Latest / The Operator | Healthcare Business / Why Your Weekly Ops Meeting Isn’t Actually Operating
Transcript
- 0:01All right, let's do it.
- 0:03All right,
- 0:03most healthcare organizations think they
- 0:06have a communication problem.
- 0:08Larry here thinks they have an information
- 0:10problem because the people closest to the
- 0:12work, well, they know what's happening.
- 0:15Leadership might not just be hearing about
- 0:17it.
- 0:18In his latest article on the operator,
- 0:20Larry brings forth that most healthcare
- 0:23huddles have become broadcasts.
- 0:26theater or what he calls a metrics huddle,
- 0:29where the venue that was supposed to be
- 0:31the platform's eyes and ears has become
- 0:33just a daily reminder to hit budget.
- 0:36And when that happens,
- 0:38the platform learns none of it.
- 0:40So Larry, let's start there.
- 0:42What is a huddle actually supposed to do?
- 0:47What is a huddle supposed to do?
- 0:49A huddle is absolutely supposed to,
- 0:54it's easier, actually,
- 0:55let me back up a little bit by
- 0:57saying
- 0:59Organizations don't really have this sort
- 1:01of communication problem.
- 1:02As you said,
- 1:02they have an information problem.
- 1:04I'd like to start out with what is
- 1:05the fundamental difference between those
- 1:07two.
- 1:08A communication problem is when the
- 1:09message doesn't get through.
- 1:11An information problem is when the message
- 1:13that is needed to get through never even
- 1:16makes it to the room,
- 1:17never even makes it to the thought that
- 1:19I should be communicating this.
- 1:21We have too much data,
- 1:23not enough information.
- 1:24We have too much information,
- 1:25not enough communication.
- 1:27Most healthcare platforms communicate
- 1:30constantly.
- 1:32Email, Slack, Teams, channels, dashboards,
- 1:36monthly all hands, weekly newsletters.
- 1:39There's no shortage of talking happening.
- 1:42What is missing is the small,
- 1:44really what I would say hard,
- 1:46specific information that lives on the
- 1:48clinical floor.
- 1:50The chair that's been broken for eleven
- 1:52days,
- 1:53the new hygienist who feels like she's
- 1:54bothering someone every time she asks,
- 1:56the senior clinician who has been quietly
- 1:59looking for job postings since February,
- 2:01nobody knows that they might be a flight
- 2:03risk.
- 2:04That information doesn't move through
- 2:06email, Slack and channels.
- 2:07It moves through trust, through proximity,
- 2:11through a venue where it's safe to raise
- 2:13what we call psychological safety.
- 2:14If the venue does not exist or people
- 2:17don't feel safe,
- 2:18it sits on the floor and the platform
- 2:21obviously doesn't see it.
- 2:22So you can have crisp communication
- 2:25and zero information they're not the same
- 2:27thing and we get in troubles when we
- 2:29conflate the two so the huddle is the
- 2:31venue specifically not to get to your key
- 2:33question the huddle is the venue
- 2:35specifically designed to surface that
- 2:37information that's its purpose when it
- 2:40works you have both communication going
- 2:42down information going up when it doesn't
- 2:45you have a lot of well-designed slide
- 2:47decks and data describing a reality that
- 2:51the leadership team fortunately doesn't
- 2:53really even see
- 2:55In the article you opened with this line,
- 2:56I even made a note about it,
- 2:58the meeting happened, the huddle did not.
- 3:01How can two organizations really run the
- 3:03same exact meeting,
- 3:03yet one learns something valuable and the
- 3:06other learns nothing?
- 3:09Yeah, well,
- 3:09because the meeting is the visible,
- 3:11you know, ten percent,
- 3:13the other ninety percent is the system
- 3:15around it.
- 3:17So two huddles can look identical from
- 3:19across the room, same time, same people,
- 3:22same checklist, same length.
- 3:24The difference is what's happened in
- 3:26eighteen months leading up to that point.
- 3:28So I've been through huddles.
