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scaling leadership

Leveraging Accountability for Self and Others

July 12, 2022 by Joy Goldman Leave a Comment

By: Lisa Hompe MSOD, BSN, ACC

Background:

In the current healthcare climate of uncertainty, complexity, and change, how do we manage accountability? That is a question I often asked myself as a former healthcare leader managing a very busy ambulatory surgery center, and a question that I frequently encounter as I coach other healthcare leaders. In my previous leadership role, I was often faced with the dilemma and tension of holding oneself and others accountable. Accountability can have various meanings to different individuals, teams, and organizations, and is often rooted in organizational culture, norms, and behaviors. 

Assessment:

Self:

As a leader, when the work was stressful or challenging, I noticed my own internal challenge of wanting to take the path of least resistance. I found it was easier to delegate to those people who were more willing to take on additional tasks while avoiding those that were less interested or approachable. According to Harvard Business Review, recent data shows it is a common dilemma leaders face in holding others accountable successfully. Difficult conversations and creating an environment of accountability require a thoughtful and intentional approach. Approaching things with diplomacy and candor can help to create awareness and develop teams.

Team: 

What was I showing and modeling to my team by not having these crucial conversations? I realized as a leader, I was doing a disservice to those that needed to grow and learn. How was I holding myself accountable? When difficult conversations needed to take place for undesirable behavior or actions, I may have been unintentionally communicating that only a select few of the team were capable. Self-awareness is a first step and a key leadership and emotional intelligence competency. 

Impact:  

I believe no one intends to go to work every day creating problems and issues. The stressors currently impacting many healthcare workers place undue burdens on an already constrained and overtaxed system. This context can lead to undesirable or suboptimal behavior. It may be possible that leaders are unknowingly playing a part in perpetuating a lack of accountability with individuals and teams. If we’re honest with ourselves and our teams, we all have blind spots. What we model matters. It is possible to consider the well-being of others, while holding them responsible for their actions. I learned that having crucial conversations and asking others to step up creates an environment of shared interests; it creates an environment where everyone feels heard and valued, willing to show up and do their best. I encourage all leaders to take notice of how working with team members to create shared accountability and responsibility helps foster a more positive work environment.

Takeaways:

For yourself, look at what you can control-

  • Assume positive intentions for all individuals  
  • Notice who and how often you may be tapping into? Are they often the same people?
  • Check yourself. Did you have all the correct data and facts before you acted? Ask yourself, what if the opposite were true?
  • What is the intention of your messages? And how does your communication impact others?

For your team, start with open dialogue and conversations-

  • Intentionally create coaching conversations. Learn to ask open-ended questions in a psychologically safe environment
  • Listen and be open and curious for the answers your team is providing
  • Be clear on roles and responsibilities and get feedback if people need more clarity, communication, or training
  • Embrace the challenge and use the support of a coach or colleague 

This is simple but not always easy. Learning to manage these leadership challenges can make a world of difference. How you define accountability reflects the agreements and commitments you are willing to make. What are you committed to? How do you support and grow others to be aware of their behavior and actions? What is the culture you intentionally want to create for your team and the broader organization? Part 2 of the series will address creating a positive culture in the current healthcare environment. If you’d like to learn how to increase the accountability of your team while holding yourself accountable in a courageous and compassionate way, contact sixseedpartners for more information.

Filed Under: Case Study Tagged With: #thefullcirclegroup #accountability #theempowermentdynamic #thedreadeddramatriangle #leadershipdevelopment #teamdevelopment #leadershipecosystemcapacitation #systemintegration, #theleadershipcircleprofile360, diversity, healthcare, leadership, polarity maps, polarity thinking, retreat, scaling leadership, sixseedpartners, transformative leadership, well-being

Developing Integrated Accountability in Healthcare

July 7, 2022 by Joy Goldman Leave a Comment

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

Background:

SixSEED Partners (SSP) was engaged by a senior health system leader to complete a 360-degree feedback process in support of the client’s ongoing systemic leadership and development.  This leader was brought into the health system to integrate service line leadership from a decentralized and competitive model to a more centralized and collaborative model.  The Leadership Circle 360 Profile (LCP) was administered after the client had been in the system for a year.

The Strategy:

The client had previously completed the LCP at another system so we were curious to see if the themes would be any different from his prior results.  In reviewing the results from 32 respondents, the client’s attention went to two variables:  there continued to be a theme of his strength in relationships and in his overdoing that strength with complying behaviors (for detail, see The Leadership Circle Website).  This leader’s development opportunity was courageous authenticity and achieving results and decisiveness—dimensions well known to him. 

However, his greatest concern was that the ratings from his direct reports was drastically different (lower) than other stakeholder groups. 

The Solution:  

As we explored internal and external dynamics, we found support in the theoretical frameworks of the Empowerment Dynamic, and Polarity Thinking which correlate perfectly with the LCP framework of reactive and creative modes of energy management.  Through coaching and much reflection, the client was able to see how his direct reports were placing him in a rescuer (hero) role and were presenting themselves as victims to system leaders, mainly hospital Presidents who were perceived as villains (see graphic).  This dynamic was evident through numerous cultural stories in the organization—not only did this dynamic occur within his organization:  it was prevalent throughout the system, with a displacement of accountability to “higher ups,” which was also convenient when something didn’t work.  Blame was a well -known song sung throughout the system.

