Tag Archives: teamwork

Beyond Hero Culture: Trusting Your Team to Shine

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Do you trust your team to cover when you are gone? I was inspired to comment on the importance of team, especially at this time of year, after listening to one of Bill Russell’s Friday podcasts on his ThisWeekHealth Newsroom show. If you are a regular listener, you know Bill comments on various topics on Fridays rather than focusing on a specific news story. This episode was called – “Step Aside”. It’s definitely one worth listening to.

He talks about lessons from a recent golf tournament where the format was more than what we golfers know as “best ball”. In this tournament, whoever had the best ball didn’t get to hit the next ball. Only the other three could hit it. This ensured everyone was participating fully on the foursome team.

He also talked about “hero culture” which I’m afraid many IT shops still depend on. We know that IT takes a team. And there is no “I” in team! When you or someone else takes a break or is unavailable, can your team cover or can at least one other person step in?

Let’s take that question a step further and apply it to the holiday season. Who is doing the holiday decorating, gift shopping and party planning in your household? Do you have a holiday “hero culture” at home? Or are you sharing the tasks?

I am getting ready for a multi-week vacation which has included working the pre-holiday to do list. Happy to say gift shopping is done! I’ll get as far as I can on all my work tasks and then do my handoff document for my StarBridge Advisors colleagues before I leave. With our team approach, I know everything will be covered just fine.

Whether at work or at home, there is no need to be a hero – think team and know that others will step up and maybe even grow with some new responsibilities. Note to parents – your home team includes your kids!

Wishing you a happy, healthy, stress-free and joyous holiday season!!

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

Ted Lasso leadership lessons

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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 →

What can we learn from sports – part 2

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If playing pickleball is considered playing sports, then I can actually draw on my own personal experience for this part 2 post. I didn’t play sports when I was young – Title IX was passed the year after I graduated from high school. As young adults, my husband and I played a lot of volleyball with friends. But that was it until I took up golf about 20 years ago playing with girlfriends on weekends for a few years and then sporadically after that.

I played my first pickleball game in April when visiting friends in Florida. They had gotten into it a few months earlier and said I had to try it. They are addicted and play almost every day. Now I’m getting addicted and meeting people who play whether at the YMCA we recently joined or in the townhouse community we live in. And my husband even tried it this past weekend and liked it. That opens the potential for us to find other couples who play. A good thing!

Unlike the “bottom of the 9th” pressure that I described in the post, “What can we learn from sports?”, back in 2018 after seeing a couple of Red Sox games, pickleball is about having fun and trying to get better each time. It has become a popular sport for all ages in recent years.

From my pickleball playing friends, I’ve been told we’re there to have fun. I’ve been told you never have to say that you are sorry when you miss the ball or have a bad serve. The regulars I play with at the YMCA who are quite good are incredibly reinforcing and affirming when I do something well and give me tips and advice as we play. Two of the best ones played elsewhere recently with people who were so competitive it shook their confidence. That’s unfortunate. So far everyone I’ve met playing pickleball has been nice and just there to have fun.

For people my age, it’s also about not falling. That’s my mantra – don’t fall. Everyone I play with and have learned from says don’t back up, that’s when you fall. I also tell myself, don’t get so competitive that I hustle in ways I shouldn’t and end up falling. Not sure what happened, but I did fall on Sunday when I was playing. I backed up a bit to hit a low ball and lost my balance, stumbling backwards and landing on my bum against the fence surrounding the court. People were at my side immediately checking if I was ok. I was. I got right back up and kept playing. When I got home few hours later though I realized I had bruises on both forearms and a sore thigh. Could be worse. Continue reading →

Leadership lessons from Nana Camp 2022

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My husband and I recently had the joy of our first ever “Nana Camp” – four days with our four grandkids ages 6-9 at our house. One family is two girls ages 9 and 7. The other family is a 7 year old girl and 6 year old boy. I have been talking with my daughters about doing nana camp since I reduced my work hours this year making more time for family.

We now live in a townhouse in Plymouth, Massachusetts, with a couple swimming pools in our development, nearby beaches, and history rich field trip opportunities. A perfect setting for nana camp! Not until we were on our field trips (Plimouth Patuxet Museums including the Patuxet Homesite, 17th-Century English Village, Mayflower II and Plimoth Grist Mill) did I realize they have missed school field trips the past few years due to the pandemic which made these outings even more special.

After the four cousins spent July 4th together, my two daughters and I came up with the framework for nana camp rules which started a few days later. The first night they were all here, I had the kids write out the rules and post them on the refrigerator door. Just the act of writing them together tested some of the rules. It was their idea to each sign the rules like a contract.

