On Leadership

Navigating career crossroads

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I’m fresh off another stimulating in person CHIME Fall Forum. Many colleagues have already posted on LinkedIn their recaps of the forum speakers and key takeaways. One of my takeaways is the importance of networking on many different levels. A common conversation for me was colleagues who are looking for their next career move or currently in between positions. As I organized my post CHIME to do list on the plane home, I found that I had several people to follow up with from that perspective.

Ironically, when I got home and back into my daily podcast listening routine, the first one I heard was the ThisWeekHealth Newsroom show from November 10 – “The Signs it’s Time to Move on as a Leader”. On Fridays, Bill Russell usually does a stream of conscience commentary on a topic. This one tied very well into some of my CHIME conversations. I encourage you to check it out – only 10 minutes long.

If the end of year approaching has you rethinking your own career plans, check out my previous blogs on career advice. Earlier ones are listed in this blog – “Career advice revisited”. Newer ones are referenced in this blog – “Considering a career move?”. You will find some useful insights and advice for your journey.

And if you’re looking for a career coach, this blog might be helpful – “When to use a career coach”. I’m happy to explore with you what a short 3-month engagement would look like and how best to customize it to meet your unique needs.

Health IT leadership searches and Interim management industry trends

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I have written in the past about interim management in terms of when it makes sense for an organization as well as my own experience. Over the past several years, I’ve been fortunate to serve four different healthcare providers as an interim leader – three as CIO, one as CTO. I’ve learned firsthand how interim leaders provide an important bridge during leadership transitions and can make a significant impact on an organization in a short time.

I encourage you to check out my recent StarBridge Advisors blog post – Bridge Builders: Interim Management Solutions for Health Systems. In this new post I cover industry trends I am seeing in health IT leadership searches and interim management decisions including internal interims, relocation and onsite requirements, financial and budget constraints, and more.

Related Posts:

Talent shortage? Great resignation? Interim leaders can help

Interim Management – Providing a Bridge During Transition

When an interim CIO makes sense

Stepping into an interim leadership role

From listener to host: conversations with health IT leaders

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I’ve been a fan of podcasts for several years and a regular consumer of many different ones. I’ve shared some of my favorites in past blog posts. My health IT favorites are the multiple shows that ThisWeekHealth offers.

While still an avid listener and consumer, I am also a regular contributor. Since 2022 I’ve been one of the Townhall show hosts for ThisWeekHealth. That means I’m committed to doing one interview a month with a health IT leader along with the 7 other hosts. New Townhall shows are aired every Tuesday and Thursday on the Conference Channel. I’ve had the pleasure of interviewing many current and former health IT leaders in the past year including:

We have had so much to cover in my two most recent interviews that my guests each agreed to schedule a part 2. Continue reading →

Developing tomorrow’s leaders through mentorship and coaching

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My commitment to developing next generation leaders is something I’ve often talked and written about. That commitment is as strong as ever.

This week I started a 10-month formal mentor program through the NEHIMSS chapter for two different mentees. We’ll talk every other week for 30 minutes focusing on their goals for the mentorship. A few weeks ago, I started my newest coaching engagement with a seasoned IT leader. We are in the early stages of this process, including gathering input from peers. We’ll talk twice a month for an hour with assignments in between. And I’m finalizing a presentation focused on lessons in leadership to deliver virtually in early November to the management team for a CIO colleague at a large academic health system. He brings in an industry expert 6 times a year to share their views and help educate his team.

I’m impressed with the formality and structure of the NEHIMSS mentor program – it appears to be a great model for other chapters and organizations and has evolved since the program was first started in 2014. Mentor and mentee applications are submitted, the mentorship committee then reviews them, makes the matches, and communicates to the pairs with supporting materials including a FAQ and a list of Do’s and Don’ts. Both parties sign a mentorship partnership agreement that includes the mentee’s goals and the roles of the mentor and mentee for each goal.

