Leadership Reverie
Life is all about metaphors and personal stories. I wanted a place to collect random thoughts, musings, and stories about leadership in general and more specifically on leadership and management in health care.
Tuesday, November 5, 2024
"We are Family"
Sunday, November 3, 2024
"Everything else is just sand..."
Friday, November 1, 2024
Making lists and checking them twice...
Thursday, October 31, 2024
Trick or Treat!
Hold on, man. We don't go anywhere with 'scary,' 'spooky', 'haunted,' or 'forbidden' in the title.
It seems fairly intuitive and simple, but the advice is really great. Unfortunately, most of the mysteries that Scooby Doo and his friends were trying to solve involved going to places with the words 'scary,' 'spooky,' 'haunted,' and 'forbidden' in the title! That happens a lot of times in the real world too. Despite our best intentions, the world can be a dangerous place. And no matter how hard we try, there are times when we are going to have to choose to take risks.
I like to read and write a lot about so-called High Reliability Organizations. High Reliability Organizations (HROs) are usually defined as organizations that have succeeded in avoiding serious accidents or catastrophes in dangerous environments - the kind of environments where accidents are not only likely to occur, they are expected to occur. The important point to realize, however, is that these same HROs don't seek to avoid risk - indeed, they could not exist if they did. Rather, these organizations manage that risk in such a way that when (because it's always a matter of "when" and not "if") accidents occur, the adverse impact on the organization is significantly attenuated.
Shaggy and Scooby Doo tried hard every episode to avoid taking a risk. However, the whole purpose of Mystery, Inc. was to solve the mystery, and solving the mystery required taking a risk. Scooby and his friends usually did a good job of managing risk - I wouldn't say that Mystery, Inc. was a great example of a High Reliability Organization, but they usually did pretty well in the end. There was always the line from the villain in the end, "I would have gotten away with it too, if it weren't for those meddling kids."
So, in the spirit of Halloween, take a leadership cue from the gang at Mystery, Inc. Manage your risks. Solve the mystery. And have fun.
Wednesday, October 30, 2024
Michael Jordan, Chocolate, Coffee, and the Nobel Prize
Monday, October 28, 2024
Containment: Deference to Expertise
The very nature of the environments that high reliability organizations (HROs) exist in precludes any kind of script, checklist, or playbook that covers every possible issue. So how do HROs deal with this drawback? They push decision making, especially in times of crisis, as much as possible to the frontline leaders and managers. The true experts - the individuals who know their systems the best - are found on the frontlines and not in the board room! Moreover, there is no way that an executive leader can have a full understanding of all the information that is at the frontline. Even with the best communication plans and systems, the individuals who will have the most up-to-date and most accurate information will be the ones on the frontline.
Here is a list of all the posts in which the main (or at least a major) theme is "Deference to Expertise":
- "Brace for Impact" (September 18, 2016)
- "Did he really say Shut up and listen?" (November 30, 2016)
- "HRO: Deference to Expertise" (December 5, 2016)
- "You know what to do..." (January 29, 2017)
- "...plans are useless, but planning is indispensable" (August 9, 2017)
- "Sua Sponte" (November 7, 2018)
- "Biblical Org Charts" (November 14, 2018)
- "The goal of all leaders should be to work themselves out of a job" (September 29, 2019)
- "Taming the chaos" (February 23, 2020)
- "Study the past" (March 11, 2020)
- "Hungry, hungry hippos" (May 27, 2020)
- "We rely upon your ability...you know what to do" (August 16, 2020)
- "The bureaucracy paradox" (February 21, 2022)
- "The definition of power is the transfer of energy" (May 7, 2022)
- "Serve and thou shall be served" (July 23, 2022)
- "We were soldiers once..." (July 30, 2022)
- "The six thousand mile screwdriver" (October 22, 2022)
- "Why Ted Lasso is the perfect HRO leader" (May 22, 2023)
- "Player, Manager, Coach" (May 24, 2023)
- "The few and the proud" (September 7, 2023)
- "White elephants and wheelwrights" (November 3, 2023)
- "The power of empowerment" (November 14, 2023)
- "The Nelson Touch" (February 19, 2024)
- "Leadership is not about solving problems??" (March 28, 2024)
- "Turning around the ship..." (May 5, 2024)
- "Better, stronger, faster, and flatter?" (August 28, 2024)
- "Empowering employees doesn't mean leaving them alone..." (September 7, 2024)
- "Improvise, Overcome, Adapt" (September 13, 2024)
- "Fix the environment, not the people..." (September 27, 2024)
Saturday, October 26, 2024
Containment: Commitment to Resilience
- "HRO: Commitment to Resilience" (November 22, 2016)
- "Still I Rise" (February 12, 2017)
- "Be like Young" (June 14, 2017)
- "Enter the Dragon" (April 28, 2019)
- "Failure is not an option!" (April 17, 2020)
- "For want of a nail..." (April 14, 2021)
- "The grit in the oyster" (April 11, 2021)
- "The Oak and the Reeds" (April 9, 2022)
- "Disappointed but not defeated" (February 13, 2023)
- "Be like water" (September 1, 2023)
- "The Legend of the Spider" (March 22, 2024)
- "Resilience and grit" (October 1, 2024)