So, you think you know

who you are, huh? Really?

Entrepreneurial Leaders are responsive (instead of reactive). They take reasonable risks (which means they don’t bet the farm, or even buy lottery tickets!). They are goal-driven, but focus more on the steps to reach the goal. When something doesn’t work, they make adjustments and try again (vs. corporate/government thinking that produces analysis paralysis!)

Guess what the number one ingredient is in entrepreneurial leadership — any kind, any level (from running a company to running a work crew or department, to running a family or sports team)? It’s knowing yourself. Your SELF. Because unless you know what makes YOU tick, you can never know what makes others tick.

When you don’t know what makes others tick, you’ll never be able to communicate clearly with them . . . because they do NOT think like you think even if you think they do. They don’t. You are unique. No one else has your brain. No one else can reach inside your brain and control it because every one of your behaviors is your choice!

So, are you still with me? If that little bit of awareness is true for you, it is equally true for each person who follows you. To be truly effective as an entrepreneurial leader (as opposed to a robotic leader!), doesn’t mean you have to be a shrink. It means you have to accept that everyone does not think like you, and you need to do your best to figure out what makes them tick.

Just because you may think you’ve “been around the block a few times,” that you’ve “been there, done that and got the t-shirt” doesn’t mean you can dismiss the need to keep learning about yourself and others because these are different times. What worked for you before is not likely to work again for you without some kind of adjustment.

The place to start adjusting, then, is with how, when, and where you absorb new information. Just as you and your life are constantly changing (even, and usually, when you least expect it or are aware of it), so too are the lives of those who look to you for guidance. I’m not suggesting you become a Google-aholic psych student. Just keep yourself alert. Observe. Listen.

Keeping up with all of that is challenging. But isn’t that why you took the job or accepted the responsibility in the first place?

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Business and Professional Practice

Collaborations, Partnerships,

and Marriage . . .

When two people in business or professional practice agree all of the time, one of them is not necessary.

Things that function —from engines to entrepreneurial (doctors included) ventures– need friction. But it appears that just as many people seem not to distinguish clearly between assertiveness and aggressiveness, as those who fail to keep friction and arguing or temper tantrums separate. (Yes, I once worked with a short-fused surgeon who threw scalpels!)

This collaborative partnership subject emerged during an invigorating get-acquainted discussion I had this week with fellow LinkedIn contact, Robin Standlee, an organizational transformation specialist whose company, C-Level Consultants, LLC. is a collaborative partnership organization that works with entrepreneurs and nonprofits.

She pointed out that the strength of collaborative partnerships has a great deal to do with the care and attention given to defining relationship parameters. Clearly defining role responsibilities encourages partners to feel freer and function more productively. Leadership is the ultimate product.

Working with many partnership entities over time (and actually being one for 25 years) has allowed me a unique perspective on these kinds of work arrangements. I have seen partners scream, threaten and throw things at one another — even a fistfight once between two brothers! From surgical group practices and hospitals to IT, foodservice, transportation, and HVAC companies, no enterprise is immune.

The bottom line is that partnering courtships and honeymoons may flutter hearts and become engulfed in bird tweets and floating flower petals, but the realities that test every marriage will surely come to the surface once a relationship settles in. Defining clearly what to expect and who will do what and what will be jointly agreed to —the marriage contract— is critical to ensure business and professional growth.

When you’re serious about joining forces with another person or entity, the only way to make certain that everyone involved will stay involved, that healthy assessments are met with healthy counter-assessments (in other words, that honest and straightforward critiquing and constructive alternative thinking is encouraged) is to agree on a strong operating platform.

COLLABORATION ARTICULATION = Communicate. Communicate. Communicate. When the glitter goes away, will your partners still stand tall?

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Fired? Laid Off? Graduating?

It’s All The Same Thing:

CONGRATULATIONS!

“Huh? How can being fired compare to graduating?”

Both set the stage for life change.

“But one is negative and one is positive.”

Yup! Congratulations!

“You can’t be serious.”

Why not? Both situations put great opportunities in your hands. You are finally in complete control of your own destiny. And whatever you decide is 100% your choice!

If you’ve ever dreamed of making your mark on this planet, these are the kinds of circumstances (being fired, being laid off, graduating) that can open the door for you. None of them is problematic unless you choose for it to be.

