SixSEED Partners

Leadership Development

Both/And Thinking Requisite for Post-Pandemic Leadership

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

Background: Three strategists from PwC published in April’s Harvard Business Review: “6 Leadership Paradoxes for the Post- Pandemic Era”. As we await the publishing of Barry Johnson’s:” AND: Making a Difference by Leveraging Polarity, Paradox and Dilemma: Volume 2 Applications,” in which we have contributed numerous chapters, we feel affirmed in focusing on this essential capacity for post-pandemic leaders. We’re also pleased to see that SixSEED Partners has worked with several individual and system clients to measure these exact tensions.

Both/And different from Problem-Solving

As a reminder, (see prior posts) both/and – polarity thinking supplements traditional either/or problem-solving thinking in order to best manage complex, ambiguous, volatile and uncertain situations- all of which are part of healthcare’s NOW. It’s an advanced thinking capacity as it requires a leader to be able to see (the first step of the SMALL polarity process: seeing-mapping-assessing learning-leveraging) what seems like opposing perspectives. Leinwand, Mani, and Sheppard highlight six of these interdependent tensions. Below we’ve highlighted their six and translated them into language we’ve used and measured with our clients:

We take HBR’s leader-focused tensions and expand into individual, team and systemic tensions. We’ve adopted the ethos behind the quote from a GE leader: “you don’t put a changed leader into an unchanged system.” As we partner with clients, we focus on individual, team and systemic tensions to ensure sustainable results.

Applications to our current work

SixSEED Partners has integrated these tensions 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. Pasted below you can see the results of measuring the tension of Centralization and Decentralization. At a glance, you can see the opportunity to better leverage centralization in this heart and vascular institute. The White infinity loop represents their actual scores as compared with the ideal grey loop. Through dialogue, it was eye-opening for this group of physicians to objectively see how often they fall into feeling victim to the needs of the larger organization instead of noticing their opportunity to better consider system factors as they plan their decentralized program efforts. In being able to consider and measure the both/and, they save time, energy and resources that go into over focusing on their division needs alone.

Let’s hear from you

We’d love to hear how you are helping your leaders see the both/and of these six paradoxes and others. 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.

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Cultivating Both/And Thinking to Support Clinical Leaders to Effectively Lead through System Change

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

In the beginning :

SixSEED Partners (SSP) was invited to provide team development support to a high profile clinical executive committee in a regional healthcare system. We initially partnered with this physician and administrative leadership team last fall for a full day retreat focused on developing team dynamics and strategies. We introduced them to several frameworks and practical tools that gave them insights for how to leverage their complementary strengths to get their work done even more effectively. The system clearly supported this type of development because all team members were present and committed to this experiential learning process, despite it taking away from their revenue generating clinical work that day. The executive team found it so valuable, that they wanted more.  

Embarking on a Leadership Development Series (LDS) experiential learning process:

SixSEED Partners partnered with the Chief Physician Executive and the Managing Director of Strategy to create a SWOT (strength, weaknesses, opportunities, threats) analysis for team member input on relevant leadership strengths and challenges. We also used immediate and upcoming leadership transitions as the action-learning platform for the participants to apply their new tools and thinking paradigms. By using our “4D” framework of “Discover-Design-Deliver-Debrief”, the client helped shape a learning design that integrated real-time pressures and systemic forces for change. For practicality, these experiential learning sessions were integrated into their existing monthly strategic meetings to minimize time away from the clinical area and maximize their time together.

Discovering a new Thinking tool for unsolvable problems:

In looking at the real-time pressures and changes this executive team was facing in their system, we knew they could benefit from learning to look at their complexities with Polarity thinking. As mentioned in prior blogs, it has been proven that using polarity thinking (both/and) along with traditional problem-solving thinking has a measurable impact on leading through complexity and change. 

Experiential Learning Module (ELM): Doing S.M.A.L.L. for Measurement and ROI:

We used key themes from their SWOT analysis results to create three unique polarity maps that measured individual, team and system-level tensions for this executive team:

  • Providing Direction and Inviting Participation (Individual)
  • Tactical and Strategic (Team)
  • Centralization and Decentralization (System)

This work took the team through steps 1-3 of the 5-step polarity assessment process known as the “SMALL” methodology, which includes:

  1. Seeing
  2. Mapping
  3. Assessing 
  4. Learning
  5. Leveraging

In our most recent two-hour module, the leaders focused on Step 4 – Learning, about the polarity thinking framework and discussing it in the context of their complementary styles. The learning was deepened when the leaders began to see beyond their preferred perspective within the 3 polarity maps to seeing the broader context within the relative dynamic at hand in their actual work. Most notable was the dialogue around shifting from a place of system “blame” – the downside of decentralization – to better leveraging integration of the health system’s priorities with less energy being wasted in frustration. This traditional “right/wrong, either/or” approach began to shift to “how can we better integrate system factors as we design and execute our work”.

