I am a baseball fan. I love the game, from Little League to the World Series.
Great Leaders are a work of art. Bad leaders are a tragedy.
John G. Self is Chairman and Senior Client Advisor of JohnMarch Partners. He is a Co-Founder of the Firm.



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I am a baseball fan. I love the game, from Little League to the World Series.
Great Leaders are a work of art. Bad leaders are a tragedy.
John G. Self is Chairman and Senior Client Advisor of JohnMarch Partners. He is a Co-Founder of the Firm.
Posted at 10:30 PM in Chief Nursing Officer, Early Healthcare Careerists, Health Systems, Hospitals, Hospital Board Members, Leadership Accountability | Permalink | Comments (0) | TrackBack (0)
Tags: Health Systems, Hospital CEOs, Human Resources, Leadership
A high performing Director of the
Lab for a 565-bed hospital announced her resignation. The Vice President responsible for overseeing
the department consults with the Chief Operating Officer and Vice President of
Human Resources and then contacts several contingency recruiters to identify
potential candidates.
An integrated Total Onboarding Program, with a best-in-industry recruiting process, and talent mapping are two of the best investments healthcare providers can make.
John G.
Self is Chairman and Senior
Client Advisor of JohnMarch
Partners. He is a Co-Founder of the
Firm. A former investigative reporter and crime writer with more than 30-years
of healthcare leadership experience in public relations, national marketing,
business development and as Chief Executive Officer of hospitals and consulting
firms, Mr. Self is highly regarded for his keen insight into operations,
business culture and for his ability to consistently select the right leaders.
Posted at 11:59 AM in Chief Nursing Officer, Executive Search, Health Systems, Hospitals, Healthcare Leadership, Human Resources | Permalink | Comments (0) | TrackBack (0)
Tags: Health Systems, Hospital CEOs, Human Capital, Human Resources
NEW ORLEANS – Another airport, another
rental car and another hotel. This is my
last business trip of a year that has been filled with some of the most
daunting business challenges I have faced in my 30 years in healthcare.
Taking counsel of my fears, I tossed and turned most of the night. I finally gave up on sleep and got up at 4
AM. This is all to say that if I had not
left for the airport so early, if I had not made that wrong turn, I would not have
seen that man and little girl. I would
have returned to Dallas, locked in my own world with concerns and challenges that
paled by comparison to a homeless man trying to take care of a little girl on
the mean streets.
John G. Self is Chairman & Founding Partner of JohnMarch Partners, a Dallas-based internal talent acquisition and management firm.
Posted at 02:00 PM in Career Management, Chief Nursing Officer, Early Healthcare Careerists, Executive Search, Health Systems, Hospitals | Permalink | Comments (1) | TrackBack (0)
Tags: Hospital CEOs, Human Capital
Goodness and virtue are traits that are much admired in life. Unfortunately, these two words are not commonly included in modern business speak. Some might argue that in the world of business the words goodness and virtue are mutually exclusive when you contrast them with terms like execution, accountability and results.
Actually, I believe these words – goodness, virtue, execution, accountability, and results come together to form five pillars of leadership that will serve healthcare chief executives well in the challenging and often tense times that will characterize the next decade.
These five pillars support leadership authenticity.
The holiday season is a time of reflection. As we gather with families, friends and colleagues to celebrate, what better time to think about our relationships with our employees and their families and our customers -- our physicians and their patients, and the communities we serve. To find success in the next decade, healthcare leaders will have to raise the performance bar, our own and of those who work with us.
We face many challenges, including probable draconian reductions in reimbursement and new massive cost shifting. These will be exceptionally demanding times, but in the end, success or failure for our organizations will turn on the quality of our people and an organization’s ability to attract and retain the best talent in the market. Execution will be critical but that, too, will rest with the employees (which pool will increasingly include hospital employed physicians) and whether they believe they are treated fairly and are appreciated.
Goodness and virtue are qualities that may sound out of place in running a complex health system, but they are critical.
Happy Holidays and best wishes for a prosperous and rewarding New Year.
