SixSEED Partners

#capacitymanagement

Loyalty AND Autonomy

by 1 Comment

A key tension to effectively manage leadership transitions

By Joy W. Goldman, Advisor and Founding Partner

Background

The New York Times recently published a news analysis piece entitled: “Silent no more, Harris seeks her own voice without breaking with Biden.”  The author, Peter Baker, states: 

“The challenge for her over the next 100 days will be to find her own voice without overtly breaking with Mr. Biden, a delicate political high-wire act without a reliable net… Yet even as she wants to demonstrate loyalty to Mr. Biden, she also hopes to show the public who she is.”

This blog is not about politics. It IS about assuming leadership in a way that navigates the complexity of honoring the leadership that came before you while advocating for change that exemplifies your unique voice. The challenge of both authentically respecting tradition and passionately advocating for new change.

Client Examples

At SixSEED Partners, we’ve seen this tension play out in several scenarios.  Perhaps one of these will ring true for you.  

  1. You’ve been promoted to a single entity Chief Nursing/Medical/Executive officer position while the prior person, likely your boss, is promoted to a system-level role.
  2. You lead the merging of two hospital systems – one larger, “mothership” so to speak, and the other a smaller, often community-based entity.
  3. You are hired to replace a C-suite position and you have a professional relationship with the leader exiting the organization.

All of these transitions require you to demonstrate your unique vision and the value you are bring to the role while also respecting the impact of the leader who came before you.  

Common Tensions & Solutions:

In partnering with our clients in these scenarios, we walked them through a structured “Polarity Mapping” process to identify actions that address achieving both goals, or poles, or competing commitments the leaders were facing.

Respect AND Autonomy: For the one “goal” – respect / tradition – we asked what are the set of actions that acknowledge and build upon what the outgoing leadership helped accomplish that is working for the organization where it is now.  For the other “goal” – autonomy / authentic voice – we asked what actions are needed to assertively make the case for change that is required to adapt to an emerging future. After seeing these sets of actions for both goals, the leaders could then decide which actions were needed to accomplish both together, over time.  

Leader AND Team: Once a leader has done this individual work around respect and autonomy, we often expand the polarity mapping work from the leader to the team level. A useful simple Action matrix framework in this process is Start/Stop/Continue/Do Differently, which invites everyone to name what is working and valued in the current culture and what traditions, even if cherished, might now be getting in the way of moving forward with emerging needs. When we did this work with a merger situation, both entities were able to see some overused habits (sounds like “that’s how we’ve always done it”) that they could shift and do differently or stop. As one example, shifting from their default habit of including every leader in all the decision-making, which was causing unnecessary delays in a fast-moving reality, to exploring ways to decrease the layers of input in some of the decision-making.

Confidence AND Humility:  The more senior the role, the more the leader is expected to be confident while driving change. This can be an inherent challenge for those who are promoted to a role that has a larger scope, but also fewer peers with whom they can do strategic thinking and ask vulnerable questions. Confidence requires acting with courage and alignment to one’s purpose and desired results, while humility requires us to ask for help.  For many senior leaders, hiring a coach can provide that kind of safe space to share fears and learn new habits for managing this tension, and many more.

Would you like to learn more about how you can navigate these tensions? Contact us at SixSEED Partners.

Polarity Approach to Expedite Hospital Integration & DEI

by Leave a Comment

Building Leadership Capacity to facilitate culture change and Improve
Diversity, Equity and Inclusion

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

Background

SixSEED Partners was invited to help build leadership capacity in patient care and nursing leaders to support the integration of two separate hospital entities within one health system. After the first year of facilitated work and implementing a collective leadership assessment, this second year was focused on engaging the leaders in recreating a culture that supported integration while allowing for the retention of what was unique and market competitive for each individual entity.

The Strategy

SixSEED Partners designed a two-day workshop that introduced the leaders to both/and thinking as a complementary tool to traditional problem-solving – either/or thinking. We were most concerned about surfacing the fears and concerns from the smaller hospital entity, that also happened to be a microcosm of the lesser served, mostly black community. Leaders were divided according to hospital entities and each had the chance to identify most treasured cultural attributes and worst fears of integration with themselves and then with each other.

The Solution

Fears that were identified by the smaller hospital included loss of identity; constant comparison and loss of unique attributes; lack of ability to autonomously act; loss of connection to their geographic community; and lack of influence in decision-making. What they valued and wanted to preserve, for both organizations included their unique histories; their commitment to the patients, community, and each other; a spirit of collaboration; shared knowledge; and diversity of staff and patients.

The Impact

At the conclusion of the two days, the leaders created a complete polarity map focused on their integrated one system. They had action steps to leverage retaining the best of current culture while preparing to best meet the future. They also identified early warning signs to alert them when they were overdoing either pole: too much tradition and too much change.