- 3:29I've been to a lot of daily huddles
- 3:30when I visit locations,
- 3:31whether it be a PT clinic,
- 3:32a dental clinic, primary care clinic,
- 3:34occupational health, you name it.
- 3:36The huddles oftentimes will have that same
- 3:38checklist.
- 3:39And it is whether or not you're just
- 3:41checking the box,
- 3:42whether or not you're having meaningful
- 3:44conversation.
- 3:46In the organization that learned
- 3:48something,
- 3:48the floor was watched over and over what
- 3:50happens when they raise a hard issue.
- 3:53So issues get sort of logged,
- 3:56owners get signed, but by Wednesday,
- 3:57the chaos is either fixed or it's
- 4:00replaced.
- 4:00By Friday,
- 4:01somebody walks to the back of the clinic
- 4:02and says, we got this done.
- 4:04That's a system that's earned the right
- 4:07information from its floor it's actually
- 4:10resulted in actions that are measurable
- 4:12and held accountable in the organizations
- 4:15that learn nothing the floor has watched
- 4:17the opposite happen issues get raised
- 4:19issues get parked nothing happens by the
- 4:22third or fourth time when that happens the
- 4:24floor has decided without anybody
- 4:26announcing it that the huddle is not the
- 4:28right venue to tell you things that are
- 4:30really worth telling you they just show up
- 4:31and they check the box
- 4:34And then they go back to seeing patients.
- 4:36So the meeting still happens,
- 4:38but the huddle is dead.
- 4:39It's just, yeah,
- 4:39did we do a huddle today?
- 4:41Yeah, in fact, we certainly did.
- 4:43But it didn't serve any real purpose.
- 4:46And so the difference between those
- 4:48organization was not the meeting.
- 4:49Both organizations had the meeting.
- 4:51The difference are not what surfaced in
- 4:53that meeting reliable.
- 4:55reliably catches someone who enacts on it
- 4:57you know there's a psychological term
- 4:58called habituation we get used to things
- 5:01we get desensitized to things over time
- 5:03that are rote and what you have to
- 5:05have is you have to have a meeting
- 5:07czar somebody that's frequently like
- 5:09what's the purpose here are we really
- 5:10surfacing issues that's going on in here
- 5:13and maybe that meetings are changes every
- 5:14couple months or every quarter or whatever
- 5:16but you have to have somebody who keeps
- 5:18meeting accountability otherwise it
- 5:20becomes rote habituated and accomplishes
- 5:23effectively nothing
- 5:24Yeah.
- 5:25To go back to sort of making sure
- 5:27we know your terms,
- 5:28most people think a huddle exists to
- 5:30communicate information.
- 5:32But in the top of the show,
- 5:33in the article,
- 5:34that feels more like a broadcast or
- 5:36performance theater.
- 5:37You argue that it exists to gather
- 5:40information, uncovering things,
- 5:42a place that leadership might not have
- 5:44visibility.
- 5:45So how would you,
- 5:47if someone was starting tomorrow in
- 5:48leadership,
- 5:49how would you describe to them, hey,
- 5:50this is what a huddle is actually supposed
- 5:53to do so you know what it needs
- 5:55to achieve while you're in it,
- 5:57what the goal is?
- 5:58Yeah, that's right.
- 5:59And again,
- 5:59you have to go for what is the
- 6:00purpose of the meetings.
- 6:01And so there are meetings where you're
- 6:03meant to broadcast information and
- 6:05headlines and updates,
- 6:06those kinds of things.
- 6:07But a huddle is not a broadcast.
- 6:10It is a sensor.
- 6:12So if you really think about it and
- 6:13you trace this historically,
- 6:14I think it was around the nineteen forties
- 6:17that Toyota really,
- 6:19really perfected all this.
- 6:21And by the way,
- 6:21the guy's name really was Toyota.
- 6:23It was just spelled a little bit
- 6:24differently than I think the car is.
- 6:26And he built it as a daily stand
- 6:28up on the manufacturing floor designed for
- 6:32one problems,
- 6:33surface problems that are small and
- 6:36fixable when they're cheap.
- 6:38Right.
- 6:39Health care.
