L d hi i L d hi i Leadership in Leadership in Academic Practice Administration Academic Practice Administration Academic Practice Administration Academic Practice Administration Dermatology Academic Administrators Group Association of Professors of Dermatology Association of Professors of Dermatology Chicago 9/14/12 Christy Harris Lemak, PhD FACHE Associate Professor , Health Management and Policy Director, Griffith Leadership Center School of Public Health, University of Michigan Chief Academic Officer , National Center for Healthcare Leadership
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L d hi iL d hi iLeadership in Leadership in Academic Practice AdministrationAcademic Practice AdministrationAcademic Practice AdministrationAcademic Practice Administration
Dermatology Academic Administrators GroupAssociation of Professors of DermatologyAssociation of Professors of Dermatology
Chicago 9/14/12
Christy Harris Lemak, PhD FACHEAssociate Professor, Health Management and Policy, g y
Director, Griffith Leadership Center School of Public Health, University of Michigan
Chief Academic Officer, National Center for Healthcare Leadership, p
Why Leadership?Why Leadership?
The problems that exist in the world today cannot be solved byworld today cannot be solved by the level of thinking that created them.
-Albert EinsteinAlbert Einstein
2
Two (Related) ConceptsTwo (Related) Concepts
LeaderLeader LeadershipLeadershipLeader Leader Development
LeadershipLeadershipDevelopment
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Leadership Opportunities for A d i Ad i iAcademic Administrators
Leadership Development– Supporting the Chairpp g– Strengthening Other Faculty Leaders– Mentoring and developing other managers– Building and sustaining culture– Navigating and negotiating with variety of
internal and external stakeholdersLeader Development
– Becoming more effective in all of the above4
Unique Challenges in A d i M di iAcademic Medicine
1 What is leadership?1. What is leadership?2. What do leaders do?3. How can you be more
effective as a leader?4. How can you strengthen
leadership in your p ydepartment?
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What is leadership?What is leadership?
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A Leader IsA Leader Is….….one who manifests direction,….one who manifests direction, integrity, hardiness, and courage in a consistent pattern of behavior thatconsistent pattern of behavior that inspires trust, motivation, and responsibility on the part of followersresponsibility on the part of followers who in turn become leaders themselves.themselves.
-Warren Bennis
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What do People Wantpfrom a Leader?
• Direction and meaning (Forward-Thinking)• Trust (Honest)( )• A sense of hope and optimism (Inspiring)• Results (Competent)• Results (Competent)
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2 Types of Leadershipyp p
Transactional Transformational• Influence others by means of
a transaction• Contributions of each party
• Strong interpersonal identification with leader
• Inspire, energize, intellectually• Contributions of each party are recognized
• Looks beyond own self-interestf• Self Interest = Key
• Hierarchy• COMMODITY DRIVEN
• Defined shared values and beliefs
• PERSONAL & INTELLECTUAL CAPITALINTELLECTUAL CAPITAL DRIVEN
Level 5 LeadershipF C lli (“G d t G t”)From Collins (“Good to Great”)
Deep Personal Humility Intense Professional WillDeep Personal Humility• Demonstrates a compelling
modesty, shunning public adulation, never boastful.
• Creates superb results, a clear catalyst in the transition from good to greatadulation, never boastful.
• Acts with quiet, calm determination; relies principally on inspired standards, not
good to great.• Demonstrates an unwavering
resolve to do whatever must be done to produce the beston inspired standards, not
inspiring charisma, to motivate.• Channels ambition into the
company, not the self; sets up
be done to produce the best long-term results, no matter how difficult.
• Sets the standard of buildingcompany, not the self; sets up successors for even more greatness in the next generation.
Sets the standard of building an enduring great company, will settle for nothing less.
g
Look Look out the windowout the window to to apportion credit for success apportion credit for success of the group of the group –– to other to other people, external factors, andpeople, external factors, andpeople, external factors, and people, external factors, and good luckgood luck
LookLook in the mirrorin the mirror totoLook Look in the mirrorin the mirror to to apportion responsibility for apportion responsibility for poor results poor results -- never blame never blame other people externalother people externalother people, external other people, external factors, or bad luckfactors, or bad luck
Model the WayModel the Way Clarify valuesClarify valuesSet the exampleSet the example
Envision the futureEnvision the futureInspire a Shared VisionInspire a Shared Vision Envision the futureEnvision the futureEnlist others in a common visionEnlist others in a common vision
Challenge the ProcessChallenge the Process Search for opportunitiesSearch for opportunitiesE i t d t k i kE i t d t k i kChallenge the ProcessChallenge the Process Experiment and take risksExperiment and take risks
Enable Others to ActEnable Others to Act Foster collaborationFoster collaborationStrengthen othersStrengthen others
Encourage the HeartEncourage the Heart Recognize contributionsRecognize contributionsCelebrate values and victoriesCelebrate values and victories
15Kouzes and Posner: The Leadership Challenge
How Employees Feel & Behave WhenTh i I di t M HTheir Immediate Manager Has….
