SixSEED Partners

Joy Goldman

Case Study: WellSpan Health

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Joy W. Goldman RN, MS, PCC:  CEO and Founding Partner, SixSEED Partners

Background

WellSpan Health is an eight hospital, 1500 provider integrated system based in York, PA. In 2016 they invited Wiederhold & Associates to design and implement a multi-year succession planning process for seven high potential leaders: four physicians and three non-physicians. Joy Goldman, executive director of coaching services, assembled a coaching and consulting team of experts on horizontal and vertical leadership development strategies, including executive coaching, polarity thinking, creating thinking environments, and strategic simulations. WellSpan’s commitment to internal development and awareness of anticipated turnover and retirements in their senior leadership resulted in this opportunity: to increase the capacity of their high potential leaders to manage complexity. In affiliation with Wiederhold & Associates, SixSEED Partners commenced this work between 2016 and 2020.

The Strategy:

To elevate the thinking competency of the seven Wellspan (WSPH) leaders, individual coaching goals gradually shifted from preparing for a specific role to preparing each leader to better manage a VUCA (volatile, unpredictable, complex, and ambiguous) world. Additional cohort-based work was needed to integrate individual learnings and provide strategic simulation case studies cross-functionally.

The Solution: 

Joy Goldman, SixSEED Partners (SSP) CEO, recruited and led a team of two SSP co-founders and three additional executive coaches and consultants, to design coordinate and integrate individual, team, and systemic interventions. These included polarity mapping as development plans and a polarity assessment for more than 130 of their senior leaders and direct reports that measured four polarities WSPH identified as key to their success:

Centralization AND Decentralization
Continuity AND Transformation
Mission AND Margin
Tactical AND Strategic

In order to scale leadership capacity further into the system, polarity thinking was cascaded to all of the high potential leaders’ direct reports. As a result of this work, WSPH asked us to also present a half- day session on polarity thinking to WSPH’s Nursing and Physician Leadership Academies. Executive and team coaching, Leadership Circle Profile 360’s, and strategic simulations were also components of this multi- faceted engagement.

The Impact:

Through delivering polarity thinking to over 100 nursing and physician leaders and over 130 additional staff, WSPH leadership shared this thinking competency was instrumental in supporting the systems’ response to COVID-19.

The polarity framework was also integral to a strategic simulation wherein the high potential leaders assessed actual strategic challenges for WSPH and presented their solutions to a mock board of WSPH’s C-Suite.

Under a new CEO, polarity assessments are being used to measure effectiveness within regionalization efforts in the system. Four of the seven leaders have been promoted to Senior Vice President roles.

Become a More Humane Leader

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In the HBR article: “Becoming a More Humane Leader,” Hougaard and Carter cite an 86% increase in job satisfaction for those who work for a wise and compassionate leader.

“If you start to think about what our role is as leaders, it’s actually quite simple,” Chris Toth, CEO of the medical device company Varian, told us. “Our role is not to be the ones who make the decision or to be the smartest person in the room. In fact, it can be exceptionally dangerous if the decision-making always goes to the leader. Instead, you must create a culture of compassion and empowerment that is accepting of diverse perspectives. This unlocks people’s creativity, productivity, and happiness.”

Click the source to learn what you can do to be that wise and compassionate leader: there is no time to waste!

Case Study: Redefining Patient Care Services

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Strengthening clinical and operational leadership and partnerships in an academic Medical center

Joy W. Goldman RN, MS, PCC: CEO
Cliff Kayser, MS, PCC: CSO

Background

SixSEED Partners (SSP)  was invited to work with a 789-bed, academic medical center located in a major metropolitan area.  We were asked to design a program that would improve the partnering between operational leaders: the Security Department and a clinical department:  Shock Trauma leaders, in service to improving staff and patient care when dealing with high profile trauma patients.  These patients posed challenges to these departments due to the crowd control often necessary with police gunshot victims and the support of political leaders.  