Some of the world’s greatest success stories have come from those who are in, or returning from, the depths of trauma. Great riches historically land on the shoulders of those who decide in favor of moving forward with themselves instead of choosing to dwell on or wallow in the circumstances that led them into darkness.

Strength of character comes from inside you. And it has more to do with what you decide to do with your life than from outside influences telling you what’s best. No one else can ever know more about you than you know about you. So don’t rely on the judgments of others to make up your mind about what’s best for your present and future.

In sports, when someone screws up, teammates yell: “Shake it off!” because the game continues. And standing around feeling miserable about letting down your team accomplishes nothing except perhaps serves to prompt another screw-up and compound the first incident even further. It’s no different in careers or business or life.

Aaaah, and there is also of course a divine presence that deserves mention here as well because –if you believe in a supreme being– surely every major shift in life status represents the chance to re-examine and re-explore whether the ways you are moving are indeed forward, sideways or backwards . . . and this relates to attitude, not career status.

Do the steps you take today serve the best purposes of your own ambitions? Do they serve or lead you to better serve others? Are you taking steps? Any steps? What’s the roadblock? Have you convinced yourself that any steps are too difficult right now? When will that change? Can you simply choose to change it now? Are you choosing to be resistant?

More often than not, forward progress gets stalled when we get ourselves caught up in our own self-sorrow. The world keeps turning. The clock keeps ticking. Your heart keeps beating. Don’t choose to waste your precious time on earth feeling sorry for yourself. A friend of mine once admonished: “There’s plenty of time to sleep when you’re dead!”

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 WHEN “LEAN” IS FAT!

The buzz word in today’s management circles is “LEAN” — not as against a lamppost, but as trimmed back to basics and making the most of computerized technology to produce a measure of quality efficiency. This is a fantastic concept that works in manufacturing (such as with Swiss Screw precision parts, and with automated equipment operations).

Unquestionably, implementing LEAN can make a difference. The problem is that –as with MBWA and Quality Circles and Theory X and Theory Y and JIT and scores of other management and leadership approaches– too many leaders desperate to make a name for themselves by shaking up their organizations tend to latch on to the latest fad, and expect nirvana.

With LEAN, too many advocates of quality leadership in management are attempting to put this square LEAN peg in a round ultimate consumer hole. The result for many of these forced marriages — especially in healthcare (doctors, hospitals, and facilities of every description)– is that they can end up victimizing themselves by a rush to “leanness.”

It’s not unlike cutting back food consumption to lose weight, then ending up dizzy and disoriented. In other words, too much reliance on streamlining the process can easily overshadow the basic thrust of an organization’s purpose.

Consider for example, what the last few letters (hint: Not “EHR” or “EMR”) in healthcare, are all about. All the cost efficiencies and lightning record retrieval systems in the world cannot come close to the only thing that –in the end– really matters:  care.

Of course a LEAN approach in healthcare can mean more accurate, more efficient, more rapidly delivered patient care. But buying into LEAN as if it were the end-all, be-all, ultimate solution to healthcare is like saying that the process of flying the plane is more important than the pilot. And that may well be the case some day but, for now, reality dictates that computer technology apps are simply tools to afford providers the opportunities to provide better quality patient care.

Use LEAN. But give careful budget and strategic planning consideration to the kinds of staff training and practice development avenues that far override the values of LEAN, such as:

1) Staff, patient and patient family communication. [A world-leading hospital I am intimately familiar with has robots delivering meds to patient rooms, but staff physicians who file endless numbers of computer reports don’t read one another’s reports, or communicate with each other. Few even have direct contact with the nurses dispensing the drugs!]   

2) Staff, patient, and patient family stress management [Did you know that the more relaxed a patient is, the more accurate the diagnosis can be and the better the response will generally be to treatment? The better the odds for reimbursement too, not incidentally! Patients and their families seek trust and  reassurance. LEAN may set that table, but only physicians, nurses and professional staffs can deliver the meal.] 

Target your budget and your process emphasis behind the kinds of communication skills and stress management training that providers and provider support staffs most need and least often get if you really want LEAN to work. Diets are great if you stick to them, and success often reduces itself to maintaining an ongoing dialogue about it with someone who supports your pursuits.

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