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

Sustainable Transportation Panel: April 12 in NYC

I’ll be moderating a panel discussion on sustainable transportation as part of the Columbia Business School’s New York Alumni Club’s “Making Green from Green” series. It will take place on April 12 and the public is welcome. So, please, come on by.

In 2010, Tesla went public, Nissan LEAF and Chevy Volt launched, natural gas vehicles gained momentum in commercial transportation. Cities like New York continue to remake their pedestrian walkways and bike lanes. This evening will feature expert discussion on developments in alternative transportation with ample opportunity for questions and audience dialog. Among the questions we’ll tackle will be:
  • Who will fund the new infrastructure?
  • Are government and industry poised to work together?
  • Where do hydrogen fuel-cell vehicles fit in the road ahead?
  • Will U.S. manufacturers compete globally with low cost providers in China, India and elsewhere?
PANELISTS
  • Chuck Feinberg, Chairman, New Jersey Clean Cities Coalition; Executive Vice President, Greener by Design
  • Trent Lethco, Associate Principal, Arup’s Transportation Planning Group
  •  B. Eric Graham, Director, TechBridge, Fraunhofer Center for Sustainable Energy Systems
  •  Brent Dewar, Senior Advisor, GreenOrder
Date: Tuesday, April 12, 2011 • 6:00 pm
Time: 6:00pm Doors Open and Sign-in • 6:30 – 8:00pm Program • 8:00 – 9:00pm Reception and Networking
Place: Citi, ICG Conference Center • 388 Greenwich Street

The Pillar Trends and Leadership

For the past two years I have been writing about the Pillar Trends — urbanization, climate change, the aging of the developed world, and the continued exponential increase in knowledge — and their potential to reshape some of our basic assumptions about how the world works. Most recently I have completed a white paper in collaboration with Kelvin Thomson, founder of the innovative leadership company MontaRosa.

Among our predictions are that leaders will become more system-centric and that the very meaning of the firm will change from self-contained entity to node in a network. In both cases, the importance of system success will grow relative to individual or firm success.  There will be new tensions to balance such as low cost vs. low impact. Each of the predictions is meant more as provocation for thought and conversation — we aren’t vain enough to think that our crystal ball is perfect.

I invite you to read the paper (link below) and share your thoughts. Agree or disagree, your voice is important to the conversation.

Pillar Trends RM final