On Best Practices

End of year thoughts and advice for 2023

Posted by on

This week in between holidays is a time when leaders may be working a more relaxed schedule and planning for the coming year. When I was a full-time CIO, I appreciated this last week of the year with few to no meetings and the opportunity to cleanup, catchup, and prepare for the new year.

While the past three years have at times been a blur as I try to recall when certain pandemic related events and changes happened, and the political discourse is incredibly discouraging at times, I remain optimistic about our collective future.

Health IT leaders will continue to face staffing challenges and cost constraints as organizations are under increased financial pressures. The successful health IT leaders in 2023 will be those who can partner effectively with their peers as a member of the executive team, support their organization’s strategic priorities and goals, find ways to reduce costs without reducing services, create flexible work environments with workforce strategies that ensure the best talent on the team, and embrace new and innovative technologies that solve real problems and improve the patient, clinician, and employee experience.

As in previous years, my StarBridge Advisors colleague, David Muntz, has again written an excellent year end blog – 12 Steps to Prepare for 2023 – Big Challenges – Bigger Opportunities. His 12 steps are worth considering as you plan for 2023. And his intro is a powerful reminder of why we work in healthcare and the kind of people we should strive to be in all our interactions:

“Healthcare is a people business.  We need to remind ourselves and our coworkers that mercy and compassion, not anger, define our profession and us as professionals.  We need to model mercy and compassion in our personal lives, in our interpersonal relationships, not just with family and friends, but with strangers and, equally important, our coworkers and business partners.  One way to do that is through genuine listening in pursuit of true understanding – so easy to say, so difficult to do.  Give others an avenue to express themselves.   For your own sake, lower your defenses.  As you create a list of resolutions for the new year, please add to it active and courageous listening, building trust, and treating everyone with kindness.”

May your 2023 be a healthy, peaceful year filled with kindness!

Grief and loss during the holidays

Posted by on

In this Season of Gratitude as we celebrate holidays with family and friends, I am mindful that it can be a very difficult time for people who are grieving. A particular holiday song can be a trigger, decorations can be a trigger, just about anything can be a trigger. Whether it’s been a few weeks or many years since losing a loved one, holiday times can be especially difficult.

Being mindful of what others may be experiencing is so important. I won’t pretend to be an expert in helping people process their grief, but I have certainly experienced it this year with family members. Being aware of what they are going through, letting them talk openly about it, and just listening is my best advice. There are no right words.

While social media can be a pit of negativity, there are also bright spots of inspiration and positive messaging. I saw something on Facebook recently and shared it with my sister whose husband passed away in September. Healing Hugs (a non-profit organization that helps support parents who have lost children) shared these words from Angela Miller, founder of the grief organization, A Bed for My Heart:

There are no rules for surviving holiday grief.

Do what you need to do to survive.

Honor your loved one how you need to, and do what feels best for your fragile, aching heart.

You are missing a huge piece of you, so do whatever you need to do to find a sliver of peace.

I also saw something shared on Facebook about holiday host etiquette from Sarah Nannen who writes about the paradoxes we face in life, grief, motherhood, and our shared humanity:

If you’re inviting someone to your home and they’re grieving, be sure you’re inviting their grief to attend, too. It will be there, anyway.

Don’t invite someone with the goal of cheering them up for the holidays. Don’t expect them to put on a happy face in your home. Don’t demand they fake it til they make it or do something they don’t want to do, either.

Invite them with the loving intention of offering cheer and companionship and unconditional care during the holidays. To do this, you will need to honor and be responsive to their needs and emotions. Continue reading →

Ban books? No, encourage young readers

Posted by on

It’s that time of year – whatever holiday you celebrate during this Season of Gratitude there is likely some gift giving involved. You may have an obligatory attitude of just getting it done or (hopefully) a more positive giving attitude spending time selecting thoughtful and more personalized gifts. When I had leadership teams reporting to me, I would give them a book each year. It was often the hardest gift to buy – deciding on the perfect book that they would all like. Over the years, my books included some of the best titles on innovation, leadership, technology, public health and more.

Now my holiday gift book buying is all for younger people. In addition to the one big gift for each of my grandchildren, I get them a book. I will be starting two of them on the “National Geographic Kids Almanac 2023” this year – it is filled with information on animals, science, nature, technology, conservation, and more.  I bought “Good Night Stories for Rebel Girls: 100 Inspiring Young Changemakers” for one of the granddaughters at my daughter’s suggestion. I was delighted to get the suggestion as I have been patiently waiting for my granddaughters to be old enough so I could start buying some of the feminist books for girls I see in bookstores. And for my grandson who loves all sports and is learning to read, I’m getting a fun story he should like – “The Dog That Stole Football Plays”. The football player on the cover has a “Jets” jersey on and that happens to be the name of my grandson’s flag football team. Hoping he loves the story, and it encourages him to read more!

I have another book buying annual holiday tradition that continues. I buy a book for each of my grandnephews and grandnieces back home in Minneapolis where I’m from and where my siblings and their families all live. That group is older – mostly teenagers. So, we have progressed over the years from picture books when they were little to books focused on their interests including baseball, ballet, and opera during middle school years, to more scholarly and political books now that they are in high school. For example – “A Choice of Weapons” by Gordon Parks, “Narrative of the Life of Frederick Douglas”, and “The 48 Laws of Power” by Robert Greene. I count on my three nieces to help me with recommendations and to understand their kids’ evolving interests. The grandnephew who wanted baseball books when he was younger is now into Nordic skiing and heavy metal with his own band. Yes, with my sister’s (their grandmother) help, I found a book he will like.

