Leadership Transformation Series

This is Part 4A in this Four-part Leadership Transformation Series (LTS); 4B will follow.

Transformation in healthcare is personal: it requires the transformation of health system leaders. The LTS begins to speak to key differences in some of the fundamentals of transformational vs traditional leadership in healthcare.

This article focuses on how we make decisions: 4A Reviews decision-making errors.

4B Addresses how to mitigate decision-making errors

Leaders – and their organizations – succeed or fail based on their decisions. Yet the evidence is clear that our decision making is perilously fraught with biases and irrational behaviors of which we are not even aware. These biases are so ingrained in our psyche that, like water to fish, we cannot imagine that they are even there, much less clouding our view – regardless of how “well-intended and objective” we believe we are. In short, bad decision-making is largely hard-wired.’ Just as many medical errors are associated with unexplained variation in medical decision-making (How Doctors Think), so too are many leadership errors are associated with unexplained variation in management decision making.

Traditional change is oriented in the past; it involves more, faster, better, but not different (Daniel Prosser). Transformation is future-oriented; it requires the creation of something from nothing, i.e., letting go and giving up something in the past to create something new. This means that, to do transformation well, it is even more important that our hidden decision biases be flushed out and made explicit. Leaders on a transformation journey are at higher risk for decision making traps and consequences than in traditional change. Said differently, leadership decision making in transformation is less forgiving.

A brief review of categories and types of decision and judgement errors include the following: (Read Full Article)

Author: Rob Thames

VERSATILE SERVANT LEADER WHO EXCELS IN SYSTEM INTEGRATION TO IMPROVE PERFORMANCE IN COMPLEX, INNOVATIVE HEALTHCARE ORGANIZATIONS Servant leader and change agent who excels in system integration to drive high-performance and culture of ownership in complex, innovative healthcare organizations. Well-respected for progressive, stakeholder partnering to integrate systems and accelerate margin and Quadruple Aim performance. Strategic thinker and doer who turns strategy into reality with repeated success in delivering financial and operational efficiencies, executing clinical strategy into operation, and driving revenue growth in not-for-profit and for-profit healthcare organizations. Collaborative leader who is passionate about leading, motivating, and inspiring teams to achieve world-class performance. Areas of strength and expertise include: Strategic Execution, Transformation & Growth | Care System Integration | Physician Partnerships | Performance Acceleration for Results | Value-Based Care | Population Health & Accountable Care | Continuous Improvement & Clinical Practice Development | Cultural Transformation | Consulting