- 6:40Imported this practice in the early two
- 6:42thousands after the Institute of medicine
- 6:46to air is human report.
- 6:47That was kind of a famous report and
- 6:50HQR formalized it into the team steps
- 6:54documented this results from across
- 6:56multiple settings, fewer medical errors,
- 6:58fewer near misses and fewer adverse
- 7:00events.
- 7:00So basically we took manufacturing this on
- 7:03darn cord where something goes bad.
- 7:04We got to fix it right before bigger
- 7:06problems happen later.
- 7:07We imported into medicine and it was
- 7:09effective.
- 7:11And it was effective because the mechanism
- 7:14was not the meeting.
- 7:15The meeting was the upper flow of weak
- 7:18signals,
- 7:18something we can notice is out of source
- 7:20when it's small and weak and closest to
- 7:23the problem really reporting it.
- 7:26before those signals become events.
- 7:28One of the meetings I absolutely hate in
- 7:29any organization is when you have an
- 7:31operational meeting and those that aren't
- 7:33closest to the report are reporting the
- 7:35meeting.
- 7:36So the way that manifests itself like a
- 7:37large physical therapy or healthcare
- 7:39organization or dental organization,
- 7:41you don't have the local operators,
- 7:42regional directors,
- 7:43regional business partners,
- 7:44whatever you call them,
- 7:46And the practice managers in those
- 7:47meetings, you have their direct reports.
- 7:50So think of the information flow.
- 7:52You're having direct reports of direct
- 7:54reports trying to relay information.
- 7:57And when all that things start to happen,
- 7:59it just doesn't work.
- 8:00And so that's why you have these huddles
- 8:02at the most local level where information
- 8:05could flow up.
- 8:06You know,
- 8:06the tow factory floor and the operating
- 8:08room,
- 8:09have one thing in common,
- 8:11silence is never the absence of any kind
- 8:14of issue.
- 8:15It's almost always the presence of a
- 8:17system that has trained people closest to
- 8:19keep quiet.
- 8:20You want people closest to speak.
- 8:23In the Toyota world,
- 8:24they had an on-down cord that they
- 8:26actually pulled the cord because they were
- 8:27so scared to speak.
- 8:30think of that same mechanism,
- 8:31but get people to talk and in small
- 8:33huddles, if you do in a, you know,
- 8:36psychological safety, you know,
- 8:38correctly enough and you emphasize it
- 8:40becomes cultural, people will speak.
- 8:42Yeah.
- 8:42Well,
- 8:43I think that's one of the strongest ideas
- 8:44in the article is that, as you said,
- 8:46the people closest to the work actually
- 8:48know what's going on.
- 8:49They understand why a broken chair
- 8:51matters.
- 8:51They understand why being down one person
- 8:54matters.
- 8:55The platform might just never hear about
- 8:56it because we're sort of playing that game
- 8:58from third grade, telephone.
- 9:00By the time it gets transmitted,
- 9:02you've lost some meaning.
- 9:03So what kinds of problems are frontline
- 9:06employees seeing every day that maybe
- 9:08through that telephone game that
- 9:10leadership might miss?
- 9:12Yeah, I like to call them patterns,
- 9:15not events.
- 9:16So the dashboard,
- 9:18back to the KPI and the metrics,
- 9:20will tell you that Mrs.
- 9:21Jenkins didn't come in.
- 9:22It will not tell you that the front
- 9:24desk has now had to apologize two or
- 9:26three times about the same scheduling
- 9:28glitch that took place in the EMR,
- 9:31the scheduling system.
- 9:33The dashboard will tell you production was
- 9:35down four percent in a region.
- 9:37or no-show cancellation was up,
- 9:39but it will not tell you, for example,
- 9:41in a dental world that the hygienist,
- 9:43you know, with twelve years of tenure,
- 9:45spent her lunch yesterday updating her
- 9:46resume and left, right?
- 9:48The floor sees things that metrics,
- 9:52that precede metrics.
- 9:53They're like leading indicators.
