Healthcare Leadership Can Mean

Only One Thing… and it’s NOT

Obamacare or “Lean” Management

Thirty years of healthcare and medical practice-development have led me to conclude that some doctors, many therapists and most nurses get it! They understand that healthcare and healthcare leadership is personal, professional and passionate.

Sadly, a great many healthcare business executives and a good number of providers have sidetracked themselves into thinking that HEALTHCARE is all about slogans, smiling doctor billboards, malpractice insurance fees and reimbursement battles.

Reckless opinionated media “reporting” has drawn healthcare providers and business managers into a tangle of confusion. Talking heads thrive on using every opportunity to convolute issues, stir up doubt, be confrontational, and aggrandize politicians who support their network bosses and stockholders. It’s all a game, and we the people are losing.

Increasingly, government political (and more quietly, insurance company) empty suits are playing God. They are continually trying to convince the world that they are answering the call for qualified healthcare leadership. They, after all, proclaim to know more than we do about what diagnostic, treatment, and doctor choice decisions are best for each of us and our families.

They can live in Nevada and pretend to understand what healthcare is about in New Jersey or Tennessee or Maine. I don’t think so! They’re just protecting their own political profiles, pursuits and plans. And many top healthcare executives simply add fuel to the fire by talking and acting like healthcare is simply a maze of administrative or operational management techniques, methods, or styles that they alone have the answers to.

Well, guess what? Reality Check:

HEALTHCARE IS ABOUT PEOPLE!

You’re healthy, you want to stay healthy. You’re sick, you want to get healthy. That’s it! What part of “get and stay healthy” is so hard to understand?

What are all these other hocus-pocus theories, political scams, new tech apps, insurance deals, Congressional posturing, and media “findings” but diversionary tactics? Is it or is it not “dancing around the issues” in an attempt to look good, or to make money, or to win votes . . . instead of just sitting down and solving the damn problem?

Healthcare professionals justifiably rely heavily on emerging technology and associated improvements in methodologies like the “Lean” management fad. But (and this is a big but) . . . BUT these are only tools. In the wrong hands, even a hammer can miss driving nails.

The bottom line is that leadership in healthcare

means stepping up to more than a diagnostic or

treatment provider role. It means having an

Advocacy Attitude . . . being on the patient’s side!

Imagine if every encounter a patient or patient family had with a healthcare provider could be –as was recently noted here in exemplary fashion by Sloan Kettering Cancer Institute provider and provider support staffers– a remarkable, high-five, bend-over-backwards experience . . . professional providers and caregivers acting like advocates on behalf of each patient and family!

Imagine if every patient and patient family could be trained in advance of every provider diagnostic or treatment exam to better manage anxiety. My best guess is that 3-4 minutes of every doctor exam are consumed with getting the patient to relax. With a 12-minute per patient insurance company limit imposed on the doctor in order to be reimbursed, that leaves 8-9 minutes to diagnose or treat . . . none of which ordinarily go well when distress is present. This is not rocket science. It is not a Madison Avenue branding campaign. It is not politics. It is reality.

Done correctly, these solutions cost nothing but initial investments in time and energy and perhaps some coaching. What’s the expected result? More accurate diagnostic readings and better receptivity to treatments. Happier patients and patient families (whose testimonials to others increase volume and referrals), improved staff teamwork, happier provider and staff and their families (who benefit from “take home” method values). Even happier insurance providers.

So, if skills, training and experience are all present, the “tipping point” factor comes full circle back to, yes, bedside manners!

It’s the “CARE” in HEALTHCARE!

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SPIT IT OUT,

ON PAPER!

Literally?  Well, not unless it’s a tissue, or maybe a paper towel or napkin.  Figuratively, then?  Hey, you may be bright enough to stay employed after all.  Are you being a wise-guy?  Of course, this is a blog, isn’t it?  So what’s your point? 

     Unless you’re in a high-stress, time-crunch job location like the ER, the battlefield, the deck of an deep sea fishing trawler, an air-traffic control tower, or the floor of the stock exchange, anything that’s important enough for you to say is important enough for you to say in writing. 

[P.S. If you’re a tree-hugger worried about your green reputation going down the tubes because you use too much paper, stop reading here and have a nice day!] 

     Once you get your basic thoughts down, edit them carefully (sleep on them if possible), then deliver them in writing (or printout), on paper (or occasionally, online via email)! 

     Now, wait a minute, I’m just a landscaper; the only paper I handle’s a time sheet, and my brother says his company makes all decisions by email! Ah, all the more reason to carry a pen and pocket pad.  How many times a day are you interrupted?  How much of where you were, do you remember after a series of interruptions?

     Every minute that you spend taking notes on the boss’s instructions and putting your ideas down on paper is an investment in your self-success, and the success of your business.

     You simply won’t believe this until you do it consistently for 60-90 days.  But that time period will make a believer of you. 

     As for your brother’s email-crazed company, and my note earlier that occasionally online communications work, is not a condemnation of email.  It is a warning flag that when you email important ideas, you are suggesting they are not so important because you’ve presented your thoughts in the mad rush, snap decision making “delete/save/file/reply” environment that emails breed. 

     Even when an important communication is carefully constructed and edited, it can fail because it was zipped off without enough attention to proper subject line wording, or careful thought given to the who’s who of Cc’s and Bcc’s, or just because the use of email can give the impression that the contents are not well thought out and have been shot from the hip. 

     Sometimes being more personal is better.  I hand deliver proposals to clients when possible because I can be there to see their faces and judge responses they may not express in an email reply or even a telephone discussion.  

     You can read and hear words in a response, but when you can’t see the facial expressions, the posture and the attitudes involved, you’ve only got half the answer.  How confident would you be of making a sale the customer agrees to while hand signaling or winking derisively to a co-worker as you’re babbling away to them on their speakerphone.  And emails are even more distant.

     Whether you’re a contractor making a mental “punchlist,” a law enforcement officer reconstructing an accident scene, an engineer struggling with an architect‘s lack of reality, an administrative or salesperson working with other’s deadlines and expectations, or a physician explaining a procedure to a patient, put it in writing! 

     By writing out what you observe, hear, think or propose, or by drawing a diagram to explain yourself you are taking giant steps toward improved communications.  Improved communications win job promotions, bonuses, customers, comeraderie, industry and professional attention, and management (and, yes, even family) support.  halalpiar

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