Posted at 08:00 PM in Career Management, Chief Nursing Officer, Health Systems, Hospitals, Healthcare Leadership, Human Capital | Permalink | Comments (0) | TrackBack (0)
Tags: Hospital CEOs, Human Capital, Leadership
As I travel across the Midwest and East Coast, healthcare leaders are talking cautiously about the future of healthcare and what the patient care delivery system will look like in the next decade. These are thoughtful leaders who understand that continued growth in the cost of healthcare will produce huge unfunded liabilities. They know that the federal government will continue to cut spending – Medicare provider payments – and that they must be prepared to reduce their operating between five and 10 percent of current Medicare payment rates.
While the economy is improving, the underlying challenges facing healthcare executives remain. There may be improvements in economic indicators, but healthcare CEOs will face another year of uncertainty. This uncertainty will contribute to continued inaction for many organizations.
There is evidence that large providers like HCA, Tenet, Life Point, and Community Health and many of the nation’s largest not-for-profit community healthcare systems and hospitals realize that the current hospital business model will change. They see the writing on the wall and they are already responding strategically and financially.
One telling strategy development is the accelerating trend of employing physicians. This is not the first time health systems and hospitals have skipped down this strategic pathway. The decade of the 1980s brought the notion that system integration was the golden key to the pathway of success. Some corporate executives who had successfully run hospital companies felt they could successfully roll up physician practices into a large corporation, and improve profitability through improved efficiencies and enhanced managed care contracting. The results were, for the most part, catastrophically bad. With one or two exceptions, most of the roll up physician practice companies failed, and hospital systems consistently lost about $100,000 to $150,000 per employed physician. The take away from this expensive experiment is that running a physician practice and a hospital are NOT the same thing. Those lessons, if well learned, will determine whether this time around we get it right.
The big companies and systems are well organized and are recruiting for employment physicians from hospitalists to family practice. They understand there will be a serious physician shortage and they are moving ahead of the wave. They are investing significant capital to get ahead of the curve, industry analysts say.
The move to physician employment, hospital CEOs agree, reflects a broader challenge: an across-the-board war for talent in every market.
That is why an organization’s recruiting brand – how they recruit and relate with employees at all levels – is so important. It is why onboarding with gold-plated recruiting processes will be more important than ever in the new decade.
Posted at 03:00 PM in Chief Nursing Officer, Health Systems, Hospitals, Healthcare Leadership, Hospital Board Members, Hospital Chief Financial Officer, Hospital Trustees, Human Capital | Permalink | Comments (0) | TrackBack (0)
Tags: Healthcare Reform, Hospital CEOs, Human Capital
A respected management consultant
shared the story of a new employee who was quickly hired and placed in a
mission-critical position on a team that was historically one of the best in
the company. New business drove
management to beef up the organization to ensure client service deliverables
were met. There was just one
problem. The new employee’s performance
was dismal.
Deadlines were missed. The quality of the team’s work product
slipped as morale plummeted. The team
was confused and angry because senior management seemed to tolerate the new
employee’s unacceptable performance. His
poor interpersonal communication skills, his inability to achieve basic
objectives and meet critical deadlines so frustrated this once smooth running group
that when that employee was escorted from the work area for termination,
everyone stood and applauded.
What had gone wrong was clear to
the other team members. Management had
hired the wrong person. That they did
not consult with the group before they decided to recruit and only peripherally
included them in the recruitment process made matters worse in the minds of the
team. There was a sense of urgency by
management to make a hire but there was no authenticity in the process. In the end, management’s reputation took a beating
and the team’s behavior in celebrating the new employee’s termination was
regrettable.
Authenticity, truthfulness that
is based on facts, is an essential element in
recruiting both for the companies seeking to achieve the coveted reputation of employer of choice in a market and for
candidates.