- 9:55They see the patient coordinator who's one
- 9:58bad week away from quitting because we
- 10:00keep superimposing and creating more
- 10:02responsibilities to the patient
- 10:04coordinator.
- 10:05They see the chair in the op,
- 10:07you know,
- 10:07in the op three department area that has
- 10:09been broken for eleven days and now
- 10:11affecting two clinician schedules because
- 10:13nobody's taking the time to get it fixed
- 10:15because nobody has escalated it well
- 10:17enough.
- 10:18They see a new dentist who's really,
- 10:19really good,
- 10:20but culturally just not fitting in.
- 10:23They see supply and ordering and it
- 10:25happened.
- 10:25This is where I see a lot of
- 10:26this stuff happening and all this stuff
- 10:28gets mad and everybody then gets mad at
- 10:30procurement.
- 10:31And procurement's not the problem.
- 10:32It's the problem occurring at the front
- 10:34and it's never surfaced.
- 10:37None of that stuff, Jimmy,
- 10:38is on a dashboard.
- 10:39And if it is,
- 10:41it's six months from now and it manifests
- 10:42itself downstream in the form of a
- 10:44problem.
- 10:45The thing the floor has that no other
- 10:48layer in the platform has is the time
- 10:53spent next to the work.
- 10:54It is right there.
- 10:55Six hours a day,
- 10:56eight hours a day in the same place,
- 10:58watching the same patterns,
- 10:59noting the same things going slightly
- 11:01wrong.
- 11:02And anybody, you know,
- 11:05you got to have things go wrong before
- 11:06anybody could see it.
- 11:08So you can't get that information in the
- 11:10room with people who act on it.
- 11:12If you're not getting that information,
- 11:13you're operating blind.
- 11:15So I view those things, again,
- 11:16as patterns, not events.
- 11:20Well, if the meeting goes well,
- 11:22it should be quiet, right?
- 11:24No problems.
- 11:24But you say that silence is almost never
- 11:27the absence of issues.
- 11:28It's usually evidence of a system that has
- 11:30trained people not to speak,
- 11:32to have that psychological, that fear of,
- 11:35I don't know if this reaches the threshold
- 11:37of being worthy of being brought up in
- 11:39a sacred meeting.
- 11:40So how's that happen?
- 11:41Because I don't think many leaders wake up
- 11:43trying to create that type of environment,
- 11:46right?
- 11:46We always hear from leaders,
- 11:47I've got an open door policy.
- 11:49So how's it happen?
- 11:51Yeah, it's an unintended consequence.
- 11:52You're absolutely right.
- 11:53It's an unintended consequence.
- 11:55Nobody decides to build it,
- 11:56it just accretes.
- 11:58And I think it happens in sort of
- 12:00small moments,
- 12:01none of which happen in isolation.
- 12:04The first time somebody on the floor
- 12:05raises a real issue and gets the, oh,
- 12:09let's discuss that offline with no
- 12:11follow-up.
- 12:12Let's take that offline as a classic one.
- 12:15The first time a regional person rolls
- 12:17their eyes at a suggestion,
- 12:19somebody makes a suggestion,
- 12:21the feedback is the eye rolling,
- 12:23like you're a little kid.
- 12:25The first time an assistant brings up a
- 12:27safety concern, somebody says,
- 12:28let's not get into that right now.
- 12:30Let's just defer.
- 12:31We got too much going on.
- 12:32That's a bigger issue.
- 12:33We need to discuss that separately.
- 12:35You know,
- 12:35the first time a COO visits a clinic
- 12:37and the team is told to clean up
- 12:40the room before he or she arrives, right?
- 12:43Oh, we know Larry's showing up today,
- 12:45so let's make sure everything looks good.
- 12:46And you know, those are symptoms.
- 12:50Again, single moments.
- 12:52Each one of those teaches sort of this
- 12:54small lesson.
- 12:56But by month three,
- 12:57the lessons accumulate into a normalized
- 12:59behavior in an operating environment.
- 13:01By month six, the rule is invisible,
- 13:03internalized,
- 13:04and it doesn't get brought up.
- 13:06Interesting study done by a lady by the
- 13:08name of Amy Edmondson at Harvard.
