Tag Archives: leadership

The evolving role of the CIO

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At the beginning of 2019, is your role as a Chief Information Officer what it was a year or two ago? Is that even still your title? Chances are the answers are no. Your role is possibly broader and more strategic canstockphoto2442956 (1) changing role of CIOthan it was.

Much has been written about the changing role of the CIO. There is talk about CIO 3.0. Some CIOs may feel pressure to take on new responsibilities, so they aren’t overshadowed by other new CXO leaders. But many more want to broaden their role as healthcare and technology evolves.

As John Glaser summarized so well in his article, “The Evolution of the Health Care Chief Information Officer”, many new CXO roles now interplay with the CIO role.

He talked about the five factors shaping the CIO 3.0:  the transformation of the health care business model; relentless innovation in information technology; shift in strategic emphasis; stepping up your skills; and IT leadership becoming a team sport. This last one is critical. The CIO and other evolving roles must play well with one another in the interest of the organization.

One of our StarBridge Advisors blogs in 2018 was by Avery Cloud, a former advisor and now CIO at Franciscan Missionaries of Our Lady Health System (FMOLH).  The title of his blog post was “The C-Double I-O”, adding a second “I” in the CIO title for innovation. He challenged CIOs to become as conversant in innovation principles as they are in ITIL.

David Chou, Chief Information and Digital Officer at Children’s Mercy Hospital, suggests that CIO also must mean “chief influence officer”. In his article he emphasizes the importance of creating a strong culture that supports transformation, and thinking like a CEO.

In the most recent StarBridge Advisors blog, “10 Steps to Prepare for 2019 – Big Challenges – Bigger Opportunities”, David Muntz had some advice for CIOs in the coming year. In step #3 he encourages CIOs to do a self-assessment. Continue reading →

The changing face of leadership

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Ayanna Presley, Sylvania Garcia, Veronica Escobar, Ilhan Omar, Rashida Tlaib, Deb Haaland, Sharice Davids, Alexandria Ocasio-Cortes, and Lauren Underwood.canstockphoto354515 (1) diversity

These are names you may not recognize now. But you will. They are some of the more than 100 women elected to the House of Representatives on November 6th. Women have never held more than 84 of the 435 house seats according to a November 8th Washington Post article by Mary Jordan – Record number of women heading to Congress.

Ayanna Presley is the first black congressperson elected from Massachusetts. Sylvania Garcia and Veronica Escobar are both from Texas and the first Latino women elected to the House of Representatives. Ilhan Omar and Rashida Tlaib are the first Muslim women elected to the House. Deb Haaland and Sharice Davids are the first Native American women elected to the House; Sharice is the first openly gay person to be elected to public office in Kansas. Alexandria Ocasio-Cortes is the youngest woman ever elected to the House at the age of 29.

Lauren Underwood is a 30-year-old nurse who will be the youngest black woman in Congress. In a district that is 86% white, she beat six men in the primary and unseated a four-term incumbent. Her campaign focused on healthcare.

Another woman to watch is Kyrsten Sinema. She now has a slight lead in the Arizona Senate race but it is still too close to call at the time of this writing. If she wins, she will be the first bisexual person elected to Congress.

Now that’s what I call a diverse group of determined women representing the next generation of leaders in Washington. Continue reading →

12 more days – forward together

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Pipe bombs sent via U.S. mail to critics of the president have dominated the news cycle for two days. These targets include former presidents, a former vice president, a former secretary of state and acanstockphoto5429849 (1) vote congresswoman. The person or group behind this domestic terrorism is still unknown. But we all know we are living in an ugly, divisive time in the history of our country. What have we become?

As the midterms approach, the divisiveness of the past several years has increased. Can we ever come together again?

We all can make a choice on who we want to represent us. The right to vote is fundamental to our democracy yet women and black people did not have this right until many years later. And we know that gaining that right was a hard fight. Fast forward to 2018 and voter suppression is rampant in several states. This makes your vote all that more critical.

If you live in an early voting state, you can exercise your right to vote any day through November 6th. If you do not, then you need to make time to cast your vote on November 6th.