I can’t talk about nurturing young readers without mentioning the current banned books controversy that goes hand in hand with concerns about teaching critical race theory and talking about LGBTQ. Continue reading →

From an oversubscribed podcast fan

Posted by on

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

Posted by on

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 →

CHIME Fall Forum 2022 – it’s a wrap!

Posted by on

This week was my first in-person conference with CIO colleagues since Spring 2019. The CHIME Fall Forum is an annual gathering of health IT leaders, and this year is the 30th Anniversary of CHIME. Prior to the pandemic, I’ve attended CHIME fall forums almost every year since 2000 when I first joined CHIME. It was so good to again see friends and colleagues I’ve known for decades and finally meet in-person new colleagues and connections I’ve only known via Zoom for the past few years. There is nothing quite like in-person events for networking and informal conversations with colleagues. Kudos to the entire CHIME staff and board who did an excellent job once again!

From the DEI retreat on Monday to the League of Women’s luncheon and track sessions on Tuesday, to the somewhat creepy humanoid robot interview that CHIME CEO Russ Branzell so patiently did as the keynote on Tuesday, to the insightful “CHIME 30th Anniversary – Past, Present, Future” keynote panel on Wednesday, to the inspiring keynote from Carey Lohrenz on Thursday, and all the track sessions and receptions in between….it was a great few days in San Antonio.

I’ve been involved in the CHIME DEI Committee for the past two years. The panels at the DEI Retreat on Techquity and Next-Gen Leadership generated lively discussion amongst the diverse group of attendees. Kudos to Sheree McFarland, CIO West Florida at HCA, and Cletis Earle, SVP and CIO at Penn State Health, who co-chair the DEI Committee with support from the CHIME staff.

The CHIME League of Women track sessions covered a range of topics aimed at encouraging women to lean into leadership roles and take career risks. These were standing room only sessions – a diverse, multi-generation group of women attended with many male allies. Personal journeys and challenges faced were openly shared by the panelists. Kudos to Sheree McFarland and Sarah Richardson, SVP & Chief Digital and Information Officer at Tivity Health, for their leadership to the League of Women.

Past board chairs in attendance took the stage at the opening session to be recognized.  I am grateful for their contributions and leadership over the years. 25 of the past board chairs over CHIME’s first 30 years are white men. Seeing them on stage together was a stark contrast to the diverse group at the DEI retreat and the League of Women’s sessions. Change is happening and health IT leaders are becoming a more diverse and representative group. Continue reading →

Importance of community for health IT leaders  

Posted by on

I am a fan of Bill Russell and his multi-media company This Week Health – today is no exception. Bill had a very insightful and spot-on episode last Friday on isolation and the importance of choosing community –“Isolation Destroys Leaders – Choose Community”. It is worth 15 minutes of your time to listen!

Bill starts with a neighborhood community analogy post Hurricane Ian and goes on to talk about the importance for health IT leaders to fight isolation and be part of a sharing and learning community. He talks about checking your ego and being willing to learn from everyone comparing his 16-hospital health system CIO experience with that of a small community hospital CIO with a staff of less than 10 people. As CIOs they both dealt with the same regulatory environment and set of issues.

He encourages health IT leaders to consider getting a coach and uses a sports analogy to distinguish between a coach and a consultant. And he encourages people to find small peer groups to be part of for ongoing learning and sharing.

One of the common goals Bill and I share is developing next generation leaders. There are many ways to do that, and Bill’s podcasts are one of them – thanks Bill for another great episode!

Related Posts:

The power of your network and learning from others

Considering a coach in 2022?

Different organizations, common IT challenges

 

Paying it forward with career advice

Posted by on

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.

Living a balanced life?

Posted by on

As summer comes to an end, I hope you find yourself renewed and more relaxed. And that you’ve made some great memories with family and friends. The time between Labor Day and the end of year holidays can be a very busy and intense time in healthcare systems. I recall a VP colleague from my Brigham and Women’s Hospital days who would say after Labor Day – tell your family that they won’t see you much until the holidays as new initiatives would start ramping up at an intense pace.

Whether you are consistently busy at work or dealing with peaks and valleys throughout the year, it’s important to keep trying to achieve that elusive life-work balance. I’ve written several posts in the past that might be worth revisiting:

Renewal, big rocks, and the elusive work life balance

Managing priorities and maintaining balance

Family first

Do you know your big rocks?

Note – As part of my life-work balance, 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.

 

Best employers for women – is your organization on the list?

Posted by on

It’s Getting Harder to be a Woman in America by Claire Suddath, senior writer at Bloomberg Businessweek, is a powerful, must-read piece for anyone concerned about what is happening to women in this country.

I have long been a champion for women and a proud feminist. Doing what I can while in leadership roles to support women, not being afraid to speak out on women’s issues, and voting for candidates who are truly pro-women’s rights. I encourage you to do the same.

It was good to see the recent Becker’s story “30 hospitals, health systems and biomedical companies on Forbes’ top 100 list of best employers for women” that listed all 30 and their rank within the top 100. According to the Forbes article, “America’s Best Employers for Women”, the survey respondents were asked to rate their organizations on criteria such as working conditions, diversity and how likely they’d be to recommend their employer to others. These responses were reviewed for potential gender gaps. Female respondents were then asked to rate their employers on factors such as parental leave, discrimination and pay equity, and to nominate organizations in industries outside their own. Representation at the executive and board levels were also factored into the final score.

If your organization didn’t make the list, ask yourself what you can do. Are you in an HR leadership position and able to directly influence employee policies and benefits? Are you an IT leader who consistently creates a supportive culture and values diversity? Regardless of your position, do you help create a supportive work environment?

We’re all in this together – at home, at work, and in our communities.

Related Posts:

A step backwards

Women need male allies

Vote your values

9 articles on women and work worth your time

Family support systems: priceless

Balancing career and family

#BreakTheBias