Wednesday, May 29, 2013

166 Thoughts on Hospital Leadership




150+ Thoughts on Hospital Leadership

Here’s an update to my previous post on the Laws of Healthcare Administration, sayings or quotations from friends, colleagues, and other sages about the perils of “Life in the Big Chair.”  



1.           1. Simpson’s Law of Simplicity:  Either this will work out OK or it     will make for an interesting story. 

2.           2,  Brock’s Bylaw:  Speed + Execution = Results

3.           Morrison’s Mantra:  Anytime a major charge or shakeup happens at your hospital, your staff will have 3 questions:  (1) What about me?  (2) What about me? (3) Oh, by the way, what about me?

4.           CEO Caveat:  Never let them see you sweat.

5.           Johnson’s Judgment:  Every once in a while, you just gotta throw a dead body out in the hall.

6.           Viator’s Verdict:  You might as well take all the undeserved praise, because you’re gonna get all the undeserved blame.

7.           Morrison’s Maxim:  Hospital CEOs should change every 3 years because if you haven’t created enough enemies in 3 years to get yourself fired, you’re not pushing hard enough.

8.           Prehn’s Proclamation:  If it ain’t working, use a bigger hammer.

9.           Prehn’s Prescript (previously known as Prehn’s Rule of Free Drinks at Happy Hour):  The cheaper the product, the more consumers will complain about the quality.

10.        CNO’s Conundrum:  CNOs who seek equality with CEOs lack ambition. 

11.        The Simpson Elucidation of the Chain of Ridicularity:  The longest distance between two points utilizing as many people and forms as possible in a corporate chain of command in order to review and analyze any requested decision or action without there ever having to be a substantive decision. 

12.        Prehn’s Precept:  When you don’t know what you’re doing, walk fast & act worried.

13.        Shane’s Saying:  Show up, act interested.

14.        The Law of Crisis Management:  I’ll panic when it happens.

15.        Jim Injunction:  Volume cures all ills.

16.        Colin Powell’s Quote:  You can’t make someone else’s choices. You shouldn’t let someone else make yours.

17.        Andretti’s Axiom:  If everything is under control, you’re not going fast enough.

18.        Weinstein’s Wisdom:  Sometimes its paranoia, sometimes its just sensitivity

19.        Prehn's Perrill:  My job ate my life.

20.        Aleen's Advice:  When your boss is manic, rise to the level of their mania to communicate an adequate sense of urgency.

21.        Aleen's Advice:  (to nursing staff) You will NEVER get in trouble for being nice to a patient/family member.  Get them what they need to be comfortable.

22.        Harrison’s Three Laws of the Universe:

a.   Hurry up, get to the point, I don’t have a lot of time
b.   Don’t sweat it, most of it turns out to be B.S. anyway
c.                   I don’t have to be the coolest guy in the world, I just have to be the coolest guy in the room

23.        Lee's Law of Timing:  If you have to have an answer right now...it's no! 

a.                   Corollary - Lack of planning and/or preparation on your part does not constitute an emergency on mine.

b.                   Prehn’s Expediency Formula:  Results are simply a matter of time & money.  The more money you have, the less time you need.  And vice-versa.  R = f [T:$]

24.        Reformation of Martin Mull’s Observation:  Being a hospital CEO is like having a bowing alley installed in your head.

25.        Granger’s Grail:  Understand reality.  Define perception.

26.        The Law of Distributional Dynamics:  When the sh*t hits the fan, it won’t be evenly distributed. 

27.        A Few Good Hospital Administrators:  “You can't handle the truth!  I have a greater responsibility than you can possibly fathom. You have the luxury of not knowing what I know…And my existence, while grotesque and incomprehensible to you, saves lives...You don't want the truth. Because deep down, in places you don't talk about at parties, you want me on that wall….”

28.        The Bear Bryant Theory of Succession:  You don’t want to be the coach who replaces Bear Bryant.  You want to be the coach who replaces the coach who replaces Bear Bryant.

