Leadership means being bold and taking on the tough issues

As a leader, do you shy away from issues that may be considered too controversial or too political? What if those issues are at the core of delivering healthcare to your community and supporting your team? In our current political environment with the level of discourse so negative and uncivil, it can be hard to take a stand on something. But true leaders do just that.

Michael Dowling, President and CEO at Northwell Health in New York, is the kind of leader who doesn’t shy away from controversial issues. He should be a role model for all of us. I have mentioned him in previous posts on the need for civility and on preventing gun violence. This week I want to highlight his unwavering commitment and national leadership to prevent gun violence.

Under Dowling’s leadership, Northwell Health hosted the 4th Annual Gun Violence Prevention Forum this week. It was an in-person event in New York but open for virtual registration. I can’t tell how many were in the room but in his opening remarks he said there were over 2000 registered virtually.

His opening comments were inspiring. He said we were gathered to learn, to share, to strengthen our commitment to work together in unison, and to hold hands as we march down the road bending the curve of gun violence. He challenged us to each rethink and reimagine the obligation and responsibility of leadership. As health systems, to ask who are we, what do we stand for and believe in. He said we need to inspire others that this is health. That we can’t improve health unless we go upstream. And that health is more than medicine. Whether inside the organization or outside, to take on difficult topics. To make sure others get involved and feel bad about not doing so. He talked about the progress made. He reminded us that big issues and big successes are the result of a constellation of small things. And he encouraged us to be optimistic, that people follow optimistic leaders. He asked us to be proud, committed and fearlessly optimistic.

He talked about the National Health Care CEO Council on Gun Violence Prevention and Safety taking the pledge to prioritize the health and safety of our communities. 50 health system CEOs have signed the pledge and are united to fight gun violence. He talked about how even a few years ago he couldn’t get anyone to sign something like this. The response he got back then was it’s too political, their board wouldn’t like it, there were NRA members on their board, and so on. 50 is progress and we can hope that in the future it will be hundreds. Continue reading

End of year thoughts and advice for 2023

This week in between holidays is a time when leaders may be working a more relaxed schedule and planning for the coming year. When I was a full-time CIO, I appreciated this last week of the year with few to no meetings and the opportunity to cleanup, catchup, and prepare for the new year.

While the past three years have at times been a blur as I try to recall when certain pandemic related events and changes happened, and the political discourse is incredibly discouraging at times, I remain optimistic about our collective future.

Health IT leaders will continue to face staffing challenges and cost constraints as organizations are under increased financial pressures. The successful health IT leaders in 2023 will be those who can partner effectively with their peers as a member of the executive team, support their organization’s strategic priorities and goals, find ways to reduce costs without reducing services, create flexible work environments with workforce strategies that ensure the best talent on the team, and embrace new and innovative technologies that solve real problems and improve the patient, clinician, and employee experience.

As in previous years, my StarBridge Advisors colleague, David Muntz, has again written an excellent year end blog – 12 Steps to Prepare for 2023 – Big Challenges – Bigger Opportunities. His 12 steps are worth considering as you plan for 2023. And his intro is a powerful reminder of why we work in healthcare and the kind of people we should strive to be in all our interactions:

“Healthcare is a people business.  We need to remind ourselves and our coworkers that mercy and compassion, not anger, define our profession and us as professionals.  We need to model mercy and compassion in our personal lives, in our interpersonal relationships, not just with family and friends, but with strangers and, equally important, our coworkers and business partners.  One way to do that is through genuine listening in pursuit of true understanding – so easy to say, so difficult to do.  Give others an avenue to express themselves.   For your own sake, lower your defenses.  As you create a list of resolutions for the new year, please add to it active and courageous listening, building trust, and treating everyone with kindness.”

May your 2023 be a healthy, peaceful year filled with kindness!

Ban books? No, encourage young readers

It’s that time of year – whatever holiday you celebrate during this Season of Gratitude there is likely some gift giving involved. You may have an obligatory attitude of just getting it done or (hopefully) a more positive giving attitude spending time selecting thoughtful and more personalized gifts. When I had leadership teams reporting to me, I would give them a book each year. It was often the hardest gift to buy – deciding on the perfect book that they would all like. Over the years, my books included some of the best titles on innovation, leadership, technology, public health and more.

