Category

Healthcare management
Challenges and Concepts for the Local Hospital Leader In a previous article, I discussed the rationale for, and challenges associated with, the formation of large, multi-entity systems, and suggested steps that system-level leaders might take to improve their success at realizing the potential of those systems.  In this article, I want to examine the challenges...
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Challenges and Concepts for the Healthcare System Leader As the healthcare landscape continues to reshape itself through various forms of enterprise combinations, leaders face the challenge of integrating multiple entities into a unified enterprise. The theoretical value of increasing scale is undeniable but capturing that value is no easy task. It requires thoughtful, persistent effort...
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Practical Steps to Take Control of Your Life One of the most pervasive issues in my coaching practice is the struggle leaders have to achieve work-life integration.  I choose those words deliberately instead of using the typical phrase “work-life balance” as balance implies giving up some of one thing in order to get more of...
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Nurse Executives Balancing Patient Care, Organizational Goals and Nursing Staff  In my experience as a Chief Nursing Officer, I often found myself in a position to justify the cost of nursing. In my mind, I was thinking – what is so hard to understand about being at the bedside, providing care for patients 24/7, every...
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Many effective leaders are very good at identifying their vision, goals, and strategy for their organization.  Next, they set out to design an organizational structure that will help drive their strategy.  However, what is often overlooked is that a negative culture can make it nearly impossible to implement an excellent strategy. Although an organizational strategy...
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In this third post, in my series on effective leadership, I want to single out the Three Secrets to Energy Management. Leadership is harder than it looks to those who’ve never tried it.  It exacts a real toll in mental and emotional energy that must be methodically recharged to avoid burnout. Effective leaders, like world-class athletes,...
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I ask this question regularly of my executive coaching clients, most of whom are feeling overwhelmed and exhausted.  It’s a question that quickly cuts to the heart of the matter. Seven days times 24 hours equals 168 hours in a week.  That’s ALL the time available to each of us to live our lives – – work,...
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The indisputable fact is that physician burnout is prevalent and growing. A brief conversation with one’s private physician or a discussion at a gathering of friends confirms an extraordinary level of dissatisfaction among the medical profession. This year, Medscape’s annual Physician Lifestyle Report surveyed more than 15,000 physicians from 29 specialties about burnout, characterized by...
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I recently retired from a Chief Medical Officer position in a large integrated health system and have been able to focus more on executive coaching.  In coaching, we have to build trust and rapport quickly so we may better advise and guide executives and other clinical leaders through their high-performing leadership journey.  I find myself...
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Why tactical tools are not enough Minimum Standards or Optimal Performance? As an executive coach who works exclusively with healthcare clients, I frequently see organizations seeking breakthrough improvement in one or more performance indicators by implementing tactical programs that have proven successful elsewhere.  Examples of such programs cover a broad spectrum including patient experience initiatives,...
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