29.        Captain James T Kirk’s Advice on Advice:  “One of the advantages of being the captain, Doctor, is being able to ask for advice without necessarily having to take it.”

30.        The Elenbaas Idiom:  Honor performance, growth and results. (Ron Elenbaas)

31.        “Like Throwing Moon Pies at Mardi Gras”:  Sometimes all your customer, physician, or staff want is a token of their “special-ness.”  It is not the size or value of the token that matters, it is the fact that they got it and someone else didn’t.

32.        Ashleigh Brilliant’s Axiom:  “I don’t have a solution, but I certainly admire the complexity of the problem.”

33.        Dale’s Dictum:  If you want to gather honey, don’t kick over the beehive.

34.        Carnegie’s Credo:  You can’t win an argument.

35.        Vince Lombardi on Employee Relations:  “If you aren’t fired with enthusiasm, you’ll be fired with enthusiasm.”

36.        General Patton’s Law of Battle Strategy:  Pick your battles so they’re small enough to win and big enough to matter.

37.        The Physics of Physician Partnerships:  Trying to partner with physicians is like trying to catch a falling knife: difficult to do and with generally ugly results. (Dennis Murray)

38.        The Delbert McClinton Rule:  “When you’re looking for trouble, trouble’s easy to find.”

39.        Scully’s Saying:  “Good is not good when better is expected.”  (Vin Scully)

40.        Sorrell’s Saying: (when asked if a particular doctor was happy, he replied:) “Happy” is a transient state.

41.        “Do or Do Not.  There is no Try.”  (Yoda)

42.        If “if’s” and “but’s” were candy and nuts it would be Christmas all year long.

43.        Pebbles on the scale add up to pounds (Casey Sorrell)

44.        Sorkey’s Saying:  “Process is more important than content.”

45.        Thompson’s Tome:  “Fear is just another word for ignorance.”  (Hunter S. Thompson) 
                                                            
46.         “Call on God but row away from the rocks.”  (Hunter S. Thompson)

47.        A leader is best when people barely know he exists, when his work is done, his aim fulfilled, they will say: we did it ourselves. —Lao Tzu

48.        Where there is no vision, the people perish. —Proverbs 29:18 

49.        I must follow the people. Am I not their leader? —Benjamin Disraeli 

50.        You manage things; you lead people. —Rear Admiral Grace Murray Hopper 

51.        The first responsibility of a leader is to define reality. The last is to say thank you. In between, the leader is a servant. —Max DePree 

52.        Leadership is the capacity to translate vision into reality. —Warren Bennis 

53.        Lead me, follow me, or get out of my way. — General George Patton

54.        Before you are a leader, success is all about growing yourself. When you become a leader, success is all about growing others. —Jack Welch 

55.        A leader is a dealer in hope. —Napoleon Bonaparte 

56.        You don’t need a title to be a leader. –Multiple Attributions 

57.        A leader is one who knows the way, goes the way, and shows the way. —John Maxwell 

58.        My own definition of leadership is this: The capacity and the will to rally men and women to a common purpose and the character which inspires confidence. —General Montgomery 

59.        Leadership is lifting a person’s vision to high sights, the raising of a person’s performance to a higher standard, the building of a personality beyond its normal limitations. —Peter Drucker 

60.        Never doubt that a small group of thoughtful, concerned citizens can change world. Indeed it is the only thing that ever has. —Margaret Mead 

61.        The nation will find it very hard to look up to the leaders who are keeping their ears to the ground. —Sir Winston Churchill 

62.        The most dangerous leadership myth is that leaders are born-that there is a genetic factor to leadership. That’s nonsense; in fact, the opposite is true. Leaders are made rather than born. —Warren Bennis 

63.        To command is to serve, nothing more and nothing less. —Andre Malraux 

64.        He who has never learned to obey cannot be a good commander. —Aristotle 

65.        Become the kind of leader that people would follow voluntarily; even if you had no title or position. —Brian Tracy 