Now my holiday gift book buying is all for younger people. In addition to the one big gift for each of my grandchildren, I get them a book. I will be starting two of them on the “National Geographic Kids Almanac 2023” this year – it is filled with information on animals, science, nature, technology, conservation, and more.  I bought “Good Night Stories for Rebel Girls: 100 Inspiring Young Changemakers” for one of the granddaughters at my daughter’s suggestion. I was delighted to get the suggestion as I have been patiently waiting for my granddaughters to be old enough so I could start buying some of the feminist books for girls I see in bookstores. And for my grandson who loves all sports and is learning to read, I’m getting a fun story he should like – “The Dog That Stole Football Plays”. The football player on the cover has a “Jets” jersey on and that happens to be the name of my grandson’s flag football team. Hoping he loves the story, and it encourages him to read more!

I have another book buying annual holiday tradition that continues. I buy a book for each of my grandnephews and grandnieces back home in Minneapolis where I’m from and where my siblings and their families all live. That group is older – mostly teenagers. So, we have progressed over the years from picture books when they were little to books focused on their interests including baseball, ballet, and opera during middle school years, to more scholarly and political books now that they are in high school. For example – “A Choice of Weapons” by Gordon Parks, “Narrative of the Life of Frederick Douglas”, and “The 48 Laws of Power” by Robert Greene. I count on my three nieces to help me with recommendations and to understand their kids’ evolving interests. The grandnephew who wanted baseball books when he was younger is now into Nordic skiing and heavy metal with his own band. Yes, with my sister’s (their grandmother) help, I found a book he will like.

I can’t talk about nurturing young readers without mentioning the current banned books controversy that goes hand in hand with concerns about teaching critical race theory and talking about LGBTQ. Continue reading

Remember what our parents taught us – civility and respect

Last week I wrote about exercising our right to vote. With the mid-term election dominating the news it’s hard to think about much else. With the brutal attack on Speaker Nancy Pelosi’s husband, Paul, the threat of political violence during this election season is heightened. The amount of disinformation and baseless conspiracies are contributing to the situation. And bullying behavior that you wouldn’t tolerate from your boss or co-worker, or from your kid’s teacher or coach is somehow acceptable coming from elected officials and candidates for office.

As we approach Election Day, I go back to civility and respect. Basics that seem to be lost in the recent years. Civility and respect are important and necessary in our everyday lives and discourse, be it with family, friends, co-workers, neighbors, or people we know only as a name and social media account online.

With no new novel message on this, I’m asking you to revisit two of my posts in recent years that highlighted the need for civility and decency drawing on comments from well-known healthcare leader, Michael Dowling, President & CEO of Northwell Health – “Towards a more civil society” and “The healing power of humanity”.

Be kind, be respectful, and be sure to vote your values!

Best employers for women – is your organization on the list?

It’s Getting Harder to be a Woman in America by Claire Suddath, senior writer at Bloomberg Businessweek, is a powerful, must-read piece for anyone concerned about what is happening to women in this country.

I have long been a champion for women and a proud feminist. Doing what I can while in leadership roles to support women, not being afraid to speak out on women’s issues, and voting for candidates who are truly pro-women’s rights. I encourage you to do the same.

It was good to see the recent Becker’s story “30 hospitals, health systems and biomedical companies on Forbes’ top 100 list of best employers for women” that listed all 30 and their rank within the top 100. According to the Forbes article, “America’s Best Employers for Women”, the survey respondents were asked to rate their organizations on criteria such as working conditions, diversity and how likely they’d be to recommend their employer to others. These responses were reviewed for potential gender gaps. Female respondents were then asked to rate their employers on factors such as parental leave, discrimination and pay equity, and to nominate organizations in industries outside their own. Representation at the executive and board levels were also factored into the final score.

