The healthcare leadership matrix, how to create a 'win-win' after the deal is done

The healthcare environment continues to undergo rapid and profound change with mergers, acquisitions and new business models forever changing the landscape of how we lead and deliver healthcare for the next millennium. In my previous article, I discussed the concepts of leading your team through complex problem solving. Today the focus is on you, the leader, how you successfully navigate yourself through new relationships, complex reporting structures and multi-entity healthcare business models.

As leaders in this new matrix and/or multi entity models, we are challenged to rethink our leadership style and model into a much more collaborative and creative approach to be successful. New relationships, business or otherwise require us to lead together, build upon individual and team strengths and become much more resilient to change. In my experience, I’ve had the opportunity to both model and observe what I call best practices when leading in a highly complex and matrix environment:

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Leading Your Team Through Complexity

Leading and working in healthcare has always been complex, never more so than in today’s healthcare environment. Increased regulations, government reforms, alternative based payment models, rising consumerism and expectations have come together in a perfect storm swirling around the industry. On top of this, the world economy has become a destabilizing factor as we realize now more than ever how interconnected we are to our world partners, almost a giant game of Jenga, where one false move by a world leader could topple the whole tower.

So how do we lead in an era of increasing complexity and more ambiguity than ever before? In previous articles I’ve discussed the importance of mission and a common set of values to ground the organization and guide our decision making, and this is foundational. However, in this article I would like to discuss the skills and the leadership maturity it takes to lead successfully in a complex environment.

I’m going to use the term “maturity” here, not necessarily the chronical definition of age, but the maturity that comes with leaders who have had numerous and diverse leadership experiences. Leaders who have seen enough, had their share of successes and failures to understand the important role they play in guiding the decision-making process.

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Good Leaders Drive Results!

Leaders are expected to be creative problem solvers, challenge the status quo and visualize problems before they occur. Your success as a leader is largely dependent upon how quickly you seek improvement in broken processes, develop new procedures and maximize efficiency and effectiveness.

Below are three tips to help you stay in front of the curve when managing your people and organization through change and drive results: Read Full Article.

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The Empowered Physician Leader

Today’s healthcare environment is shifting at an ever-increasing pace. The transition to community health focused care is both daunting and challenging for most organizations. Now, more than ever physician leadership can play a crucial and important role.

Setup Your Physician Leaders for Success

Before we begin, it’s foundational to understand how physicians view leadership. Physicians are trained to work independently, they value their autonomy and can be reluctant to delegate authority. All good qualities if you’re the patient. My colleague once said me, “these trauma surgeons are sure difficult to work with.” My response, “Of course they are. They are trained to take charge, assess situations quickly and be right, every single time. And If I’m critically injured, that’s who I want taking care of me.” But yes, when we ask them to take on the mantle of administrative leaders, they need our help.

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What learning to fly taught me about handling adversity

""When everything seems to be going against you, remember the airplane takes off against the wind, not with it", Henry Ford.

Ask any pilot if they remember the first time they flew the airplane alone. And you’ll get a resounding yes! The solo flight is a milestone in each pilot’s life, it’s the time when preparation and opportunity all come together. You are alone in the airplane, no instructor by your side correcting mistakes, keeping you safe, it’s all up to you.

Although my solo was over 20 years ago, I remember it as though it were yesterday. The weather, the sounds of the engine and the wheels rolling down the runway. But what I remember the most about that day is looking over to my right and seeing that empty seat next to me, knowing I was completely responsible for returning this aircraft safely to the ground, intact.

Whether your piloting an aircraft, an organization or a team, how you face and ultimately handle adversity will largely determine your success or failure. What my instructor taught me long ago was a simple lesson, the goal for each flight is for takeoffs to equal landings, what happens in between is up to you and will determines your success in achieving this goal. Read Full Article

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When is achieving all your goals not good enough?

We’ve closed the books on another year, and it’s time to review your performance. Maybe you’ve completed all your goals -- congratulations you’ve failed. Failed? How could that be, I’ve completed all my goals? And therein lies the problem, you didn’t set your goals (or the bar) high enough for your own performance. Goals by definition are aspirations and should be set high enough to stretch the organization and yourself in new directions. If you are constantly beating your goals, you’re not stretching enough.