Don’t get me wrong, all four of them are awesome and well behaved but get them all together and there’s bound to be what we later described as “silly fights”. So much so that on the last day we joked about making silly fight badges for them and how many they would all get.

Siblings have their day-to-day routines at home, but all four cousins together can disrupt that. Arguing and jostling over who takes the first shower at night, which row they get in the mini-van, who gets to walk the dogs first – you get the idea. The oldest had an astute observation a few days later when we had just her and her sister here for a short mini-camp. With just two of them they didn’t need to have silly fights – there were two showers to use so both could be first, there were only two kid seats in our car so front vs back row wasn’t a fight, and there were two dogs to walk.

These were the rules we agreed on with “be safe and have fun” underlying them:

  1. Be kind
  2. Be inclusive
  3. Respect privacy
  4. Work it out
  5. Clean up after yourself
  6. Let others sleep

Kindness should go without saying but in a period where we see so much bullying in our society, we must emphasize it. For these kids it was ensuring silly fights didn’t turn into mean words. Inclusiveness is critical to teach on so many levels. For these kids it was about taking turns and not excluding someone from a game or activity. Respect privacy meant if someone needed alone time, let them have it. Work it out meant don’t come tattling to us – try to work it out themselves. We learned over the days that these rules could conflict with one another and that there were times when they needed adults to help them work things out together. Continue reading →

Remote work – writing chapter three

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In my blog post late May, “Remote work – what next?”, I commented on the balance needed as organizations begin to bring people back to the office. Balancing the organization’s needs with the individual’s preferences and choices. I concluded that the organizations that are thoughtful in their plans and supportive of their workforce during this transition time will be most successful in retaining and attracting talent. I noted that chapter three of remote work was just beginning to be written.

I continue to hear from colleagues on their approaches and see many articles on the subject. That includes a rather concerning one, “The Great Resignation…..by Remote Workers”, written by several senior partners at the search firm Korn Ferry. One of my CIO colleagues shared it on our Children’s Hospital Association (CHA) CIO Forum Hot Topic Call last week when we were discussing our respective approaches to continuing remote work. The article describes the challenge of retaining employees who now know they can be a remote worker for companies anywhere who may offer a higher salary or better benefits and perks. They emphasize the need for organizations to rethink their retention programs and find new and innovative ways to incorporate remote workers into the culture.

It was useful to hear from CHA colleagues – flexibility is the operative word. Having broad guidelines and letting individual managers work with their teams on how best to make a mix of remote and onsite work most effective for them. A few of the CHA CIOs talked about national recruitment with each having several states where they are approved to recruit from. For an organization that primarily operates in one state and hires from a few bordering states, expanding recruitment nationally will depend on HR support and dealing with tax laws. But if you do go down this path, one CIO cautioned that you need to ensure inclusivity and find ways to make out of state employees feel part of the culture.

My colleague and principal at StarBridge Advisors, Russ Rudish, wrote an excellent blog post recently outlining the challenges and opportunities that both employers and employees are focused on as we enter this next chapter. In “Now What? Working in a Post Covid World”, Russ comments on recruiting and retention, work / home separation, feeling part of a team, and more. As he says, there are no quick or simple solutions but how companies address them will have significant and broad impacts. Continue reading →

Remote work – what next?

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After 14 months of remote work for many, organizations are making plans to bring people back to the office. Most healthcare CIOs that I spoke with in the past year plan to have their staff either remain fully remote or back in the office part-time for a “hybrid model”. Only one CIO that I spoke to had his full IT team onsite throughout the pandemic. They were considered critical support staff and available to augment staff in other departments if needed.

With this transition there are many articles covering all sides of the topic and the challenges facing organizations and employees. Two recent articles from Harvard Business Review are worth checking out.  The first one, “What Mix of WFH and Office Time is Right For You?”, is aimed at individuals assessing their own workstyle when it comes to work location. If the employee has a choice, the article suggests they do a self-assessment and then discuss with their boss what would work best for them. The second one, “How To Do Hybrid Right”, is aimed at organizations trying to determine the right hybrid model in terms of employee types and workspace design.

A recent opinion piece in the Boston Globe by Jon Levy, “The Hybrid Workplace Probably Won’t Last”, talks about the pendulum swinging back to onsite work. Jamie Nelson, CIO at Hospital for Special Surgery, made similar projections in her recent podcast with Bill Russell on This Week in Health IT and talked about being onsite herself through the pandemic and the importance of leaders in healthcare organizations being present.

