Tuesday, October 2, 2007

QualityCan Not Be Legislated, It Must Be Lead By Innovation

I have had a full 24 hours of great education this week, and my head is spinning with new thoughts and ideas..

Last night, I had my first organizational leadership class; and I remembered why I loved organizational psychology and sociology so well as an undergrad! The class had a great discussion on leaders within organizations and their defining moments; IE; leading during the non-traditional events that occur within an organization. It got me thinking about the market disruptor's and changes that are looming in health care and the prospect of where the great leaders will emerge from to get us thru the changes as they occur. As health care organizations,we need to start spending significant time on teaching and mentoring innovative leadership. We need to think about how we reward and grow those individuals who have the ability to see the big picture, absorb it and make the critical decisions that will be necessary to stay competitive in a world market of care decisions.

The other part of my education occurred today at a Detroit Economic Club lunch where the president of one of the largest health care companies in America spoke about the future of health care in America. His thoughts put into words what many of us need to hear about our health care choices. I am still thinking about one item that he said and I am going to make it my new mantra for what I do within my organization, and for my leadership model to my staff. To paraphrase the thought: Quality will drive health care in the future. Further, quality can not be legislated, compliance can be legislated. Quality must be lead by innovation. Compliance does not create quality....

As providers, too often we find ourselves seeking "quality" to be defined by meeting the criteria set up by the government regulations. The reality is that quality is driven by creating market disruptive innovation that customers desire and demand. Without creating remarkable quality services and outcomes, we will fail in the future. By allowing the government and other regulatory entities define quality for us; we are missing the critical element; customers. Customer based definition of quality should be our one and only focus. In a true market based economy the customer should drive the success of a health care provider. Subsequently, as health care providers we need to fight for this vision. We need to demand that we are allowed to have the latitude to create customer driven quality care environments where consumers are able to define the quality they want. If the regulators really want to "thin" the poor performers, this system would work quicker, and fiscally more affordable for tax payers.

As an example of a market disruptive innovation, I think of the remarkable one of a kind wellness center that our company just opened at a sister facility. This is a living breathing example that will set the bar on remarkable quality for customers and families. This center will redefine what rehabilitative short term care should look, feel and act like. Kudos to the innovators who designed this, and thank goodness I work for a future sighted company!

As providers it is time to let go of the regulated quality/compliance outcomes that we feel comfortable with. We must allow our customers and market demand define what "quality" should be. It is in this innovative thinking that we can finally break thru the regulatory bureaucracy and achieve a competitive market based organization where the services we offer are worth the price to the consumer.

As a future leader, the times are both frightening but wrought with possibilities...I cannot think of a more exciting time and career to be in for the next 25 years!

Monday, October 1, 2007

The Character of a Community

On Sunday evening I had the pleasure to attend a very touching and inspiring event. This event, celebrated a 100 year anniversary, and the retirement/service of a dedicated individual who has dedicated a great portion of her life to providing care to the elderly of her community.

During this gala, one of the speakers made a simple statement that touched me in a profound manner. The statement? "You can judge the strength and character of a community by how they treat their elders."

As I sat there pondering his words and the rest of the evenings events; the strength and prophetic wisdom of this thought kept reverberating in my head. Several questions came to mind... How does my community treat it's elders? How have I role modeled the expectation of treatment to elders? Would my community members who are not part of my "care giving" environment agree with this statement?

I had never thought of a communities character in this manner. The speaker was referring to a religious based community; however his concept and thought can be applied to several sets of societal communities. Where do my "communities" measure up in comparison to the role model that I observed last night? (picture near 700 people who paid a large sum of money to attend this fundraising/retirement gala, all of whom were supporters of this specific religious community via religious or business affiliation.) Tough assessment and evaluation for myself.

Where have I been as a role model for care in my community sharing the expectation of how elders should be respected and treated? Am I a true advocate in every sense of the word? I would like to think yes; however I find myself thinking I/we could do better, and should do better. As a prospective elder, I would hope someone would advocate for me when I can no longer do so for myself.

