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Healthcare Leadership: A Discourse

Healthcare Leadership:  A Discourse

Tag Archives: health care management

It’s the Same Old Story – Everywhere You Go

16 Tuesday Jun 2015

Posted by Scott Southard in Uncategorized

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business leader, business management, business solutions, communication, health care management, hospital management

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Although it is outside of my context, I can’t help but hear Paul Simon sing: “Keep the Customer Satisfied” when I’ve told my teams—regardless of the make-up of that team and their pay grade, status, and job responsibilities—that we all must practice good customer service each and every day.

I remind them in team meetings and individually that by giving all of our patients good customer service that we build relationships, encourage communication, cut down the number of missed appointments, and improve results for everyone involved.

I’m sure that I don’t need to lecture anyone in healthcare that this is one of the three components of the Institute for Healthcare Improvement (IHI) Triple Aim of optimizing health system performance. Many of us feel that this point drives the other two. Specifically stated, we need to:

Improve the patient experience of care (including quality and satisfaction).

In healthcare (as it is in retail and other businesses), the customer who presents himself with a physician’s order or walks into the shop is easily identifiable. What I’ve done in my training is to make my staff aware that everyone—including not just the patients and referral sources, but also their peers at work—are customers. They all deserve to be approached and catered to as valued customers.

This refrain echoes the Golden Rule, but I feel that it rings just as true as ever. And, like practicing the Golden Rule of “One should treat others as one would like others to treat oneself,” I understand that compliance is not always easy. The challenge here, however, doesn’t lessen the importance of this goal.

–

Can you teach good customer service? Is it innate? Can you change people’s behavior?

In the military, boot camp goes over and over certain actions that usually do not come naturally to most men and women: think bayonet drills.   It is said that when you are placed in a challenging situation, you will not survive by resorting to your instinct; the constant drilling makes sure that you, instead, fall back on your training.

With this mantra in mind, I teach and regularly review chosen relaxation exercises with my patients. This repetition, I’ve found, assures that my exercises become embedded, nearly second nature, and effective for my patients who are striving to find peace following trauma.

Good customer service training is critical and it is imperative that all of your staff knows what you mean and what is your expectation for their performance.

–

Social workers beware! Being empathic, caring and approachable is not always the same as good customer service. These traits, however, are key in establishing a relationship, but don’t necessarily line up with how your organization wants you to perform.

For many new trainees, learning an organization’s protocols and approaches may feel foreign and so patience and nurturing needs to be built into the education. Written manuals that are distributed to staff to review and be quizzed on periodically in the first three months is pretty standard and can serve as a benchmark for the trainer to know what lessons need more explanation and who needs more education.

The leader/trainer, at the same time, becomes a model of customer service.

Like children, we all watch and imitate senior staff especially in jobs that are new to us. At the same time, if we identify inconsistencies or a loophole, like teenagers, we will exploit it and shrug off the earlier lessons. After all, as a wise man once said, “A man hears what he wants to hear and disregards the rest.”

So here is another challenge in leadership: Walking the talk.

Not unlike conscientious parents, leaders nurture, provide guidance, show patience, and present opportunities for growth to our staff. Furthermore, leaders do not show preference to one staff over another or abuse the power one pay grade or hierarchical position has over another.

–

How do you measure customer service success?

Can it be done with customer endorsement, new referrals, new revenue sources, improved patient satisfaction scores, or low staff turnover?

The answer is yes.

But time, two to three years, is important to pass with the implementation of customer service education to truly determine if it is the leadership approach is making the difference, rather than a slow feedback loop for collecting data or a delayed accounts payable system.

Strive to be that Bridge Over Troubled Waters. (Sorry, Rhymin’ Simon)

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Dad

23 Friday May 2014

Posted by Scott Southard in Uncategorized

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Accountability, collegiality, dependability, goal driven, health care management

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If he was still living, my dad would have turned 94 years old this month.  Even though I spent my first decade admiring him and my second and third decade challenging him, I now see clearly the lessons he taught me in spite of myself.

 

Charles D. Southard was a product of the time period, between the world wars and a middle class upbringing that persevered even during the Great Depression.  The important lesson he learned from his Chief of Police father was that there was employment security in civil service. 

 

Later, as I began seeking my career, he expanded his short list of employments with strong security to health care.  My own experience, however, as well as the experience of thousands of others, contradicts those words of wisdom spoken over three decades ago.

 

My dad did what he felt society expected of him.  He finished high school, attended college, enlisted in the Army Air Corps shortly after Pearl Harbor was attacked, got married, found a white collar job that had him working Monday through Friday, and raised a kid that seemed to reflect his values back at him.

 

The Greatest Generation, I’m beginning to realize and much to my chagrin, was aptly named.  His generation was, in many ways, also the generation of chivalry and politeness.

 

Throughout his lifetime, my dad held a number of leadership positions.  Most notably to me was that he served as an officer in the United States Air Force until he retired.  (Believe me, the uniform makes an impression on a boy.)

 

What my dad taught me about being a leader was not explicit, but it was more in how he led his life and in the parsing of little bits of wisdom such as:

 

Attend college and never stop educating yourself.

 

Dress professionally and error towards dressing up too much.

 

Speak politely and never use profanity.  Profanity just shows the limit of your vocabulary.

 

Value your friendships.

 

When you are in the presence of women, open doors, sit up from your desk or table, help them off with their coats, and pull back their chairs.

 

Always be nice to kids (unless its obvious that they’re brats).

 

Go the extra distance for your family mostly because it’s the right thing to do and its fun to surprise them.

 

Always have a good story to tell.

 

Try to make people laugh even at your own expense.