Bill and I covered the topic extensively on This Week in Health IT Newsday show earlier this week. A few of my thoughts on the topic: Continue reading →

Ensuring go live success for large scale IT projects

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Since the pandemic, major system implementations at health systems have continued with successful go lives supported by virtual or hybrid remote/onsite teams. Many organizations have “go live” success stories in this new world of remote work. While virtual support may change some things and certainly presents new challenges, the core work of a successful go live is still the same.

In late 2019, I published several blog posts on successful go lives based on firsthand experience with a major Epic implementation. Here they are again with basic lessons and tips:

10 Go Live Command Center lessons from the field

Epic Go Live – report from the field

9 Tips for Go Live support success

I welcome your comments on any virtual or hybrid go live experiences you have been involved in during the past year. If I get enough new lessons and tips, I will write a new blog so all can benefit. After all, continual learning and sharing best practices is at the core of what we do in healthcare.

Why this topic this week? I am currently working with a client who is less than six weeks out from an ERP go live so it is on my mind a lot. We are doing what we refer to as an Independent Verification and Validation (IV&V), a framework that facilitates audits of major IT projects regardless of area and complexity.  We explore 11 categories in-depth.  The topics range from governance and budget to training and QA.  The detailed analyses for each area involve document review and interviews to ascertain the status of the project.  A risk score is assigned in each of the 11 areas and mitigations are suggested based on the findings.  Ideally, over the life of the project there are three IV&V sessions conducted prior to go live and one session after go live to ensure that projects stay on course, make corrections as necessary in a timely manner, and achieve the defined objectives.

If you think an IV&V from my advisory firm, StarBridge Advisors, is something that your organization can use, please contact us to discuss.

10 Go Live Command Center lessons from the field

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Week 2 post Epic Go Live has begun. We continue to learn and adjust. Building on my previous Epic Go Live and Command Center planning posts, there are more lessons to share.canstockphoto15204222 (1) keep calm

The last point in my most recent post was about camaraderie – defined as “mutual trust and friendship among people who spend a lot of time together”. I should add, in close quarters!

I continue to be impressed with the hardworking, dedicated IT team at the University of Vermont Health Network. I have seen many examples of teaching, helping one another and stepping up to new roles since the November 9th Go Live.

The rate of new tickets slowed down as Week 1 ended but the issues became more complex as expected. We have resolved over 65% of the tickets opened since cutover and addressed many cross cutting issues.

As promised, more lessons to share:

  • Handoffs between shifts – Ensure that key issues and work in process is reviewed and turned over to the next shift to keep things moving smoothly. Try to have people scheduled several days in a row for continuity vs on one day and off the next.
  • Seeing the “forest for the trees” – In the first few days, the focus is on closing tickets but as cross cutting issues and themes emerge, the focus needs to shift. As broad issues are defined, you need clarity on what teams and modules are involved, who is on point to lead the issue resolution, and what help is needed.
  • Escalations – It is very helpful to have highly engaged executives and operational leaders rounding and raising up the greatest pain points for users that need more focus. These escalations may come through in-person visits to the command center or email.
  • Ticket analysis – Have resources available who know the tool and can slice and dice the data to help leaders and teams see trends and where to focus.
  • Hospital daily huddle – If the organization has a daily huddle, the command center lead should attend. It’s good way to hear firsthand how all departments are doing and what their key concerns are.
  • Command center “walk-ins” – If the main command center is at the hospital you may get walk-ins – well intentioned users who want to escalate a specific ticket or issue. Command center leaders should manage this so the teams working tickets aren’t given conflicting direction on priorities.
  • Email management on steroids – Staff working tickets stay in the system and don’t watch their email. But leaders get a lot of emails and it’s hard to keep up given the pace. At the end of each command center shift, go back through your inbox to ensure that any escalations are dealt with – other email can wait.
  • Multiple locations for support – If there are a main command center and multiple other locations for support staff and triage, ensure they are well coordinated with good communication between.
  • Document management – Everyone involved needs easy online access to reference material. Dynamic information such as shift schedules need to be maintained. Having at least a few binders of printed reference information helps as well.
  • Ramp down plan – When you start adjusting command center hours, it will help to have a checklist ready on what needs to be considered and implemented (i.e. staff schedules, re-location of teams, communication to users, logistics like food and transportation, etc).

Stay tuned for more reports from the field….

Related Posts:

Epic Go Live – report from the field

9 Tips for Go Live support success