SixSEED Partners

transformative leadership

Leveraging Accountability for Self and Others

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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.

Developing Integrated Accountability in Healthcare

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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!

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.

Transforming our Seeds to help you Succeed

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The SixSEED Partners Team: Petra Platzer, Cliff Kayser, and Joy Goldman

Since our inception, we have had one unifying passion: to make healthcare healthier. 

Two years ago, SixSEED Partners sprouted from a team of colleagues I brought together to work with multiple high potential leaders on a multi-year succession-planning process in a community-based healthcare system. Together, we were able to integrate our specialties of coaching and consulting with a developmental lens, e.g horizontal and vertical development, with the application of polarity thinking to create much more than classical succession planning. We developed a leadership ecosystem capacitation (LEC) model that simultaneously increased individual AND systemic capacities and overall resilience within that organization. As the impact of this multi-pronged model became clear to us – as well as our client – the vision for SixSEED Partners was born.

As we have continued working with that system, and various other healthcare leaders and systems, we have also continued applying the same leadership and system tools to ourselves – individually and our collective leadership team. Through that iterative reflection, our leadership team has evolved into a new structure this year. And through our continuous feedback processes, we learned that our branding was creating some confusion around our unique service offerings. 

With those shifts – and with the unprecedented health crisis that we have all been navigating in the past few months – we took this time to again, practice what we preach. We slowed down. We reflected on what matters to us and how can we be in best service to those we are passionate about serving.

From all those efforts, I am pleased to share with you our new website re-design and re-branded messaging, as a beginning. 

Our mission is simple: we provide integrated solutions to heal healthcareTM

Our service offerings are now denoted as 6 unique “seeds”, which can be approached as individual bodies of work, and ideally, as integrated engagements across multiple seeds to create a lasting result. 

  • Leadership Development
    • Team Development
    • System Integration
    • Well-Being
    • Culture
    • Leadership Ecosystem Capacitation Model

Through this multi-pronged approach at multiple levels, we are able to custom design integrated solutions that leverage the best delivery routes for meeting our clients where they are in their current cycle of work. 

We are not a “coaching” firm, nor a “consulting” firm, nor “a training” firm. We are an integrated solutions firm that can deliver all those delivery routes in order for our clients to create an expanded skillset, not just additional knowledge. 

What is still the same is our focus on improving the capacity of healthcare leaders and teams to lead in times of complexity and uncertainty. If there’s one thing the current pandemic has highlighted even more for so many, it’s the need for resilient people and processes to be able to address unpredictable changes for everyone’s well-being and success. 

What’s important to us and our clients is our integrated approach that includes:

  • Focusing on an overall goal of increasing leadership capacitation within systems 
  • Integrating solutions that address individuals, teams, and entire systems knowing that we need to integrate all aspects to achieve sustainable change
  • Delivering results that impact strategic, operational and cultural outcomes
  • Using a defined, iterative process rooted in evidence-based change strategies

We invite you to browse around our refreshed site to learn more about our approach, our results, and our team.  During this auspicious month officially celebrating National Nurses Day, National Hospital Week & Healthcare Heroes, we are here and ready to partner with you to help you succeed!

Leveraging Specialized Knowledge and Shared Knowledge

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This is the sixth in a series on leveraging tensions during this time of the coronavirus.  For SixSEED Partners, Covid-19 is a powerful reminder of what already exists in our world which is complex and unpredictable circumstances that can cause much pain and expense unless we learn to take a more systemic view and get comfortable leveraging interdependent tensions.  Previously, we covered the paradoxes of:

  • Leveraging Facts AND Faith
  • Leveraging Staying Present AND Anticipating the Future
  • Leveraging Care for Self AND Care for Others
  • Leveraging Assuming Responsibility AND Delegating Responsibility
  • Leveraging Taking Ourselves Seriously AND Taking Ourselves Lightly

The tensions we are highlighting are coming from your real-world challenges.  We’re asking questions and staying present to your pain points, that, in already demanding circumstances, is taking additional energy that you don’t have to spare.  We want to help make this easier for you, while also increasing your capacity to lead others through this pandemic.