For the employer, authenticity is
the bedrock mission, vision, and values foundation of who they are as a
company, how they operate and, most importantly, how they treat candidates and
employees. Authenticity is the
foundation upon which the recruiting brand is constructed. One reason so many candidates leave in the
first year – up to 50 percent, according to some employment studies – is
because the job or the company was not as advertised by internal recruiters or
external search consultants. For
companies seeking to be an employer of
choice, this is not a track record or reputation that they want or can
afford. CEOs must insist their talent
acquisition brand be above reproach.
Candidates must be measured by
the same standards of authenticity.
Their representations – prior work history and performance
accomplishments – must be equally authentic.
Candidates in transition who are battling financial fears or outright
desperation are more likely to enhance their career performance through resume
embellishment. Companies that seek to be
best-of-the-best in a given industry or market not only must be authentic with
their own representations and behavior, they must utilize pre-employment
screening processes that will identify the top performers and eliminate those
who are not up to the challenge, for whatever reason.
You cannot cut corners. From the initial resume review and screening
interview, to the more in-depth face-to-face encounters, the recruiter and
interview team must be probing to determine the authenticity of the candidate
and his or her prior performance. Past
performance remains the best predictor of future actions.
Ensuring authenticity takes time and discipline. A company that is willing to cut corners in its quest to hire the best talent based on time or financial constraints is not going to be an employer of choice.
John G. Self is Chairman and
Senior Client Advisor of JohnMarch Partners. He is a
Co-Founder of the Firm.
You can contact Mr. Self at 214.220.1234 or JGSelf@johnmarch.com.
Posted at 11:30 PM in Career Management, Executive Search, Hospital Chief Human Resource Officer, Human Capital, Human Resources | Permalink | Comments (0) | TrackBack (0)
Tags: executive recruitment, Hospital CEOs, human capital
A colleague from a public company
recently shared the following story. A
hospital CEO was leaving a mid-sized community hospital. He had been successful and was recruited away
by a competitor to lead a larger hospital for a very attractive compensation
package. The CEO’s departure, with ample
notice, came at an inconvenient time – the all-important hospital division
business plans and budgets were being finalized, so there was an added sense of
urgency to find a replacement.
One major problem with the get-it-done-yesterday approach (and I believe there were other internal problems) is that the stakeholders – the people who will help supervise the new employee, or with whom they will work on a daily or weekly basis – were not involved. There was no alignment, the critical buy-in of what the new hire must accomplish, their scope of responsibility for certain projects, or the qualities of personality and style that would fit best with other members of the team.
In the interest of disclosure, I am a Brad Smart devotee. I have used Topgrading© for years, and it works. Myfirm's record is four times better than the national average. However, this process, when integrated with a comprehensive onboarding program, requires discipline, buy-in, and full disclosure regarding the opportunities, the challenges and the hurdles to success. Inherent in the Topgrading © process is that the hiring team will take the time, through detailed, chronological interviews regarding past performance and leadership style, to find the right person. Many search firms eschew this approach because they see it as too time consuming, a process that erodes the profitability of a search. But I believe this is a vitally important approach to finding the right candidate who then can be successfully transitioned to their new organization.
I am not even going to think how much that hiring mistake cost the shareholders.
John G. Self
is Chairman and Senior Client Advisor of JohnMarch Partners. He is a
Co-Founder of
the Firm.
Posted at 04:00 AM | Permalink | Comments (0) | TrackBack (0)
Tags: Executive Search, Hospital CEOs, Human Capital
What makes a great recruiting
program?
There are six components to a
gold-plated recruiting program. If an
organization seeks to be the employer of choice in a given market, they must
take their recruiting program to the next level.
Keep in mind that current studies
show that 40 percent of all candidates recruited from outside an organization
are forced out, quit or are fired within the first 18 months. That is alarming, both from a manpower and a
financial point of view.
In answering the question, ‘What makes a great recruiting program?’
you start with several broad themes and then ratchet down your focus on the
details. The devil, after all, is in
those details.
Onboarding provides the recruitment process with a framework of discipline that, if properly implemented, will yield measurable improvements in performance and turnover, two important cost control opportunities in the human capital arena. However, it is important to note that Onboarding, a new discovery in healthcare but used for years in other industries to accelerate performance and build an emotional connection with the new company, must be integrated with a gold-plated recruiting program if you expect to maximize results.