There are many organizations and initiatives focused on getting people out to vote. When We All Vote is a new, non-partisan not-for-profit organization bringing together people to focus on our rights and responsibilities to shape our democracy. As they say, when we all vote, we can change the world. The good news is that early voting states are showing very high turnouts compared to previous elections.

Remember that the presidential election in 2016 was decided by less than half of the eligible voters. There is no electoral college at play in the midterms. Every vote counts!

Two years ago, I was filled with optimism leading up to the presidential election yet disappointed beyond words with the results. But I wanted to be optimistic in the following days. I wanted to believe the divisiveness would end and our president would try to be a president for all people.

I reread my post “Forward together” from November 11, 2016 this week. My optimism has waned and for good reason in the past two years. But I will vote again in 11 days and continue to look to the future. I encourage you to do the same.

Related Posts and Resources:

When We All Vote

Forward together

Build bridges, not walls

Who do we want to be?

Make career choices right for you

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One of the highlights of my week was participating in an American College of Healthcare Executives (ACHE) panel series with several Boston area healthcare leaders. The panel was part of a series focused canstockphoto13994976 (1) careeron early careerists and co-sponsored by the Boston Young Healthcare Professionals (BYHP). The panel was titled “Making the Next Move: Career Positioning and Proactively Managing Your Career Development”.

We covered a range of topics – taking ownership of your own career, knowing yourself and clarifying your roadmap, the work-life balancing act, gender and cultural diversity, personal branding and using social media, and generational differences.

Ted Witherell, Director of Organization Development and Learning Services, at Partners Healthcare was one of the other panelists. He posed three key questions when thinking about your career:

  • What brings you joy?
  • Are you good at it?
  • Does the world need you to do it?

These questions seemed to resonate with the audience. They came up often during the Q&A period as attendees sought to connect the experiences and advice being shared by the panelists with their own situations.

As the only woman on the five-member panel, I wanted to make sure I spoke directly to the women in the audience on challenges women face. At times, one of those challenges is having self-confidence. I encouraged everyone to check out the excellent article from a few years ago, “The Confidence Gap” by Katty Kay and Claire Shipman published in The Atlantic. I highly recommend reading it to understand that “success correlates just as closely with confidence as it does with competence” and “that with work, confidence can be acquired”.

I also addressed the work-life balance that we all struggle with. Continue reading →

What can we learn from women in leadership?

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It’s been almost four years since I started speaking and writing openly about the challenges facing women at work, the importance of developing women leaders, and encouraging women to pursue STEM careers. canstockphoto7990695 (1) women leadersI have no regrets about being outspoken on women’s issues.

It is encouraging to see organizations like CHIME and HIMSS focus on this in recent years and to see so many younger women share their own stories and provide advice to others.

I was happy to see the recent four-part series that Kate Gamble, Managing Editor of HealthSystemCIO.com, did on Women in HIT leadership.  She interviewed an excellent group of women leaders – Sarah Richardson, California market CIO for HealthCare Partners; Tressa Springmann, SVP and CIO at LifeBridge Health; and Julie Bonello, CIO at Rush Health.

The series covered all the topics you might expect: their early leadership experiences and stories, core leadership competencies needed, the importance and challenge of maintaining work/life balance and supporting your teams, stereotypes of women leaders, the power and importance of mentoring, and learning from male dominated environments.

Their experiences, insight, and advice provide a rich set of lessons to learn from. I highly recommend you read or listen to the series at these links:

Women in HIT Leadership, Part 1: Identifying the Core Leadership Skills

Women in HIT Leadership, Part 2: Challenging Gender Stereotypes

Women in HIT Leadership, Part 3: The Future of the CIO Role

Women in HIT Leadership, Part 4: A Call to Action

In the closing comments of Part 4, Sarah says she is optimistic about the future for women but knows it is up to us as women leaders to make change happen. She quotes Sheryl Sandberg from Lean In, “If not you, then who?” and “If not now, then when?”. And Tressa talks about leading with grace in spite of the obstacles women face. Continue reading →

Teaching moments – every day, everywhere

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A Starbucks in Philadelphia, a golf course in York, Pennsylvania, an Airbnb in California, a college tour in Colorado, a common dorm room at Yale. These are the stories of every day racism that have gotten canstockphoto48801491 (1) multi racialsignificant media attention recently. Yet we all know there are many more stories just like this. And they are happening every day and in every part of the country.

