On Leadership

The changing face of leadership

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Ayanna Presley, Sylvania Garcia, Veronica Escobar, Ilhan Omar, Rashida Tlaib, Deb Haaland, Sharice Davids, Alexandria Ocasio-Cortes, and Lauren Underwood.canstockphoto354515 (1) diversity

These are names you may not recognize now. But you will. They are some of the more than 100 women elected to the House of Representatives on November 6th. Women have never held more than 84 of the 435 house seats according to a November 8th Washington Post article by Mary Jordan – Record number of women heading to Congress.

Ayanna Presley is the first black congressperson elected from Massachusetts. Sylvania Garcia and Veronica Escobar are both from Texas and the first Latino women elected to the House of Representatives. Ilhan Omar and Rashida Tlaib are the first Muslim women elected to the House. Deb Haaland and Sharice Davids are the first Native American women elected to the House; Sharice is the first openly gay person to be elected to public office in Kansas. Alexandria Ocasio-Cortes is the youngest woman ever elected to the House at the age of 29.

Lauren Underwood is a 30-year-old nurse who will be the youngest black woman in Congress. In a district that is 86% white, she beat six men in the primary and unseated a four-term incumbent. Her campaign focused on healthcare.

Another woman to watch is Kyrsten Sinema. She now has a slight lead in the Arizona Senate race but it is still too close to call at the time of this writing. If she wins, she will be the first bisexual person elected to Congress.

Now that’s what I call a diverse group of determined women representing the next generation of leaders in Washington. Continue reading →

12 more days – forward together

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Pipe bombs sent via U.S. mail to critics of the president have dominated the news cycle for two days. These targets include former presidents, a former vice president, a former secretary of state and acanstockphoto5429849 (1) vote congresswoman. The person or group behind this domestic terrorism is still unknown. But we all know we are living in an ugly, divisive time in the history of our country. What have we become?

As the midterms approach, the divisiveness of the past several years has increased. Can we ever come together again?

We all can make a choice on who we want to represent us. The right to vote is fundamental to our democracy yet women and black people did not have this right until many years later. And we know that gaining that right was a hard fight. Fast forward to 2018 and voter suppression is rampant in several states. This makes your vote all that more critical.

If you live in an early voting state, you can exercise your right to vote any day through November 6th. If you do not, then you need to make time to cast your vote on November 6th.

There are many organizations and initiatives focused on getting people out to vote. When We All Vote is a new, non-partisan not-for-profit organization bringing together people to focus on our rights and responsibilities to shape our democracy. As they say, when we all vote, we can change the world. The good news is that early voting states are showing very high turnouts compared to previous elections.

Remember that the presidential election in 2016 was decided by less than half of the eligible voters. There is no electoral college at play in the midterms. Every vote counts!

Two years ago, I was filled with optimism leading up to the presidential election yet disappointed beyond words with the results. But I wanted to be optimistic in the following days. I wanted to believe the divisiveness would end and our president would try to be a president for all people.

I reread my post “Forward together” from November 11, 2016 this week. My optimism has waned and for good reason in the past two years. But I will vote again in 11 days and continue to look to the future. I encourage you to do the same.

Related Posts and Resources:

When We All Vote

Forward together

Build bridges, not walls

Who do we want to be?

Innovation or disruption?

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“You only call it a disruption because you didn’t create it – stop being disrupted, innovate.” That was just one of the messages in the opening keynote from Terry Jones at the fifth Annual Thought Leaders on Access Symposium (ATLAS) in Boston this week. His talk was titled “Turning Disruption OFF and Turning canstockphoto30429373 (1) innovationInnovation ON”.

As an entrepreneur with an impressive history, Terry Jones knows what he’s talking about. He is best known for founding Travelocity.com and serving as founding Chairman of Kayak.com. As consumers, we’ve experienced the disruptive innovations in the travel industry. As healthcare leaders, we were challenged by Terry to consider the innovations and disruptions yet to come in our industry.