Before you
waste thousands of dollars on onboarding consultants who know little about
recruiting, you need to assess that critical function to find out where you
stand. This is an excellent investment for your organization, and the cost is literally just pennies on the dollar.
John G. Self is Chairman and the founding partner of JohnMarch Partners. He is a Co-Founder of the
Firm. A former investigative reporter and crime writer with more than 30-years
of healthcare leadership experience in public relations, national marketing,
business development and as Chief Executive Officer of hospitals and consulting
firms, Mr. Self is highly regarded for his keen insight into operations,
business culture and for his ability to consistently select the right leaders.
Posted at 01:00 PM | Permalink | Comments (0) | TrackBack (0)
Tags: Hospital CEOs, Human Capital, Onboarding
There is opportunity for expense reduction with our people assets in many healthcare businesses and I am NOT talking about cutting salaries or benefits. For health systems, hospitals and other healthcare provider organizations looking to improve expense management of their human capital, one important answer can be found in developing a best-in-industry integrated onboarding program.
In some hospitals and healthcare organizations, the expense reduction potential is so plentiful that it is hard not to step on the low hanging fruit.
Why is onboarding the answer? Onboarding brings to the executive table a sense of strategy, focus and financial discipline in terms of talent acquisition and management that cannot be achieved by any other method. It also drives some important so-called hidden benefits.
In measuring the potential for your organization, you first need to focus in on your real cost of turnover. As a former hospital, EMS system and homecare pharmacy CEO, I cannot think of a good reason not to come to grips with this number. I will always remember the face of a CEO, when he was told by his CNO, and affirmed by the CFO, that the cost of nursing turnover – which at the time was running at 18 percent - was on average, $60,000 per nurse. He was stunned. When he did the math, he was appalled. Nurse turnover was costing his organization more than $7.8 million a year. When he combined the nursing division with other departments, where the turnover was admittedly much lower, his costs were more than $8.8 million.
A high turnover rate is one important measure by which you judge whether a comprehensive integrated onboarding is a smart investment for your organization. However, as the television hucksters like to shout, “But wait, there is more…”
There are other benefits that will produce significant improvements that will trickle down to healthier margins from implementing an integrated onboarding program. They include:
• Creates a framework of discipline for all the organization’s recruiting
functions. This translates into an improvement in the number of quality hires your organization makes. In an era when the war for talent will determine the winners and losers in a market, winning this battle for the best employees is mission critical. Better employees equal better results.
• Improvements in recruiting will result in lower cost-to-hire benchmarks as you rely less and less on external recruiters to identify managers, director-level candidates. Why pay fees of 25-30 percent of the first-year base salary when essentially what you receive from far too many recruiters is a resume? There IS a better, less costly way!
• Surveys show that more than 40 percent of hires produced by external recruiters – in all sectors at all levels -- quit, are forced out or are fired within 18 months. That is an astounding little secret that the recruiting industry would just as soon that you not know or act upon. (At JohnMarch Partners, our record of success is 4 times better than the national average.) A comprehensive, integrated onboarding program can help you dramatically improve your success rate in recruiting.
• The war for talent has already shown its ugly head with physician recruitment. Physician recruiters will certainly agree on that point. Recruiting clinical physicians is an extremely difficult, expensive and frustrating process, given the fact many physicians do not approach this from a business perspective. They may commit to your organization and change their mind – two or three times – without even bothering to tell you. Once you wrap up a deal, you not only have the Return on Investment target to achieve, but you also must protect the investment from poachers – other recruiters who will call weeks, months or years later and offer a better deal. A comprehensive, integrated onboarding program that creates an emotional family-like tie to your organization and helps protect this investment is one of the most inexpensive strategies available. Moreover, when a properly structured onboarding program is applied to physician recruiting, it takes the CEO and physician recruiter out of the unenviable role of being pressured by a big admitting physician who sometimes is less concerned with the government’s rules than the money (income guarantee). Moreover, it establishes a foundation for the medical executive committee and their representatives on the physician recruitment panel to clearly define what is, and what is not, acceptable. Given the federal government’s determination to go to the mat in investigating and prosecuting Medicare fraud, creating a comprehensive onboarding plan that establishes a formal structure for physician recruiting and includes all new physicians who join your medical staff, you are missing a potentially significant opportunity that most hospitals cannot afford to put off.