As I was listening and participating in a recent SixSEED Partners team meeting, I was hearing stories of inflicted trauma to businesses as a result of one or more of their partners contracting the coronavirus or some other illness and becoming either temporarily or permanently disabled.  The trauma inflicted, in addition to the loss of a loved one, was the impact on the business due to a lack of shared knowledge – knowledge transfer. 

Organizations who understand this tension have been rotating a greater pool of leaders through their Covid-19 Incident Command Centers so that the “show can go on” if one of the senior leaders becomes sick.  As hospitals have struggled with adequate personal protective equipment, and as we’ve learned more about the varying symptom manifestations of the virus, this reality of suddenly having someone out of commission is front and center.

On a personal level, as I’ve heard of couples contracting the virus resulting in one or both of their deaths, I’ve been moved to have discussions with my husband around “information sharing” that we’ve not previously placed as a priority.  Where are passwords; “important documents;” “house maintenance activities,” etc.?  For a system to be agile and resilient, these processes need to be in place so that immediate adaptation can occur.

Below is a polarity map, which outlines this tension of Leveraging Specialized Knowledge and Shared Knowledge.

At SixSEED Partners, we are committed to developing leaders who have the capacity to leverage these interdependent tensions that are here to stay.  We’ve taken the liberty of adding some action steps and warning signs to this map that you can use immediately with your teams.  

If you’d like your own editable polarity map to give yourself the systemic view of the tension you are navigating, or if you have questions about how you might use this information now, complete our contact form and we’ll respond within 1 business day.

Leveraging Taking Ourselves Seriously AND Taking Ourselves Lightly

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This is the fifth in a series on leveraging tensions during this time of the coronavirus.  For SixSEED Partners, Covid-19 is a powerful reminder of what already exists in our world which is complex and unpredictable circumstances that can cause much pain and expense unless we learn to take a more systemic view and get comfortable leveraging interdependent tensions.  Previously, we covered the paradoxes of:

  • Leveraging Facts AND Faith
  • Leveraging Staying Present AND Anticipating the Future
  • Leveraging Care for Self AND Care for Others
  • Leveraging Assuming Responsibility AND Delegating Responsibility

After hours of speaking with our clients who are on the front lines in hospitals or leading medical practices, the tensions we’re highlighting are coming from them—you.  We’re asking questions and staying present to your pain points, that, in already demanding circumstances, is taking additional energy that you don’t have to spare.  We want to help make this easier for you, while also increasing your capacity to lead others through this pandemic.

Below is a polarity map, which outlines this tension of Taking Ourselves Seriously AND Taking Ourselves Lightly in service to creating a healthy workplace for all.  What you’ll notice in the below polarity map that is different from prior maps in the series is an action step that is highlighted in yellow.  This is called a “high leverage action step” since it applies to both poles.  Intentional design of meeting agenda and space is necessary to leverage a business focus and a lighthearted/ energy-giving focus. 

As we’ve spoken to our clients, we see and hear the exhaustion people are feeling as a result of this prolonged pandemic along with the stressors of re-opening elective surgeries while also staying prepared for what could still be a surge in Covid-19 cases.  After weeks of being immersed in fourteen- hour days and incident command centers, your “higher-order thinking” can get worn down by the constant energy out.  Designing in activities that allow you to laugh and keep a “beyond-Covid” perspective helps to build your resilience for the ongoing demands.

At SixSEED Partners, we are committed to developing leaders who have the capacity to leverage these interdependent tensions that are here to stay. We’ve taken the liberty of adding some action steps and warning signs to this map that you can use immediately with your teams.  

If you’d like your own editable polarity map to give yourself the systemic view of the tension you are navigating, or if you have questions about how you might use this information now, complete our contact form and we’ll respond within 1 business day.