But why don’t we set our goals high enough? Well, it’s complicated. It has a lot to do with you, and with equal parts of your companies’ culture and goal setting process.

Take this simple test: Read Full Article

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Want to build your culture -- start by sweeping the floor!

Over the years, I’ve heard many stories, inspirational stories on leadership, one of my favorites involves President John F. Kennedy and his first visit to NASA in 1962. As the story goes, the President was touring the facility when he came across a janitor carrying a broom down the same hallway as the touring President. Kennedy, a great lover of people stopped him and asked him what he did for NASA, not missing a beat he replied, “I’m helping to put a man on the moon”.

As I reflect on this, I’m struck by the absolute simplicity of this statement, but also the way it speaks volumes. This individual clearly understood that he was an integral part of the team, no matter what the role. If he did his job well, he contributed to the overall success of the team, engineer, scientist, astronauts etc. His job, although different in almost every way imaginable from his colleagues, still contributed to achieving the overall goal, that of putting a man on the moon. Read Full Article

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Take your team to first place -- by putting yourself last

Many high performing companies have discovered the value of servant leadership, which simply defined is serving others first. When leaders make this simple, but fundamental mind shift, the culture and the organization will follow as will bottom line results. Employees working under leaders who put their needs first, build self-confidence, make decisions more autonomously, have greater job satisfaction and engagement, and are more likely to practice this same style with their direct reports.

How does servant leadership build organizational and team performance? Read Full Article

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Is it 'Mission Impossible' for healthcare? Why mission-driven leadership is still the answer.

Healthcare has been in a tremendous period of change, mergers, acquisitions, leadership restructures, and new and improved strategic plans and priorities fill the time of most leaders. During this time of change, many leaders may wonder privately, does the mission of this organization still matter? Or is it only about the bottom line?.

When looking at high performing companies outside of healthcare, they all share some things in common, first, they have a clear and well spelled out purpose/mission. This is important so everyone, front line staff to executives can understand the why we are here, and how we will define success. This is not just a feel-good statement, and properly developed and executed this has the potential to pull people forward, especially during uncertain or difficult times. Read Full Article

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Does your new hire have the right stuff? How their personality has a long-term impact on your organization’s bottom line.

In healthcare, how often have you heard this, he/she is a great clinician, but has no personality. Or, take me to hospital A, but if I’m really sick take me to hospital B, this assumes hospital A is the “Nice” hospital but Hospital B is where all the best clinicians work. So, the obvious question is, can’t you have both? Yes, if you select the right people.

In Jim Collins book, “From Good to Great”, he writes, “People are your most important asset,” or rather the right people are. In today’s healthcare market many organizations are making the move from Volume to Value, with Quality being a primary focus, but how do our patients define quality? Sure, having the best possible outcome is right up there, with no medical mistakes or errors please. However, most patients come to our organizations assuming great quality, and value the interaction with their caregivers as high if not higher than any other part of the patient/caregiver interaction. Read Full Article

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Are you holding your team back? Why task-oriented leaders should build their relationship skills to accomplish goals

Task oriented leaders, those using just workplans, measurements, goals, dashboards, etc.… sometimes may be left scratching their heads when their teams do not accomplish their goals, or performance begins to decline without any clear reason as to why.

To motivate your teams, and accomplish your goals, perhaps you would be better served to examine your leadership relationship competencies.

WHAT IS RELATIONSHIP LEADING?

WHAT IS TASK-ORIENTED LEADING?

When determining what leadership style works best for your team, consider the make-up of the team, today’s workforce is motivated much more by team achievement but still values individual recognition. Workers today want to achieve the goal, but want much more flexibility than past generations when it comes to how to achieve that goal. Read Full Article

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New Year’s Resolution: Become A Better Leader!

In all the hustle and bustle of the holiday season, it’s easy to forget that in just a few weeks most of us will be looking at the New Year and a list of resolutions or promises that we have made to ourselves that we hope to accomplish. Some of our old favorites are bound to make the list, lose some weight, exercise, give more to charity, get back in touch with family or old friends.

But what about including in this year’s list the commitment to be a better leader next year?

Research tells us that when we write our goals down, we are far more likely to achieve them, so begin the year by taking a good hard look at what is means to be a leader, remember, you may have the title but being the leader of people requires these fundamental building blocks, can you complete these? Read Full Article

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