- 13:11She did all this incredible research.
- 13:13I had to leave this out of the
- 13:14article.
- 13:15And she's the one who really termed all
- 13:17this, by the way, psychological safety.
- 13:19But the catastrophic finding that she came
- 13:22up with is that in environments where you
- 13:24do not have psychological safety,
- 13:27They don't reduce problems.
- 13:29They reduce the reporting of problems.
- 13:31So think about that.
- 13:33It's not the problem.
- 13:34It's the source of the problem.
- 13:36It's the lack of reporting it,
- 13:37how it surfaces.
- 13:38And when you have low psychological
- 13:40safety,
- 13:41you actually decrease the reporting of
- 13:44problems.
- 13:45What really good leaders have figured out
- 13:47is they're problem solvers and they want
- 13:49more and more and more reporting problems.
- 13:52of problems to happen.
- 13:53So you have to have a platform that's
- 13:54flying through clouds with instruments off
- 13:57when you don't believe there are problems.
- 13:58It's not that they're not problems,
- 14:00it's not that they're being reported.
- 14:04And there's a lot of time pressure and
- 14:05all the other kinds of things.
- 14:06But the good news is that the same
- 14:07dynamic actually works in reverse.
- 14:10Five months of visibly acting on every
- 14:12issue raised will build a floor's
- 14:15willingness to speak.
- 14:16It's not the magic,
- 14:17it's the patience and the follow through.
- 14:20It's just like what they found years ago
- 14:21in putting the alert system in a hospital
- 14:25bed.
- 14:26When they first started doing that,
- 14:27they were worried that the alerts would go
- 14:29off all the time.
- 14:30And you know what?
- 14:31They did.
- 14:32And each time they went off,
- 14:33a nurse would have to come in and
- 14:35respond to it.
- 14:35But over time,
- 14:37when you could preemptively solve problems
- 14:40and surface them,
- 14:41then the alerts started to get less and
- 14:44less frequent, and they served a very,
- 14:46very valid purpose.
- 14:48So early warning signs and on SCAR,
- 14:52all those things are really,
- 14:53really beneficial.
- 14:54Reward people.
- 14:56for reporting yeah yeah this reminds me of
- 14:58my dad told me a story he was
- 14:59a new york city fireman and after every
- 15:01big fire everybody would go get showered
- 15:03and come down to the kitchen and they
- 15:05would just go in a big circle and
- 15:06whether you were the guy who was there
- 15:08for thirty years or you're the guy that
- 15:09were there for the first thirty days what
- 15:11did you see what did you learn why
- 15:13did you do it what do you think
- 15:14we should do next time and they talked
- 15:15it out in public and there being open
- 15:18and honest was rewarded because lives run
- 15:20a lot absolutely absolutely
- 15:23So reading this article,
- 15:24I kept thinking it doesn't sound like a
- 15:25meeting problem then.
- 15:26It sounds like a leadership, right?
- 15:27This should be a reflection of leadership.
- 15:29So what's the difference between a manager
- 15:33who gets information and a leader that
- 15:36people are actually willing to tell the
- 15:37truth in front of?
- 15:38I'm going to guess it's absence of eye
- 15:40rolling.
- 15:41It's got to be on the list.
- 15:42A hundred percent.
- 15:43A manager,
- 15:44the way I look at it is a
- 15:45manager builds the venue,
- 15:48but a leader earns the audience, right?
- 15:52They are the heart and soul of the
- 15:54people side of it.
- 15:55The manager side of it is just studying
- 15:57the physical environment oftentimes.
- 16:00So the venue is necessary,
- 16:02but not sufficient.
- 16:03You can have a perfectly structured
- 16:05huddle, a perfect cadence to the meeting,
- 16:07the right people, the right prompt,
- 16:08the right cadence.
- 16:10run by a leader that nobody on the
- 16:12floor trusts and nothing ever real comes
- 16:15out of it.
- 16:16And the floor will smile,
- 16:17there's no concerns and everybody will
- 16:19kind of go back to work and it'll
- 16:20be a very quick huddle.
