Don’t wait for Supreme Court Ruling–US Healthcare Delivery System Transformation Well Underway

The Waiting is Almost Over

Finally! The recent US Supreme Court deliberations about the constitutionality of some components of the Affordable Care Act (the Act) have focused the American public’s attention on what is the single most significant healthcare policy innovation in our country since Medicare was put in place in 1963.  Thankfully, hype doesn’t cut it in this venue. While political viewpoints were insinuated into some of the briefs, in the end, all parties must present a coherent argument—for or against.  From their questions to the lawyers arguing their case, it’s clear our Supreme Court Justices grasp the importance of issues before them.  The American Society of Healthcare Risk Management (ASHRM) has provided an objective, succinct summary of the issues and questions raised, with more detailed information embedded in various links in the article.

Now we wait for their ruling—due out sometime this summer. The underlying assumption most people are making is that a judiciary decision will determine whether or not our healthcare system gets a much-needed overhaul. No question about it, broad policy and subsequent regulations play an important role in shaping the parameters of change, but that is but one factor in play.

Innovations Are Already Operational At The Local Level

T.R. Reid: Journalist, Author, Documentary Filmmaker

In February 2012, PBS aired a new 2-hour special by respected journalist and documentary filmmaker T.R. Reid, who happens have deep knowledge about the US healthcare system.  The film, US Healthcare: The Good News, presents several new models of local care delivery that are already operational.  ( A short 2-minute video previews the film’s content.)

Turns out that, rather than waiting for final answers to come about the future of  the Act, several US communities have embraced the challenge of designing and implementing new models of care. In response to local conditions these pioneers are rewriting how healthcare providers, employers, community advocates are coming together to create local solutions that are resulting in improved access, improved quality performance on objective quality measures while also lowering costs. These local innovations have much to teach us…if we only take the time to become informed and let go of preset conditions.

Implications for Local Leaders

While each new model of care is born out of local conditions and players, a common ingredient across all examples is the  the vital role of local leadership plays not only in planning but implementation.  Members of the local medical community, employers, and community members have demonstrated sustained leadership.

It’s  not just any leadership, but a particular kind of leadership; transformational leadership to be specific. A few key attributes of  whose characteristics include: Systems Thinking Applied to Strategic Management; Superior Communication Skills; and the  Ability to Align Incentives Across Diverse Constituencies.

Accelerating Local Delivery System Transformations

I’m convinced we have a once-in-a-lifetime- chance to improve the care people receive throughout the United States. But the transformation of healthcare delivery has always been a local service; and true transformation will only happen at the local level. I’ve dedicated much of my professional career to this process, and remain strongly optimistic that we are creating better answers. To help make the most of this opportunity, my company, the Callaway Leadership Institute, has joined forces with the Thunderbird School of Global Management to offer a series of executive education opportunities for leaders committed to local transformation of their delivery system. Our first offerings are Transformational Healthcare Leadership Certificate Course, followed by an  International Conference for Healthcare Leaders.  These two related programs will be offered on Thunderbird’s Glendale, Arizona campus the last week of February, 2013. I hope you’ll consider attending.

Until next time…Keep the faith, you can be sure I am!

Marguerite Callaway

 

Posted in Leadership Development, US Healthcare Transformation | Leave a comment

The New Science: We’re hard wired with a Bond stronger than competition

Frontier Science and Human Nature

Scientific facts are true…until they’re not. Just one example will make my point. In the mid-70s when I was in graduate school studying cognition, how our brain is formed and actually works, the prevailing ‘scientific truth’ was that our brain tissue and all the neurological connections that make it work have been laid down by the time we are 5 or 6 years of age. From that point on, we have to work with what we’ve got. Today we know that ‘truth’ is only a partial truth. With the advent of more advanced technology, like MRIs, that allow us to study brain function real-time and over an extended period of time, we have solid scientific evidence that our brain is far more pliable than we ever thought. With focused effort, new neural pathways are formed even at the later stages of our life. In fact, something as basic as our perception–how we actually see the world–is a learned skill, determined by our culture. With focused effort, perception can also be modified.  These new insights are redefining our understanding of human nature, and their implications are profound. Most importantly, they make me hopeful about where we’re headed as human beings. Moving beyond where we are today is not impossible, we don’t have to be stuck.

Lynne McTaggart and The Bond

These are just some of the scientific facts that award winning author, journalist and thought leader Lynne McTaggart has pulled together in her just released book, The Bond: Connecting through the Space Between UsYesterday,  I had the pleasure of a live conversation with Lynne on my weekly online radio program, Leadership Every Day. We talked about the implications of what all this new revelations from frontier scientists–those brave men and woman with the vision, passion and courage to pursue a unanswered scientific question–means for us all.