This week it was a blatant and demeaning racist comment from the star of one of ABC’s highest rated shows and money maker. ABC leadership acted swiftly. As they should. ABC Entertainment President, Channing Dungey, announced that the network decided to cancel the show in one brief statement: “Roseanne’s Twitter statement is abhorrent, repugnant and inconsistent with our values, and we have decided to cancel her show.”.

The target of that comment, Valerie Jarrett, former White House senior advisor to President Obama, took the high road. On a MSNBC special program called “Every Day Racism in America”, that same night, she said we should use this as a teaching moment. She was fine but worried about all the people who don’t have support systems, or a circle of friends, to come to their defense. She said she worries about the person of color who experiences a stranger clutching their purse out of fear. And the mothers who must teach their teenage sons to be careful with police.

Yes, these incidents are all teaching moments. Teaching every one of us as leaders about the kind of tolerant, respectful organizations we must create and maintain every day. Teaching us that we need to be the kind of leaders that go high when others go low. And teaching us not to punch back 10 times harder, if we are punched.

Teaching every one of us that we must say something when we see something. The Starbucks incident when two black men, Rashon Nelson and Donte Robinson, were arrested for meeting in a Starbucks without ordering went viral because white people videoed it and shared it on social media.

We cannot sit by and let every day racism happen around us.

Working in healthcare organizations for most of my professional career, I spent every day in one of the most diverse workforces. Treating every person with respect was part of the culture. Continue reading →

Celebrate nurses, but more importantly listen to them

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May 6-12 is National Nurses Week. According to a Gallup Poll, nursing has been the most trusted profession for the past 16 years. It’s no surprise.Nurses Week (002)

Those of us with nurses in our family are grateful that there is someone we can turn to with health questions. They help us navigate complex healthcare systems when we have a worrisome condition and need to see specialists and subspecialists. I’m fortunate to have nurses in my family. I am grateful to them and know that I should never take them for granted.

As the President of the American Nurses Association, Pamela Cipriano, PhD, RN, said, “Nurses provide much more than bedside care. We advocate for patients, deliver primary care, meet the complex needs of patients with chronic conditions, volunteer for disaster relief efforts, and are a trusted voice in boardrooms across the country.”

When my daughter first considered a nursing career back in the early 2000’s, I was very supportive. I thought that with her personality, people focus, and an incredible ability to multi-task she would be an excellent nurse. I told her that she could take many different paths as a nurse over time. She already had a bachelors degree in Hospitality Administration/Management with a minor in Business, so she decided to attend a combined nursing/nurse practitioner (NP) program to get her BS in Nursing and her Masters in Science and Nursing.

She worked as a bedside nurse, first on a cardiac surgery stepdown unit and then on a cardiac surgery ICU. Her first nurse practitioner opportunity was working with patients who have atrial fibrillation (known as Afib). She later moved to orthopedics where she is now the Chief NP on a busy and growing inpatient ortho unit.

She balances clinical patient care with administrative responsibilities. And she is always looking at how to improve processes and care. Continue reading →

Never underestimate the power of a woman

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I had the opportunity at HIMSS18 to meet several women entrepreneurs who have started their own companies and many women seeking career advice. They are impressive and inspiring. I loved hearing canstockphoto20402689 power business womanthe entrepreneurs’ stories, what lead them to start their own business and the challenges they have overcome. Women looking for career advice didn’t hesitate to approach me and introduce themselves. They asked very focused questions as they reflect on their current situation and consider future options.

The annual #HealthITChicks meetup organized by Jenn Dennard included a panel titled “Making Ladders Lateral”. It was great fun to be part of the panel and hear others’ stories. The recap can be found here and is an easy, quick read.