- 16:22And that's what happens over time if you
- 16:23don't do this thing appropriately is to
- 16:25become very,
- 16:26very short while nothing goes on.
- 16:28Let's just,
- 16:28you get positive reinforcement to end
- 16:32meetings way too quickly.
- 16:33But what earns trust is actually
- 16:37mechanical and somewhat unglamorous.
- 16:40It's the leader who gets the truth from
- 16:41the floor with the same set of habits
- 16:44every time.
- 16:45They show up consistently.
- 16:47They listen without interrupting.
- 16:49They are genuinely curious.
- 16:51When something hard surfaces,
- 16:53they're adult and they want to embrace
- 16:56them.
- 16:56They don't get reactive.
- 16:57They don't get defensive.
- 16:58They react with curiosity.
- 17:01They don't shoot the messenger.
- 17:02When they are wrong, they say so publicly.
- 17:05I was wrong.
- 17:05I should have listened to you.
- 17:06If I would have just held on,
- 17:07if I would have had a little more
- 17:08patience, I would have listened.
- 17:10This problem would never become a problem.
- 17:13that's what good leaders do and they also
- 17:15explain it none of this by the way
- 17:17is exotic right all this is uh all
- 17:20this is hard because the gravitational
- 17:22pull on a busy leader is to multitask
- 17:26it's to dismiss inconvenient information
- 17:29it's to defend it's to over compromise
- 17:31it's to try to be more efficient rather
- 17:33than to be effective but the leader who
- 17:36resists all of those instincts over and
- 17:38over in small moments
- 17:41accidentally builds an organization,
- 17:44which the truth reliably travels up.
- 17:47And overall they do truly have less
- 17:49problems.
- 17:51The manager who follows the playbook gets
- 17:53it right in the venue,
- 17:54but gets no information.
- 17:55The leader that builds the relationship
- 17:58gets the information,
- 17:59whether or not the venue is perfect.
- 18:00The leader is the relationship manager.
- 18:04If you want to know whether you're,
- 18:05you're one or the other,
- 18:07You really want to know what the litmus
- 18:08test is?
- 18:09Look at what's being raised to you.
- 18:11If it's all good news,
- 18:12polite questions and well-formulated
- 18:15updates, you're managing a venue.
- 18:17You're not leading anybody willing to risk
- 18:20telling you the hard thing.
- 18:22What I tell folks all the time is
- 18:24a good leader,
- 18:25and I would say this to a friend,
- 18:27a good friend is somebody who's willing to
- 18:29risk their friendship to tell you what
- 18:32they need to.
- 18:32And that takes a lot of trust and
- 18:34a lot of psychological safety.
- 18:35Yeah.
- 18:36You were sort of preempting my next
- 18:37question,
- 18:37which was going to be if someone's a
- 18:38CEO and they think their organization
- 18:40communicates well,
- 18:42what are the signs that they're actually
- 18:43operating with a false picture?
- 18:45One of them right there would be you're
- 18:46not just getting smiles and nods.
- 18:48You're not just getting good news.
- 18:49People are telling you different things.
- 18:51Are there other things that would sort of
- 18:54let you know that you are actually
- 18:56operating with a good organization and
- 18:58good leadership?
- 19:00Yeah, I would say there's, you know,
- 19:01I can think of a handful.
- 19:03One, you've not been,
- 19:04if you've not genuinely been surprised by
- 19:06anything until say the last ninety days,
- 19:09You know, I mean, really surprised.
- 19:11You're probably not seeing it.
- 19:13Number two,
- 19:13no bad news ever reaches you first.
- 19:16Right.
- 19:17Like by the time you hear a problem,
- 19:18it's already been resolved by someone
- 19:20below or it's metastasized into a crisis.
- 19:23The middle window.
- 19:24Here's the thing that is going wrong.
- 19:25We have time to fix it.
- 19:26We need your help.
- 19:28Has gone missing from your inbox.
- 19:31Additionally,
- 19:32I think your one-to-ones with your folks
- 19:34are all upbeat.