The map below illustrates this team’s scrubbed SWOT analysis, represented as a polarity map. As you can see, the 2 poles to leverage over time to create an effective and high performing team are the Strengths of Current and the opportunities of the Future, while minimizing the weaknesses and threats of both poles. The other scrubbed map shares the executive team’s results, which highlight an opportunity to better leverage Centralization. While these results are valuable as a baseline for this team, what was even more valuable from this experience already was the dialogue that emerged between the participants around an alternative perspective and way of thinking about systemic influences in their work. During our next session, we will take the team through action steps and warning signs to help them best leverage these essential tensions for sustainable change (Step 5 of S.M.A.L.L.).

Let’s hear from you

We’d love to hear your insights in helping clinical executive teams develop systemic thinking applied to current challenges. 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.

How to Hire a CEO: Neglected Attributes

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

Introduction: Case for Change

Turnover at the CEO position remains high: According to the American College of Healthcare Executives, CEO turnover was 17 percent in 2019.* (ACHE: “Hospital CEO Turnover Rate Shows Small Decrease.” – press release. In Development Dimension International’s 2021 Global Leadership Forecast, that polled close to 16,000 leaders across the globe, 55% of CEO’s indicated developing the next generation of leaders as their top challenge. These statistics and personal experience working with clients who have been traumatized by making a wrong choice, motivated Dr. Larry McEvoy, Dr. Kevin Mosser and I to offer healthcare boards a webinar through The Governance Institute  called “How to Hire a CEO: A Guide for Ensuring Effective Selection at the Most Important Position.”  

For SixSEED Partners, we see the hiring of a CEO as only one part of our sixth seed: Leadership Ecosystem Capacitation.

 

Current Process:  Strengths and Gaps:

Whether in our country or within healthcare, we continue to look to the CEO as a heroic leader and in doing so, often place great emphasis on the CEO’s accomplishments and experience.  It was fascinating to us that the participants on the webinar placed low importance to the role of experience in their candidate selection yet, in practice, it was one of the top three attributes that they assessed. (see graphs below).  Bob Anderson and Bill Adams, in their book: Scaling Leadership: Building organizational capability and capacity to create outcomes that matter most” dispel the myth that leaders that prioritize results and technical expertise have the greatest impact on business results.  To the contrary, after culling through hundreds of thousands of 360- degree -feedback assessments and comments from around the globe, these skills were shown to be non-differentiators for high performing leaders.  Their research identified ten attributes, six of which were people-related.  Some of these include developing others; empowering people; team-builder; leads by example; and good listener.  

We were also surprised with the time paid to assessment results and interviewer ratings, given neither interventions were rated as having great importance to the participants.  In our experience, we agree, in part with this assessment, given our observation that this process is often incomplete, where the personality profile results remain with the search firm and are not used by the hiring company to integrate into designing behavioral interview questions targeted at possible gaps, nor using as development once the candidate is hired.

The Neglected Attributes:

If you’ve read this far, you are probably guessing where we believe you need to focus to have the greatest chances of success for the candidate; your executive team; and your organization.  The two attributes least assessed yet deemed most important to the CEO’s success is their ability to scale leadership, and to leverage and manage paradox (seeming opposite tensions).

Experience matters less in rapidly changing and volatile situations.  What matters more is the degree to which you’ve built leadership and thinking capacity in your organization.  As an example, SixSEED Partners was asked to offer change leadership training to a cohort of internal medicine physicians.  In partnership with the Chief Quality Officer, we designed a workshop where we introduced both/and thinking as an adjunct to traditional problem-solving thinking.  If these physicians have the thinking capacity to leverage individual AND team; mission AND margin; decentralized AND centralized needs; candor AND diplomacy; advocacy AND inquiry among others, then collaboration is strengthened and we increase their ability to lead sustainable change.

The Leadership Ecosystem Capacity Approach to Hire and Develop

What does this mean for you?  Here are several steps you can take make a better CEO hire:

1. Elevate talent development as THE FIRST Strategic priority- for the board; for the executive team and for each leader.

2. Ask your CEO candidates a question similar to the following:  “If your current organization were to give you a grade of A to F in relation to how well you’ve prepared them for your departure, what would they say?  On what would they be basing their rating?”  You want to listen for details around the use of development strategies like rotational assignments; creating a learning environment; internal promotions; and prepared successors.  You want to listen for a blend of “I” and “We” statements.