High Credibility Low CredibilityHigh Credibility• Proud to tell others they’re
part of the org
Low Credibility• Produce only if they’re
watched carefullyp g• Strong sense of team spirit• See own personal values
i t t / l
• Be motivated primarily by $• Say good things about the org
in public but bad things inconsistent w/org values• Feel attached and
committed
in public, but bad things in private
• Consider looking for another job if problems arisecommitted
• Have a sense of ownershipjob if problems arise
• Feel unsupported and unappreciated
Leaders Inspire a Shared VisionLeaders Inspire a Shared Vision• Envision the future• Enlist others by appealing to common
aspirationsaspirations• Help employees connect the dots
It is vision It is vision ‐‐‐‐ and the leaders who can articulate that and the leaders who can articulate that vision vision ‐‐‐‐ that helps people in the organization that helps people in the organization accept uncertainty. accept uncertainty. Vision substitutes for fearVision substitutes for fear (of (of the unknown) and gives people the confidence to the unknown) and gives people the confidence to say “I have a dream, and I want to be part of it.”say “I have a dream, and I want to be part of it.”
Rosabeth Moss KanterRosabeth Moss Kanter17
To Enlist Others, the Sense of Meaning M t C F WithiMust Come From Within
Compliance or defianceCompliance or defiance Far Superior ResultsFar Superior Results
Stop trying after reward: “Stop Stop trying after reward: “Stop the pay & stop the play”the pay & stop the play”
Keep trying even if no extrinsic Keep trying even if no extrinsic rewardrewardthe pay & stop the play”the pay & stop the play” rewardreward
Often linked to fame and Often linked to fame and fortunefortune
Often linked to making a Often linked to making a difference in the worlddifference in the world
Need to discover “the what”
Leaders Challenge the ProcessLeaders Challenge the Process
• Search for OpportunitiesSearch for Opportunities• Experiment and Take Risks
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Leaders Enable Others to ActLeaders Enable Others to Act• Foster Collaboration• Strengthen Others
The task of leadership is not to put greatness into people but to elicit itgreatness into people, but to elicit it,
for the greatness is there already.– John BuchanJohn Buchan
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Encourage InitiativeEncourage Initiative• Build self-efficacy in others:Build self efficacy in others:
– Capable of taking action in a specific situation– Give people the chance to gain mastery oneGive people the chance to gain mastery one
step at a time– Mental simulationMental simulation– Setting goals that are incrementally higher– Saying I KNOW YOU CAN DO ITSaying I KNOW YOU CAN DO IT
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The Role of Incentives –Wh t W k ?What Works?
Not This…..Not This….. This….This….Not This…..Not This….. This….This….Rely on External MotivatorsRely on External Motivators Understand Internal MotivationUnderstand Internal Motivation
W k fW k f W k f f lfill tW k f f lfill tWork as a source of moneyWork as a source of money Work as a source of fulfillmentWork as a source of fulfillment
What What gets rewardedgets rewardeddd
What What is rewardingis rewardinggets done.gets done. gets done.gets done.
Tap into people’s hands and Tap into people’s hands and walletswallets
Tap into people’s hearts and mindsTap into people’s hearts and mindswalletswallets
Leads to culture of divisiveness Leads to culture of divisiveness and selfishness; Diminished sense and selfishness; Diminished sense
of purposeof purpose
Lower cost of retention and Lower cost of retention and recruitmentrecruitment
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of purpose.of purpose.
Leaders Encourage the HeartLeaders Encourage the Heart
• Recognize ContributionsRecognize Contributions – by showing appreciation for individual
excellence• Celebrating Values and Victories
– by creating a spirit of communityy g p y
Genuine acts of caring lift spirits and draw people forward
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people forward
How can you become a better l d ?leader?
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Cont a to the opinion ofContrary to the opinion of many people, leaders are not a y peop e, eade s a e otborn. Leaders are made, and th d b ff t dthey are made by effort and hard work.hard work.
Leaders are Active LearnersLeaders are Active LearnersFour Learning Approaches:• Taking Actions (trial and error)• Thinking (reading, online)Thinking (reading, online)• Feeling (what am I worrying about?)• Accessing Others (bouncing hopes &• Accessing Others (bouncing hopes &
fears off someone they trust)
• BE MORE ENGAGED IN ALL OF THESE
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How can you improve leadership in d ?your department?
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Strengthen LeadersStrengthen Leaders
• Help your Chairperson lead• Help your Chairperson lead• Develop other clinician leaders• Support leadership development in direct
reports and other emerging leaders• Create a culture of transformational
leadershipp• Day by day, step by step
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Helping Your Leader LeadHelping Your Leader Lead
From Leading Physician to Physician LeaderFrom Leading Physician……to Physician Leader31
Academic Physicians C P tiCareer Preparation
Cli i l CClinical CareResidency, fellowship, senior
partnerspartnersResearch
Academic development time, pmentors
TeachingP di t i lProgram directors, curricula
Leadership/administration(?) Ad hoc/observation (?)(?) Ad hoc/observation (?)
