On Leadership

What we should expect of leaders

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I’ve written many posts on leadership. As we witness the peaceful transfer of power in the Office of the President, it seems fitting to reflect again on leadership and what we should expect of leaders. canstockphoto7867487

When I think of critical leadership qualities at the executive level, I think of vision, integrity, presence, communication, and authenticity.  If you look at position descriptions for executive level leaders in business, you will see all of these and more.  

I’ve talked in the past about the core principles and values I share with my staff when starting a new leadership position. In that early period, I want my team to get to know me and to understand what’s important to me. I want them to hold me accountable for living these values every day in every situation. And I also expect everyone on my team to live them as we work together.

Here they are again but with a more generic description that can fit any leadership position: Continue reading →

Yes we can: women in health IT

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Think about the little girls you know. Did they get even more dolls for holiday gifts? Or did they get toys and games that teach creative thinking and how to build things? Or did they maybe even get toys officiallycanstockphoto36568604 STEM labeled in the STEM category?

Social norms start young. I recently played a match game with my two-year-old granddaughter. When we matched the truck picture, she took it over to her 6-month-old baby brother as though it was his domain! This granddaughter and her two-year-old girl cousin have a variety of developmental toys. But when it’s free play, they are often clutching one of their dolls, whether it’s Princess Sofia the First or the newest Disney Princess Elena of Avalor. At least these characters are both confident, strong and compassionate princesses!

My four-year-old granddaughter isn’t as attached to dolls these days. After a break, she is back in dance class, my birthday gift to her. I know she loves it.  At Christmas, with her mother’s advice, I gave her 3 months of Koala Crate – a creative, educational activity box for 3-5 year olds. She loved the first box – making stuffed reptiles and learning about them.

You may be saying it’s all about exposing kids to a lot of different things. I agree. But it’s important to not fall into the gender norms when they are young.

Let’s fast forward from my 3 little granddaughters to some of the female leaders in our health IT industry. Continue reading →

Aspiring to Stage 7

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I recently participated as the CIO reviewer on a HIMSS Analytics Stage 7 validation. The long travel to the West Coast aside, I was happy to contribute my time and expertise to be exposed to an advanced

Source: HIMSS Analytics

Source: HIMSS Analytics

organization and to meet a wonderful group of leaders. The review team also included a Chief Medical Information Officer and the HIMSS Analytics Regional Director for North America.

As of the 3rd quarter this year, only 4.6% of hospitals have achieved Stage 7 while 30.5% have achieved Stage 6. Just over a third of hospitals are currently at Stage 5.

All three hospitals I’ve served as CIO have achieved Stage 6. Getting from Stage 6 to 7 is a significant leap. There is a greater focus on analytics and using the data from the electronic health record to improve patient outcomes.

From the HIMSS Analytics website, here is how Stage 7 is described: Continue reading →

Ensuring smooth leadership transitions

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Transitions of leadership are going on all the time in our organizations: a new CEO, a new VP, or new management at another level; it is change.

As I’ve written about, I just completed such a transition. I have served as an interim CIO for 8 plus canstockphoto33589643months. The agreement for the engagement was that I’d stay through the successful transition to the new CIO. We envisioned a 30 day overlap.

As the start date for the new CIO approached, 30 days seemed very long. Wouldn’t the new CIO want to get in and get started without me around? But as she and I started planning that time, 30 days seemed reasonable for all that we needed to do. When it came time to start the transition, there was so much else going on each day we found it hard to find the time to focus on the transition work. In the end, we both agreed 30 days was the right amount of time and extremely helpful to her.

But a 30-day overlap and transition period can be a luxury. Organizations often go through leadership transitions with far less time or even no time for the old and new leaders to work together. When I took the interim engagement, I had an hour conversation with the previous CIO on his second to last day; that was it. Continue reading →

Forward together

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Like many, I am surprised and disappointed at the outcome of the presidential election. From some of my previous posts the past few years, there’s probably no question about my political leanings. canstockphoto10854745

A new message of “forward together” is needed now more than ever. Only half of all eligible voters voted on Tuesday. Half of them voted for Donald Trump and half for Hillary Clinton. She got more popular votes. But that means only one fourth of the country elected our next president. He will need to be a president for all of us.