As fellow caregivers; I ask you where is your community in the realm of respect and honor toward it's elders? Is it where you would like it to be when you are aged? If not, do we really have a community of value or character that we can be proud of?

Interesting thought, and one that I will share with my management staff...Great discussion topic for our next meeting.

Friday, September 28, 2007

Will We Be Open On Monday?

So, Monday morning, we will either have an operational state government, or we will have none...Wow...nothing like a little group punishment to get every one's attention. So much for a government who really has their constituents best interest at hand. In what way will this help us resolve our continuous overspending, and out of control government programming in the State of Michigan? It is not bad enough that we have the lowest economic forecast of any state in the union, now we can get some more bad press by turning the lights out on our government. Yes, it would make me want to jump on board and move to this great state. I can see the business lining up to get in already...

As a health care provider, I wonder when/if I will get paid for providing care to the state's frail and elderly in need? Will my vendors understand my dilemma?

Will this push back my state survey by days again this year? What kind of mind set will the surveyors be in when they get to my building? If I understand my peers correctly, the survey teams appear directed to find citations that are fineable ie: money making for the state on the providers payroll. If you are a skeptic, than it really is ironic that in the past year Michigan has again gone outside of the federal norm for the number of fineable citations and repeat surveys. (These both cost us as providers fines that are given to the state government). Funny like that...

As a mother of a young soon to be college graduate, I have already expressed my hope that he packs his car and heads south or west where jobs are plentiful and he can actually find productive and meaningful work with his degree...

As I drive to work I now count at least 10 houses that are vacant,foreclosed and for sale by their new owners the mortgage company...A sad testament to our state forecast.. (mind you that I live in an extremely rural area, 10 houses=15% of the houses I actually pass each morning..)

The other sad irony, it is predicted that health care will soon be the biggest industry in Michigan..If this is correct, where will all of the patients come from and where will they be working/earning money to pay for this great health care? As a provider I would prefer to be 3rd of 4th on that list...

Could it be that the same wisdom(or lack there of)' that is being applied to shut down our government for an indefinite period is what got us into this financial conundrum in the first place? A point to ponder isn't it?

Thursday, September 27, 2007

Eating our Young...

The following is based on a recent personal revelation, I call them "aha" moments for lack of an intellectual term. For my female peers, sorry I am sharing about a "female weakness", for my male readers here is a little insight into one of our own gender failures in regard to leadership and achievement.. It is not a politically correct discussion, but those that know me; know that I relish exploring the not so pretty side of humanity. With that said, this topic is a personal discussion and should not be construed as anything but a personal observation of a "careered female" seeking personal growth and development.

Let me know what you think; I know opinions will flourish about this topic..

Jana

Okay it is time to take the gloves off and talk about the dark side of female behavior. I am speaking about the behavior that has perpetuated thru the ages, and in looking at it critically could be one of the main reasons we fail to achieve leadership success at the rate of our male counterparts.

I am speaking to the behavior I term,"eating our young". In fact, I have had several women refer to this behavior as such. Ladies, you know what I am talking about...it is the negative, gossip mongering, catty, destructive behavior we enact when one of our gender counterparts does something to get recognized, looks good/better then us and gets compliments, or achieves something worthy of notice.

Perhaps it is the relishing of someones mistake, or other embarrassing moment. We pride ourselves in being the "first" to share the story and continue the destruction of our counterpart female. As if the original embarrassment from the incident was not enough atonement for their sins, we continue to heap the wrath upon them and then sit back and enjoy their utter and total destruction; as if we are a vindicated victim.

Perhaps you are reading this; and saying, "I have never done this; and I am sooo above that behavior. I am a professional educated female, I am impartial and fair", and I hate to tell you; in denial. Every woman at some point in her life has done something to piss off her female peers, and the claws have come out. Or one of your female counterparts have pissed you off, and you sharpen your claws on your emotional response...

