HPSG Pulse

Why the Future of Healthcare Is Bright

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In healthcare today, headlines often highlight workforce shortages, financial pressures, regulatory complexity, and the many stressors facing healthcare organizations—realities that are certainly present. When asked about the future of healthcare, my answer is: I’m optimistic. That optimism comes from spending time with the people who work in healthcare every day—physicians, nurses, administrators, and other vital people who dedicate their lives to serving others. It is easy to be hopeful when speaking with healthcare administration students,…
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Precision, Practice, and the Power of a Coach (A Lesson From the Winter Olympics)

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As I watched the Winter Olympics last month, I realized the Games have a lot to teach us about making healthcare better. These amazing athletes reminded me that greatness has as much to do with mindset as it does with talent. Behind every flawless routine and podium finish is a coach: watching closely, refining technique, making small adjustments the athlete may not even notice. And Olympic success depends on the willingness to be coached, corrected,…
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GPS Leadership: Respond with Loving Care When an Employee Gets off Track

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One of my favorite leadership ideas is the GPS Theory. When you miss a turn, your GPS doesn’t judge you. It doesn’t guilt trip you or bring up the last three exits you blew past. It just finds a new route. That’s how life works too. You’re going to miss turns. You’re going to take the wrong exit. But the destination doesn’t disappear just because you went off course. The only thing that changes is…
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Silence Is Better Than Wrong

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Many give credit to Mark Twain for famously saying, “It is better to remain silent and be thought a fool than to speak and remove all doubt.” In 23 years as a hospital CEO, some of my most intelligent leadership moments were when I didn’t know what to say…so I didn’t say anything. As healthcare leaders, we have continuous “zingers” where someone does or says something that is totally unexpected. It throws us off. We…
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Someone Took a Chance on You. Now It’s Your Turn.

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In healthcare, our new reality is that we have so many new leaders—either new to the role they’re in or new to leadership itself. Many of them tend to be younger, and even more bring a lack of leadership background and experience. How we prepare them to do this important work really matters. In Genfluence: How to Lead a Multigenerational Workforce, the book I coauthored with Dr. Katherine A. Meese, we talk about how to…
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Speaking the Language of Love: Human-Centered Leadership in Healthcare

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Valentine’s Day is almost here. (How can this year possibly be going by so quickly?!) As I was thinking about this column, it occurred to me that Valentine’s Day is a good reminder of something we don’t talk about in the workplace often enough: the longing people have to feel seen, understood, valued, and cared for. Loved, in other words. It also occurred to me that what makes one person feel loved doesn’t necessarily do…
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Rewiring Healthcare Around Two Simple Questions

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She was a supervisor for a busy hospital unit. She came to my class not really wanting to be there. She sat up front, arms folded and scowling. I understood. I think it’s fair to say that as a nurse, she had sat through many training classes by “experts” who told her how to do some intricate part of her job. I hope I never forget the feeling this nurse expressed. I well remember feeling…
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The Future of Emergency Care Starts With Rewiring (We Can’t “Treat and Street” Our Way Out of This)

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Emergency department volumes are up. Patient complexity is rising. And care teams are often newer, stretched, and carrying more emotional load than ever before. Yet many EDs are still trying to solve today’s problems with yesterday’s solutions. That’s why I wrote Rewiring the Emergency Department: Innovative Solutions for Modern Emergency Care. This book is not about incremental fixes or quick wins. It’s about rewiring how the ED is designed, led, staffed, and supported so it…
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Karma Doesn’t Need My Help

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For most of my career, I believed that being a good leader meant fixing things: fixing problems, fixing people, and fixing situations that felt unfair, inefficient, or out of my control. If something went wrong, my instinct was to step in, straighten it out, and make sure it didn’t happen again. That approach served me well in some moments, but over time, I learned a hard truth: Not everything needs to be solved, and not…
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Why Great Leaders Think Like Editors

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January is in full force, and some of us are still in resolution mode. I’m going to join a gym. I’m going to start cooking a healthy meal three days a week. I’m going to get that new certification. I’m going to introduce a new process for my department. Healthcare people are doers by nature, and that’s great. Doers make things happen. But the reality is, we all have limited hours and limited energy. We…
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