Never too late to make time for a break

Labor Day weekend is upon us. The last holiday weekend of the summer. A summer that we hoped would be more normal. One where we could enjoy vacation travel, visiting family again, and spending time with friends.

Was your summer what you expected? Did you get the break from work you needed? Did you get to see family?

Talking to my oldest daughter this morning, she described it as “the summer of yes”. She is a nurse practitioner and given what last summer was like with COVID-19, this year she was able to do short trips with her family and friends to Martha’s Vineyard, New Hampshire, and Maine.  My youngest daughter and her husband finally got to see his family in Florida taking a road trip there with their two kids.

For our first vacations since before the pandemic, my husband and I planned a long Memorial Day weekend in New York City and a 2-week vacation in California that was to include a several day visit to my Minnesota family who I hadn’t seen since October 2019. Neither trip went as expected for health reasons. Over Memorial Day weekend, we spent two of the four days in a New York City hospital after my husband had another serious medical incident. I could write Part 2 of my September post “When healthcare becomes personal” at some point – this one would be a focus on the lack of interoperability. I’m happy to say he is fine but there are still medical mysteries for us. Our California trip had to be scrapped due to my injury from a bad fall though we still visited family in Minnesota where I was able to rest and take it easy.

But I can’t complain. It is truly heartbreaking to see the current COVID-19 surge with exhausted frontline healthcare workers and so many preventable deaths of people who are unvaccinated. We all long for better times.

If you have not found time this summer to take a break, even a “staycation” if you’re concerned about safe travel, or quality time with family, I hope you can find time in the coming weeks. I have written in the past about the importance of finding time to reboot, putting family first, and prioritizing self-care. Now more than ever we all need it.

Related Posts:

Take time to reboot

Renewal, big rocks, and the elusive work life balance

The 6 Rs of summer

Yes, culture matters

“I love this organization”. That is exactly what I said to my husband last Thursday after hearing several presentations in three different forums as part of the team at Boston Children’s Hospital. It started with the monthly Department Heads meeting that opens with a patient and family story and closes with an inspirational quote.

That meeting was followed by a lunchtime every other week series (dubbed Fireside Chat), open to all employees focusing on how we are supporting our patients and each other. Dick Argys, Chief Culture Officer and Chief Administrative Officer is the host. As part of our Juneteenth series of events, the topic was “The History of Juneteenth”. Our guest speaker, Theodore Landsmark, PhD, JD, Distinguished Professor of Public Policy and Urban Affairs at Northeastern University along with Peter Faiteau, Patient Services Administrator for Oncology/Hematology/HSCT, talked about the history and significance of Juneteenth.

The Juneteenth series was announced in an email from Dr. Kevin Churchwell, President and CEO to all employees last Monday – before it was declared a national holiday. He acknowledged that it was only the second year Boston Children’s was celebrating Juneteenth and closed his email with this: “Boston Children’s celebration about Juneteenth is all about learning from each other. And the more we learn about our history, the better equipped we are to build a brighter and more inclusive future for all”.

That was followed by an open forum for all employees, “Transforming Tomorrow: Investing in Children, Families, and Communities”. Dr. Churchwell and a panel of leaders described the new inpatient building opening in summer 2022 (far enough along for an inspiring video) and the new ambulatory centers being planned in nearby towns making care more accessible to families in the broader Boston area.

And earlier in the week we had all been invited by Dr. Churchwell to a virtual celebration to announce and congratulate the entire Boston Children’s team on being ranked the number one children’s hospital in the nation in the 2021-22 U.S. News & World Report “Best Children’s Hospitals” rankings. Continue reading

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

A year ago this week a small number of Minneapolis residents witnessed the death of George Floyd. Within days, the world knew what had happened and responded. There were mass protests in cities across the country and the world.

