For my regular readers, you know I cover much more than healthcare and technology including leadership, career advice, women’s issues, and yes, even politics. And I weave in personal stories at times.

When I started this blog in 2014, I was serving as the CIO at University of Michigan Hospitals and Health Centers. The social media coordinator in the Communications department encouraged me to start and helped set it up. I leaned on our IT chief of staff to help manage it. From the start, I assumed that I had multiple audiences to speak to – my IT staff (I encouraged them to subscribe but promised to continue my monthly CIO messages aimed at just them), our health system staff, health IT colleagues in the industry, and anyone else who was interested. My first blog was about our major Epic go live a few days later – “Three days and counting….”. It was the first of many practitioner based blogs over the years.

So, why blog? As I wrote in my “About” page:

“One of my passions is the development of the next generation of IT leaders, especially young people who are beginning their careers or who are beginning to take on leadership roles. I’ve been there: a young mother of two with a full-time management job while a part-time graduate student.  I remember the years when I was the only woman at the leadership table. 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 in early 2016 to start down a path of interim management, consulting and leadership coaching, I took over the blog myself and committed to continuing writing weekly. I had relevant topics each week as I served in four different organizations in interim IT leadership roles in subsequent years and launched StarBridge Advisors with colleagues in late 2016.

If you are a subscriber, you know that my weekly commitment has waned in the past year, and I publish less frequently. As I have reduced and refocused my work commitments, topic ideas come to me less frequently – mostly from events in the industry and beyond, articles, discussions with people I coach and mentor, and my regular contact with health IT leaders.

There have been times when I just can’t be silent on something and go more political. Continue reading →

Networking and navigating a tight job market

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Are we in a tight job market? It sure sounds like it from all the calls I’m getting from colleagues having a hard time finding a new position. Probably the best indicator though of a tight job market is that unemployment has been under 4% for the last 2+ years.

At StarBridge Advisors, we have many advisors who are only interested in interim and advisory work while others are looking for their next permanent position but available for interim and advisory engagements in the meantime. On our recent monthly advisors call, I asked those who are looking for their next permanent position what their current job search experience tells them. Trends they see are more internal promotions rather than hiring from outside the organization and hiring from the local area or region rather than relocating someone. One of them also commented that with so many boutique search firms, it can be hard to know who to reach out to regarding openings.

Another sign of the tight job market might be the fact that a LinkedIn post I shared on job interview skills got over 2,000 impressions in a short timeframe.

Knowing how important networking is, I take every call request I get from people I know who need career advice. And when colleagues reach out asking if they can send someone my way to talk, I say yes. I seem to be a go to kind of person keeping tabs on the market for health IT leadership positions but more importantly I’m always willing to help if I can. People have helped me along the way, so I do the same.

I also write a lot about career management and all things related in this blog. You can always search previous posts for more career advice. And I do short career coaching engagements – if it helps you to land your next opportunity, this small investment in yourself could be very worthwhile!

I know from personal experience that a job search takes a lot of patience and persistence. Beyond networking, spend time doing your research. Maintain a positive attitude and be open to various possibilities. Our industry continues to evolve, and the health ecosystem is broad with many different types of organizations to consider.

Related Posts:

Navigating career crossroads

Career advice revisited

Considering a career move?