66.        I start with the premise that the function of leadership is to produce more leaders, not more followers. —Ralph Nader 

67.        Effective leadership is not about making speeches or being liked; leadership is defined by results not attributes. —Peter Drucker 

68.        Anyone can hold the helm when the sea is calm. —Publilius Syrus

69.        A great person attracts great people and knows how to hold them together. —Johann Wolfgang Von Goethe 

70.        The best executive is the one who has sense enough to pick good men to do what he wants done, and self-restraint enough to keep from meddling with them while they do it. —Theodore Roosevelt 

71.        Leadership is influence. —John C. Maxwell 

72.        You don’t lead by pointing and telling people some place to go. You lead by going to that place and making a case. —Ken Kesey 

73.        When I give a minister an order, I leave it to him to find the means to carry it out. —Napoleon Bonaparte 

74.        Men make history and not the other way around. In periods where there is no leadership, society stands still. Progress occurs when courageous, skillful leaders seize the opportunity to change things for the better. —Harry S. Truman 

75.        People buy into the leader before they buy into the vision. —John Maxwell 

76.        So much of what we call management consists in making it difficult for people to work. —Peter Drucker 

77.        The art of leadership is saying no, not saying yes. It is very easy to say yes. —Tony Blair 

78.        The very essence of leadership is that you have to have a vision. It’s got to be a vision you articulate clearly and forcefully on every occasion. You can’t blow an uncertain trumpet. —Reverend Theodore Hesburgh 

79.        The key to successful leadership today is influence, not authority. —Kenneth Blanchard

80.        A good general not only sees the way to victory; he also knows when victory is impossible. —Polybius 

81.        A great leader’s courage to fulfill his vision comes from passion, not position. —John Maxwell 

82.        A leader takes people where they want to go. A great leader takes people where they don’t necessarily want to go, but ought to be. —Rosalynn Carter 

83.        The challenge of leadership is to be strong, but not rude; be kind, but not weak; be bold, but not bully; be thoughtful, but not lazy; be humble, but not timid; be proud, but not arrogant; have humor, but without folly. —Jim Rohn 

84.        Outstanding leaders go out of their way to boost the self-esteem of their personnel. If people believe in themselves, it’s amazing what they can accomplish. —Sam Walton 

85.        A true leader has the confidence to stand alone, the courage to make tough decisions, and the compassion to listen to the needs of others. He does not set out to be a leader, but becomes one by the equality of his actions and the integrity of his intent. —Douglas MacArthur 

86.        A ruler should be slow to punish and swift to reward. —Ovid 

87.        No man will make a great leader who wants to do it all himself, or to get all the credit for doing it. —Andrew Carnegie 

88.        Leadership is the art of getting someone else to do something you want done because he wants to do it. —General Dwight Eisenhower 

89.        The leader has to be practical and a realist yet must talk the language of the visionary and the idealist. —Eric Hoffer 

90.        Leaders think and talk about the solutions. Followers think and talk about the problems. —Brian Tracy 

91.        A man who wants to lead the orchestra must turn his back on the crowd. —Max Lucado 

92.        Never tell people how to do things. Tell them what to do and they will surprise you with their ingenuity. —General George Patton 

93.        As we look ahead into the next century, leaders will be those who empower others. —Bill Gates
 
94.        All of the great leaders have had one characteristic in common: it was the willingness to confront unequivocally the major anxiety of their people in their time. This, and not much else, is the essence of leadership. —John Kenneth Galbraith 

95.        Do what you feel in your heart to be right–for you’ll be criticized anyway. —Eleanor Roosevelt 

96.        Don’t necessarily avoid sharp edges. Occasionally they are necessary to leadership. —Donald Rumsfeld 

97.        Education is the mother of leadership. —Wendell Willkie 

98.        Effective leadership is putting first things first. Effective management is discipline, carrying it out. —Stephen Covey 

