SixSEED Partners

Six Seeds

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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Celebrating Nurses and Healthcare Workers: An Exercise in Diversity and Inclusiveness

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

History of “Nurses and Hospital Week Celebrations”

The first effort to provide national recognition to nurses was in 1954 when Dorothy Sutherland submitted a proposal to then President Eisenhower:  the proposal was rejected.  It wasn’t until twenty years later, in 1974, that President Nixon signed a proclamation indicating that there would be expansion to individual State recognitions of Nurses’ Day to be an entire week.  In 1996, the ANA (American Nurses Association) initiated May 6th as National RN Recognition Day.  

According to the free dictionary, in 1921, the United States declared National Hospital Day to encourage trust in hospitals in the wake of the Spanish Flu outbreak of 1918, and to coincide with Florence Nightingale’s birthdate:  May 12th .  The observance was expanded to a week in 1953 to allow hospitals to plan and implement more extensive public information programs.  

I’ve worked in healthcare for the past forty- plus years and during that entire time, I’ve witnessed sentiments of appreciation for both Nurses’ Week and Hospital Week,  AND sentiments of exclusion:  “Why them and not us?”

Adapting To Present Day: Both/And

I was on LinkedIn recently and saw a similar posting expressing emotion around a desire to expand “National Physician’s Day” (March 30th) to other disciplines/ providers.  The perspective of the person posting was resentment that attention would be paid to a broader cadre of professions and that the expansion took away the special recognition that was deserved to physicians.

What do you think?  Some of you might be saying: “I agree.”  That’s the “right perspective.”   What is the “right” perspective in how to offer these well-deserved recognitions, particularly during a pandemic year when so many have sacrificed time, energy, and sadly, their lives, in service to their profession?  Does sharing make the recognition less special because it includes others and is not exclusive?

Honoring Individuals AND Teams:

While many can and will get into an argument of “right/wrong” in solving this problem, at SixSEED Partners, we would say that this is a perfect example of complexity and interdependent tensions or polarities to leverage.  This is also a wonderful variation on the theme of diversity, equity and inclusion.  Is there a way to celebrate and recognize distinct disciplines while also recognizing the whole?  We would say yes…. This is an interdependent tension to leverage:  A both/and.

Looking at the polarity map below, you will notice the universal tension often experienced in organizations around attending to unique disciplines and individual contributions (parts)—diversity in our associates, while also trying to be equitable in our practices (considering the whole).  If we effectively leverage these tensions, we stay in the upper quadrants.  When we overfocus on either pole, we inevitably get the downsides of that pole.

How does this play out with Nurses’ Week and Hospital Week?  We can imagine nurses saying that they don’t want to share their day with nursing support staff because it distracts from the unique profession that is nursing (Value:  the upside of Individual – Fear: downside of Team).  We can hear the same theme (value—fear) with physicians who want to preserve National Physicians Day for their profession alone.

On the other pole, we can see that an overfocus on diversity/ individuals to the neglect of the whole interferes with equity and inclusion.  Why shouldn’t there be a “recognition week” for each unique discipline?

Leveraging the Both/And:

In our polarity map, the next steps would be to identify action steps and warning signs for each quadrant.  Imagine engaging a diverse workgroup in this process:  what would they say means the most to them in how we might recognize their unique contributions while also appreciating the unique contributions of others?  What might the impact be if other disciplines heard from peers what they appreciate about that discipline/ profession?  How might a spirit of abundance… there is enough for all, contribute to cultivating a spirit of appreciation and gratitude for all:  not only for one week a year but every day of the year?

The pandemic has brought the intimate stories of the work of ALL healthcare workers to our attention.  And, truth be told, while scale might be different, saving lives; witnessing and escorting death and everything in between IS The WORK of healthcare.  

SixSEED Partners has had the privilege of witnessing the courageous work of healthcare leaders and their teams for the past forty-plus years. We celebrate your stamina and courage, AND we honor and hold space for your tears, trauma, grief, and fatigue.  Our commitment in offering gratitude to your work is to courageously offer our work which is to provide integrated solutions to heal healthcare.  Working in healthcare HAS to be healthy.  We honor you every day through partnering with you to make it better.  There is no other choice!

Let’s hear from you

We’d love to hear your insights in celebrating unique disciplines while also celebrating the whole of your teams that contribute to patient care and service. 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.

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.