I have provided professional coaching services for many health IT leaders over the past 7 years. And I have served as both an informal and formal mentor to many during my decades long health IT career. While both have value, coaching and mentoring are different. Continue reading →

Beyond Cost Cutting: Health IT’s Role in Financial Health

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Health systems continue to face complex financial challenges. Industry articles highlight the few that have strong operating margins while also noting the many facing continued operating losses. Becker’s Hospital CFO Report published the article, “25 factors that could affect health system performance in 2024”, by Alan Condon on September 8th. It is a comprehensive list and worth reviewing.

What do these financial challenges mean for health IT leaders? I talk to many CIOs who are faced with cost cutting targets and dealing with very limited budgets yet long lists of priority projects. It’s no surprise. Health systems often fall into the trap of relying solely on cost-cutting measures, particularly in the realm of IT and staffing.  While trimming expenses is essential, it’s just the starting point.  Organizations must carefully consider all the impacts on operations and especially morale.

At StarBridge Advisors, we advocate for a comprehensive approach that goes beyond mere savings, encompassing revenue growth, digital transformation, and effective change management. This multi-faceted strategy promises swift improvement to your bottom line, operational efficiency, improved staff morale and progress toward the goals of the Quintuple Aim.  IT enablement is often essential to these activities. You can use these opportunities to leverage the IT investments that have already been made.

In a recent series of four blogs written by Principal, David Muntz, we offer practical and pragmatic guidance on each crucial aspect of this approach.  The benefits are tangible and span from immediate gains to long-term sustainability.  Our expertise empowers your organization to undergo both tactical and strategic transformations, ensuring uninterrupted top-tier patient care without compromising on IT performance or security.

We can help your organization hardwire the Quintuple Aim. Partner with us to revitalize your health system’s trajectory, creating growth opportunities despite financial constraints.  I hope you’ll take time to review the series and let me know if we can help you and your organization.

StarBridge Advisors blog series:

 

Nana Camp Chronicles: year 2 insights and adventures

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We held our second Nana Camp last week. Given how well it went (despite my husband and I being exhausted by Friday night), I think we’ll make it an annual event in the summer. Last year I wrote about our first one in my post “Leadership lessons from nana camp”. The rules we agreed on (pictured in that post) hung on our refrigerator until a few months ago when my husband went on a purging spree. Good thing I have a record here so we could revisit and decide on new/revised rules for this year.

Two (ages 10 and 8) of the four grandkids had their first away/overnight camps this year having attended Girl Scout camp. So, they came to Nana Camp with a new perspective. My daughter suggested that the 10-year-old could be a Counselor in Training (CIT) when we were last together as a family on Father’s Day. I wasn’t quite ready for that but I’m a fan of delegation! Not sure what a CIT would mean for us but as a start that day, she wrote down the list of ideas for this year and what they liked from last year. That list of course was put on the refrigerator door. We used it at our camp “orientation” session Monday morning to plan and vote on activities for the week.

The other two (ages 8 and 7) have been to day camps that are mornings only and gotten used to making their own lunches at home while their parents work in their home offices. Love hearing that! Means they all are capable of it and that I could expect them to do more for themselves at breakfast and lunch.

Together on Monday we agreed on activities for the week and what the rules would be. We also talked about their lessons from last year – mainly not to have stupid fights about everything – who sits by who at dinner, who sits by who in the car, who gets the first shower, who walks which dog – you get it! And of course, they are one year older and that much more mature!

Here is this year’s complete list of rules – a slight variation on last year with few additions: Continue reading →

Leadership and crisis management lessons from Pennsylvania

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I love seeing stories of success with lessons to apply to our work in health IT. The recent I-95 collapse in Philadelphia and the re-opening in just 12 days is one of those stories. There was a great opinion piece in the Washington Post on July 16th by Pennsylvania Governor Josh Shapiro – “Opinion: We fixed I-95 in 12 days. Here are our lessons for U.S. infrastructure”. Initially experts told the Governor it would be months before they could reopen the highway and get traffic flowing. Instead, they reopened it in just 12 days. Indeed, there are many lessons for leaders in all industries.

