Author: Burl Stamp

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Five Sure-Fire Ways to Wreck Rounding

Over the past decade, health care leadership rounding has become a best-practice staple for organizations that are striving to improve patient experience, employee engagement and the overall culture of performance. While in healthcare we sometimes act like we invented the practice, it has been pursued in different forms for many years in other industries. If you are a disciple of Lean Manufacturing and the Toyota Production System, you call it “going to the gemba.” Bill Hewlett and Dave Packard coined the term “management by walking around” in the 1960s when their rapidly-expanding technology company was growing beyond their capacity and ability to be involved in every detail of the business. In health care, our name for the practice of going to where the most important

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Healthcare Employee Engagement

Everyone Can Be a Caregiver (Even a CEO!)

Several years ago I was leading a management workshop at a very large health system. With over 200 people in the room, there was spirited discussion about the opportunities and obstacles to improving the patient experience in the system’s hospitals. I noticed one of the leaders patiently holding her hand up near the back of the room and made my way back to give her the microphone. She hesitantly started, “I’m the director of Environmental Services, and I know we don’t have a direct impact on patients’ care, but ….” While I hated to interrupt her, I just couldn’t let her opening statement stand without a polite challenge. “I’m really sorry, but I have to interrupt,” I respectfully said. “I have a list of stories

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What We Can Learn from Truly Gifted Listeners

How many people have you encountered in your life who are truly gifted listeners? When I asked myself this question recently, I was honestly surprised with how short my list was. For me, this reflection was prompted by a conversation I had a couple of weeks ago with my best friend from high school, David Grimm. His mom and dad were like second parents to me, and I deeply miss the conversations I had with his dad, who died a few years ago. David captured exactly why conversations with his dad were so gratifying. “When Dad talked to you, you were the only other person in the world and nothing was more important than what you were saying in that moment,” he reflected. “It really

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Patient Experience in Healthcare

Why Real Empathy Has to Start with Real Listening

Visiting with patients during rounds is one of the things I love most about my work with health care providers across the country. I remember conversations with patients that cover the range of emotions – uplifting, sad, funny, disheartening, frustrating … and almost always humbling. But it is a conversation with a paraplegic patient at a HealthSouth acute rehabilitation hospital a few years ago that I still reflect on often because of the important lesson it taught me. The nurse manager for the unit explained that Mr. Jones (not his real name) was a frequent patient at HealthSouth and would appreciate a visit. I walked into the room and did everything by the book, just like I’ve explained hundreds of times to thousands of caregivers in

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Five Ways to Keep Goal Achievement On Track

Part 6 in our Series: A Smarter Approach to S.M.A.R.T. Goals In our six-part series, A Smarter Approach to S.M.A.R.T. Goals, our first five posts have focused primarily on the front end of the goal setting process. Making sure your goals are specific enough to change behavior, meaningful so they engage the team, agreed-upon for shared success, and realistic enough to be achievable is a great start. Now you have to effectively implement. The final element of our model, “T,” stands for tracked and addresses how the implementation plan and monitoring of results are critical to success.How often are well-stated organizational goals developed and distributed at the start of a new year – then barely addressed by individual teams until 12 months later when we

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Why B.H.A.G.s without B.H.A.R.s are Pipe Dreams

Part 5 in our Series: A Smarter Approach to S.M.A.R.T. Goals “I believe that this nation should commit itself to achieving the goal, before this decade is out, of landing a man on the moon and returning him safely to the Earth.” That quote from President John F. Kennedy’s speech to a joint session of Congress on May 25, 1961, is perhaps the most often cited example of the philosophy that when you set big goals, amazing things can happen. And who doesn’t want to accomplish amazing things.So the fact that the “R” in our smarter S.M.A.R.T. goals model stands for “realistic” may be surprising. Realistic sounds so safe … hum-drum … even boring. Don’t we want bigger, transformative, inspiring goals? Maybe even “B.H.A.G.s”?Even if

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Hospital Leadership Training Programs

Yours, Mine or Ours — Whose Goal is it Anyway?

Part 4 in Our Series: A Smarter Approach to S.M.A.R.T. Goals Even the best crafted, precisely-targeted organizational goals are ineffective unless they are embraced by the team responsible for implementing the tactics to achieve them. That’s why the “A” in our smarter S.M.A.R.T. goals model represents “agreed-upon.”The first, most important step in setting goals that are enthusiastically adopted by individuals and teams is to pay attention to two of the other components in our S.M.A.R.T. goals model: making goals meaningful and realistic. Tying a goal to the core purpose of the organization’s work – in health care, how it impacts patients’ care – helps make its achievement more meaningful. Even financial goals can be linked to the short- and long-term fiscal health of the organizations

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Healthcare Employee Burnout

Why should I care?

Part 3 in Our Series: A Smarter Approach to S.M.A.R.T. Goals “Please help me connect the dots”In our work with frontline health care staff, this plea is one of the most common ones we hear. With new protocols, payer requirements and regulations shifting constantly, staff understandably struggle to make sense of all of these changes. To President Trump’s comment that “Nobody knew health care could be so complicated,” most frontline caregivers would tell you that they know providing care is more challenging and complex every day. That’s why setting and explaining goals that are meaningful is so important. Chasing the numbers can become all-consuming In today’s metrics-driven world, it is easy for even the most compassionate caregiver to quickly become obsessed with the numbers. Thirty-day

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Are your goals specific enough to change behavior?

Part 2 in Our Series: A Smarter Approach to S.M.A.R.T. Goals In last week’s blog, I outlined a smarter way for managers to approach S.M.A.R.T. goals. Designed to boost results rather than just improve goal-writing, our model emphasizes how leaders can better use goals to focus their team’s efforts and deliver superior outcomes:While there are many variations on the original S.M.A.R.T. goals model, the “S” almost always stands for “specific.” Writing a SMART goal that is specific means that all aspects of the goal are clearly defined and that it answers the standard 5 W’s (who, what, when, where and why). But even when a well-written goal is specific, it still usually focuses on what you want the end result to be, not on how

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Powerful Advice for True Patient Advocates: “Thou Shall Not Stand Idly By”

During this year’s graduation season, my alma mater Washington University in St. Louis published a brief but compelling article titled, “A decade of lasting lessons.” Recalling meaningful advice from commencement speakers and honorees over the past ten years, the article offered counsel from personalities ranging from retired Cardinals manager Tony LaRussa to “Meet the Press” moderator Tim Russert (who sadly passed away just one year after his speech to Washington U. graduates). While all of the quotes were powerful in different ways, the life advice of two courageous speakers struck me as especially important for those of us who profess to be patient advocates and say we are committed to improving the patient experience. From Nobel laureate and Holocaust survivor Elie Wiesel in 2011: My commandment is,

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