Maybe you are a subtle attacker, sitting in the background listening to the gossip, but not stopping it; not disagreeing but secretly thinking, "thank god I am here, they could be talking about me like this." Yet, the darkness of the conversation sucks you in every time and you sit and listen. Perhaps you are an aggressive attacker, the speaker, using great descriptive terms to embellish the story, and make it even more significant. You are a strong woman, people wouldn't dare question you, and this feeds you to continue the behavior. It gives you a power over your female counterparts... Maybe you are a combination of the two; depending on the audience you have mastered both tactics and are the true eater of young. You can master, "this is not appropriate" and direct the conversation away as a leader should do; yet, in your own peer group where your power is limited you are an active participant in the behavior. (I call this passive aggressive to the nth degree.)

What ever your style we (I include myself here, guilty as charged); all have either participated in this behavior toward one of our peers, or have been the victim of such behavior. Either way, there is pain and loss involved. We not only are inflicting pain, but we are giving up significant power in our role modeling of strong leader, strong female.

As the perpetrator, it is a false sense of power and vindication isn't it? Because once we have acted in this manner, it puts us out there at risk for others to do the same to us As the victim, our sense of self, our esteem, our productivity as a leader can be significantly damaged, at times, to the point of no repair.

I know that many of you are probably outraged at this discussion. Good. I would rather have outrage and discussion, then a passive, so what? as a response.

Now let me take it one step further; I know we could sit here and discuss "why" we do this. We could blame society for keeping us "down", we could blame men for not respecting our ability; we could blame our mothers and female role models. The reality? We need to look at our own personal responsibility to this behavior and learn to check ourselves, and check ourselves frequently.

I had a discussion with a fairly educated man about this topic; and he told me that he felt it was part of our genetic make-up to be competitive with other females in an attempt to get the best mate. (I told him leave it to a man to make it about sex). However, his answer to the problem being genetic may not be to far fetched. Perhaps we are innately wired to compete with each other for the best "provider" and "provisions". Perhaps we are the most competitive of the species. Yet, as the most intelligent species in the world, you would think we could have achieved the ability to overcome the hurtful and destructive behavior associated with this genetic coding.

What ever causes it; we (women, females) need to learn to control it better. This behavior is leading to our failure as role models of success. It also is setting up our proteges to falter. If we are to be true female role models, we need to build up our young counterparts, allow them to gain success beyond anything we ever have had or could dream of achieving ourselves, and then relish in their achievement. We need to share honestly and supportive in their failures and provide an environment that is significantly different from what we experienced. We need to quit eating our young, and instead start feeding them to thrive.

Saturday, September 22, 2007

How it all began...

I received an email today from someone I met this week at the conference I attended. Her question? Why did I start my blog? In my first blog entry back in Dec. of 2006 I share my personal life story about change and what I have been seeking/working on for the past two years. What that entry does not tell, is the story of my first ever writing on line. In late August of 2006, I was spending an evening on-line reading a few websites and updates as I usually do instead of T.V. An article caught my eye,it was a response/rant from a female writer in regard to a Forbes Magazine article entitled, "Don't marry a career woman".

As a "career woman" I was curious. After reading the purported offending article, I felt compelled to respond; and respond, and respond.. I posted my response on a (ffaf), free-for-all-Friday on one of my favorite blog sites, slacker manager. Needless to say the response was a little interesting. One reader who really enjoyed my writing, sent me an email and we began talking via email about blogging and what it could do for me personally, professionally and what I could offer up to you; the readers. I pondered his suggestions and encouragement....

The rest is shall we say history....the link to my response on the ffaf is listed below; I apologize for the lack of editing. It was my "first" posting on line. Yet, it still speaks to how my mind works/thinks about life. With that said, the original article on Forbes was pulled, but is now found with a rebuttal article from another Forbes author/editor. To find it; simply type in "don't marry a career woman" in your Google search engine...Enjoy ALL of the articles/responses!

my link: http://slackermanager.com/2006/08/a-career-womans-response.html to view this, cut and paste this link into your search bar.

So now you know the rest of the story...and how I found the tag "career female" as my blogging tag name.

Jana

Friday, September 21, 2007

I'll take the wealthy Dr. please...

