Too many Chiefs, not enough Indians

I hope that you all have a great, and safe Fourth of July! Here are a few comments from the comment section I will address:

The time clock system. bigger equipment.

Time clock system…YES! We agree!  We are moving away from ADP and using Kronos which is a very big player in the healthcare market place.  We will go live Jan 1st.  We opted to do this Jan 1st.  for a couple of reasons one reason is Athena…’nuff said.  Also, this will be easier for our and your taxes…two payroll system equals 2 W-2’s.  Also, on Jan 1st, we will move from a twice a month payroll to every other Friday…26 pay periods a year.  This helps with accounting, planning, taxes and benefit methodologies, and gives everyone a solid date on which you will get paid…every other Friday!

Bigger equipment? Hmmm.  I am not sure we want bigger equipment?  Nope.  Colon scopes…NOPE!  I am not sure what this means.

I sometimes feel there are too many chiefs and too few Indians.

There are actually less Chiefs than a year ago. There was a CEO, CFO and CNO last year, now there are two.  This is always brought up in every survey I have been part of.  I am going to lump my answer in with the next comment…

I do not feel that we have a safe relationship with administration. They do not seem to invest time in learning about our department and our needs, nor do I feel like it is ok to go to administration with concerns. There are way to many people in charge of areas that they are not well educated about. I am never sure who is in charge at any moment because there are so many heads that turn over frequently. Also those in charge do not come into our department or get to know us on a personal level to keep communication open or even an option.

First let me start off on some information about my leadership style. My style of management is a very hands off type.  I give my vision, my expectations and my timelines.  How things get done from A to B is not my job, nor do I want it to be.  My strengths lie in my strategic planning, authenticity, public relations, collaboration, relationship building, consensus building and my loyalty.  The Senior Leadership Team took a 6-700 question leadership personality exam called the Hogan Leadership Forecast.  Those listed above, particularly my imagination and strategic thinking is off the charts.

However, on the other side, my weaknesses are granular detail, going around the block to get across the street, intricate workings, day to day monotone activities and large crowds. This is why I have the team in place that I have.  If they were not here, more work would fall onto the managers.

I was hired to be the face of this organization, grow the organization, improve the employee satisfaction, improve public relations, improve medical staff relations and install a team that carries out my vision/strategy of a high performing, high quality and patient focused organization. (we’ve accomplished a lot here!)

My predecessor was a complete opposite, his leadership style was managing the minute details, doing the work to get from A to B. The team that was assembled was under that type of leadership style. There is no right or wrong style.  There are, however, right and wrong styles for certain organizations, goals, and cultures.  It wasn’t until about 45 days ago that I truly had my first day where I focused strictly on CEO duties as defined by the board and the governance policies.  So yes, the comment about heads turning over on the administrative team can be accurate, this is the reason.

The comment of being way too many people in charge of areas they are not well educated about…healthcare is one of the most difficult industries with a wide variety of skills and personnel. I have been in health care since 16 (25 years ago) when I was a CNA…I have been a biller, Anesthesia Tech, Cardiac Cath Tech, Cardiac Rehab Exercise Physiologist, Rad Tech, MRI Tech, CT Tech, US Tech, Director for 4 primary care clinics/3 rehab clinics/2 specialty clinics, Chief Operations Officer, Chief Information Officer over 3 critical access hospitals all at once…I still am uneducated in many many areas.  We all have to start somewhere, we have some very good leaders.

“Those in charge do not come into our departments”…this is untrue. I have seen multiple leaders in all departments, some have gone with radiology for surgeries, spent hours mentoring at their desks, I myself have gone to areas and sat with my lap top…I did this once in the clinic last fall and it was more distracting to staff than helpful.  We can do more of this and you will see more of this.  Communication is always key.  We want to improve this.

The word safe in this comment is a buzz word that creates visions of violence in my head. My first questions that come to mind is, have you been beaten?  Screamed at?  Called names?  After all the definition is “1. Protected from or not exposed to danger; not likely to be harmed; 2. Uninjured; with no harm done”.  If any of the above has happened, this needs reported right away.  Perhaps go back to last week’s blog for a better explanation and clarity around this

Getting to know people at a personal level can be a touchy thing between leaders and front line staff. I have been in instances where personal information is shared, and then used against me when an employee had to be re-directed into a performance improvement plan stating I was retaliating.  I then became more hesitant to get too involved with employees.  I have seen this happen on more than one occasion here.  However, we want to be approachable, try to know about your lives…but just remember if there is hesitation, at least from the team that is in place now…the above is why.

Also, I challenge those of you that want to know more about us to come to us, get to know us, come sit with us…take a look to see what we do all day. Moving from frontline to administration my eyes were opened to how much goes on, and the caring, emotions, wins, losses, tears, time and sweat that goes into what we do…just like the rest of the organization.

Here are some comments of two things you like most about the organization in bold with my response:


I enjoy the interaction with my patients. 2. I enjoy the freedom I have to do my job –awesome!

Friendly co-workers Benefit package- Insurance is pretty good considering the things going on at the national level!

Professional environment to work in The quality of the people and their abilities

I like it!



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