Your Voice is Your Power: Standing Up for Democracy in a Divisive Election Season

As we go about our daily work and home life, who can forget that there is an election going on? Even if you are not watching or reading the news you can’t escape it. Nor should you. This is probably the most consequential presidential election of our lifetime. We all must ask ourselves what kind of world we want for our children and grandchildren. Who speaks to our values? Who can we trust with our future and our democracy?

If you know me or are a regular reader of my blog, you know my answer. Yes, I have a button that says, “We are not going back”. And I have my “I voted early” sticker. With this consequential election a week away, I can’t be silent.

I proudly display my RBG art in my home workspace where she is visible over my shoulder on all my zoom calls and podcast interviews. It is often a conversation starter with both men and women when they see it for the first time.

While we may want to shy away from speaking out and openly supporting the candidate of our choice, I have great respect for people who are willing to publicly state their support for Vice President Kamala Harris and Governor Tim Walz as our next President and Vice President. This includes a growing list of business leaders. And not to be ignored, many long-standing Republican leaders and former Trump administration officials are warning us based on their first-hand knowledge and experience that he is unfit to lead and a danger to our democracy.

I am encouraged to see healthcare leaders willing to post their very insightful support for the Harris/Walz ticket on LinkedIn which is supposed to be a professional network and not political. Continue reading

Championing DEI – personal stories and lessons from leaders

We learn from our own experiences, and we learn from other’s experiences when they are willing to share their stories. The impetus behind starting this blog was to share and help teach others, especially next generation leaders.  I have shared lessons learned both professionally and personally over the years. And I have shared many stories along the way.

My latest contribution in this sharing space is based on my ongoing commitment to promote diversity, equity and inclusion. As a member of the CHIME DEI committee for the past few years, I’ve come to know many colleagues in deep ways as we share our stories with each other and work to educate the broader CHIME community.

The newest offering from the committee is a video series called “Inclusive Insights: Personal Stories of Diversity in Action”. An insightful interview with Cletis Earle last month was the first in the series. Cletis is the CHIME DEI Committee Co-Chair and former SVP and CIO at Penn State Health and College of Medicine. I encourage you to view it here. He covered how DEI played a role in his career, why organizations should not turn away from DEI, how he advocates for DEI at work and in his community, and shares advice for colleagues trying to enhance diversity, equity, inclusion and belonging in their organizations.

I’m honored to be the second person in the series to share my story – it is available here. I covered common myths and misperceptions about DEI, challenges I have faced in my career and how I overcame them, the role that mentorship and sponsorship play in fostering diversity and inclusion, the role of allies, and more.

When I first joined CHIME as a new CIO in 2000, the makeup of the group was very different from what it is today. There is far more diversity among health IT leaders today compared to back then. CHIME’s explicit commitment to DEI in recent years through the committee’s work and the programming at in-person conferences is encouraging.

We have made progress but there is more work to be done. We’re in it together.

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One year later – an increased focus on diversity, equity and inclusion

Live your values and be the change

It may be easy to feel discouraged at times – by challenges at work or at home, or the current political scene, or the conflicts in the world. But I like to be an optimist and maintain a positive attitude finding ways to “be the change”.

Here are a few things in the past several days that have given me hope:

I listened to and watched several sessions at the Becker’s Healthcare 14th Annual Meeting Virtual Event this week. I love hearing healthcare leaders talk about why they got into healthcare, share the missions of their organizations to care for their patients and improve their communities, and describe the tangible outcomes of their continued efforts in these challenging times. It reinforces my passion for healthcare and why I have spent my entire career in this industry.

Last Friday, my husband and I went to a volunteer fair in my community. I was both surprised and encouraged when we pulled in and saw a full parking lot. I had no idea so many people would be looking for ways to help others through volunteer work. There were approximately 25 organizations with exhibits educating us about their services and describing the many volunteer opportunities. They included the local community hospital, Habitat for Humanity, homeless coalition, climate change, sustainability, the local art center, and much more.