Here are the four key takeaways he comments on:

  1. Empower strong leadership
  2. Speed up the bureaucracy
  3. Encourage creativity
  4. Work together

In the face of a crisis, empowering strong leadership is critical. We’ve seen it in healthcare during the pandemic and when responding to any kind of disaster. As Governor Shapiro describes it – “Managers of every component of the project were empowered to be decisive, take ownership and make a call when necessary — not defer and delay to the often-circular bureaucracy. Decisions were made quickly and in a synchronized manner.”

We have plenty of bureaucracy in healthcare including many processes in IT that seem burdensome. Governor Shapiro described how an executive order he signed shortly after taking office that catalogued each of the 2,400 permits, certificates and licenses the state issues and set timelines for each of them resulted in significantly reducing wait times – with one example cutting the time from eight weeks to two days. IT leaders take note – how many processes can be streamlined in your shop?

Innovation in healthcare is greatly needed and there are many bright spots we read about each day. But innovation is not just the new big flashy stuff, it can be a creative and new way to solve a problem that comes from someone on the team or an observer. Governor Shapiro wrote, “Encourage creativity and allow everyone to bring their ideas forward”. The backfill solution to rebuild the collapsed freeway using a recycled glass product was a result of that creativity from PennDOT engineers.

We all know there is no “I” in team. We accomplish great things by working together. In Pennsylvania, state and federal officials coordinated closely with each other and private contractors and organized labor collaborated working 24/7 to get the job done.

While we never want a crisis to manage through, there will be more. These lessons will be key then and every day.

Related Posts:

Leading through a crisis

Lessons from Succession: What not to do as a leader

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I recently wrote a blog post called “Ted Lasso leadership lessons”. If you were a fan of the Ted Lasso series, you can readily see there were many lessons to be learned. Another popular series, Succession, wrapped up around the same time. I wasn’t sure how I could comment on leadership lessons from that series as there didn’t seem to be any characters that you would want to model. But there were plenty of lessons on what not to do as a leader.

Others have figured out what to say about Succession leadership lessons, so I’ll share the insights from one of them. A Forbes article on June 26th by Robert Pearl, MD, titled “5 Fatal Flaws Of Healthcare Leaders: Inspired By HBO’s ‘Succession’” describes five dysfunctional leadership styles to avoid based on some of the lead characters. In his words:

  1. Delusional leaders overestimate their abilities. Their ideas are unrealistic and their vision for the future: pure fiction.
  2. Narcissistic leaders bask in praise and blind loyalty. They reject and punish those who provide honest feedback and fair criticism. Their obsession with status and self-importance blinds them to long-term threats and opportunities, alike.
  3. Immature leaders get promoted before they’re primed and polished. They often lack boundaries and excel at the sport of making others uncomfortable.
  4. Political leaders are better at advancing within an organization than advancing the organization itself. Like chameleons, these leaders change with the scenery, shifting alliances and values as organizational power waxes and wanes.
  5. Compromised leaders are skilled at making promises. They seek support by vowing to fulfill wants and palliate pains.

Dr. Pearl closes the article highlighting three attributes that excellent healthcare leaders must have:

  1. Clear mission and purpose
  2. Experience and expertise
  3. Personal integrity

The third, personal integrity, is particularly critical. As Dr. Pearl says, “Everything changes when an emerging leader becomes the head of an organization and faces a crisis. As risks and pressures intensify, people tend to fall back on approaches and habits they learned in the past, particularly problematic ones.” Without being a spoiler, anyone who watched Succession can see how easily the emerging leaders fell back to their own demise.

I encourage you to read the full article but must warn you with a spoiler alert – if you haven’t seen the show but plan to watch it given all the buzz, bookmark the article to read later.  What buzz you ask? The fourth and final season just received 27 Emmy nominations with a total of 75 nominations over all the seasons.

