Go to Gemba to Show You Care

Go to Gemba to Show You Care

As a health care leader, you need to Go to Gemba!  Why? Because 82% of your physicians think that their leaders don’t care about their problems.  (It’s not just healthcare, in pretty much every industry 80-85% of front line workers think that those in the C-suite don’t care enough to offer help to the people who actually do the work.)

How can it help to Go to Gemba?

In my last post I talked about the need for health care leaders to get activated to truly do something to help prevent physician burnout. To get angry about the fact that half their doctors are burned out.  To get passionate to address this major public health crisis as recently described by 11 CEOs of major health care systems in the US.

Leaders are facing their own crisis of burnout. They daily are tasked with balancing the goals of ensuring safety for patients and staff, improving quality and service, keeping the organization financially solvent so all patients get cared for and employees get paid, and protecting their organization from a negative social media campaign.

With all of that to deal with, it’s easy to let concern for front line workers and operations fall off their to-do list as a priority. But we can’t let that happen.  The front lines are where the most important work is done.  Let’s face it, the most important person in your health care system is the patient. Without a patient, the system has no reason to exist.

The most important thing we do for that most important person is to take care of them through a series of healing interactions.  These healing interactions aren’t done by supervisors, managers, directors, or the C-suite.  They are done by doctors, nurses, therapists, receptionists, and EVS staff – anyone who comes into contact with the patient can do this.  The most important job for leaders is to ensure that those people on the front lines have what they need to provide those healing interactions as well as possible.

Undercover Boss

How can you, as a leader, know how to help?  The easiest and best way is to Go to Gemba to see how the work is currently done.  You need to go with respect for those caring for patients, go humbly, with the intention of learning:

  • how they do their jobs,
  • what their challenges are,
  • what they think could be changed to make things better.

This means shadowing someone on the front lines, just follow them around to

  • see how hard their job is,
  • see all the barriers and frustrations they deal with, or
  • ask them to teach you how to do the job.

This approach is not for the faint of heart.  It is scary stepping out of your comfort zone.  It’s best to wear scrubs when you do this.  If you show up in a suit, you will be labelled a “suit” and you won’t get the same experience.

Once you see the challenges your people face, you will have a new respect for them and you will change your approach.

When Dr. John Toussaint did this as CEO of Thedacare, he stopped and reconfigured a $50M capital investment to ensure the ICU redesign was incorporated into the project.  When I did this, I committed to redesign our entire management structure to ensure the right people were in the manager and supervisor roles.

What will happen when you do this?  I’d love to hear about it.

Physician Leaders Need to Get Angry

Physician Leaders Need to Get Angry

I’m on my way home from the Annual Meeting of the American Association for Physician Leadership in New York.  Three hundred physician leaders came together from across the nation to share their challenges and learn from great keynote speakers and from each other. Among the 35 breakout sessions were five on physician burnout, including a… Continue Reading

Start Your Lean Journey With a Sprint!

Start Your Lean Journey With a Sprint!

“A Lean journey is a marathon, not a sprint.” That’s what our Simpler Sensei reminded us of more than once back in 2010 when we embarked on our Lean journey with the 300 physicians of the Sutter Gould Medical Foundation. (Actually, done right, it’s more like a multi-year trek into the wilderness searching for enlightenment. … Continue Reading

Financial Impact of Physician Work-Life Balance

Financial Impact of Physician Work-Life Balance

This posting is for the CFOs. Why should CFOs care about physician work-life balance? It’s common knowledge that physician burnout rates are increasing every year. It’s less common knowledge that satisfaction physicians with their work-life balance(WLB) is decreasing at a faster rate than burnout is increasing. In most professions satisfaction with WLB is increasing. Not… Continue Reading

Conflicting Values – Physician Burnout Driver Number Six

Conflicting Values – Physician Burnout Driver Number Six

Today’s Posting on Conflicting Values is the sixth and final in my series on the drivers of physician burnout as described in The Truth About Burnout by Maslach and Leiter.  Physicians place great value in their ability to provide compassionate quality care to their patients.  Health system leaders similarly proclaim a dedication to compassion and… Continue Reading

Absence of Fairness – Burnout Driver #5

Absence of Fairness – Burnout Driver #5

Today marks the fifth entry in my weekly series reviewing the six key drivers of burnout described in Maslach and Leiter’s classic book The Truth about Burnout – Absence of Fairness.  They state “A workplace is perceived to be fair when three key elements are present: trust, openness, and respect.”  This makes intuitive sense.  When… Continue Reading

Breakdown of Community

Breakdown of Community

Breakdown of Community results from the first three drivers of burnout. When people are overloaded, lack control, and receive insufficient reward, they begin to act in ways that protect themselves as individuals. Individual self-protection leads to Breakdown of Community. Continue Reading

Physician Burnout Driver #3 – Insufficient Reward

Physician Burnout Driver #3 – Insufficient Reward

Today’s posting takes a deep dive into the third driver of physician burnout – Insufficient Reward.  When most of us think about the reward we receive from work, we first think about compensation.  Most doctors are paid relatively well.  Pay is an extrinsic reward.  Many will argue that what they are paid is not worth… Continue Reading

A New Year with a Primer on Physician Burnout

A New Year with a Primer on Physician Burnout

Welcome to 2017! I’m taking a new approach this year, starting off with a series on all things Physician Burnout. I’ll start off with a weekly update on Sundays explaining each of the six drivers of physician burnout in successive posts. Midweek I will share vignettes about health care organizations are reducing the risk of… Continue Reading

Preventing Physician Burnout Now Available on Amazon

Preventing Physician Burnout Now Available on Amazon

Preventing Physician Burnout: Curing the Chaos and Returning Joy to the Practice of Medicine, is now available on Amazon. You can order the paperback version here. In addition, the Kindle edition will be available in about two weeks. My co-author, Diane Shannon, and I spent over a year researching this work, interviewing over 50 experts… Continue Reading

Servant Leadership – Asking Questions, Not Giving Answers

Servant Leadership – Asking Questions, Not Giving Answers

Servant Leadership is alive and well among effective Lean leaders in Europe. This past week I had the good fortune to give a presentation on “Preventing Physician Burnout” at the 3rd Annual Lean Healthcare Transformation Summit Europe in Brussels.  It was a great meeting with 300+ attendees from 17 countries all committed to transforming health… Continue Reading

HIMSS17 – Preventing Physician Burnout by Fixing the EHR

HIMSS17 – Preventing Physician Burnout by Fixing the EHR

I’m on my way to HIMSS17 today, along with over 40,000 other great people who are dedicated to improving informatics in healthcare. This includes health IT professionals, clinicians, executives, and vendors from around the globe. HIMSS17 is filled with educational sessions, the latest in IT products, and a plethora of opportunities to network. There is… Continue Reading

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Denver Health: Engaging Physicians through Engaged Leadership

Denver Health: Engaging Physicians through Engaged Leadership

Last Sunday I discussed the sixth driver of burnout – Conflicting Values.  Today’s posting is a vignette from our book, Preventing Physician Burnout: Curing the Chaos and Returning Joy to the Practice of Medicine, and discusses Denver Health’s Lean journey.  As CEO of Denver Health, Dr. Patty Gabow engaged Simpler Consulting to coach her and her… Continue Reading