The following is a personal opinion, and should not be misconstrued as the opinion of my company or profession. It is simply a reflection on a thought that revisited me today courtesy of a political discussion held with a physician; and given my attitude at the moment I felt compelled to share...Jana

Why is it that in America we feel compelled to control the income of a certain group of people? Usually that group is anyone who has more, earns more, or we perceive to be more successful then us. I am speaking to a new mind set that I have heard more then once related to the amount of money that physicians earn for their work. This mind set terrifies me...At what point did we as a society decide that our physicians should be price controlled and that given the opportunity we should be able to decide how much they earn?

I for one, want my physician to be the most successful, sought after, wealthiest person in their profession. Why? If we truly had a free competition medical market, I would envision he or she to be the best at what they do. IE: their personal success=success for my care.

Why would I want someone who was paid the same amount of money irregardless of how successful or good they were? Where is the motivation for them to provide me with outstanding care? I would envision my care to be mediocre at best.

Yes, I know care giving is an art; and it should not be about the money. I like to believe I do my job because it is my "passion and calling" however I also like the paycheck, and the benefit package that comes with it. Quite frankly, moving up the ladder into a leadership position was not only a personal draw, but also a financial one for myself and family. Is it not the same for you?

At what point do we decide that someone else makes too much money and therefore should not be able to make any more? Is this not the key component of a jealous or envy driven mind? Quite frankly I can think of many people I am envious of..I wish I had their intellect, their beauty, their charisma, their talent, their business savvy.. Simply because I covet these traits, does it make it right for me to stomp my foot and say not fair, give it up, play fair, you MUST share with me. Hmmmm. I think that lesson is called life is not fair, it never has been, and it never will be on earth..

I know we need health care reform, I know that we need to get a handle on out of control costs for insurance or people who have no coverage; but I believe stopping free market competition is wrong. It will not solve the problem, but in essence exacerbate the quality of care that we receive. Don't believe me? Check out the failing free government insurance and care programs of our European allies. Not good. They too are struggling with care issues mostly related to lack of good services being available and incredible waiting times for services to be rendered. Why? perhaps it has to do with the fact that their physicians are price controlled, and have no motivation to be more productive, or competitive...

Funny thing that competition, we act as if it is politically incorrect to view competition as a standard of American living. Yet in reality, it is the main stay of what has made our nation great and different... Competition drives you to seek success; without the drive it is a rare person who does not become complacent or lose their motivation.

Take the competition out of the medical profession and we risk losing the best, brightest and most driven caregivers. Kind of a scary thought isn't it?

Wednesday, September 19, 2007

The Power in an Idea

I am home from my professional conference, exhausted but exuberant. Why? The exhaustion comes from late nights of networking/conversing/laughing with fellow care professionals. The exuberance? I did my first individual presentation at our annual conference; and the content of what I spoke on created new ideas for those who listened. In essence; the content of what I spoke on was a new concept and idea that many had not known/thought or expended time on. I am in lack of better terms; "geeked" by the feedback and that I had an idea that was new; fresh and different to train and speak on.

As a speaker, my voice was not on my A game. Unfortunate for me, (Murphy's law aside); I have a nasty cold that came home with me from New Orleans. I could not use much inflection or tone change without having a coughing fit..Not pretty...however, the outcome of the content that I presented appeared to be very new ideas for most in the audience, and it caused discussion at the post lunch tables.

Having people talk about what you said indicates that they are thinking about a new idea. I don't care if the conversation is negative or positive; the mere fact that a conversation is happening indicates that they are thinking about something you said and it put a new thought in their head. In essence, your education was successful.

So what new ideas have you triggered in your teams? your consumers, your elders? As I sit here typing; it occurs to me that the power of placing an idea in someones head is incredible. As a provider and leader I am driven to put new thoughts about long term care, our industry, our profession into the minds of society. Imagine the collect power of our voices speaking the same language about who we are; what we do, and why we do it. Imagine the speed at which we could change the culture of care in America, one simple idea or thought at a time spoken to 200 and the rest could be history...

Thank you to those who attended my presentation; and welcome to my blog. I will be working with HCAM to set up a longer/more involved hands on training. Thank you for the feedback and idea to create a more involved training; I am looking forward to getting you all writing, and sharing. Watch the Pulse/HCAM publications for further information and dates.

Jana