Renegotiating Health Care Excerpt Now Available

The second edition of Renegotiating Health Care has hit the shelves. It is my first book and I have to say that I am pleased with the end product. It has been a pleasure working with my co-authors and the team at Jossey-Bass.

If you’d like a free preview, please download the preface and first chapter with our compliments: RHC 2nd Ed Excerpt

I particularly enjoyed the opportunity to interview health care leaders from front line docs and nurses to hospital CEOs to policy makers and administrators. I encountered many smart, thoughtful people with interesting, innovative ideas about how to meet the challenges of high quality care at an affordable cost. You’ll meet many of them in the book — and I hope you’ll be tempted to send a copy to your representatives in Washington.

If you are interested in having me or one of my co-authors speak at your conference or meeting, please use the contact form on this site to be in touch.

Leading Transformations — Are You Ready?

My first post is up on becomealeader.org — a site targeted principally at social enterprise and non-profit/third sector leaders. It addresses the challenges of leading transformations (in organizations and in society). It is based on research from Harvard Business Review and Business Strategy Review and offers an action plan based on self-discovery, celebration of diversity of perspectives, and rethinking listening.

Your thoughts and comments are encouraged!

 

Leading Complex Systems

Over the spring 2011 semester I spent considerable time looking at the challenge of leading complex systems. This was the first of what will be a six-semester effort over the next three years. In this initial, broad brush examination I used the sustainable city as proxy for a complex system. I also looked at both the literature on systems and systems leadership as well as at traditional leadership work to see if I could discover why there seems to be such a vacuum of leadership at the system level. The resulting paper, very much a work in progress, is posted below.

Among my findings was that the traditional leadership literature — that which most of us are taught — comes up short on three critical points:

- Complexity: a leader must understand what kind of complexity he or she confronts and have a framework for dealing with it. There are dramatic differences, for example, between disorganized and organized  complexity (see the paper for details);

- Agency: how much do leaders control completely versus how much do they co-control and co-create with others. In complex systems, leaders control less and can influence more than they realize;

- Emergence: how much can leaders design versus how much must they help establish the conditions in which a positive outcome emerges. There is a strong predilection toward the former yet reality is closer to the latter.

I welcome your comments and will continue to post updates on this work as they are ready.
Download the PDF: Meta System Leadership

Metaphors and Meaning

Will the next 007 be schooled in analytics? Perhaps. The U.S. government is reportedly making a nine-figure investment to better understand how language shapes worldviews with the goal of improving its ability to glean intelligence from non-English speakers. It’s known as IARPA: Intelligence Advanced Research Projects Activity.

In an article on The Atlantic‘s web site, Alexis Madrigal describes a “metaphor project” which it is hoped will allow intelligence agencies to understand the implicit meaning in what is written and said in a wide variety of languages. This is an interesting exercise to explore how we say what we mean even when we don’t realize it — or perhaps not,  if we don’t think through the metaphors we choose. Language matters — which should make literate people everywhere smile.

Read my full post at the International Institute for Analytics blog.

Transformational Leaders Needed

Where are the transformational leaders? Research I’ve done on behalf of MontaRosa shows that people with those natural talents are few and far between. The skills for transformation can, however, be taught and honed. Ongoing research that I’ll be writing about soon will reveal that the gap between the leaders we have and the leaders we need may be even wider.

Please read the post and let me know your thoughts.