When you do the math – add up the direct savings from reduced turnover, etc. – and factor in the indirect cost management benefits of having better, more productive and empowered workers who make an emotional commitment to your organization, this proposition is, to borrow a sports phrase, a real easy “slam dunk.” A comprehensive integrated onboarding program is one of the few easy win-win decisions a Chief Human Resource Officer can recommend to his or her CEO.
Finally, when you select a consultant to design and implement your onboarding program, be sure they understand – deeply understand – human talent acquisition and talent management. Not every human resource consultant or organizational development specialist understands recruitment. The recruiting process is such an important part of the onboarding program.
You will not achieve the results you seek without a gold-plated recruiting program.
John G. Self is Chairman and Senior Client Advisor of JohnMarch Partners. He is a Co-Founder of the Firm.
A former investigative reporter and crime writer with more than 30-years of healthcare leadership experience in public relations, national marketing, business development and as Chief Executive Officer of hospitals and consulting firms, Mr. Self is highly regarded for his keen insight into operations, business culture and for his ability to consistently select the right leaders.
John is a highly rated speaker on talent acquisition and talent management, on inspirational leadership, career brand management and the future of healthcare in America. To contact Mr. Self regarding a speaking date, contact him at JohnMarch Partners.
You can contact Mr. Self at 214.220.1234 or JGSelf@johnmarch.com. He is an active member of LinkedIn and a frequent editorial contributor. You can also connect with John through his Facebook profile.
He was an early adopter of social media through his membership in PLAXO.
Or, you can follow him on Twitter at Self_JohnMarch.
Posted at 04:00 PM in Chief Nursing Officer, Health Systems, Hospitals, Healthcare Trends, Talent Acquisition | Permalink | Comments (2) | TrackBack (0)
Tags: healthcare reform, Hospital CEOs, onboarding
Michael Lewis: Boomerang: Travels in the New Third World
Next up on my reading list. Lewis, author of Liar's Poker, The Big Short and Money Ball, is a great story teller. I am looking forward to beginning this soon.
Bill Conaty & Ram Charan: The Talent Masters: Why Smart Leaders Put People Before Numbers
Just started this over the weekend. Great, engaging read. (***)
Frederick Kempe: Berlin 1961
Kennedy, Khrushchev and the most dangerous place on earth. Mr. Kempe provides an extraordinary inside look at the Genesis of the cold war. This is a great leadership book as well as a historical expose. (*****)
Michael Lewis: The Big Short: Inside the Doomsday Machine
This is an excellent inside look at the financial crisis that nearly brought the U.S. economy to its knees, and how a few very smart people made millions in profits. from the foolish decisions of mortgage originators and investment bankers.
(*****)
Atul Gawande: The Checklist Manifesto: How to Get Things Right
A good read from a physician in the forefront of improving healthcare safety and quality.
Youngme Moon: Different: Escaping the Competitive Herd
A wonderful read. Exciting stuff. Visit Amazon for a wonderful and creative new media promotion for this book. It is one of the best I have seen.
http://www.youtube.com/watch?v=26PVrm4iLA0
Helpful hint: if you do not run a company, simply substitute your name for the references to companies. (****)
Matthew Stewart: The Management Myth: Why the "Experts" Keep Getting it Wrong
If you have ever had a bad experience with consultants, this books will explain the dirty little secrets of management consulting. (*****)
Marshall Goldsmith: What Got You Here Won't Get You There: How Successful People Become Even More Successful
An extraordinary book! As you move through his unsettling examples, be ready for self-reflection. Embrace change. We are experiencing unprecedented changes in our economy. It is not logical to assume that the management style that brought success in the 1970s or 1980s will be as effective today.
(*****)