The double-entendre of this cartoon in the Wall Street Journal really hooked me. The salmon are swimming upstream, just as they are designed to do. Yet it’s exhausting swimming against the flow — enough to question the effort, even when it’s the right thing to be doing. The salmon’s destiny lies upstream, not downstream. Maybe...Read More

How Healthcare Leaders Thrive Through Mergers and Acquisitions Are you a leader in an organization that is involved in a merger with another organization? If so, you may be feeling uncertainty around your organization and your role. As an executive coach I often see very talented leaders in this situation. And I frequently hear them...Read More

… What leaders really do is prepare organizations for change and help them cope as they struggle through it. – John Kotter, Harvard Business Review As a senior leader in healthcare, you often find yourself at the forefront of change. You personally grapple with changes in the industry, within your organization, and even perhaps your...Read More

A Coach can be the Catalyst to Support Your Shift to Transformational Leadership You know many healthcare executives and clinical leaders. In fact, if you’re reading this, chances are you are one. Most likely you’re already successful, have developed a set of strong competencies, and are even producing measurable and positive outcomes. Even so, do...Read More

Challenges and Concepts for the Local Hospital Leader In a previous article, I discussed the rationale for, and challenges associated with, the formation of large, multi-entity systems, and suggested steps that system-level leaders might take to improve their success at realizing the potential of those systems.  In this article, I want to examine the challenges...Read More

Challenges and Concepts for the Healthcare System Leader As the healthcare landscape continues to reshape itself through various forms of enterprise combinations, leaders face the challenge of integrating multiple entities into a unified enterprise. The theoretical value of increasing scale is undeniable but capturing that value is no easy task. It requires thoughtful, persistent effort...Read More

We are hearing a lot about how to manage change in healthcare. Unfortunately, the focus is generally on the mechanics: how will we reorganize, what new structures and processes will be put in place. The human side of organizational change is often ignored. If leaders overlook the importance of managing the transition period, that unavoidable...Read More