We got home that afternoon just in time for a Volunteer Blue virtual call I had registered for. Volunteer Blue is a coalition of 24 grassroots organizations focused on electing Democrats. American historian, Heather Cox Richardson, was the guest speaker. She writes a daily newsletter, “Letters from an American”, on the history behind today’s politics. (My daily morning routine is to make a cup of coffee and read her newsletter before I do anything else – yes, even before checking email!) Her 2023 book, “Democracy Awakening: Notes on the State of America” is a New York Times bestseller. After Heather’s comments, the organizers shared data on the key races in 2024. Finally, there were breakout groups organized by the many different ways to get involved. About 1,000 people were on the call and ready to commit time to help elect Democrats up and down the ballot in 2024.

If you know me at all, you won’t be surprised that I’m sharing these examples of what motivates and inspires me. This is me from a young age. My first part-time job during high school was working as a nurse aid in a nearby nursing home. In the summers, I did volunteer work with my church youth group. And I was volunteering for progressive Democrat candidates from the time I could vote.

I truly believe you have to live (and vote) your values!

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What do healthcare CEOs want from technology in 2024 and beyond?

When do you stop wishing people “Happy New Year”? Probably soon if not yesterday. When do you stop reading recaps from 2023 and predictions/forecasts for 2024? It depends. When do you stop listening to what healthcare CEOs are saying is important to them? Never!

I’ve seen two pieces recently from healthcare CEOs that are worth sharing here.

First off a very powerful message from Michael Dowling, President and CEO at Northwell Health published in Becker’s Hospital Review on January 2 – “The most pressing question to start the year”.  He reminds us of our mission as we start the new year.

“Health is how we work together to build a sense of community. Having a healthy community also requires everyone doing what they can to tone down the political rhetoric and social media-fueled anger that is polarizing our society. Health is bringing back a sense of civility and respect in our public discourse, and promoting the values of honesty, decency and integrity.”

 The second is a piece from Becker’s Health IT published on December 19 – “Health system CEOs’ tech wish list”.  Here is what’s on the technology wish list for the next three years:

    1. Seamless care coordination applications
    2. Drivers of elite patient experience
    3. Automation everywhere
    4. Precision medicine capabilities
    5. AI-driven technology to support the workforce
    6. Health equity and population health boosters

Sound familiar? Does this align with what you are hearing from your healthcare executive team?

You may be wondering how you do this with limited budgets due to continued financial constraints and the workforce challenges of recruiting enough staff and the right talent. The job of health IT leaders is as challenging as ever but as exciting as I’ve seen in my several decades in healthcare. Finding ways to take costs out and create capacity, optimizing existing investments, hiring talent and retooling to ensure your team is ready to deliver on the new demands – those are some of the leadership challenges for 2024.

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From reflection to action – preparing for 2024

 

From reflection to action – preparing for 2024

It’s that time of year when you can find 2023 recaps and 2024 predictions everywhere you watch, listen to, or read content. In health IT, we are no exception to this. My StarBridge Advisors colleague, David Muntz, has written our final blog post of the year that health IT leaders may find useful – “12 Steps to Prepare for 2024 – Big Challenges – Bigger Opportunities”.

David is one of the kindest people I know. It is a true pleasure to have been on this StarBridge venture with him for the past 7 years and to have known him far longer than that from when we were CIO colleagues. It is no surprise that he starts his post by talking about how important it is to model kindness, mercy, and compassion in all that we do. He notes the workforce challenges that organizations face and the importance of recognizing that healthcare is a people business. He goes on to address specific opportunities in DEI, digital health, AI, security, and much more.

He closes with a call to make the best of these opportunities in 2024 to improve health and care in our communities, our nation, and our world. After all that is our common goal! I encourage you to add his blog post to your end of year reading list.

All the best to you in 2024! May it be a healthy, peaceful year filled with kindness.

Lessons from Succession: What not to do as a leader

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.

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Ted Lasso leadership lessons

The transformative power of bold leadership in healthcare

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.

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Ted Lasso leadership lessons

I was late to the “Ted Lasso” series so there were some seasons of binge watching. From its earliest days on Apple TV, I kept hearing about this show from my colleague at StarBridge Advisors, David Muntz. He loved it! My husband and I finally started watching some time last year and saw the season 3 finale last week along with all the other devoted fans.

