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Focus on Retention: Questions to Ask a New Employee

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When I hear from leaders, staffing is almost always at or near the top of the biggest issues they are facing. It seems we are constantly asking ourselves, Do we have enough staff? This question usually centers on the number of staff. If we are fortunate enough to have the needed numbers, then the discussion moves to items like, What is the experience level of our staff? Usually it is both. One, there’s not enough staff, and two,…
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To Retain New Employees, Look at How You’re Managing Creative Tension

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I spend a lot of time inside organizations. A common thread I see is that there are many people who are either new to the organization or, if they’ve been there for a while, are in a new position. Both situations can be daunting. Then add the fact that organizations don’t always adapt certain measures to the newness of the team, and the result is individual and organizational tension. Peter Senge, author of The Fifth…
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Effort Does Not Always Equal Results

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Most of us have growing pains, or experiences that can be uncomfortable. Yet, when we look back on some of these pains, we can see they created our greatest learning gains. One of my growing pains was when I was told my job was not about how hard I was working or the hours I was putting in. My job was to deliver the outcomes I was being paid to deliver. At that time, I…
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The Power of “Is It Doable?”

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Is it doable? That is the question. As regular readers know, I have been able to get back into healthcare. However, at times, I still work with non-healthcare companies and also communities based on the ideas in my book Building a Vibrant Community: How Citizen-Powered Change Is Reshaping America. In all fields, I find it so useful to ask that short, yet powerful question. Prior to making a recommendation, it’s best to complete a diagnosis. In any situation, if…
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Make Decisions Based on Facts, Not Generalities

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A learning that has proved so helpful to me is to “pause to learn more.” What do I mean? There is great value in pausing and taking time to learn more prior to taking action. I’ve found that taking time to ask a few questions and do some digging usually proves very helpful. Some may relate this to a form of appreciative inquiry. There can be words people use that can be misleading if taken as…
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Top Leaders, Keep These Three Items Close to You

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There are many items involved in running a financially sustainable company/organization. The intent of this column is to point out three that have a large impact on all operations. They are selection, development of leaders, and messaging.   Companies usually have someone whose main job is to oversee these areas. In the book Execution: The Discipline of Getting Things Done by Larry Bossidy and Ram Charan, the authors shared that while someone else may be the main point person in…
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Battling Burnout Starts Within

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In this short, four-minute chat with Quint Studer, Dr. Thom Mayer gets straight to the point on what individuals and organizations can do to combat burnout. He shares a few insights from his book Battling Healthcare Burnout: Learning to Love the Job You Have, While Creating the Job You Love, which happens to be the Winner of the 2022 ACHE James A. Hamilton Book of the Year Award. For example: Leadership (a noun) is worthless, but leading…
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Burnout & Shift Hygiene: Thoughtful Ways to Prepare For, Mindfully Complete, and End a Shift

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That sense of having no control over our workday is a big contributor to burnout. In this talk with Quint Studer, Dr. Josh Kosowsky, ER physician at Brigham and Women’s Hospital, discusses how a concept he calls “shift hygiene” helps us restore some control and reduces those stressors we can reduce. It means deliberately doing certain things before, during, and after a shift to improve our own experience and promote wellbeing in others. For instance,…
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Meeting goals is rarely “simple” or “easy,” so use these words carefully.

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A main role in my career is creating ways to build and sustain high performance. By “high performance” I mean the organization’s key success metrics. “Sustainability” is performing at a high level over time. A few of the items I’ve focused on over the years have been retaining employees and creating great patient experiences in the healthcare sector. Due to experiencing some success in healthcare, many of my methods and books are used in non-healthcare…
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Delegation Matters: Great Leaders Are Great Talent Developers

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This is the tale of two perceptions. One (held by the leader) is “I don’t want to overwhelm them.” The other (held by the employee) is “I am not getting the opportunity to develop. My leader holds on to things I could do or would like to do instead. Maybe my leader does not trust me?” I was talking to the president of a small organization. He had just finished one-on-ones with many people in…
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