The Impact:

From the client’s perspective, he was able to see that he was re-enacting that dynamic with his boss and part of his development was to be conscious of the roles he was playing and putting on others.  He started individual meetings with his direct reports and shared the distinctions between victim and creator, encouraging them to take ownership and identify actions they can take to influence what they wanted to create in the system.

The client was also challenged to lead a system-level leadership development effort where both/and thinking (polarity thinking) would be introduced and measured for the prevalent tensions of Centralization and Decentralization (system service lines AND local hospital entities) and Individual AND Team accountabilities.  In this way, he would broaden the leadership capacity of system leaders which would minimize the victim/persecutor conversations and support mutual accountability throughout the system.

Are victim/ persecutor conversations rampant in your organization?  Are you fatigued in having to spend time on these draining discussions that result in stagnation and energy drain?  We feel your pain!  Contact us to learn how you can lead sustainable, empowering change in your system!

Filed Under: Case Study, Uncategorized Tagged With: #thefullcirclegroup #accountability #theempowermentdynamic #thedreadeddramatriangle #leadershipdevelopment #teamdevelopment #leadershipecosystemcapacitation #systemintegration, #theleadershipcircleprofile360, diversity, healthcare, leadership, polarity maps, polarity thinking, retreat, scaling leadership, sixseedpartners, transformative leadership, well-being

How to Hire a CEO: Neglected Attributes

March 12, 2021 by Joy Goldman Leave a Comment

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.

Filed Under: Epidemic Leadership, Leadership Development, Leadership Ecosystem, Transformational Leadership Tagged With: CEO, Hiring, leadership, scaling leadership, transformative leadership

Leading effectively: The importance of giving yourself – and your teams – space to breathe and think

September 24, 2019 by Petra Platzer 1 Comment

Are you leading through continuous change? Is the change unpredictable and moving at such a fast pace that it is difficult to keep up and has you wondering what it looks like to lead effectively and with the space to think? Not just for yourself, but also with your leadership team and for your teams across your system?

These are very common questions we hear from our clients, and frankly, what a multitude of articles and books are being written about in the leadership development space. The fundamental principle involved in all of them is similar to the metaphor of the Oxygen mask on the plane: in order to navigate the changing situation (e.g. cabin pressure dropping), we must slow down and put the oxygen mask on ourselves, before we can effectively serve others and take further actions. 

What is that metaphorical oxygen mask for you, your leadership team, and your system as you look to navigate unpredictable and complex situations? One vital tool to answer that question is to create increased awareness through feedback systems – internal and external – focusing on the way we are interacting and taking action with others.

Image by David Emerald, www.3VQ.com

If you read that sentence and felt an added weight or wanted to dismiss that because it’s just “another thing to do,” you may be interested to learn that Peter Senge, known as the father of organizational learning, has long advanced the framework that focusing on thinking about how we think, interact and take action is the critical 3rd dimension of work within every organization.1  This is not extra work, nor soft work – it is the vital groundwork that when incorporated, can support you and your teams to navigate complexity and ambiguity effectively over time.

So back to that oxygen mask metaphor: having systems and structures in place to get feedback on how you are interacting and taking action, the impact it is having to yourself and others – is your way of assessing what the cabin pressure is in your environment.

Internal feedback systems include administering “self check-ins” and establishing a “self care plan” that puts you as a priority on your to-do list, among all the other priorities that your role and organization are asking of you. As leaders, you have this strength developed around planning for implementations, for budget cycles, for change initiatives – you must apply that same skill to yourself before any of those others. In healthcare, the troubling reality – and sad irony – is the increasing evidence that those providing care, administering and leading the health care system are doing a poor job of modeling that care for themselves.  No system – and no person – can sustain over time with that kind of discordance within.  What is your “self care plan?” On a scale of 1-10, how do you rate yourself in implementing your plan successfully? What works for you, and what gets in the way?

External feedback systems include informal, formal, ongoing and easeful ways of giving and receiving information to each other that increases your collective awareness, for the sake of learning and evolving amidst the ongoing change around us. When done effectively, this can raise the learning cycles from single loop, to double loop and even triple loop learning.2,3 What systems do you have in place to learn about the ways you – individually and collectively – are interacting and the impact you are having with respect to your intended results?

In healthcare, most often the external feedback loop stops with processes like HCAHPS and performance reviews. While both provide important information, it is at best partial and incomplete for an overall effective external feedback system. While it is beneficial and important to look backward to review what has been achieved, having only that focus orientation has an inherent trap in its design. Namely, the underlying intention and processes typically do not include two-way communication, nor have the intention of generating growth and development in a forward direction. Effective external feedback systems require a “growth mindset” and a focus on “scaling leadership.”

These two components are your metaphorical oxygen being delivered in the oxygen mask.  Stay tuned for additional articles to expound on these topics.

For now, take a moment to ask yourself – and your leadership teams – the questions posed in this article.  So that our readers can learn and grow together, tell us your story of what you find is working for you. If you recognize any gaps or areas you could improve in, we invite you to share that too.

Reference:

  1. Senge P. (1992) Building Learning Organization Journal for Quality and Participation. 15(2): 30-39.
  2. Argyris C. (1991) Teaching smart people how to learn. Harvard Business Review. 69(3): 99‐109.
  3. Tosey P., Visser M., & Saunders M. N. (2012) The origins and conceptualizations of ‘triple-loop’ learning: A critical review. Management Learning. 43(3): 291–307.

________________________

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Filed Under: Coaching, Transformational Leadership Tagged With: leadership, mindset, scaling leadership, space, team building

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