ATLAS is a patient access conference for hospital and health system leaders sponsored by Kyruus for their customers and invited guests. Kyruus is a software firm that offers provider search, scheduling, and data management solutions to help health systems match patients with the right providers and enhance patient access enterprise-wide. This year’s theme was “Systemness. Ignited.” with excellent speakers on innovation and digital transformation in healthcare. The focus of the conference was on patient and consumer engagement. Health systems such as Banner Health and Piedmont Healthcare, leaders in transforming the patient experience, shared their stories.

It was inspiring to see so many healthcare leaders passionate about improving the patient experience. I’ve been in health IT management for decades and I was humbled to hear leaders from marketing, patient access, and innovation teams talk about getting things done in spite of roadblocks they sometimes face from IT. Continue reading →

Investing in you: continuous learning

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What was the last webinar you participated in? What was the last podcast you listened to? What was the last book or in-depth article you read to learn something new? The bigger question is do you have a canstockphoto14781905 (1) learningcontinuous learning plan?

One of the things I love about working in healthcare and technology is the pace of change and that there is always something new to learn. But that is also one of the challenges. So how do we keep up?

Don’t doubt that having a continuous learning plan is important for your career. The most recent This Week in Health IT podcast was interviews with six CIOs. Bill Russell asked them each the same five questions. The last question was what did they wish they knew or had done before they started their current role. A theme in the answers was around staff development – needing their staff to develop new skills and developing their leadership teams.

There are many different options and formats for ongoing training and learning to consider. You may prefer reading or webinars or podcasts or classroom training. Most likely you need a combination of all.

A few observations and tips from my own experience:

Reading: What used to be a stack of publications piled up in my office to read has now become a lot of bookmarked articles to read online. I read a lot of articles each week and add more to my list, even though I may not get to them. Having a few good “go to” resources and knowing your key areas of interest help manage and filter out the noise.

Webinars: You could spend several hours a week just doing webinars. Focus on a few “go to” resources and register for the ones that are most relevant to what you need to know. Or register for something new that you want to learn about. Once you put it on your calendar, consider it like any meeting. Continue reading →

What can we learn from women in leadership?

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It’s been almost four years since I started speaking and writing openly about the challenges facing women at work, the importance of developing women leaders, and encouraging women to pursue STEM careers. canstockphoto7990695 (1) women leadersI have no regrets about being outspoken on women’s issues.

It is encouraging to see organizations like CHIME and HIMSS focus on this in recent years and to see so many younger women share their own stories and provide advice to others.

I was happy to see the recent four-part series that Kate Gamble, Managing Editor of HealthSystemCIO.com, did on Women in HIT leadership.  She interviewed an excellent group of women leaders – Sarah Richardson, California market CIO for HealthCare Partners; Tressa Springmann, SVP and CIO at LifeBridge Health; and Julie Bonello, CIO at Rush Health.

The series covered all the topics you might expect: their early leadership experiences and stories, core leadership competencies needed, the importance and challenge of maintaining work/life balance and supporting your teams, stereotypes of women leaders, the power and importance of mentoring, and learning from male dominated environments.

Their experiences, insight, and advice provide a rich set of lessons to learn from. I highly recommend you read or listen to the series at these links:

Women in HIT Leadership, Part 1: Identifying the Core Leadership Skills

Women in HIT Leadership, Part 2: Challenging Gender Stereotypes

Women in HIT Leadership, Part 3: The Future of the CIO Role

Women in HIT Leadership, Part 4: A Call to Action

In the closing comments of Part 4, Sarah says she is optimistic about the future for women but knows it is up to us as women leaders to make change happen. She quotes Sheryl Sandberg from Lean In, “If not you, then who?” and “If not now, then when?”. And Tressa talks about leading with grace in spite of the obstacles women face. Continue reading →

What can we learn from sports?