3. Assess for their thinking capacity to manage paradox:  “Give me an example of a decision you had to make where you felt torn between two or more competing perspectives.  Who was involved?  What was at stake?  What did you consider in your decision-making process?  What did you do?  What was the outcome?  What did you learn through the process?

Let’s hear from you

We’d love to hear your perspective as you and your board plan for your next CEO hire.  Please post your responses on our LinkedIn page or send us an email here.

Maximizing Team Development: Leveraging Theory & Application

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The Forming & Norming Team:

SixSEED Partners was invited to facilitate an executive council retreat for the Heart and Vascular Institute (HVI) of a community-based medical center. The HVI recently re-structured their roles and leadership within the institute to better meet their mission. The Chief Physician Executive of the Institute, in partnership with the Business Strategist, wanted to provide a day of learning and development where the members could build trust, align around shared objectives and engage in establishing accountability. Amidst Covid-19, the leaders felt these objectives were so important to warrant an in-person gathering.  It was clearly as important to the executive team members, who showed up engaged and fully present during the full day team development process. As several of the members are also clinical physicians, it highlighted to us that proper planning can facilitate the space for them to join in this work, which is also important to them. 

Can we learn multiple tools and apply them in 1 day?  YES!

Do you believe it is possible to deliver four different tools in three hours and have participants feel they learned them and could immediately apply them for their benefit? Thanks to Petra Platzer, our COO, we know we can! In less than three hours, the administrative and physician leaders were introduced to Thinking Environments, DiSC®, the Team-Work Cycle®  and the Three Vital Questions®. Petra also facilitated experiential activities that had  participants immediately applying what their learnings to their own work and team dynamics. Joy Goldman further facilitated application of these tools through the team beginning to draft their team charter. Elements of focus were their interaction rules around meeting practices, communication, decision-making, communication, feedback and evaluation.

But was it effective? Yes

We modeled creating an environment for feedback & evaluation by dialoguing on feedback for us within the session. Each participant said the day was effective for them, some surprisingly so, in fact, as they often are skeptical about “these things”. Each also named how one or more tools were new and powerful for them, and immediately applicable in some way. Some spoke about their insights into their own behaviors and styles as compared with others on the team. Others especially enjoyed the powerful visuals by physically going through the team work cycle. They quickly identified gaps, and possible solutions, to some of their self-identified needs for moving more efficiently from ideas to execution. The visual exercise provided the gift of addressing these topics without  blame or personalization, which fostered trust and new understandings together. The best gauge for how effective they rated this was their assertion:  “we need more of this from you.”

How is your team developing together?

Whether your team has been working together for a while, is newly forming due to a re-structure, or is somewhere in between – how are they working together? Is there a benefit to focusing on their ways of interacting and learning additional ways for navigating what seems to be never-ending change together? Making the effort on this work is what makes teams perform higher and more productively, with much less wasted energy and re-work along the way.  Like this HVI executive team experienced, it is often a pleasant surprise and energizing to spend time developing together.  And, without doing this kind of work, teams can often experience side conversations, wasted energy and good, but not great performance. 

What are your experiences in teams for creating clear agreements on how you’re interacting so there’s greater productivity with less wear and tear on the system?  We’d love to hear from you about your experiences and challenges.  

To learn more about applying these frameworks with your teams, contact us at: www.sixseedpartners.com or by tagging us on LinkedIn or Facebook.

Living Our Practices: SixSEED Partners Retreat

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Our commitment

SixSEED Partners applies the tools and processes we use with our partner clients, to ourselves. One way we did that recently was to take some “time-out” from virtual and the day-to-day to do some reflection and self-care in the process of our work. Cliff’s retreat and learning center, “Kayser Ridge” located in Berkeley Springs, West Virginia was the perfect place to “walk our talk.” Here are a few highlights from our SixSEED retreat, which focused on leveraging a few key polarities:


Take Care of Each of Us
AND
Take Care of SixSEED

Appreciate By Looking Back
AND
Grow By Looking Forward

Our Actions

Prior to gathering at Kayser Ridge, we divided the work of the retreat according to each of our “sweet spots:” signature strengths (matching work with the right resource to tap into natural energy). We met between October 2nd and October 4th and each partner facilitated a section of the retreat, with previously agreed upon outcomes.  Tapping into our CEO’s “big picture,” strategic thinking and passion for the application of non-verbal methods of learning and change, we stood in each of our Six SEEDS to celebrate our accomplishments and sense into future directions.  Shifting from a macro lens to a more micro lens,  we next designed and filmed sixty second video summaries for each of the Six SEEDS. 

