Sustainable Population Health -- Who's on First?

By Rob Thames

Post-truth, Fake news, Misinformation (Dictionary.com words of the year for 2016, 2017 and 2018, respectively). Let’s be clear: How is population health different from community and public health? How does it relate to health disparities? A senior leader discussion on these topics can begin to sound like a rendition of Abbott and Costello’s “Who’s On First?

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Rural Health's Specialty Lies in the Special Care

By Roger Barnhart

It was my first time back to a rural hospital. Though I had practically grown-up in rural health – both with frequent visits as a volunteer and as a support services employee – I had not been within the walls of a rural hospital in many years. And never had I been in one as a healthcare executive.

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Resilience - Question and Answer

Re-posted with permission from HealthTechS3. Original article here.

As a sequel to our last blog on Resilience: The 5 Keys to Becoming a Resilient Leader written by our CEO, Derek Morkel of HealthTechS3, we provide a 2-part Q&A series of informative insights from two of our exceptional interim executive leaders, on the true grit, perseverance and resilience they’ve had to demonstrate through their professional working careers as leaders.

Rodney Reider has a rich history of 25 years’ healthcare industry experience, having worked across various boards and with physicians, employees, and the community to strengthen core services to customers. As a strategic, enthusiastic, and accomplished leader he has mastered the ability to identify and draw upon team members’ strengths in order to optimize performance and face any challenges to reach a common goal.

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Focus on Culture for Patient and Family Care: Beyond the Medicine

by Roger Barnhart

As healthcare (including acute care, nursing homes, home health and all downstream providers) moves towards a greater focus on patient/family satisfaction, the model of healthcare must also evolve, for both the government and patients/families will be closely reviewing these in determining healthcare provider(s) of choice. A satisfied patient is a more compliant patient, making for a more engaged patient.

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Changing Landscape and Designation Within Rural Healthcare

by Roger Barnhart

The landscape within rural communities was very different in 1977 than it was 20 years later when Congress created the Critical Access Hospital (CAH) designation through the Balanced Budget Act of 1997. The intent was to reduce the financial vulnerability of rural hospitals and improve access to healthcare by keeping essential services in rural communities. In the 20+ years since, healthcare and the settings in which it is provided (and subsequent regulations) has continued to evolve.

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Patient Care Experience Beyond the Medicine

by Roger Barnhart

INTEGRATING SUPPORT SERVICES AND FAMILIES FOR PSYCHOSOCIAL CARE

He is that family member we all know, regrettably often looked upon as bothersome, annoying or cantankerous. Throughout my career in home health, skilled nursing and acute care, these family members are at every level – anywhere that involves caring for vulnerable patients.

One doesn’t even have to be in patient care – simply working in healthcare means each of us will likely deal with these troublesome family members at one time or another.

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When is achieving all your goals not good enough?

By Rand O’Leary

So, we’ve closed the books on another year, and it’s time to review your performance.  Maybe you’ve completed all your goals -- congratulations you’ve failed.  Failed? How could that be, I’ve completed all my goals? And therein lies the problem, you didn’t set your goals (or the bar) high enough for your own performance.  Goals by definition are aspirations and should be set high enough to stretch the organization and yourself in new directions.  If you are constantly beating your goals, you’re not stretching enough. 

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Mitigating Decision-making Errors Along a Transformation Journey

n Part A of this two-part article on decision-making errors, the main categories and types of decision and judgement errors were reviewed along with some associated logic fallacies.

 So What?

Two practical questions emerge. First, what can we do to improve our judgement? A combination of antidotes is often recommended to mitigate the untoward effects of these decision traps: being humble and aware, knowing yourself and knowing others, and following a process are the top three. The first, being aware, is like telling a pitcher to “throw strikes” (well-intended, but not of great practical help – this is what the pitcher is trying to do but it does not help him/her do it!). The second, to know oneself, is harder than diamonds and steel, according to Benjamin Franklin. The third, following a process, offers the most tangible promise for something we can actually do that can consistently make a difference. 