The Strategy:

After interviewing both department Senior Vice-Presidents and hearing their shared vision, SSP proposed a six-month engagement where we would combine expanding thinking capacity to better lead through complex and volatile situations with action learning and forced pairing to strengthen trust through mutual accountability. We wanted to be able to measure impact on a qualitative and quantitative basis and we wanted to strengthen the system so that each leader was doing work at the level that matched their position in the organization. Applying our Leadership Ecosystem Capacitation (LEC) model, we wanted to impact individual, team and system-level change to ensure sustainable impact. Complicating this work was the fact that all of our work would be done within the context of the Covid-19 global pandemic; mass vaccination campaigns; and the nation’s crisis of systemic racism.

The Solution: 

Over the six-month period, we offered a combination of in-person and virtual sessions where we introduced polarity thinking and the SMALL process: seeing, mapping, assessing, learning and leveraging. The eight leaders were engaged in identifying their own pain points which were mapped to represent their reality. The two tensions measured were:

  • Continuity & Transformation (what’s working now and what would we like to see differently in our partnership)
  • Autonomous Outcomes & Integrated Outcomes: how well do we leverage the expertise of each department while integrating and combining our complementary strengths in service to the patient and our respective teams

In addition, we met with the Senior Vice Presidents on an every -other- week basis to provide support for them as they coached their leaders in doing this work. We wanted to help them identify their own tensions of Holding Responsible & Giving Freedom. As strong problem solvers, we wanted them to notice any tendency to want to rescue or persecute and help so they could best leverage this interdependent tension. We brought in to our work internal hospital resources like process improvement talent so they could map out a desired procedure (Standard Operating Procedure) for managing high profile patients which could then be codified and shared so the results were less dependent on certain staff and could be standardized across both operational and clinical areas.

The Impact:

Not previously mentioned but of significance for our work was the fact that the Security Department consisted of all Black leaders and the Shock Trauma leaders were all Caucasian. We found this important given the larger context of protests and beliefs around systemic racism. We acknowledged a theme of “being heard” and elevating voice within operations since clinical areas often received the spotlight as direct patient care providers.
Markers of success included:

  • Seamless and coordinated management of a high -profile patient two months post the conclusion of our work
  • One of the Security-Shock Trauma Leader dyads presented their work at the Leadership Forum for the flagship hospital and Mid-Town Campus with many accolades
  • The Senior Vice-Presidents were able to offer numerous examples of mid-level director empowerment, including the presentation to them of a new Standard Operating Procedure created by the eight leaders
  • Elimination of process delays and confusion as they created a “Tiger page” that now alerted all involved
  • Improvement in all but two markers between the baseline and interim polarity assessment

Applying Polarity Thinking to Increase Healthcare Leadership Capacity AND: Volume TWO Applications

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Joy Goldman RN, MS, PCC; Petra Platzer PhD, NBC-HWC, PCC; Cliff Kayser MSHR, MSOD, PCC

Background:  

“Applying Polarity Thinking to Increase Healthcare Leadership Capacity” (HRD Press,2021) highlights three uses of the polarity thinking framework to increase individual, team, and systemic leadership capacity in a community-based, multi-hospital health system.  We illustrate how we helped the system shift from conducting a traditional “succession planning” process to one of improving overall “system-thinking capacity” so that the leaders would be more agile in responding to complex and unpredictable change.

The context of this work took place in an eight hospital, 1500 provider integrated health system.  The initial request and planning, which was spearheaded by the outgoing CEO and the system board, was to prepare seven emerging leaders to become possible successors to the CEO who was planning on retiring within the next five years.

CLIENT RESULTS

Strategy:  Aligning with SixSEED Partners’ goal of providing integrated solutions to heal healthcare, we worked with our C-level stakeholders to expand the vision of preparing the leaders for the CEO position to preparing the leaders to better lead within complex, ambiguous and unpredictable change.  With this understanding, development work consisted of individual, team, and systemic level interventions, all integrating polarity thinking to increase overall capacity.