Related Post:

Ted Lasso leadership lessons

The transformative power of bold leadership in healthcare

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With reproductive rights and LGBTQ+ rights under attack in so many states, it was good to see the Summer 2023 Issue of the Brigham magazine in the mail this week. This issue is titled “Care for Every Body – Embracing Inclusive Medicine”. As a former VP and donor to Brigham and Women’s, I receive the paper copy to read. You can access it online here.

The main articles include:

  • Sex & Gender Glossary – essential terms and definitions for understanding sex, gender, and well-being.
  • Pro-Care. Pro-Patient. – describing how the Department of Obstetrics and Gynecology is working toward reproductive justice for all patients. An alarming data point: If all abortions in the U.S. were to stop, 24% more people would die from pregnancy complications and 39% more non-Hispanic Black people would die.
  • Soul Meets Body – describing how the Center for Transgender Health is breaking barriers and providing state-of-the-art, life changing care for trans and gender diverse people. An alarming data point: 46 states have proposed 491 anti-transgender laws in 2023, more than the previous four years combined.
  • Women ≠ Tiny Men – describing how physician-researchers are working to balance the scales for women’s health.

These articles and the programs described represent bold leadership in healthcare and what we should expect from healthcare providers.

Just as the Winter 2022 Issue titled “Standing Tall for Justice – Cultivating Equity and Inclusion in Medicine” was bold leadership as it covered racial equity in healthcare. And just as Michael Dowling, President and CEO at Northwell Health in New York, regularly shows us what bold leadership means. He doesn’t shy away from controversial issues as he addresses the issue of gun violence and calls for civility and decency in our public discourse.

Dr. Robert Higgins, President, Brigham and Women’s Hospital and EVP, Mass General Brigham comments in the introduction to the Summer 20223 Issue – “While forging the road toward a more inclusive healthcare systems is not an easy or immediately achievable goal, it is a vital commitment we must make. Our sense of humanity depends on it.”

Are you uncomfortable being a bold leader? Do you embrace or shy away from the DEI discussion? The DEI Committee of CHIME is hosting a webinar this Friday, June 30, at 12PM EDT that I highly recommend. It is titled “DE&I in Healthcare 2.0 – Getting Comfortable Being Uncomfortable in a Safe Space Zone”. Please follow this link to register if you want to learn how to stay DEI focused in an anti-DEI climate.

In a recent podcast interview, I was asked about some of the unique challenges and opportunities of being a CIO in the healthcare sector compared to other industries. I commented on how being in healthcare is mission driven and how we can make a difference in people’s lives. Leaders of our nation’s leading healthcare systems being willing to address the difficult issues and care for every person is one of the reasons I am passionate about working in healthcare.

What we do matters.

Related Posts:

Leadership means being bold and taking on the tough issues

Towards a more civil society

When is enough enough?

The healing power of humanity

 

Unlocking the power of time: insights from an inspiring leader

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Today is the longest day of the year and the official start of summer. This longest day leads me to reflect on how we spend our time.

I recently had the pleasure of interviewing Saad Chaudhry, Chief Digital and Information Officer at Luminis Health, for a Townhall episode on This Week Health. Saad is an inspiring leader on so many levels so preparing interview questions was easy. I had heard Saad talk in the past about what he calls his Manifesto of Time, so I wanted to make sure we discussed it in the interview. For Saad, looking at the number of hours the average person has in their lifetime means looking at how we choose to spend it and whether we give or take time from others.

As a health IT leader, he says we are in the business of time. He is committed to giving time back to staff and patients. He asks in his manifesto – “Does a process/technology/policy steal time from a fellow human? Is there a better alternative to simplify the experience?” He challenges us to make systems and processes easier for patients and staff, giving time back rather than taking more time from them.

I can’t say it nearly as well as Saad, so I encourage you to read The Manifesto of Time and listen to the short clip on time from our interview – Spending Time: Why It’s Important to Maximize Giving Back Our Most Valuable Commodity. We covered much more in the full interview if you are interested and willing to spend 30 minutes of your time listening – A Realigned Role, Generational Diversity, and Giving Back Time.

I know your time is precious – thanks for reading and listening!