On Leadership

Say yes to students – they are our future

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There are just so many hours in the day. We can choose what we say yes to and what we say no to. As part of my commitment to developing next generation leaders, I always say yes to individual requests from students and invitations to be a guest speaker at a school. And I never know what other potential connections might come from it.

One of those requests came in October. I got a LinkedIn message asking to be on a panel at the annual Boston Young Healthcare Professionals (BYHP) conference. The young woman who reached out had been an intern in our program at Michigan Medicine when I was CIO. I quickly said yes.

The conference was on “Expanding Our View and Zooming In: What We Can Learn About Healthcare in Our Backyard and Around the World”. My panel was “Healthcare in a Technological Era: Making Boston’s Backyard Even Bigger”. Robert Schultz, managing director at Massnex, was the moderator. On the panelist prep call, I got to know Robert and the other panelists. Robert and I quickly realized that there might be opportunities to work together in the future, so we scheduled a separate call. That call led to another invitation.

Robert teaches the course “Entrepreneurship in Healthcare Organizations” in the Wagner Graduate School of Public Service MPA program at NYU. He asked if I would be a judge for the final class when the students make their business plan pitches – he said think “Shark Tank” but nicer. Of course, I said yes. Continue reading →

V-Day – With the vaccine comes hope

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The UK administered the first fully tested and approved COVID-19 vaccine this week. The U.S. could be administering the vaccine as early as next week. There is hope!

Projections are that by summer 2021, most everyone in the U.S. who wants a vaccine will be able to get it. There is hope!

The Biden Administration’s health team has been announced. There will be a new reliance on clinicians, scientists, and public health experts. There is hope!

And yet, the challenges are many. To name just a few: overall supply vs demand, distribution logistics and storage, logistics of administering the vaccine, establishing guidelines for prioritized groups to receive it, ensuring both doses are administered at the right time interval, and of course public trust in the vaccine.

As I have read and listened the past week, I have learned how the free market impacts the availability of key components for the manufacturers, that each state can decide on their group priorities after the CDC publishes the guidelines, and that only about 60% of the population say they are willing to take the vaccine.

On a more encouraging note, I have heard how provider organizations have been developing their vaccine administration plan for months and how a leading pharmacy chain is planning to scale administration across their 10,000 locations and has an app ready to go for tracking patients, scheduling appointments, and sending reminders for the second dose.

I encourage you to check out these resources to understand the issues involved:

In the Bubble with Andy Slavitt podcast – Toolkit: Where and When Can I Get the Vaccine? He talks about the science with Dr. David Agus and the logistics with CVS Health’s Tom Moriarty. Together they answer questions from listeners.

Interview with Dr. Atul Gawande in the New Yorker by David Remnick – Atul Gawande on Coronavirus Vaccines and Prospects for Ending the Pandemic. It covers a lot of ground and Dr. Gawande is as insightful here as he is in his regular New Yorker pieces and many books. Continue reading →

Women need male allies

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One of the last glass ceilings has been shattered. Senator Kamala Harris is now Vice President Elect Kamala Harris. She will be the first woman to hold this office. In her speech on November 7, she paid homage to the women who worked to secure and protect the right to vote and the women still fighting to be heard as she said, “Tonight I reflect on their struggle, their determination and the strength of their vision to see what can be unburdened by what has been. And I stand on their shoulders.”

And to future generations, she said: “But while I may be the first woman in this office, I won’t be the last. Because every little girl watching tonight sees that this is a country of possibilities. And to the children of our country, regardless of your gender, our country has sent you a clear message: Dream with ambition, lead with conviction, and see yourself in a way that others might not see you, simply because they’ve never seen it before. And we will applaud you every step of the way.”

The fight for women’s rights and equity is not one that women can wage alone. We need male allies. The good news is that we have many and probably many more that just need some encouragement.

I am seeing an increasing number of resources available on how men can be better allies and support women. Here are two recent articles worth sharing: Continue reading →

The healing power of humanity

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This is one of those weeks where I struggle for the right words. We are all in wait mode. Regardless of the outcome of the election, our nation needs healing. Your relationships with family members, friends or colleagues may be strained as the divisiveness of recent years has grown during this election cycle.

In health care, we focus on healing and take care of everyone regardless of their politics. For inspiration, the words this week from two national healthcare leaders are worth sharing.

Michael Dowling, CEO of Northwell Health, penned a very powerful piece in Becker’s Hospital Review on November 4 titled, “Look to healthcare to remember what decency means”. He calls on leaders to focus on decency saying, “Considering the contentious rhetoric we have witnessed at the highest levels of government throughout this past election season, now is the time for leaders to emphasize decency as the most important trait any one person can exhibit in their organization.” He talks about how our collective sense of decency has been violated saying, “The end result is a pervasive lack of trust, respect and empathy that prevents us from getting anything done. To solve any problems in healthcare or in broader society, we need to reclaim the value of decency and civility.” In a year that has been incredibly demanding and stressful for healthcare professionals everywhere, he closes with, “In healthcare, our care teams have been role models of decency, and our nation would benefit from a closer study of them.”