A dark cloud has hung over us during an incredibly divisive and bitter campaign with often hateful language and bullying behaviors. We may have been afraid to talk to co-workers or neighbors or family members in fear they may support the other candidate and we did not want to have to debate with them. People on both sides felt this way.

Hillary Clinton’s speech to her staff on Wednesday had many important and inspiring messages as we move forward as a country. I encourage you to find the speech online to gain some perspective and to renew your hope for the future.

I watched her speech with my husband and the general contractor on our outside house project. He and his crew have been working here for several weeks on a major redo project – new patio, landscape and fence. They are a nice group of guys and we chat each day. But we consciously never brought up the election.

The general contractor needed to talk to us about a change order so came into the house Wednesday morning. He saw we were not in a good mood and asked who we had supported. He told us he voted for Trump. Bottom line, he thought a change was needed but admitted that he couldn’t defend a lot of what Trump said on the campaign trail. We debated a bit but it was civil.

He said he wanted to see Hillary’s speech when it came on. I went outside and got him when it was time. He sat in our living room with one of our dogs on his lap and watched. I sat behind him in the kitchen with tears. He thanked us for letting him come in and watch and said she made some great points. I told him that I did it with a big heart. Continue reading →

Powerful women and their path to success

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My first professional event since moving back to New England is the evening of Monday, November 7th. Boston Health 2.0 is a chapter of the national Health 2.0 organization. They hold monthly meetings to canstockphoto993163promote, showcase and catalyze new technologies in healthcare. The November event is a panel titled “The Power Women of Health IT: Path to Success”.

All powerful women have advice to give others and stories about obstacles they’ve overcome. This group of women panelists is no different and I’m excited to be part of it. Helen Figge, Senior Vice President, Global Strategies and Development, LumiraDx, USA, Inc., Cara Babachicos, Corporate Director/CIO, Community Hospitals, Partners Healthcare, and I were all honored to be named earlier this year to the “Most Powerful Women in Healthcare IT” by Health Data Management. We look forward to sharing our perspectives and stories.

The panel will cover advice on entrepreneurship for women, how women can influence the health IT industry, differing perceptions of competency in men and women, importance of mentorship, how men can be more supportive of professional women, and obstacles we’ve overcome in our own paths to success.

This should be a great discussion with a lot of insight and advice. But which obstacle should I comment on? Looking back to my early days in management, unfortunately there are many stories to share.

There was the male colleague who had it out for me during a five-year period when I was the only woman on the IT leadership team (it was the 80’s). One of the things he did early on was to spread a rumor that I was only in management because I was related to a board member with the same last name. It was so not true; I didn’t even know the board member. Continue reading →

It’s launch time

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“You need to own your own career and to be open to the possibilities. It applies whether you are early, mid or late career.”

That was my opening statement in my early January blog, “New year, next chapter”, when I announced that I was leaving a permanent CIO position to pursue a new path. And it is advice I have often given others.canstockphoto27201758

It’s now my time for that next possibility and I’m excited about it. I’ve decided to launch a new health care IT advisory firm, StarBridge Advisors, with two colleagues. I’m teaming up with David Muntz and Russ Rudish.

David is a nationally recognized CIO who has served some of the largest and most complex health care provider organizations in the country including Baylor Health Care System and Texas Health Resources.  Prior to that he served as CIO and was promoted to CEO of Wadley Institutes of Molecular Medicine.  David also served as White House-appointed first Principal Deputy National Coordinator, Chief of Staff, and CIO at the Office of the National Coordinator for Health Information Technology (ONC) at the U.S. Department of Health and Human Services. Together David and I have a combined 60+ years of experience in health IT management.

