SixSEED Partners

Leadership Development

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”!

Are you driving, or being driven, by change?

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In a recent blog, we highlighted the different stages of change and asked the first of 3 Vital Questions™ (3VQ) to help navigate the drama we can often feel within any Change Process:  “Where are you putting your focus?” 

Through working with clients, and in self-reflection, it’s always enlightening to notice how the answer to that first vital question drives our internal emotions, which leads to the type of actions we take next. A great example of this came from a recent conversation with a client, who was just starting out in a new role within his system. He shared he was feeling overwhelmed and didn’t feel in the driver’s seat. His strategy to gain control was to focus on de-prioritizing certain initiatives, but he was not feeling good about sharing that with his CEO. Through our conversation, we explored shifting his mindset to focusing on what he IS prioritizing during this timeframe. He instantly noticed his self-criticism decreasing and his energy enthusiasm for the meeting with his CEO increasing. He was amazed at the difference. 

The Difference

When you are inside a Change Process – whether it’s something big or small – have you ever noticed how you are feeling or acting in specific moments? Have you heard yourself think things like, “they didn’t even talk to me and just decided” or “these meetings just keep showing up, so I don’t have time for self-care”, etc.?

Have you had other times where you said things like, “it’s not ideal, but how can we all pull together to make this work?” or “the weather turned out different than I planned, so I’ll adjust to still get a workout in”, etc.?

Do you notice the different tone of who is in the driver’s seat in these examples? Taking notice of the tone and/or word choice is an important clue and vital skill to develop. 

“The way of seeing yourself and your life experience determines how you relate to the world around you. Your orientation defines your reality.” – David Emerald

The Second Vital Question

So, how can you develop this skill? By pausing to ask “How am I relating to myself/to the experience/to others?”

Try asking yourself the above question in your next opportunity and take notice of what you find. If you notice yourself more like a passenger – without the hope or belief you can do something in that situation – that’s an indicator you are relating from the “Dreaded Drama Triangle” (DDT), originating from work by Dr. Stephen Karpman. Inside this dynamic – both with ourselves and with others – we reliably take on certain roles, all of which create a cycle of toxic cycle in the experience.

Alternatively, if you notice yourself more like a driver – with belief you have some options for how you will get to the destination – then, you are relating from “The Empowerment Dynamic*” (TED*), developed by David Emerald. Operating from this dynamic, we again reliably take on certain roles, as shown in the diagram. However, unlike with the DDT roles, coming from the TED*. These roles, puts us in the driver’s seat to create action steps towards the long-term result(s) we want to achieve.

How to Shift Gears

By knowing about these different dynamics, we now can choose. For our client mentioned in the earlier example, he began by taking his foot off the gas pedal long enough for us to look at the 1st and 2nd Vital Questions. Once he saw where he was putting his focus (1st Vital Question), he was able to see from the 2nd Vital Question that he was still operating as a “passenger” in the situation. Once he put himself in the driver’s seat internally, he was able to approach his conversation with his CEO more effectively and confidently.

To effectively lead ourselves and our teams through any change, asking this 2nd Vital Question is another key step to shift gears into the driver’s seat to get to the ultimate destination.  

At SixSEED Partners, we work with our clients to navigate their current and future situations using each of the 3 Vital Questions™, which, when used collectively, improves the well-being of individuals, teams and the overall dynamics within a company’s culture.

What dimensions do you or your team need to be grounded?

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As populations around the globe are now wearing face masks to adjust to the “normal” for today – and the foreseeable future, everyone has needed to adapt! Add on the additional stressors of economic instability, schooling uncertainties, politics and systemic injustices – the level of disruptions we are facing is unprecedented in our lifetimes.

As we’ve been working with our clients, we’ve been hearing their emotions during these past few months, such as overwhelm, fatigue, stretched, irritable, grieving, needing a vacation but having no idea how to take one safely, etc.  The metaphor of “difficulty taking a deep breath” seems all encompassing for these feelings during these times.

Our Response

This reality is what sparked Joy Goldman, CEO of SixSEED Partners (SSP), and Rick Auman¸ Exec VP of Consulting Services as Healthy Companies International (HCI), to come together and provide a webinar focused on how to return to being grounded and healthy – not just as leaders, but as people!

Participants from multiple industries joined this 90 min webinar, after which several commented “how quickly the time went by”. The reason? Joy and Rick masterfully integrated their facilitative skills and gave basic information about the 6 Dimensions of Grounded Leadership. This led into smaller break-out sessions for the participants to think and process their own meaning and fill-in a scorecard for how well they are currently balancing these dimensions themselves.

The Result?  

The self-assessment helped participants further understand and explore the meaning of these dimensions in their context. Several participants were not necessarily surprised to find that their Social and Physical Health were below a healthy threshold for them, but they were surprised to see their declining Spiritual Health. 

By seeing these in relative “imbalance”, participants were then able to create SMART (specific, measurable, achievable, realistic and timebound) goals for one particular aspect that could immediately support their health and resilience. The real work there, naturally, comes after the webinar.

How important did participants think their being grounded is to effectively managing their current disruptors? Everyone said either Very Important or Essential! 

SixSEED Partners feels the same, which is a key reason we are certified deliverer of HCI’s Grounded Leader model. That, along with their Grounded Leadership online portal, is one of SSPs integrated solutions we deliver for leadership, team and systems development. 
We are grateful to the shared learning with Healthy Companies and all those who joined. We look forward to continuing to build on this foundation to make healthcare healthier – together!