SEEDS for Success with New Year Resolutions

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Introduction: Case for Change

Have you given up on New Year’s resolutions because of repeated failures to achieve your goals?  Are you searching for the right way to get sustainable results?  Has the scale betrayed you again in this new year as you struggled to manage your weight amidst a work from home or constant adrenaline rush lifestyle?  You are not alone.  As so many of us do, we look back to our learnings from the past to inform our changes for the future.  We are taking a different spin to a prior post in the context of supporting your wellbeing in this new year.

The Challenges:

As we enter a new year and vow to make changes in our personal and professional lives, we struggle with how best to do that, particularly amidst what we may hear about the failure rate of New Year Resolutions.  In our efforts to find an example that might be universal, 2020 found many of us struggling with weight maintenance given our moving less and staring into a computer screen for 8-10 hours/day.  While there is great literature on successful habit cultivation, they often fail to take a systems’ and mindset perspective necessary in dealing with complex situations.  

2020 has required us to create structures AND be flexible and adaptive; leverage what we know as we advance into what is not known; honor existing familiar traditions as we create new ways of being with each other.  In revisiting our post from May of 2020 on taking ourselves seriously and taking ourselves lightly, we present this spin as it relates to improving personal health goals around weight management.

Leveraging taking ourselves seriously and taking ourselves lightly:  

At SixSEED Partners, we help our clients integrate both/and thinking in addition to traditional problem-solving- either/or approaches.  The elimination of perceptions of “good or bad,” “right or wrong,” helps our clients to take a more systems-oriented approach to complex challenges.  In the polarity map pasted below, you will notice a common tension of a serious/structured weight management approach and a more playful and spontaneous approach to weight management and health. Effective and sustainable weight management requires leveraging both upper poles, and mitigating the risk of overdoing either, to the neglect of the other.  

When we take ourselves too seriously to the neglect of a lighter approach, our inner judgers become active when we find that we’re not meeting our health goals and we’re not enjoying life.  If we overfocus on a more spontaneous approach to weight management (as just one common health attribute), we’re having fun but not meeting our physical health goals.  Using a polarity thinking frame helps us to see ourselves as a system that requires leveraging both poles.

What can you do? (action items and warning signs):

Even as I write this blog, I notice physical signs where my breathing becomes more shallow; there is a sense of tightness and heaviness and I notice my active judger interfering with my free flow of writing.  As I notice my own warning signs of taking myself too seriously, I open my chest more to allow easier breathing; I laugh and put this blog in the context of other problems in our world today; and I take a time out to exercise and move my body which amazingly impacts my movement in thinking.  I also access others more expert than I to help modify and edit, knowing I’m not alone in this work.  See our sample map below for actions you might take for success in weight management and other similar thorny challenges.

Polarity Map of Taking Self Seriously vs Lightly

Let’s hear from you:

What have you found helpful in leveraging taking yourself seriously and taking yourself lightly? In our next blog, we’ll be focusing on our leadership development seed as we discuss a common challenge of holding others accountable AND giving them freedom in doing their job. If you’re interested in learning more about how our team can help yours, contact us today!

Team Spotlight: Meet Joy

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Joy Goldman, began her career in healthcare at the Massachusetts General Nursing School over 35 years ago. Out of Nursing School, she began a career as a psychiatric nurse and from there pursued Masters’ degrees in Community Health Education, Strategic Human Resources, Organizational Development, and a certificate in Leadership Coaching. Since 2008, she has been practicing as a Leadership Coach and OD facilitator. 

As a natural big picture thinker, Joy gravitates towards systemic interventions that can multiply impact on a variety of levels such as individuals, teams and systems. Joy finds the most rewarding part of her job partnering with individuals that provides the space to do profound work impacting their thinking and behavior in ways that align with their highest values and purpose. Also rewarding to her is working with her partners and combining their unique talents to create something powerful that exceeds what they could accomplish individually. 

When asked how she imagines the future of healthcare, she hopes to see an integrated system that promotes health for all. In Joy’s words, “I envision individuals taking responsibility for their own health by making better choices and having access to healthy food. I see payors, providers, investors, technology experts, and administrators creating collaborative systems where health is a foundational element of all workplaces. Healthcare is more than fixing what’s broken. Creating health is multidimensional and includes economic, social, and environmental influences.”

Beyond being the CEO of SixSEED, Joy loves to travel, dance, take photos and spend time with her husband.