99.        Great leaders are almost always great simplifiers, who can cut through argument, debate, and doubt to offer a solution everybody can understand. —General Colin Powell 


100.    Great leaders are not defined by the absence of weakness, but rather by the presence of clear strengths. —John Zenger 

101.    He who has great power should use it lightly. —Seneca 

102.    He who has learned how to obey will know how to command. —Solon 

103.    I am reminded how hollow the label of leadership sometimes is and how heroic followership can be. —Warren Bennis 

104.    I cannot give you the formula for success, but I can give you the formula for failure, which is: Try to please everybody. —Herbert Swope 

105.    If one is lucky, a solitary fantasy can totally transform one million realities. —Maya Angelou 

106.    If you would not be forgotten, as soon as you are dead and rotten, either write things worth reading, or do things worth the writing. —Benjamin Franklin 

107.    If your actions inspire others to dream more, learn more, do more and become more, you are a leader. —John Quincy Adams 

108.    In matters of style, swim with the current; in matters of principle, stand like a rock. —Thomas Jefferson 

109.    It is absurd that a man should rule others, who cannot rule himself. —Latin Proverb 

110.    It is better to lead from behind and to put others in front, especially when you celebrate victory when nice things occur. You take the front line when there is danger. Then people will appreciate your leadership. —Nelson Mandela 

111.    Lead and inspire people. Don’t try to manage and manipulate people. Inventories can be managed but people must be lead. —Ross Perot 

112.    Leaders aren’t born, they are made. And they are made just like anything else, through hard work. And that’s the price we’ll have to pay to achieve that goal, or any goal. —Vince Lombardi 

113.    Leaders must be close enough to relate to others, but far enough ahead to motivate them. —John C. Maxwell 

114.    Leadership and learning are indispensable to each other. —John F. Kennedy 

115.    Leadership cannot just go along to get along. Leadership must meet the moral challenge of the day. —Jesse Jackson 

116.    Leadership does not always wear the harness of compromise. —Woodrow Wilson 

117.    Leadership is a potent combination of strategy and character. But if you must be without one, be without the strategy. —Norman Schwarzkopf 

118.    Leadership is solving problems. The day soldiers stop bringing you their problems is the day you have stopped leading them. They have either lost confidence that you can help or concluded you do not care. Either case is a failure of leadership. —Colin Powell 

119.    Leadership is the key to 99 percent of all successful efforts. —Erskine Bowles 

120.    Leadership is unlocking people’s potential to become better. —Bill Bradley 

121.    Management is about arranging and telling. Leadership is about nurturing and enhancing. —Tom Peters 

122.    Management is efficiency in climbing the ladder of success; leadership determines whether the ladder is leaning against the right wall. —Stephen Covey 

123.    Never give an order that can’t be obeyed. —General Douglas MacArthur 

124.    No man is good enough to govern another man without that other’s consent. —Abraham Lincoln 

125.    What you do has far greater impact than what you say. —Stephen Covey 

126.    Not the cry, but the flight of a wild duck, leads the flock to fly and follow. —Chinese Proverb 

127.    One of the tests of leadership is the ability to recognize a problem before it becomes an emergency. —Arnold Glasow 

128.    The final test of a leader is that he leaves behind him in other men, the conviction and the will to carry on. —Walter Lippman 

129.    The greatest leaders mobilize others by coalescing people around a shared vision. —Ken Blanchard 

130.    The growth and development of people is the highest calling of leadership. —Harvey Firestone 

131.    To do great things is difficult; but to command great things is more difficult. —Friedrich Nietzsche 

132.    To have long term success as a coach or in any position of leadership, you have to be obsessed in some way. —Pat Riley 

133.    True leadership lies in guiding others to success. In ensuring that everyone is performing at their best, doing the work they are pledged to do and doing it well. —Bill Owens 