Lloyd Dean, CEO of CommonSpirit Health, published a short article on November 4 titled, “We Made Our Voices Heard”. Speaking of the 150,000 people who make up CommonSpirit, he says “We believe in the healing power of humanity, and we are called to heal our patients, our communities, and our country in every way we can.” In his closing words, he calls us all to come together: “Even though we don’t yet have all of the election results, and regardless of how you feel about the outcome, I encourage us to all consider how we can reveal the best of humanity during this moment. Let us empathize with those whose perspectives are different from ours. Let us show others how to bridge our differences and find common ground. Let us help our children and our neighbors feel enthusiastic and empowered to make our world a better place. Most of all, let us always show kindness and respect for one another as we seek to move forward as a country, together.”

Be kind, respectful, and decent to one another in the days ahead.

Make your voice heard, your vote counts!

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Like more than 75 million people, I have already cast my vote. My husband and I were there on the first day of early voting in our state. Millions of voters are willing to stand in long lines to vote. And at a time when new COVID-19 cases are averaging over 72,000 a day.

We are on track for record voter turnout before the election is over. In 2016, about 60% of eligible voters actually voted. Given early voting numbers, the projected 2020 total votes could be record breaking at over 150 million compared to about 135 million in 2016. Voter suppression is real and has taken many forms in this election cycle. It is already too late for mail-in ballots in many states – you will have to take it to a dropbox. And yet, early voting is at a record high.

Yes, I voted for Biden. That should be no surprise if you know me or have read many of my blog posts. I do believe this is the most consequential election in our lifetime. When the votes are counted, it will be either Biden or Trump.

The number of undecided voters is at a record low. If you are one of those undecided voters or leaning towards Trump despite all your concerns, I offer up a few statements for your consideration from some unlikely sources on why they also support Biden:

  • Former Republican Party Chairman, Michael Steele has endorsed Biden. He clearly and thoughtfully articulates his position as a longtime Republican in a recent podcast “My Country Matters: Why I am Endorsing Biden”. In the last few minutes of it, he talks about leadership, decency, and character. He quotes Dr. Martin Luther King, Jr. in saying “Our lives begin to end the day we become silent about things that matter.”
  • A conservative New Hampshire newspaper, The Union Leader, has not endorsed a Democrat for President in a 100 years. Their editorial “Our Choice is Joe Biden” says “We have found Mr. Biden to be a caring, compassionate and professional public servant. He has repeatedly expressed his desire to be a president for all of America, and we take him at his word. Joe Biden may not be the president we want, but in 2020 he is the president we desperately need. He will be a president to bring people together and right the ship of state.”
  • The CEO of Expensify, David Barrett, has publicly endorsed Biden in an email to 10M customers entitled “Protect democracy, vote for Biden”. In his opening he says, “That’s right, I’m saying a vote for Trump, a vote for a third-party candidate, or simply not voting at all — they’re all the same, and they all mean — I care more about my favorite issue than democracy. I believe Trump winning is more important than democracy. I am comfortable standing aside and allowing democracy to be methodically dismantled, in plain sight.” His full email is included in this Business News article.

I saw a story of a 102-year-old woman born before women had the right to vote who said this is the most consequential election in her life as she cast her vote. If she can get out and vote, so can you.

Don’t sit this one out. Make a plan to vote and help your family and friends make a plan. Make your voice heard. Every vote matters. This election must be decided at the ballot box by your vote, not the courts.

Resources and Related Posts:

I Will Vote

When We All Vote

Fair Fight

Vote your values

Forward together

12 more days – forward together

Doomscrolling? Break the habit with a good book

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I guess I am behind again. The first time I heard the term “doomscrolling” was several days ago when someone tweeted that they looked forward to when they could just read a good book at bedtime instead of doomscrolling. I presume they were referring to getting past the election in two weeks. It resonated with me.

Doing a google search, I see articles going back to the summer months about doomscrolling and anxiety and how to break the cycle. It is described as the practice of endlessly consuming doom-and-gloom news. I find myself looking to see what awful things have happened, been spoken, or tweeted when I get up in the morning and again late at night.

The practice of always having a good book that I’m reading has been harder since this pandemic started. A novel I had just started in early March was set aside for months. I just couldn’t concentrate on reading a book in those early months. A political book I was reading was also set aside. I realized I didn’t need to know the inside story about all the outrageous things that had happened since 2016. I eventually finished the novel though I had to go back many pages to refamiliarize myself with the characters. I have yet to pick up that particular political book again and probably never will.

I just finished a novel that I would highly recommend – “The Daughters of Erietown” by Connie Schultz. It is an excellent story starting in the mid-1940s tracking four generations of women in a northeast Ohio town. It weaves daily life in a blue-collar community with significant historical events including the 1970 shootings at Kent State and the early days of the women’s movement. And yes, I am open to recommendations on my next novel.

I’ve started a non-fiction business book that one of my coachees sent me a while back – “Wisdom at Work: The Making of a Modern Elder” by Chip Conley. It is described as part manifesto and part playbook for how to become indispensable in the second half of your working life. Continue reading →

Adapting to virtual project work

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It is encouraging to see major system implementations continue to move forward during this period. Seattle Children’s, UI Health and Steward Health Care are just a few examples of EHR go lives in recent weeks. Kudos to all the teams who are working to ensure they go smoothly and safely as they provide a combination of virtual and onsite support.