At the Career Fair, I did a presentation on “Advice for the Aspiring Female Executive” covering current trends and tips for next generation leaders.

Hot off the press, I shared information from the 2018 HIMSS Compensation Survey that showed both good and bad news regarding the gender pay gap. The survey results show that gender pay disparity is persistent. The pay gap is back at the level it was in 2006 after getting worse for a few years. On average women are paid 18% less than men, or said another way, females are paid $0.82 for every $1.00 their male peer is paid. Getting back to the same level as 12 years ago can’t be considered real progress.

The good news is that for women under age 35 and non-management staff, there is very little difference in pay between men and women. The bad news is that the gap for women over 55 and those at the executive level continues. I conclude that this is due to the cumulative effect that years of disparity has had and creates a gap that is very hard to resolve.

I talked about an excellent article from a few years ago, “The Confidence Gap”, by Katty Kay and Claire Shipman published in The Atlantic. I highly recommend reading it to understand that “success correlates just as closely with confidence as it does with competence” and “that with work, confidence can be acquired”.

And I focused on leadership and tips for next generation leaders which I shared in a previous post. Here they are again if you missed them the first time: Continue reading →

Tune in: recommendations for IT podcasts

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How do you keep up with industry news? Do you have a favorite online publication? Are you a reader or a listener? I find myself struggling to keep up with everything I want to read. But I’m doing better, now, with canstockphoto33796857 podcastat least tracking on the headlines and top industry news stories.

For all you busy multi-taskers who may be looking for an alternate way to educate yourself and stay current, 20-30 minute podcasts are a great option. Whether you’ve got a long daily commute, need something to listen to while working out at the gym or while walking the dog, consider listening to podcasts.

Here are some podcast series worth checking out:

This Week in Health IT – This is a new program launched by Bill Russell, CEO at Health Lyrics, focusing on news of the week and a topic of interest. He publishes online every Friday afternoon. I was honored to be on the program last week. We covered the Amazon, JP Morgan, Berkshire Hathaway announcement and the Apple health records app story. Both are examples of the disruptive forces we are seeing in healthcare. Bill and I also talked about the evolving role of the CIO and shared our favorite social media posts of the week.

HealthSystemCIO.com – Anthony Guerra and Kate Gamble have been conducting extensive one-on-one interviews with CIOs for several years. They publish them online as multi-chapter series. These interviews provide insight and experiences for everyone in health IT.  And if you’d rather read the interviews, they are also available as full transcripts. Continue reading →

Find your voice, a mentor, and be bold

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The week started with #Oprah2020 trending on Twitter. If you missed Oprah’s inspirational speech at the Golden Globes on Sunday night you can find it on YouTube. Who doesn’t love Oprah? But, should we canstockphoto13471338 (002) mentorelect another president who lacks government experience?

But these aren’t the questions I want to address. A Slate article by Dahlia Lithwick got my attention on Monday. She said the real message of Oprah’s speech wasn’t about her but about us. Do we feel empowered enough to act. She focused on women running for office at all levels. And that led me to think more about empowerment.

While that buzz was happening on Monday, I was in a daylong meeting with a small group of women leaders from various industries. We had been brought together by the first female president of a large, national organization to discuss the challenges women in leadership face. It was an insightful discussion as stories were shared, dissected, and analyzed.

As I bring this back to health IT, I’m not going to rehash the stories and lessons from my experience as a female IT leader over the years. I’ve shared some of them in previous posts. Rather, I want to again encourage you to take steps to own your career and find ways to develop yourself. Find your voice and speak up. Find the mentors you need to help you. And be bold.

HIMSS18 is less than 2 months away. To get the most out of the annual conference you need to make choices and plan your time there carefully. There are many ways to invest in “you” while there, including education and networking.

I’ve had the opportunity to present at many previous HIMSS conferences on a range of topics. This year, I was asked to support the Career Fair and the Women in HIT sessions. I’m committed to developing the next generation of leaders, so I gladly said yes! Continue reading →