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Preparing Clinicians to Leadp g
Leadership Skillseade s p S sSetting vision, communication,
enabling others
Business Acumen
Finance, payment, marketingmarketing
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Developing Future Clinical Leaders
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Overview
• 8 Full Day Sessions; 24 leaders/emerging leaders– Monthly from May to Dec 2012
Team Building: Build lasting, multi-faceted, cross-disciplinary relationships and stronger more effective teams.p g
Business Management: Develop skills in functional management, including finance, operations, talent management, R&D (Innovation), marketing.
C t t D d t di f i i l lContext: Deepen understanding of increasingly complex environment in which health care systems, and particularly academic health care systems, operate now and in the future.
So that participants and department can:So that participants and department can:Make decisions that lead to maximum value creation and be better
equipped to positively impact human health.Create and lead transformational change required to maintainCreate and lead transformational change required to maintain
stellar reputation and move into the top 5 nationally within the next few years.
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Will 8 days make a difference?
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What can you do next?What can you do next?
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Key RelationshipsKey Relationships
Leader LeadershipDevelopment Development
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First Things FirstFirst Things FirstTurn the spotlight on
Get to know yourself yourself. The glare will not be more than you can handle Rather let ithandle. Rather, let it illuminate your life and your choices – personalyour choices personal and professional – and help you see how you are affecting the course of your life and your leadership.
Harry Kraemer JrHarry Kraemer Jr.
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Start with a Few Small StepsStart with a Few Small Steps
DWYSYWD• DWYSYWD– Do What You Say You Would Do
• In work teams: say “we” more than “I”• In problem-solving: think “both-and” p g
more than “either-or” • Say “thank you” and “I appreciate yourSay thank you and I appreciate your
effort” more often (and mean it)• Listen actively• Listen actively
We are what we repeatedly do. Excellence, then, is not an act,
b t a habitbut a habit.
-Aristotle
Seek Help from OthersSeek Help from Others
• Your organizationYour organization– Training
Leadership Academies– Leadership Academies– University Partners (business, public health)
UHC/AAMC• UHC/AAMC• National Center for Healthcare Leadership
– New Council for Developing Clinical Leaders• DAAG Peers
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Grow Your OwnGrow Your Own
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Keys to SuccessyBe professional in attitude and
behaviorbehavior.Be reflective about your
competencies, personal strengths d t iti t iand opportunities to improve.
Build relationships and your network.Develop others (at all levels).p ( )
Do not underestimate the influence Do not underestimate the influence you have on those around youyou have on those around youy yy y
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A Few ResourcesA Few ResourcesGetting to Know Yourself:Leadership from the Inside Out by Kevin CashmanOn Becoming a Leader by Warren BennisNow, Discover Your Strengths by Marcus Buckingham & Donald Clifton
Leadership Concepts:The Leadership Challenge by Kouzes and Posner Positive Leadership: Strategies for Extraordinary Performance by CameronPositive Leadership: Strategies for Extraordinary Performance by CameronBuilding the Bridge as You Walk on It: A Guide for Leading Change by QuinnGood to Great and Good to Great for the Social Sectors by Collins
Developing Specific Leadership Skills:Presentations: I Can See You Naked by HoffCommunication: Crucial Confrontations by Patterson
Cultural Transformation Drives Breakthrough PerformanceR. Timothy Rice, CEOJoan Evans, Vice President, People Development & Chief Learning Officer
Roadmap to ResultsMark Herzog, President & CEOLaura Fielding, Administrative Director
Chief Learning Officer
FROEDTERT HEALTHCreating a Workplace of ChoiceCatherine Jacobson, President & CEO
HOSPIRAIgnite Programming Sparks the Fire Within Its Employees
John Panel, Chief Learning Officer Thomas Moore, President, Hospira USPamela Puryear, Vice President
HENRY FORD HEALTH SYSTEMB ildi Ad d L d hi A d
STANFORD HOSPITAL & CLINICSR id C lt Ch i A d i M di lBuilding an Advanced Leadership Academy
Robert Riney, President & COOKathy Oswald, Senior Vice President & Chief Human Resource Officer
Rapid Culture Change in an Academic Medical Center; This is Not an OxymoronAmir Dan Rubin, President & CEODale Spartz, Vice PresidentT dd P i Di tTodd Prigge, Director
HUMAN CAPITAL INVESTMENT CONFERENCELEVERAGING LEADERSHIP PRESENTATIONS
Diversity & InclusionPIEDMONT HEALTHCAREThe Gender Gap in Healthcare
SODEXOMaking Every Day Count
LEVERAGING LEADERSHIP PRESENTATIONS
The Gender Gap in HealthcareMichele Molden, Executive Vice President & Chief Transformation Officer