We spent quality time exploring the challenges and opportunities from the perspective of our client partners, and how this period offers unique opportunities for us individually and collectively.  We agreed to an infrastructure that would allow us to leverage margin with our mission to provide “integrated solutions to heal healthcare”. 

Amidst working hard, we played.  We shared in the preparation and clean-up of our meals, and enjoyed each “breaking bread” experience – complete with stories, laughter, and a few tears. We appreciated and experienced the beauty of our surroundings – more laughter stories over a campfire, under stars, and in the glow of harvest moonlight. Up from behind the mountains facing east, Joy captured images of the sun rising amid and the mountain mist. And in those same moments, turned the tripod to capture the moon setting down behind the western mountains. We watched leaves fall and streams trickle on a valley hike. Lastly, tapping into Petra’s lovable “jester energy,” we posed for photos in our own version of Charlie’s Angels.

Our Results

We have scheduled discussions with two partners we’re most excited about working with in the future; we re-allocated our compensation structure to support our strategic goals; and we secured resources to finish our SEED videos for publication.  We have a renewed sense of purpose in our work around culture, wellbeing and leadership ecosystem capacity as it pertains to providing skills that support depolarization within healthcare and our country.  In addition to these business results, we affirmed why we chose to partner in the first place:  that we are much better together than alone and we truly enjoy each other’s company and find it life-giving.

Our Invitation to you

As Petra articulated in a prior blogpost on the first Vital Question:  “Where are you putting your focus?,” it is easy to get caught in the maelstrom of activity and crisis.  This problem- focus results in wasted energy without accomplishing your desired outcomes.  By holding ourselves accountable to our desired outcomes and allocating time to step back, assess, and plan, we maximized our own wellbeing, while also being productive in our desired results.

We’d love to hear from you about how you’re leveraging taking care of yourselves while you take care of your organizations and appreciate by looking back and grow by looking forward.  Contact us at: www.sixseedpartners.com or by tagging us on LinkedIn or Facebook.

Shifting from Reactive to Proactive Work

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“How does our executive team become more proactive and less reactive? We are so busy putting out fires, but we’re not really moving forward on what the organization needs from us.”

If you have been asking yourself the same question, you are in good company. This year is a prime example that the one constant in life is change – which brings with it unknowns and an increasing pace of so many variables in the day-to-day and the big picture.

The Challenge

For the client who asked the question above, her clinical organization had acquired several other practices as a strategic move to keep each practice viable in this current economic climate. As a result, there were some key leadership changes, along with a need to establish a new organizational culture and vision. Instead of proactively working on those elements, the executive team was instead spending many hours reacting to perpetual fire drills, like EMR integration and compliance issues.

The Diagnosis

In an earlier blog, we introduced the concept of an Outcome Orientation. Just like a compass, this mindset puts our focus towards the results we want to achieve, instead of the alternate mindset of getting rid of the problem(s). One way to “diagnose” which orientation we are operating from, is by asking the 3rd Vital Question from David Emerald’s 3 Vital Questions™ (3VQ) framework: “What Actions are You Taking?” 

If the answer involves merely reacting to the problems of the moment, without any intentional actions focused on continuous improvement or forward progress toward the prioritized outcome, your diagnosis is clear: you are operating from the Problem Orientation. And just like the example, when we are operating from this orientation, we can feel stuck, frustrated, and burnt-out. We are also more likely to be experiencing and contributing to workplace drama from this orientation.

The Tension 

Once you have your diagnosis, you can proactively choose to take a different set of actions. 

How? By harnessing the inherent energy that is in the gap between the Outcome you want to achieve and the Current Reality that exists. This inherent energy, called Dynamic Tension follows the fundamentals of physics: to create movement between two points, tension is required. The pivotal key is developing the skill to “hold the tension” in a way that the rubber band doesn’t snap (too big a gap/tension) or fall off (too small a gap/tension) when the default reactive patterns show up again. In our experience, when clients become aware of the need and positive attributes for this kind of tension, this understanding can liberate them to work on becoming proactive.

The Shift to Proactive Actions

Once you’ve defined the Outcome you want and assessed your Current Reality, you have started working on the 5-step Action Planning Process to create proactive actions! Similar to climbing a ladder – one does not reach the top by starting at the first rung and jumping to the top rung. By using this foundational structure, however, you are able to identify baby steps – one rung at a time – resulting in incremental, deliberate, and long-term actions.

As we have been applying the planning process with the executive team from our client example, we can already see a lift in their individual energy, more cohesion as a team, and a change in their approaches for their expanded organizational culture. This is another great example of why we integrate the 3 Vital Questions™ framework within our SixSEED Partners solutions for all of our 6 service “seeds”!