Solution: SixSEED Partners integrated polarity thinking and mapping as part of individual leader 360 -degree feedback development planning; we cascaded the framework to each leader’s team to scale the work and impact; and finally, to the entire system via identifying and measuring system-level tensions.  Four polarities that were measured during our work included common tensions experienced within healthcare: Centralization and Decentralization; Continuity and Transformation; Mission and Margin, and Tactical and Strategic.  Given the impact of this work, SixSEED Partners was asked to deliver polarity thinking training as part of a curriculum for a combined nursing and physician leadership academy.

Impact: Through delivering polarity thinking to over 100 nursing and physician leaders and over 130 additional staff, WSPH leadership shared this thinking competency was instrumental in supporting the systems’ response to COVID-19. The polarity framework was also integral to a strategic simulation wherein the high potential leaders assessed actual strategic challenges for WSPH and presented their solutions to a mock board of WSPH’s C-Suite. Under a new CEO, polarity assessments are being used to measure effectiveness within regionalization efforts in the system. Four of the seven leaders have been promoted to Senior Vice President roles. 

What Now?
To learn more details about our work with this organization or other examples of how our clients have successfully applied Polarity Thinking to their healthcare “problems” –
                                       contact SixSEED Partners at: info@sixseedpartners.com


We are proud contributors of multiple application chapters in the book: “And: Making a Difference by Leveraging Polarity, Paradox or Dilemma. Vol. 2. Applications” (2021).  

Celebrating Publication of “Polarity Practitioners AND: Making a Difference by Leveraging Polarity, Paradox or Dilemma: Volume Two Applications”

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Joy W. Goldman RN, MS PCC:  CEO SixSEED Partners

Background:  

We want to congratulate our strategic partners: Polarity Partnerships for publishing Barry Johnson’s sequel to his first book: “And, Volume One: Foundations.”  SixSEED Partners is proud to have several chapters published in his second volume as quoted above and found here.  Our collective nod to the other published practitioners included in Volume Two:  you help bring this essential way of thinking to others to help make the world a healthier and more peaceful place to live and we thank you.

Both/And different from Problem-Solving

It is our vision that polarity thinking:  both/and thinking will spread throughout healthcare as has Lean Thinking for process improvement.  One of the major and important distinctions in this structured and evidence-based methodology is that as we increase the capacity of our teams to think in this way, immediate behavior change follows as they begin to see interactions and systems differently.  We may find that we have less of a need for diversity, equity and inclusion programs, because our teams are integrating diversity, equity and inclusion in ALL that they do.  We don’t need as many procedures as form follows function:  behavior follows how we think.

Applications to our current work

SixSEED Partners has integrated both/and thinking in our individual coaching as part of the 360 feedback and development process; in our culture work with Information Technology and Healthcare organizations and medical groups; and in developing and strengthening nurse and physician leader partnerships.  Outcomes have included:

  • Less blaming and improved team cohesion and accountability
  • Time freed up for executive level leaders as their teams are better able to manage complexity and numerous stakeholder interests
  • Reduced expense and greater well-being as less time is spent on reactive cycles and frustration

You can see some of our case studies by going here.

Let’s hear from you

We’d love to hear how you are helping your leaders see the both/and to better manage complexity in a life-giving and sustainable way.  If this work seems like it could help you and your teams, we’d love to talk with you to explore how this approach might help your clinical leaders. Please post your responses on our LinkedIn page or send us an email here.  

Moral Injury: HealthCare’s Public Health Crisis

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A Systemic Lens Perspective

Joy W. Goldman RN, MS PCC:  CEO SixSEED Partners

Background:  

On March 10th of this year, I published a blog focused on “Caring for the Organization AND Caring for the Workforce.”  The higher purpose of that tension was to support a healthy ecosystem within healthcare.  Writing this close to six months later, not only is that tension still relevant, it has reached a crisis point in healthcare as droves of physicians and nurses leave their organizations and/or professions.  How do we take care of healthcare as a system, as we take care of the public’s healthcare needs?  In this writer’s opinion, right now we are failing.  The purpose of this blog is to invite creative, systemic solutions to this thorny challenge.