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Decision Making Traps: Decider Beware

Leadership Transformation Series 

Decision Making Traps: Decider Beware

This is Part 4A in this Four-part Leadership Transformation Series (LTS); 4B will follow.

Transformation in healthcare is personal: it requires the transformation of health system leaders. The LTS begins to speak to key differences in some of the fundamentals of transformational vs traditional leadership in healthcare.

 This article focuses on how we make decisions: 4A Reviews decision-making errors.

4B Addresses how to mitigate decision-making errors

 

4A Healthcare Transformation and Decision-making Errors

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New Year’s Resolution: Become A Better Leader!

In all the hustle and bustle of the holiday season, its easy to forget that in just a few weeks most of us will be looking at the New Year and a list of resolutions or promises that we have made to ourselves that we hope to accomplish.  Some of our old favorites are bound to make the list, lose some weight, exercise, give more to charity, get back in touch with family or old friends. 

But what about including in this year’s list the commitment to be a better leader next year?

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The Operating Model: Closing the Strategy-Execution Gap

By Rob Thames

Leadership Transformation Series 

The Operating Model: Closing the Strategy-Execution Gap 

This is Part 3 of a Four-Part Leadership Transformation Series (LTS).

Read Part 1 and Part 2.

Transformation in healthcare is personal: it requires the transformation of health system leaders. This LTS begins to speak to key differences in some of the fundamentals of transformational vs traditional leadership in healthcare.

This article focuses on how leaders operate. 

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Systemizing Healthcare: The Integrator Role

by Rob Thames

This is Part 2 of a Four-part Leadership Transformation Series (LTS). Read Part 1 Here.

Transformation in healthcare is personal: it requires the transformation of health system leaders. This LTS begins to speak to key differences in some of the fundamentals of transformational vs traditional leadership in healthcare.

 This article focuses on the changing role delineation of leaders.
 

The leadership need for ‘the Integrator’ is re-shaping traditional CEO and COO roles.

A few decades ago, the role of ‘the Integrator’ in healthcare leadership did not exist – at least not in the form needed today. Unlike roles with new names – CTO, CMIO, CPHMO, etc. - the same titles of CEO or COO may be used for a healthcare system, yet the shapes of these roles bear little resemblance to those with the same titles used in a hospital or other ‘vertical.’

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The Fourth Discipline: Transition Management

By Rob Thames

This is Part 1 of a Four-Part Leadership Transformation Series (LTS).

2012 Womens Olympic Triathlon finish in London - After two hours of racing with the best in the world, what would one or two seconds in transition time have meant for the top three athletes?

Transformation in healthcare is personal: it requires the transformation of health system leaders. This LTS begins to speak to key differences in some of the fundamentals of transformational vs traditional leadership in healthcare.

This article focuses on how the nature of our work is changing. 

Many compare the healthcare transformation journey to one of our oldest Olympic sports: “It’s a marathon!” Although this might reflect the persistence, resilience and endurance sentiment, I offer an analogy upgrade from one of our newest Olympic sports: “It’s a triathlon!” 

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Healthcare Integration: Ship-to-Shore Work and the Ultimate Weapon

by Rob Thames

Veterans Day reminds me of my father. In WWII, he landed on Omaha Beach on D-Day.

As Steven Ambrose details in his book “D-Day,” the Allies planned the Normandy invasion for three years, but as soon as our troops hit the beaches, the plans went out the window. To the ‘man on the ground,’ NOTHING was as planned. And on the beaches, formal leaders were dead or not available. Survival and progress to save the free world depended on rapid learning and action, i.e., adaptive leadership. Our troops felt empowered to act, German forces felt compelled to wait for Hitler’s direction. The rest of this leadership story, as they say, is history. 

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Does your new hire have the right stuff? How their personality has a long-term impact on your organization’s bottom line.

by Rand O'Leary

In healthcare, how often have you heard this, he/she is a great clinician, but has no personality.  Or, take me to hospital A, but if I’m really sick take me to hospital B, this assumes hospital A is the “Nice” hospital but Hospital B is where all the best clinicians work.  So, the obvious question is, can’t you have both?  Yes, if you select the right people. 

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