Russ was the Global & US Health Care Leader for Deloitte through 2014. Prior to joining Deloitte, he was Executive Vice President of Eclipsys Corporation, overseeing all client facing activities — sales, marketing, product management, customer support, outsourcing and professional services. Upon leaving Deloitte, Russ formed Rudish Health Solutions, which focuses on strategy and M&A consulting, interim management and executive search. He also became a Principal in Health Care IT Leaders, which provides staff augmentation services.

StarBridge Advisors will provide world class IT leadership advisory and interim management services to healthcare organizations. We want to be a trusted advisor on leadership matters in the HIT marketplace and to help clients innovate, transform, lead, and make a positive impact on healthcare in the U.S. Continue reading →

New leader? You’re not alone

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Are you in your first CIO position?  Have you just been promoted by executives at your organization who see what you are capable of? Or have you been tapped by another organization to step into yourcanstockphoto12535181 first ever CIO role? Or maybe find yourself serving as the internal interim CIO during the search for a permanent CIO.

In any of these scenarios you may wonder where to turn for help and advice. Every day there will be situations that you do not feel fully prepared for.

If you’re fortunate, you have already attended the CHIME CIO Boot Camp. It’s a three-and-a-half-day immersion into the breadth of what a CIO needs to know taught by experienced CIOs. Over 1,400 CIOs and future CIOs have graduated from the program over the past 13 years. If you haven’t yet attended, you should consider it.

If your organization has memberships with health care focused services such as Advisory Board, or broader research services like Gartner, be sure to take advantage of those resources. And make them available to your entire IT leadership team.

Be a sponge. Don’t be afraid to ask questions. Find people who are ahead of you and can share their experience. Continue reading →

Shaping young minds and tomorrow’s leaders

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I was running late in wrapping up a meeting before my next one. I was meeting with a young IT staff member whose manager had encouraged him to get time on my calendar for career advice. We had acanstockphoto14947189 great half hour chat about his future goals. I introduced him to the next person patiently waiting to meet with me – the manager for telehealth – a young man who was relatively new to his position. I figured they should know each other.

The telehealth manager walked into my office after the intro and said “So you’re shaping young minds”. “Absolutely!” I replied.

I have adult children and so I realize how valuable this type of access and advice can be. I saw some of the challenges my daughters faced when they graduated from college and started to navigate and grow their careers. I asked myself, “why not be available to their generation?” After all, each of us can probably remember someone who helped us early in our careers. So I concluded it was time for me to give back; I made a commitment to help develop the next generation of leaders.

Even though I have had a full schedule as a CIO, I have been willing to take short calls and meetings with anyone who wants to talk about their career and get advice from me. They may be staff members in my IT department or in other departments. They may be students who work in my organization and need to interview the CIO for a class assignment. Or they may be someone to whom a colleague has suggested that I’d be a good person to meet. Many such referrals are for young women who want to learn from me as a female executive in IT. There aren’t that many of us yet in health IT but the numbers are definitely going in the right direction.  Continue reading →

Learning from leaders

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It’s rare that a CIO gets to watch another CIO at work. Yes, we all network regularly at CHIME and other conferences. We learn from each other on topical webinars. And we pick each other’s brains on canstockphoto13851442phone calls about something that is new for us and our organization.

But to see someone working day to day with the executives, their peers and their own leadership team is different: how they set expectations and deliver tough messages; how they make commitments with appropriate caveats; how they answer questions if they don’t have enough information yet.

I’ve been fortunate to watch our new CIO, Joy Grosser, at University Hospitals, at work. I’ve stepped back since she became CIO and serve as an advisor to her during the transition. We look for pockets of time to do transition and turnover.

During these few weeks of transition, we’ve had some production issues and vendor challenges. We are developing next year’s budget. We are finalizing a plan for new hospital integration with the help of a consulting firm. These are big initiatives to walk into, to learn quickly what you need to know, and to lead with authority and confidence.

But that’s what leaders do. They listen and learn. They share their values and vision. They don’t pretend to know or have all the answers. They rely on their team to keep them informed and to solve problems. And at the end of the day they own it. Continue reading →