Impact and Case for Change:

Panagioti, Geraghty, and Johnson published an article in JAMA Intern Med 2018 (10) entitled: “The Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction.  Their review of the literature revealed that there is a 2-fold increase in odds for unsafe care, unprofessional behaviors, and low patient satisfaction amongst physicians experiencing burnout.   Reith published another article in Cureus titled: Burnout in United States Healthcare Professionals: A Narrative Review.   He expands the impacts from both physician and nursing burnout to include higher rates of patient mortality; transmission of hospital-acquired infections; increase in medical errors and an increase in medical student alcohol abuse and suicide.  Of note is that both of these articles were published in 2018:  prior to Covid 19.

One less quoted yet just as serious sequelae for nursing and physician burnout is your ability to get timely and effective care for you and your loved ones.

Complex and Interdependent Challenges:  Variations of Individual AND Team Tensions:

Many of us are familiar with the process of looking at root causes for problems to permanently eradicate the disease.  The challenge with Covid and burnout in healthcare is that they are not problems to solve.  They are systemic and interdependent challenges to leverage that can be boiled down to a tension between meeting individual needs AND meeting collective needs.

Look at the below examples:

Impact (So What?):

  As Einstein said: “The significant problems we face today cannot be solved at the same level of thinking we were at when we created them.”  We must facilitate dialogues that address these thorny challenges, and which include healthcare worker well-being. If we don’t, physicians and nurses will do more of what they are starting to do which is saying “no more.”  They are saying this as they submit their resignations; leave for higher-paying jobs; or leave the profession altogether.  This leaves hospitals struggling to manage the finances of healthcare with their mission to serve and meet the needs of their communities.  What solutions are people creating to respond to the fear of closing beds and not being able to meet expense needs?  We hear from our clients their staffing challenges as Traveling Nursing companies are perceived as stealing staff from hospitals less equipped to pay higher salaries and offering to those who can.  I liken this strategy to one that hopes to improve nutritional health by offering organic produce to affluent communities while depriving or limiting healthy food choices to lower socioeconomic communities.  When will we learn that localized or individual approaches will not eradicate systemic challenges?

SixSEED Partners Interdependent Solutions:

We believe that these times of epidemic crisis require a different way of thinking and acting to sustainably impact and transform these issues.  Examples include:

  • Leverage Competition & Collaboration:  bring local hospital systems together to look at community health needs and discuss how blending resources and talent might be able to better meet community needs and organizational needs.  Instead of three hospital systems vying for digestive disorder patients, consolidate and refer specialties across hospital systems, in service to patient care AND provider well-being.
  • Medical and Nursing Professional Associations uniting in lobbying their governments to establish temporary laws that promote access to resources and prohibit possible poaching of scarce resources by any one organization at the expense of others.
  • Leverage social media to impress the public of OUR responsibility.  Just as we’ve seen the near -death lung cancer patient with poor color, on oxygen, doing commercials on TV, healthcare workers should be posting photos on social media of their tears; their marked faces; bodies lining hallways due to lack of beds and/or staff.    The story of healthcare’s reality must be presented unfiltered, visible and in a media venue that the public see’s frequently and consistently.  The public has a role and responsibility for decreasing the demands on our healthcare systems and this is one way to keep the public informed of what is happening behind the scenes in the delivery of healthcare.
  • Gather regulatory, professional and education/ training organizations in dialogue around training that could take place to upskill volunteers or provide jobs for those needing work in supplementing nursing and physician staff.  As with scribes, how can we lessen the burden on our clinicians so that they are doing only the highest acuity patient care needs.  The  other tasks which require less clinical expertise can be done by other members of the care team.   

These examples require both/and thinking and require us to get out of our silos, holding our greater purpose and not just our lone survival as paramount.

SixSEED Partners is looking for leaders and systems who are ready to do this work.  We have no time to waste.  The time is NOW.  Will you join us?  If you are curious, please email me directly:  joy@sixseedpartners.com.  

#systemintegration #leadershipecosystemcapacitation #wellbeing #burnout #ecosystem