    If you’d like to learn more about bringing this work to your organization, contact us at SixSEED Partners.

    Both/And Thinking

    by Leave a Comment

    Application of polarity thinking to Improve well-being and integration for two hospitals within an Academic Medical Health System

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

    Background

    SixSEED Partners was invited to help build capacity in patient care and nursing leaders for improving well-being and supporting the integration of two separate hospital entities within one health system. We had spent the prior year working with these leaders on strengthening team bonds across functions and service lines, and building capacity for shifting from problem-oriented, reactive thinking to purpose-driven, creative thinking and execution. The nurse executive’s vision was to create a culture of “we” instead of us/them and to decentralize decision-making and empower leaders to lead with less deference to the nurse executive.

    The Strategy

    SixSEED Partners designed an initial two-day workshop that involved walking the leaders through two polarity maps: the first- honoring the nurse executive’s wish to focus on the leaders’ wellbeing, was leveraging care for self and care for others. This map introduced the leaders to the interdependency between those poles and their personal and cultural bias toward care for others, often to the neglect of care for self. The “Me/ Not Me” – value/ fears were somatically felt as each leader stood in the quadrant representing the upsides of care for self and care for others, and the downsides of each. We also facilitated walking the maps of the individual hospital entities, creating a map for the integrated organization.

    The Solution

    Vinay Kumar and Joy Goldman led the thirty leaders through exercises that inspired honest and vulnerable sharing which paved the way for team support in increasing actions around care for self, and early warning signs for when the leaders were at risk of burnout and exhaustion. Some of their takeaways for that first day included: “It’s OK to care for self.” “I’m not alone.” “We’re not perfect and that’s a good thing!”

    The second day was all about integration and the smaller hospital entity leaders who had lost, or was losing two of its senior nursing leaders, was able to courageously discuss what cultural traditions were important to move forward, and their fears of being engulfed by the larger entity and losing their identity. At the end of day two, the leaders had formed a complete polarity map representing the best of both organizations that was important to bring forward AND outcomes that needed to occur to best meet the emerging future.

    The Impact

    At the conclusion of the two days, the leaders created a complete polarity map focused on their integrated one system. They had action steps to leverage retaining the best of current culture while preparing to best meet the future. They also identified early warning signs to alert them when they were overdoing either pole: too much tradition and too much change.

    There were several new leaders in the group who offered these comments:

    • “I appreciate bringing SixSEED in to facilitate this as many organizations don’t do this and it shows that it’s important
    • “I’m impressed with the support and sense of “we” here that often does not exist in other nursing and patient care service leaders/ divisions.” (systems)

    If you’d like to learn more about bringing this work to your organization, contact us at SixSEED Partners.

    A Modern Twist on Succession Planning

    by Leave a Comment

    Preventing The Most Common & Expensive Hiring Mistake

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

    Background

    SixSEED Partners was approached about providing coaching and leadership development for a tenured leader in an academic medical center who was two-three years away from retirement. The executive was concerned, however, in allocating resources for the leader, who had an immediate need for development but would be leaving the organization in a relatively short period of time. His question was how he could best use his resources so that both immediate and longer-term needs were met.

    The Strategy

    Upon further exploration, we discovered that the senior leader of advanced practice clinicians had not designated any successors for his role. The organization needed to mitigate some immediate development needs while also investing in leadership development for current high performers. The organization was also concerned about attrition given the extraordinary demands that had been placed on this department during covid 19 and beyond. The aging workforce coupled with high degrees of burnout and exhaustion were contributing to a perfect storm that could result in a crisis at the same time the leadership transition would occur.

    The Solution

    As we have done in past engagements, we challenged the executive to consider investing in expanding the thinking capacity of high potential leaders as compared to identifying one or two individuals as a potential successor. They could do this through a blend of individual and group coaching and facilitation where the leaders were invited to progressively move out of their comfort zones of being technical experts and more into leading with others in unfamiliar multi-department systems’ issues. Through a multi-year team development effort, the senior clinical leader received time-limited coaching on immediate development needs along with ways to further mentor and develop her staff. The high potential advance practice leaders were offered training on both/and thinking (Barry Johnson thought leader); leading above and below the line (the Conscious Leadership Group); the Empowerment Dynamic (David Emerald and Donna Zajonc); and conversational intelligence (Judith Glaser).

    The Impact

    The senior clinical leader improved her performance and appreciated an opportunity to safeguard her legacy. There was less turnover in the department as the high potential leaders felt that they were being given an opportunity to learn and grow, and in the moment development occurred with support for mistakes instead of being placed in roles with heightened pressure to perform. If you’d like to learn more, contact us at SixSEED Partners.

    If you’d like to learn more, contact us at SixSEED Partners. Reach us at:  SixSEED Partners.