If your organization didn’t make the list, ask yourself what you can do. Are you in an HR leadership position and able to directly influence employee policies and benefits? Are you an IT leader who consistently creates a supportive culture and values diversity? Regardless of your position, do you help create a supportive work environment?

We’re all in this together – at home, at work, and in our communities.

Related Posts:

A step backwards

Women need male allies

Vote your values

9 articles on women and work worth your time

Family support systems: priceless

Balancing career and family

#BreakTheBias

Generational differences at work

A recent Becker’s article got me thinking about generational differences at work. Scott Becker wrote the article, “Working with younger generations – 7 thoughts”, focusing on millennials and Gen-Z. He acknowledged that if you label entire generations with broad cliches you may not understand any real differences or similarities between generations. He noted that the state of the economy when you graduate can influence your view on work and career the rest of your life. He goes on to comment on work-life balance, social consciousness, job hopping, tech savviness, and mental health. I encourage you to check out the article.

I am passionate about developing next generation leaders and spend a lot of time informally mentoring and advising people as well as providing both leadership and career coaching services. As a baby boomer, the “next generation” for me includes Gen X (born 1965-1980), Millennials (born 1981-1996), and Gen Z (born 1997-2012). And then there is that micro-generation called Xennials born in the late 1970s or early 1980s. That is where my two daughters and their husbands fall – I can see how they aren’t quite Gen X or Millennials when I think about the general labels. Xennials are described as having an analog childhood and a digital young adulthood.

I have decades of experience to draw on in leading and teaching others, but I also consider myself a continual learner and learn every day from the generations coming behind me. The book “Wisdom @ Work, The Making of a Modern Elder” by Chip Conley is an excellent resource. As the description says, “The secret to thriving as a midlife worker: learning to marry wisdom and experience with curiosity, a beginner’s mind, and a willingness to evolve, all hallmarks of the “Modern Elder.” Continue reading

#BreakTheBias

That’s the theme of International Women’s Day (IWD) 2022 celebrated today, March 8. It is one to remember not just today but every day. Two weeks ago, as Black History Month came to an end, I wrote a post titled “2022 of the 1950s?” about systemic racism. March is Women’s History Month and when I see the assault on women’s rights in many states, I could ask that same question again.

While women have made great progress since I was growing up in the 1950s and 1960s, coming of age during the women’s movement shaped me both personally and professionally. I remember when International Women’s Day was something most people knew nothing about. Now it is more prominently highlighted in the media. You may have seen some “strike the pose” posts on social media in recent days and wondered what that was about. But International Women’s Day is not just a celebration of women, it is a focus on the historical and current struggles of women for true equality and a call to all of us to forge a gender equal world.

Themes in recent years have been:

#ChooseToChallenge – reminding us that we are responsible for our own thoughts and actions and that we can all choose to call out gender bias and inequality.

#EachforEqual – emphasizing the need to bring together people of all gender, age, ethnicity, race, religion, and country to embrace the values and actions needed to create a gender equal world.

What does this year’s theme #BreakTheBias focus on? From the IWD website:

“Imagine a gender equal world.

A world free of bias, stereotypes, and discrimination.

A world that is diverse, equitable, and inclusive.

A world where difference is valued and celebrated.

Together we can forge women’s equality.

Collectively we can all #BreakTheBias.”

What can you do? Continue reading

2022 or the 1950s? 

February started with news that was both disturbing and disappointing to see in 2022. But unfortunately, not a surprise considering the long history of racism and white supremacy in this country. News programs the first few days of Black History Month covered bomb threats at many HBCU campuses, the Florida Anti-Woke Act, book banning, a neo-Nazi group protesting in front of Brigham and Women’s Hospital in Boston, and another police shooting of a young black man, Amir Locke, in Minneapolis.

It makes one wonder if this is 2022 or the 1950s. Are we moving forward or backward?

When I touch on political subjects in my blog posts, I try to weave a healthcare perspective into it. The best I can do given these discouraging news stories is to reinforce that it takes each one of us to make change and create the kind of world we want to live in, work in and raise our families in.