My StarBridge Advisors colleague, David Muntz, and I just completed an ERP selection with a client. We have moved into the contracting and planning phase. All our work has been virtual. There was a short period where the client team was partially back in their offices but as case numbers in that state rose, they returned to the work from home arrangement with the exception of senior leaders in the office on certain days. The vendors successfully conducted virtual demos over several days with very high participation and engagement by the client organization.

While the vendor of choice is understandably anxious to meet with the client team in person, that is not happening for the foreseeable future. By the time of go live in Spring 2022, it should be a very different situation with onsite work. But for now, it will be all virtual work. And even when regular travel and onsite work is considered safe, I expect more work by the vendor and their implementation team to be done remotely to save on travel costs and time.

Bottom line, we have all made this virtual way of working a success. Yes, there were a few times when being in person in the same room would have really helped – the initial period of work when we were getting to know the client team and some of the key decision meetings. Learning the culture and “reading the room” can be a challenge in the virtual world but it is all doable. Continue reading →

Career advice in a competitive market

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I seem to be getting an increasing number of requests for career advice calls these days. Of course, I make time to talk to people I know and try to be as helpful as I can. No question that there are a lot of good and talented people looking for a new opportunity these days for various reasons.

Here is my current baseline advice when I have these calls:

Criteria: You need to establish your criteria such as type of organization, type of role, title/level, culture, salary, and location. This may sound too basic, but it is critical. Not all criteria are equal so apply a relative weight to each. Once you have this framework, you can evaluate each option against your criteria and stay true to them. You don’t want to compromise and then regret your decision in 6 months.

Market trends: Do your research. What are the new and emerging roles/titles? How does your experience align with them? Do you need to reinvent yourself or develop new skills/knowledge to get a new role?

Search firms: Develop and maintain relationships with a few search firms and recruiters. They need to know who you are, what you are looking for, and what you offer compared to other candidates. They can also be helpful and honest about the market and how you compare to others in search. But remember, you own your career and your next move. Continue reading →

5 job search challenges in 2020

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One thing that hasn’t seemed to change during this pandemic is the number of health IT leaders making moves. Since we provide interim management services at StarBridge Advisors, I track these moves closely. I’m currently helping a number of colleagues find new opportunities and having conversations about what it takes to make their job search successful.

I have written many posts focused on career management over the years. Much of that advice remains the same. But in this new environment there are also new challenges:

Updating your resume and telling your story – It is always wise to consider professional resume writing help or at a minimum ask a trusted colleague to review and give you feedback. Ensure your most recent work experience is updated and focuses on outcomes and results. And regardless of why you are looking, be ready to tell your story succinctly and consistently. It is your story and you need to tell it. This is even more important if you are in between jobs for whatever reason.

Competition – It appears to be a “buyer’s” market with many talented people looking for new opportunities. Whether you have decided it is just time for a change or you were let go due to a merger or layoff, you are in a very competitive market. Don’t put all your eggs in one basket. It’s best to pursue several opportunities at a time. But be ready for disappointment. Only one person gets the job in the end. Don’t get discouraged. Learn from each situation and prepare for the next. My post, “So you didn’t get the job”, has some advice you might want to check out. Now is a good time to work your network, let colleagues know what you are looking for and nurture your relationship with search firms. And if you learn about a position that’s not right for you, let others you know in search who might be better suited for it.

Preparing for virtual interviews – It’s very possible that all interview rounds will be virtual, and you will never meet people in person until you start the new position if not well after you start. Continue reading →

Inspiring and developing new leaders – learning from the best

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If you work in health IT, you probably know who John Glaser is. After a very accomplished career, John retired at the end of 2019 but is still very involved in boards, teaching, and writing. He is still making a difference in our industry and for that we all should be grateful. And as many retired grandparents are doing during this pandemic, John is sharing childcare duties with his wife for their 18-month-old grandchild.

I was fortunate to work with John for 10 years when I was CIO at Brigham and Women’s Hospital and he was CIO at Partners Healthcare (now known as Mass General Brigham). I can honestly say that John was the best boss I ever had. Many health IT leaders have been mentored by John over the years, been in a class he taught, heard him speak, or read his writing. I feel fortunate to have worked closely with him for those 10 years of my career.

What prompted a post about John Glaser? With the regular podcast listening I do on my daily walks, the Digital Health Leaders Podcast from CHIME is in my rotation. John was recently interviewed on that series by Russ Branzell, CEO of CHIME. There is so much wisdom packed into the 37-minute conversation, it is worthy of CEU credits in my humble opinion.

The most inspiring part of the conversation was when John talked about his life values and leadership models. As he says, we are all going to die someday. So, what do you want to be able to say about your life in your last 30 seconds? For John, it’s the love he and his wife have for each other, providing a blessed life for his three daughters, that he inspired and taught the people he led, and that he left the organizations and industry he was part of better for what he contributed. I can certainly attest to the last two and knowing his family, the first two as well. Continue reading →