 

And last, but not least:  When in doubt, take the high road.

 

I still find myself falling back on his advice when I feel like I don’t have an easy choice and I feel an emotional hug when I hear his words when the world seems unforgiving.

 

In my dad’s aging with his ever-expanding needs for my help in his slow and painful journey towards death, I discovered new capabilities that I think more clearly defined my own approach to leadership. 

 

Accountability

I was no longer willing to take a passive role to the advice of professionals.

 

I questioned all medical, financial, and legal advice, especially by those who apparently couldn’t accept my dad’s declining health.  I became that barrier that those professionals had to convince first. 

 

It took a while, but those that we continued to see learned to come prepared.

 

Goal Driven

I let certain things pass if those differences didn’t get in the way of the appropriate care my dad needed to be comfortable and safe.

 

Collegiality

I found that I could be direct and honest with my dad without hurting his feelings or turning him from me, because he knew he could always trust me and that I would never let him down.

 

Dependability

I was always there when he needed me whether it was to screw in a light bulb on my way home from work or help him off the floor (again) at 2 AM.  I never wanted him to feel guilty for calling me.

 

Essentially, my dad never stopped teaching me lessons. 

 

Happy Birthday, Dad.

 

The Mary Jane Legacy (It’s not about what you may assume…)

04 Monday Nov 2013

Posted by Scott Southard in business communication

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Tags

business management, health care management, health care professional, Scott Southard, scott southard mm

This month marks the fifth anniversary of the passing of my mother, Mary Jane Southard.  She was a hard worker and a very smart woman with several graduate degrees, held a position in public education of which she was the first Michigan woman to do so, and was responsible for launching the education of innumerable children in our community.

Grandma S. copy

Even now, people in her town still recognize our shared last name and ask about her or have an endearing story to share of her seemingly unceasing generosity and kind heart.  It always fascinated my sons and me when out with her that people in their fifties or sixties would approach her and ask if she knew who they were.  And, like some sideshow act, she would look into these people’s eyes and without fail recognize them and call them by the name they preferred as a five-year old… and then go on to ask about their siblings by name.

Amazing!

Mary Jane and Charles, her husband, adopted me over five decades ago.  This couple provided me with an idealized sheltered middle class upbringing in a homogenous suburban community in America’s Midwest.  It seemed like everyone knew me, but now, looking back, everyone knew Mary Jane.

The most enduring lesson my mother taught me was her point-of-view about humanity.  See, she believed that all human beings were fundamentally good.  I heard her express this philosophy with:

  • “There are no bad children, only children who have made bad choices.”
  • “Give people enough time and they will do the right thing.”

I, of course, heard this at the end of every day when we sat and discussed our day.  She always found time for me between the hours of her more than full-time job, school board meetings, graduate school, PTA and church activities, and caring for her ailing father.

By a strange quirk of timing, Mary Jane’s philosophy fell into alignment with my high school years that included the Summer of Love, Flower Power, and “If you can’t be with the one you love, love the one you’re with.”

Was Mary Jane’s message of humanism, love, and respect imprinted into my developing psyche?  You bet!

One of my early bosses in health care warned me to be careful to not make myself vulnerable to everyone.  I guess what he wanted me to do was to be careful of those who may want to manipulate me or, if that fails, destroy me.  I’m not sure how Mary Jane would have reacted to this advice, but I continued to believe that if I provided the right role model that everyone would eventually fall into the ranks of collaboration and love for one another besides our different opinions.  My reasoning continued that this would eventually lead to business success.

As my career developed and I found myself either elected or promoted to positions of leadership, I was still my mother’s child:  driven yet patient about the challenges facing others; competitive yet nurturing; impatient with myself yet supportive to others who lacked my understanding: willing to forgive ignorance, but intolerant of meanness.  I also wanted to connect with people, learn new things every day, and have fun in the places where I spend most of my waking hours.

I freely and frequently talk about my vision for growth and new program development with my staff.  I feel that by keeping them in touch with the bigger picture that they will have a wider context and appreciation of why and how things happen.  This is part of my approach to educating my teams in the ways of the business of health care and, hopefully, developing future leaders to our organization:  educational fun with a purpose.

To my surprise, I have found that not all of my bosses appreciated my approach to management.  It couldn’t have been because my programs and offices were not meeting their fiscal or growth goals or because my staff didn’t turn over.  I know this because my leadership was making that happen.  What I was neglecting was the unspoken and unwritten needs of my boss in what is an inherently uneven relationship.  I was unknowingly working off an educational model once prevalent in public schools where teachers were tenured and had a kind of autonomy in their classrooms not always allowed in other work settings.  Oh.

Mary Jane, however, never lost sight of the importance of establishing and maintaining her relationship with her bosses who were all men.  I know this because she would often haul me along with her when she would visit them in the evening or on the weekend.  I learned early on to bring a book or two when we went on “errands.”  She once even helped one of her bosses move into a house down the street from our home.  Regardless, I learned much about public education administration and the many details it takes to make it run for the benefit of all involved.

And Mary Jane succeeded in her profession where no women before her had.  Even with numerous turnovers in bosses, principals, superintendents, and school boards Mary Jane worked in an organization in which she believed, including its culture, its mission and its management.  Furthermore, she felt that her work had a meaningful impact on the lives of others.  She never lost sight of her guiding principles and, an anomaly nowadays, had only one employer for almost forty-five years.

Now that I have forty-two years of being in the working world, I think that what we all aspire to is to have what Mary Jane found, loved, and nurtured.  Thanks, Mom:  I’m still learning.

Recent Posts

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  • It’s the Same Old Story – Everywhere You Go
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  • Healthcare Leadership in a Time of Change

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