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My husband and I recently went to a Red Sox game. We are not the biggest of sports fans, but we like to get to a game or two each year. It was a glorious summer day – sunny sky with a temp in the mid-70’s. A canstockphoto56121 (1) baseballperfect Sunday afternoon for a baseball game. We all know that baseball can be slow at times with brief moments of intense action. I put my crowd dynamics lens on and observed.

First there’s the “wave”. How do they start? And what does it take for them to be successful? The first one started in a section near right field, had to go through the grandstand area, and over to the “green monster”. If you don’t know Fenway Park, the green monster is a special section that probably has no more than 200 people in it. A prime spot for the wave to lose momentum. But it didn’t. It went all the way around the ballpark at least twice.

When another section started a second wave later in the game, it fizzled quickly. But my husband made sure he did it when the wave rather pathetically got to our section. He didn’t want to be the one to kill it. The takeaway – everyone must participate to make it successful.

Then there was the “dance off” between innings. The cameras focus on different fans around the park and when people see themselves on the big screen they do their best dance moves. You never know what you’ll see. Inhibitions are off for many people, especially kids. It was a young middle school age boy who won – he had the moves and the fans loved it. The takeaway – be less inhibited and you may go further.

And then there is the rhythmic clapping that starts and grows in intensity. It’s either to encourage the home team at a critical moment or to make the other team nervous. Continue reading →

Teaching moments – every day, everywhere

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A Starbucks in Philadelphia, a golf course in York, Pennsylvania, an Airbnb in California, a college tour in Colorado, a common dorm room at Yale. These are the stories of every day racism that have gotten canstockphoto48801491 (1) multi racialsignificant media attention recently. Yet we all know there are many more stories just like this. And they are happening every day and in every part of the country.

This week it was a blatant and demeaning racist comment from the star of one of ABC’s highest rated shows and money maker. ABC leadership acted swiftly. As they should. ABC Entertainment President, Channing Dungey, announced that the network decided to cancel the show in one brief statement: “Roseanne’s Twitter statement is abhorrent, repugnant and inconsistent with our values, and we have decided to cancel her show.”.

The target of that comment, Valerie Jarrett, former White House senior advisor to President Obama, took the high road. On a MSNBC special program called “Every Day Racism in America”, that same night, she said we should use this as a teaching moment. She was fine but worried about all the people who don’t have support systems, or a circle of friends, to come to their defense. She said she worries about the person of color who experiences a stranger clutching their purse out of fear. And the mothers who must teach their teenage sons to be careful with police.

Yes, these incidents are all teaching moments. Teaching every one of us as leaders about the kind of tolerant, respectful organizations we must create and maintain every day. Teaching us that we need to be the kind of leaders that go high when others go low. And teaching us not to punch back 10 times harder, if we are punched.

Teaching every one of us that we must say something when we see something. The Starbucks incident when two black men, Rashon Nelson and Donte Robinson, were arrested for meeting in a Starbucks without ordering went viral because white people videoed it and shared it on social media.

We cannot sit by and let every day racism happen around us.

Working in healthcare organizations for most of my professional career, I spent every day in one of the most diverse workforces. Treating every person with respect was part of the culture. Continue reading →

Celebrate nurses, but more importantly listen to them

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May 6-12 is National Nurses Week. According to a Gallup Poll, nursing has been the most trusted profession for the past 16 years. It’s no surprise.Nurses Week (002)

Those of us with nurses in our family are grateful that there is someone we can turn to with health questions. They help us navigate complex healthcare systems when we have a worrisome condition and need to see specialists and subspecialists. I’m fortunate to have nurses in my family. I am grateful to them and know that I should never take them for granted.

As the President of the American Nurses Association, Pamela Cipriano, PhD, RN, said, “Nurses provide much more than bedside care. We advocate for patients, deliver primary care, meet the complex needs of patients with chronic conditions, volunteer for disaster relief efforts, and are a trusted voice in boardrooms across the country.”