134.    We live in a society obsessed with public opinion. But leadership has never been about popularity. —Marco Rubio 

135.    Whatever you are, be a good one. —Abraham Lincoln 

136.    You gain strength, courage and confidence by every experience in which you really stop to look fear in the face. You must do the thing you think you cannot do. —Eleanor Roosevelt 

137.    A competent leader can get efficient service from poor troops, while on the contrary an incapable leader can demoralize the best of troops. —John J Pershing 

138.    A good leader is a person who takes a little more than his share of the blame and a little less than his share of the credit. —John Maxwell
139.    There are three essentials to leadership: humility, clarity and courage. —Fuchan Yuan 

140.    I am endlessly fascinated that playing football is considered a training ground for leadership, but raising children isn’t. —Dee Dee Myers 

141.    A cowardly leader is the most dangerous of men. —Stephen King 

142.    My responsibility is getting all my players playing for the name on the front of the jersey, not the one on the back. –Unknown 

143.    A good plan violently executed now is better than a perfect plan executed next week. –George Patton 

144.    The supreme quality of leadership is integrity. –Dwight Eisenhower 

145.    You don’t lead by hitting people over the head—that’s assault, not leadership. –Dwight Eisenhower 

146.    Earn your leadership every day. –Michael Jordan

147.    Good leadership consists in showing average people how to do the work of superior people.--  John D. Rockefeller (1839 - 1937)

148.    Management is doing things right; leadership is doing the right things.    Peter Drucker (1909 - 2005)

149.    A sense of humor is part of the art of leadership, of getting along with people, of getting things done.    Dwight D. Eisenhower (1890 - 1969)

150.    Leadership and learning are indispensable to each other.    John F. Kennedy (1917 - 1963), speech prepared for delivery in Dallas the day of his assassination, November 22, 1963

151.    One of the hardest tasks of leadership is understanding that you are not what you are, but what you're perceived to be by others.    Edward L. Flom

152.    Leadership is based on inspiration, not domination; on cooperation, not intimidation.    William Arthur Wood

153.    The art of leadership is saying no, not yes. It is very easy to say yes.    Tony Blair (1953 - )

154.    Leadership is communicating to people their worth and potential so clearly that they come to see it in themselves.    Stephen Covey, the 8th habit

155.    The day soldiers stop bringing you their problems is the day you have stopped leading them. They have either lost confidence that you can help them or concluded that you do not care. Either case is a failure of leadership.    Colin Powell (1937 - )

156.    An empowered organization is one in which individuals have the knowledge, skill, desire, and opportunity to personally succeed in a way that leads to collective organizational success.    Stephen Covey, Principle-centered Leadership

157.    Men make history, and not the other way around. In periods where there is no leadership, society stands still. Progress occurs when courageous, skillful leaders seize the opportunity to change things for the better.    Harry S Truman (1884 - 1972)

158.    Leadership should be born out of the understanding of the needs of those who would be affected by it.    Marian Anderson

159.    Leadership has a harder job to do than just choose sides. It must bring sides together.    Jesse Jackson

160.    Jingshen is the Mandarin word for spirit and vivacity. It is an important word for those who would lead, because above all things, spirit and vivacity set effective organizations apart from those that will decline and die.    James L. Hayes, Memos for Management: Leadership, 1983

161.    The only real training for leadership is leadership.    Anthony Jay

162.    I start with the premise that the function of leadership is to produce more leaders, not more followers.    Ralph Nader (1934 - )

163.    Whether a man is burdened by power or enjoys power; whether he is trapped by responsibility or made free by it; whether he is moved by other people and outer forces or moves them -- this is of the essence of leadership.    Theodore H. White, The Making of the President, 1960

164.    You do not lead by hitting people over the head-that's assault, not leadership.    Dwight D. Eisenhower (1890 - 1969)

165.    Leadership is practiced not so much in words as in attitude and in actions.    Harold Geneen, Chairman, ITT Corp.

166.    The leadership instinct you are born with is the backbone. You develop the funny bone and the wishbone that go with it.    Elaine Agather