It was a time to reflect as companies across the country looked internally at their own practices and culture. Many started programs focused on Equity, Diversity, and Inclusion (EDI). Those with programs already in place revisited and strengthened them. At Boston Children’s Hospital where I am currently serving as interim CIO, they reaffirmed their commitment. This past week, Dr. Kevin Churchwell, President and CEO, sent a note to all staff outlining some of the work that has been done in the past year in support of their six core EDI commitments with the subject: “One Year after George Floyd’s death, our work continues…..”

The core commitments are:

Goal 1: We will be truly inclusive.

Goal 2: Our team will be as diverse as the patients and families we care for.

Goal 3: We will eliminate racism from our processes, practices, and guidelines.

Goal 4: We will continue to educate ourselves to be an inclusive working environment.

Goal 5: We will work to eliminate health disparities in our community and across the nation.

Goal 6: We will develop and use metrics to continually improve our performance in equity, diversity, and inclusivity.

As Dr. Churchwell said in his message, “George Floyd’s name became a rallying cry for millions and yet another compelling reason to discuss tensions around racism and social injustice. One man’s life became a symbol of so many lives lost needlessly. Disparities and inequities long considered to be “part of the system” became impossible to ignore. Here at Boston Children’s, we took a hard look at ourselves, and we realized that we need to be part of the solution to these important issues.”

Many of you or your CIO may be members of CHIME. In 2020, I joined the CHIME Diversity and Inclusion Committee which was established in early 2019. Continue reading

Treasure the good

The past 14+ months have been a period of loss and sadness. Even if you and your loved ones have remained healthy and employed, the pandemic has impacted all our lives. Now that over 200M people in this country have received at least one dose of the vaccine, 87M people are fully vaccinated, and the vaccine is available to anyone over 16 who wants it, we are on our way to a new chapter. But we still need to get to at least 70% for herd immunity and continue with precautions.

I don’t want to appear Pollyannish as we look to the future, but let’s ask ourselves what good has come out of this past year.

Have you had more quality time and connections with your family being home so much?

Have you found new ways to connect and celebrate milestones with family and friends at a distance?

Have you simplified your life and decreased your consumption?

Have you found new hobbies or restarted old ones?

Have you spent more time reading and learning?

Have you spent more time outside enjoying nature?

Have you explored cooking new foods and eaten healthier at home?

Have you become a kinder person, more caring about your community and people you don’t know?

Have you come to know and appreciate your co-workers in new ways after working together through tough times, and perhaps meeting their kids on video calls and hearing their dogs bark in the background?

Have you converted your work commute into something positive for yourself?

Have you spent time reflecting on your career and what truly is important to you? Continue reading

The healing power of humanity

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!

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

A different kind of summer comes to an end

If you were a fan of Downton Abbey and remember the Maggie Smith character, the Dowager Countess of Grantham, you may even recall how she said in her aristocratic way, “What is this thing you call a weekend?”. For the landed gentry of England who didn’t work, what did a weekend mean? For those of you working from home, dealing first with home schooling and then kids on summer break, and with vacation trips cancelled, you may ask the same question. But it’s because every day seems to run into the next during this pandemic.

As we approach the final summer holiday and three-day weekend we know as Labor Day, hopefully you won’t have to “labor” but can actually take a break. In the health systems I worked at, August was the big vacation month – especially in the academic medical centers. When I was CIO at Brigham and Women’s Hospital, one of my VP colleagues would remind us that after Labor Day it is a sprint until the holidays in December. He’d say let your family know how busy you’ll be and be sure to take a break in August somehow.

With a trip to Disney with grandkids and a European trip cancelled this year, my husband and I feel like one day just rolls into the next as I’m sure many of you do. I’ve written in the past about the importance of making time to reboot and the 6 R’s of summer. But this year is different. I only hope that all of you and especially those on the front lines of this pandemic have found time for a much needed and well-deserved break, somewhere, somehow.