There are so many lessons to share from this incredibly upbeat soccer coach who we came to know and love. Here are a couple pieces worth reading whether you are a fan or not – no spoilers:

If you haven’t already clicked through to the Becker’s article link above to read perspectives on the lessons from well-known healthcare leaders, please do. In the meantime, here are the lessons:

  1. Lead with empathy.
  2. Being vulnerable doesn’t make you weak.
  3. Optimism is infectious.
  4. Doing the right thing is never the wrong thing.
  5. Winning and losing aren’t everything.
  6. Optimists take more chances.
  7. Everyone differs from everyone else.
  8. Embrace change.
  9. Empowerment breeds confidence.
  10. Winning is an attitude.
  11. Humor cuts through tension.
  12. Courage is the willingness to attempt.
  13. Nobody is bigger than the team.
  14. Be self-aware and genuine. A truly authentic leader doesn’t have the time or the inclination to be anyone but themselves.
  15. Don’t dwell on mistakes or let them define you.
  16. Stay teachable.

I like all of them but 1, 4, and 13 are favorites. Continue reading

Confidence gap, wage gap, and more

We have much progress to celebrate as women but sad to say that in 2023, there is still so much more to do. I’ve seen many excellent pieces recently that illustrate the gender gaps that exist in the workplace.

Have you ever heard of “Tall Poppy Syndrome”? I hadn’t. I saw this post on LinkedIn from Women of Influence+ on a study they conducted of over 4,700 women around the world. From the post, their research shows that almost 90% of women worldwide are belittled and undermined because of their success at work. As they say, “The Tallest Poppy, our groundbreaking study, reveals an eye-opening story about how Tall Poppy Syndrome (TPS) negatively impacts ambitious, high-performing women, and what this means for organizations”. Here is the press release summarizing the results and a link to access their white paper.

It’s no wonder that many women get “imposter syndrome”, even women in executive level positions. As Becker’s reported in this short article, “75% of female executives get imposter syndrome”, imposter syndrome is doubting one’s abilities and feeling like a fraud. The article notes that women expect lower pay than men, are subject to condescension and have less faith they will be treated equally. This all leads to lowered confidence.

As Becker’s reported in this short article, “The gender ‘confidence gap’ is wide in the workplace”, the confidence gap and wage gap continue. And we are now seeing the promotions gap more clearly. Continue reading

#EmbraceEquity

Today is International Women’s Day (IWD) and March is Women’s History Month. The International Women’s Day 2023 campaign theme is #EmbraceEquity. As their website says, “The aim of the IWD 2023 #EmbraceEquity campaign theme is to get the world talking about Why equal opportunities aren’t enough. People start from different places, so true inclusion and belonging require equitable action. International Women’s Day is a global day celebrating the social, economic, cultural, and political achievements of women. The day also marks a call to action for accelerating women’s equality.”

Yes, we have much progress to celebrate but sad to say that in 2023, there is still so much more to do. Especially with our current political climate and Diversity, Equity and Inclusion (DEI) programs being under attack in some states. Take Florida for example where the governor announced in February that he intends to ban state universities from spending money on diversity, equity and inclusion initiatives, calling them discriminatory.

I continue to participate in CHIME’s Diversity, Equity and Inclusion committee as we start another year of programming for all CHIME members. As leaders, raising awareness and finding ways to take positive and meaningful action for our employees and our patients is what this work is about. This Friday as part of the DE&I Dialogues series, we will host a live webinar entitled, “Why DE&I: Defining Health Disparity, Inequity, and Inequality”. The webinar will cover why DE&I is important in your healthcare organization and how it impacts patient care. Featured speakers are Andrea Daugherty, CIO at Dell Medical School at the University of Texas at Austin, Cletis Earle, SVP and CIO at Penn State Health, and Dr. Eric Quinones, Chief Healthcare Advisor at World Wide Technology. You can register here for the March 10, 12PM ET webinar. I hope you will join us this Friday and for future DE&I Dialogues as we continue to learn and work together in 2023.

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