When my daughter first considered a nursing career back in the early 2000’s, I was very supportive. I thought that with her personality, people focus, and an incredible ability to multi-task she would be an excellent nurse. I told her that she could take many different paths as a nurse over time. She already had a bachelors degree in Hospitality Administration/Management with a minor in Business, so she decided to attend a combined nursing/nurse practitioner (NP) program to get her BS in Nursing and her Masters in Science and Nursing.

She worked as a bedside nurse, first on a cardiac surgery stepdown unit and then on a cardiac surgery ICU. Her first nurse practitioner opportunity was working with patients who have atrial fibrillation (known as Afib). She later moved to orthopedics where she is now the Chief NP on a busy and growing inpatient ortho unit.

She balances clinical patient care with administrative responsibilities. And she is always looking at how to improve processes and care. Continue reading →

Sabbaticals for CIOs – why not?

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I talk to several CIOs each week. I listen to them and try to figure out how we might help them through our advisory services at StarBridge Advisors. Depending on where the CIO is in his or her career, they canstockphoto51125301 sabbaticalsometimes ask, “How and when can I join you at StarBridge?”. The idea of getting off the permanent CIO track and having more flexibility can be appealing.

The idea of a “substitute CIO” came up from one of the CIOs I talked to recently. He was thinking about how to get his organization prepared for someone else to lead for a period with the knowledge that he would be back after several months. I told him it sounded like a sabbatical to me – not a bad idea.

Sabbatical means a rest from work or a break. When we think about sabbaticals, we typically think of professors and ministers. It’s a time for them to go away, reflect, study, research, write, and get rejuvenated.

Just think what a CIO could do with an opportunity like that!

When I was working as a CIO fulltime and would visit other countries on vacation, I thought how awesome it would be to spend several months studying another country’s healthcare system. The lessons and new ideas I could bring back to my organization. But that’s just one idea. What about taking time to learn about leading edge healthcare organizations in the U.S. Or studying a particular problem that every healthcare organization is trying to solve. Or working with start-ups on a new and innovative product.

Wouldn’t our industry benefit from letting our senior practitioners step back from the day-to-day and go deeper on work we need to do?

You earn vacation time each year, so why not earn sabbatical time? Continue reading →

Never underestimate the power of a woman

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I had the opportunity at HIMSS18 to meet several women entrepreneurs who have started their own companies and many women seeking career advice. They are impressive and inspiring. I loved hearing canstockphoto20402689 power business womanthe entrepreneurs’ stories, what lead them to start their own business and the challenges they have overcome. Women looking for career advice didn’t hesitate to approach me and introduce themselves. They asked very focused questions as they reflect on their current situation and consider future options.

The annual #HealthITChicks meetup organized by Jenn Dennard included a panel titled “Making Ladders Lateral”. It was great fun to be part of the panel and hear others’ stories. The recap can be found here and is an easy, quick read.

At the Career Fair, I did a presentation on “Advice for the Aspiring Female Executive” covering current trends and tips for next generation leaders.

Hot off the press, I shared information from the 2018 HIMSS Compensation Survey that showed both good and bad news regarding the gender pay gap. The survey results show that gender pay disparity is persistent. The pay gap is back at the level it was in 2006 after getting worse for a few years. On average women are paid 18% less than men, or said another way, females are paid $0.82 for every $1.00 their male peer is paid. Getting back to the same level as 12 years ago can’t be considered real progress.

The good news is that for women under age 35 and non-management staff, there is very little difference in pay between men and women. The bad news is that the gap for women over 55 and those at the executive level continues. I conclude that this is due to the cumulative effect that years of disparity has had and creates a gap that is very hard to resolve.

I talked about an excellent article from a few years ago, “The Confidence Gap”, by Katty Kay and Claire Shipman published in The Atlantic. I highly recommend reading it to understand that “success correlates just as closely with confidence as it does with competence” and “that with work, confidence can be acquired”.

And I focused on leadership and tips for next generation leaders which I shared in a previous post. Here they are again if you missed them the first time: Continue reading →