If you are feeling overwhelmed at times, this article by Tara Haelle may resonate with you – “Your ‘Surge Capacity’ Is Depleted — It’s Why You Feel Awful”. It describes our personal “surge capacity” and how to manage through these times. Continue reading

Vote your values

My mother was just a little girl when women in this country won the right to vote in 1920. Her mother raised her to be a strong and independent woman. And in turn she raised my sister, two brothers, and me to not only be strong and independent but also to be kind and caring. We learned early on about social justice and equality. My sister and I came of age during the women’s movement in the late 1960s and early 1970s. We each have two daughters. Along with our husbands, we raised them to be strong, independent, kind, and caring women.

This week marks the centennial anniversary of women having the right to vote. The passage of the 19th amendment guaranteed and protected women’s constitutional right to vote. But this right did not come easy. The suffrage movement dates to the 1848 Seneca Falls Convention, the first women’s rights convention that passed a resolution in favor of women’s suffrage. A women’s right to vote came only after the suffragists organized for decades, marched in the streets, and were arrested. But they persisted and finally succeeded 70 years later.

This week also marks another historic first. Senator Kamala Harris is the first woman of color to be nominated for the second highest office in our country by a major political party.

White men are 31% of the U.S. population but hold 65% of elected offices. White men have long governed and made policy decisions affecting all of us. There continue to be record numbers of women running for office at local, state, and national levels. The face of government is changing. It is looking more like all of us and therefore more representative.

The right to vote is a fundamental right of a free society. Voter suppression is real and takes various forms. This is the time to be informed – know the rules and deadlines in your state. Make sure you are registered. Know your options for mail-in or in-person voting. Exercise your right. Live your values.

As I walk my neighborhood 3-4 miles a day, I see many yard signs for candidates in advance of a local primary in September. I expect to see yard signs for the November 3rd election soon. But the yard signs that have the greatest impact are the ones that express the values and beliefs of the people who live there – the ones that say:

We Believe: Black Lives Matter — No Human is Illegal — Love is Love — Women’s Rights are Human Rights — Science is Real — Water is Life — Kindness is Everything — Injustice Anywhere Is a Threat to Justice Everywhere

Vote on November 3rd or before if you can. Vote your values – for you and generations to come. 

Resources: 

When We All Vote

Fair Fight

Inspiring and developing new leaders – learning from the best

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

Be a part of the change

I have watched with sadness, anger, and disappointment the events of the past week. Amid a public health crisis and a historic level of unemployment that are disproportionately impacting people of color we saw captured on video the death of a black man, George Floyd, at the hands of four police officers in Minneapolis.

I am a liberal white woman. I grew up in a white neighborhood in Northeast Minneapolis. As a young adult, I lived in South Minneapolis and later North Minneapolis – much more racially diverse parts of the city. My sister and brothers, nephew and nieces, and their children all still live in the Minneapolis area. My nephew has lived for over 20 years just off Lake Street in South Minneapolis where nearly every business has been damaged or destroyed in the past week. But this destruction was not limited to Lake Street which you saw on the news. It happened all over the Twin Cities area as people intent on causing trouble and more divisions scattered to set fires and smash windows. As of late Sunday night, 270 businesses had been damaged or destroyed. It broke my heart to see that beautiful, diverse city so broken. And then to see that destruction spread in other cities over the weekend.

I am old enough to remember the riots and social unrest of 1968. I came of age during the women’s movement in the late 1960’s and early 1970’s. I have been to my share of peaceful marches and protests over the decades starting with an anti-war demonstration in 1970 on the University of Minnesota campus with one of my high school teachers and several classmates. In recent years, my husband and I have showed up for women’s rights, gun control, and immigration reform.

While I have experienced sexism, I also experience white privilege. I try to understand racism and its impact on people, but I cannot fully understand what it is like to be a person of color in America.

As a citizen, it is our right to peacefully protest. Thousands of people are in the streets in every major city across this country peacefully protesting racism and police brutality. A small number of extremists are turning these protests to violence and destruction each night.

We are seeing the best and the worst in people right now. Continue reading