I can’t begin to do justice to the book or our conversation here, but what I really appreciate is that Lynne provides us with ways to apply this new science.  She shows how incorporating practices suggested by new scientific discoveries can foster more holistic thinking, more cooperative relationships and more unified neighborhoods. For instance:

  • Cultivating a love of flea markets, whodunits or other practices that stimulate curiosity turns on the “seeking” mechanism of the brain, which helps us to discover the hidden connections between things and overcomes latent inhibition, our tendency to screen out detail.
  • The way in which we see the world is not inherent but a learned skill. Although our modern culture, so obsessed with individual things, has taught us to see in a piecemeal and highly focused way, all of us have the capacity to recover our capacity to see the subtlety of the relationships that make up our world.
  • Certain simple activities that cause mirror patterns in the brains of each party foster deeper relationships between individuals.
  • People who fire together wire together; whenever a group works together for a common goal, the brains of all parties begin to get entrained — strengthening the bond within the group.
  • Shared activity also creates a ramped-up endorphin release in us, raising pain thresholds, improving individual efforts and ultimately raising our game.
  • A new way of speaking and listening, inspired by quantum physics, can overcome polarization, helping the staunchest of enemies to become close friends — as it did among pro-life and pro-choice activists.
  • A single act of kindness — change left in a Coke machine for the next person, in one instance — can set off an enormous wave of generosity throughout an entire community — up to three degrees of separation along the social network.
  • Fairness is a stronger phenomenon than unfairness; all it requires is a small group of individuals committed to strong reciprocity to “invade” a population of self-interested individuals and create a fairer society.

Implications for Leaders

Lynne has done a terrific job synthesizing a great deal of information into a coherent whole, with a resounding conclusion. All human beings–irrespective of various differentiating characteristics such as ethnicity, age, sex, socioeconomic status–are hard-wired to collaborate, treat each other fairly and derive great satisfaction of being part of something greater than ourselves. In fact, in the long run, the strategy: ‘survival of the fittest’ is not even a winning strategy. (As Mahatma Gandhi so eloquently stated more than eighty years ago: ‘An eye for an eye, and soon the whole world is blind.’ Hardly the eyesight needed to find new solutions or new ideas.)

We now have concrete evidence that many of our most strongly held beliefs about human nature need to be modified. Yes we like to compete… but that is only part of the story. We also like to contribute to something worthwhile and can learn to enjoy people quite different from ourselves. By finding ways to create deep connection with one another we can move beyond ‘common ground’ or ‘shared interests’ into entirely new territory where new creative answers to old problems lie. Lynne stated it succinctly the end of our hour-long conversation: “If we can embrace the alternative impulse (cooperation and sharing, rather than always competing), many of our intractable problems become solvable.”

I hope you will take the time to get to know the book’s content. A good starting place is my interview with her. To listen, click on the link’s show: Leadership Every Day.

Meanwhile, keep the faith, you can be sure I am.

Marguerite

Posted in Leadership Development, Leadership Work: Relationships, Leadership Work: Self, New Science, Paradigm Shift | Tagged , , , , , | 2 Comments

Leadership is not a function of age, but a way of being

The three of us settled in like peas in a pod. Seat belts fastened, seats in upright position, bags stowed in overhead bins, all electronic devices turned off during takeoff. Complete strangers at the outset of an 11-hour overnight flight from London to Johannesburg. A beautiful young woman on the aisle, a good looking young man in the middle, me in the window seat. From the outset, we were each in our own bubble–headset on immersed in our thoughts about what we were leaving and what lay ahead upon landing on another continent. Everyone respectful of the other’s space and preference. But such close quarters also require a degree of coordination to shift positions, stand up, walk around, pass food trays back and forth at meal-time. By the 3rd hour, we took the risk and ventured questions about why we were each traveling to South Africa.

Turned out that lovely Sam was returning home, having spent the past two weeks of her school’s spring vacation training with the Italian Olympic swim team to improve her technique and her times. She will face school exams and and time trials to qualify for South Africa’s Olympic swim team in two weeks. When asked about her chances, Sam was realistic: “Many of the swimmers are older/stronger than I am. but if I don’t qualify now, I’ll be a much better competitor for the 2016 Games. Getting to be really good at something takes a lot of hard work and time.”  She’s got time…she’s just 16.

Harry, a native Londoner, was coming to South Africa as a volunteer soccer (football) coach to teenage kids living in the township next to Port Elizabeth. He’ll be staying with a family for the three months he’s set aside to share his passion for the game and his own expertise with complete strangers. When asked why he decided to take this on, his answer was straightforward; “I want to see another part of the world and I think it’s important to reach out and connect with other kids who share my passion for the game. It took me two years to save the money to come. I’m a bi nervous, but I’ll learn as much as I’m teaching.” Harry’s got time too–he’s just 19.

And who said young people are only interested in the here and now?  In fact, leadership qualities begin to surface, at an early age, a positive fact when thinking about the future.

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