As Rev. Dr. Martin Luther King, Jr. said, “The arc of the moral universe is long, but it bends towards justice”. Yes, but only if we pull it towards justice. So, what can you or I do to pull it?

I applaud Boston Children’s Hospital where I served as interim CIO last year for requiring “Bystander to Upstander” training for all employees as part of the health system’s commitment to diversity, equity, and inclusion. This program raised awareness of microaggressions in everyday life and provided simple tools for each of us to use to move from being a bystander when we see and hear something to being willing to call it out.

I applaud the CHIME Diversity and Inclusion committee which I am a member of for their continued work to raise awareness amongst CHIME and CHIME Foundation members and AEHIS, AEHIA and AEHIT members. The newest offering, “DEI Dialogues”, kicks off this Friday 2/25 from 12-1PM ET. DEI Dialogues will be a dynamic series of virtual conversations around identity, belonging, equity and inclusion with a different lens of focus each month. The focus of the first one is Black History Month. Cletis Earle, SVP and CIO at Penn State Health, and Dr. Andrea Hendricks, Senior Executive Director & Chief Diversity, Equity, and Inclusion Officer at Cerner, will moderate the discussion. For more information on CHIME Diversity and Inclusion and to register for the first DEI Dialogues, click here.

When it comes to understanding our own biases and working to end racism, we are each on our own journey of self-awareness and action. Together we can be the change and move forward not backward.

Resources and Related Posts:

Here’s the story behind Black History Month – and why it’s celebrated in February

How Sharing Our Stories Builds Inclusion

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

At the intersection of racism and healthcare

Leadership revisited

It’s a new year. Time to reflect and look ahead. Whether you are a leader or an aspiring leader, there is always room to develop your own leadership skills and find ways to help others develop. Over the years, I’ve often written on leadership. Here is a short list of posts worth revisiting:

10 Tips for next generation leaders

7 Ways to develop the next generation of leaders

Leading through a crisis

What we should expect of leaders

Inspiring and developing new leaders – learning from the best

Lead by example

Leader as conductor

Note – I am taking a short break from writing new posts in January. With all the blog posts I’ve written over the past 7 plus years, I’m using this break to share some of my “classics”. Thank you for being a subscriber – I hope you will encourage your colleagues to subscribe in the coming year.

Towards a more civil society

Healthcare is a people business. I’ve worked with many hospital CEOs and executives in my career. Leaders lead in everything they say and do. Hospital CEOs lead their organization and are considered leaders in their community. Some are considered national leaders as well. Leaders are “always on”.

There may be little behind the scenes moments when you get a glimpse of their personality. But there are many more public moments when you see how they lead and inspire. And for some, there are those moments where they publicly weigh in on societal issues others want to ignore. I saw one of those examples last week.

Michael Dowling is President & CEO of Northwell Health, the largest healthcare provider in New York caring for over 2 million people annually. He is one of the most respected and influential healthcare leaders in our industry. He is not afraid to tell it like it is and take a public stand on issues such as gun violence and immigration. His recent article, “A Call for Civility and Decency”, published in Becker’s Hospital Review on December 30, 2021, is no exception. He describes how the “internet has become a toxic stew of political hostility”. He talks about how the discord is a challenge to our democracy and quotes Abraham Lincoln who said, “A house divided against itself cannot stand”.

He outlines in detail his thoughts on basic steps we can all take to start the healing our country needs:

  • Respect others point of view
  • Choose your words carefully
  • Show empathy
  • Respect diversity
  • Be willing to compromise

In closing he says, “As we turn the calendar to 2022, let’s use it as an opportunity to tone down the rhetoric, reopen dialogue with each other and mend wounds caused by the worst pandemic of our lifetime and years of racial, ethnic and political divide that have worn away at the fabric of our society. It all starts with civility and decency. If we all embrace that behavior, we’ll enjoy a much happier new year.”

Last week I wrote about the importance of taking care of yourself during these challenging times paying attention to both your physical and mental health. This week as we begin a new year, let’s heed the advice of Michael Dowling and commit to work towards greater civility with one another.