- 19:36There never is any, you know,
- 19:38what I call creative abrasion,
- 19:40anything going on there that you're in
- 19:41disagreement about.
- 19:42And you can't have that.
- 19:45If it's only good news and the only
- 19:46people reporting to you because they know
- 19:48you only want to hear good news or
- 19:49they're in fear of you,
- 19:51that is a telltale sign,
- 19:52as you alluded to.
- 19:53And then, you know,
- 19:54I think when you visit a place,
- 19:56you know,
- 19:57You know,
- 19:58if everything is looking perfect and it
- 19:59was all brushed up for the regional
- 20:01leader, the manager, everybody's smiling,
- 20:04everybody's putting on a show for the
- 20:06management.
- 20:07That's not a good thing.
- 20:08And then maybe lastly,
- 20:11the CFO is a different operating structure
- 20:13than your COO.
- 20:14And neither one of them has a picture
- 20:16that matches your like chief marketing
- 20:17officer or something like that.
- 20:19So when the three folks sit in a
- 20:21room and describe the same platform,
- 20:23the description should be dramatically
- 20:25different.
- 20:26That's not normal.
- 20:27This is the platform's nervous system
- 20:30disagreeing with itself.
- 20:32So the CMO has heard one story,
- 20:33the CFO has heard another.
- 20:35And if all these things are going on
- 20:37disparately, you've got a problem.
- 20:40And so it's time for you to get
- 20:42out and walk the floor yourself.
- 20:43So it's the inconsistency in your C-suite
- 20:46reporting things to you.
- 20:47That's not a good, that's a telltale sign.
- 20:52So for the big finish,
- 20:52if you walked into a healthcare
- 20:54organization,
- 20:55doesn't really matter what they provide.
- 20:57and could observe only one thing to
- 20:59determine whether it's healthy or
- 21:01unhealthy, would you watch the financials,
- 21:03culture, outcomes, or watch the huddle?
- 21:05And which would you watch and why?
- 21:07It's not even close.
- 21:08I'd watch the huddle.
- 21:09The financials are a trailing metric.
- 21:11By the time they show distress,
- 21:14things are already structural and down the
- 21:16road by six months.
- 21:19Those are the outcomes, right?
- 21:21Quality metrics run on annual cycles or
- 21:24quarterly cycles.
- 21:25So definitely the huddle.
- 21:26The huddle is happening now.
- 21:27It's happening today.
- 21:29Honestly, in ninety seconds,
- 21:31you can tell whether information moves out
- 21:33or whether it doesn't.
- 21:34I once listened to a marriage expert,
- 21:36Gottman, I think his name is.
- 21:37been published more than anybody else
- 21:39saying he could tell whether the first X
- 21:40number of seconds,
- 21:41whether a marriage is going to have a
- 21:43have a high rate of divorce or not.
- 21:45Well,
- 21:45how do they tell that a marriage when
- 21:47they're talking to one another?
- 21:49How are they?
- 21:49How are they respecting?
- 21:50What are they saying to each other?
- 21:51Are they looking themselves in the eye?
- 21:53What is the trust that's going on?
- 21:55So really,
- 21:56the huddle is that nervous system on
- 21:58display.
- 21:58I'd rather watch one of them.
- 22:00for ninety seconds than read a whole board
- 22:03deck of PowerPoints.
- 22:06When I visit clinics,
- 22:07I usually ask to participate in their
- 22:09morning huddle or to be able to observe
- 22:11their morning huddle in an unambiguous
- 22:14way.
- 22:14I break the ice at the beginning and
- 22:16then they know I'm not going to lead
- 22:18it.
- 22:18I just want to watch.
- 22:20And that will tell you from two years
- 22:21hence what's what's actually going to
- 22:23happen.
- 22:24Most leaders think they have a
- 22:25communication problem.
- 22:26And as you've figured out from listening
- 22:27to this, many have an information problem.
- 22:30The question probably isn't,
- 22:31are people talking?
- 22:32The question is,
- 22:33are leaders hearing what they need to
- 22:35hear?
- 22:35If today's conversation made you rethink
- 22:38how information moves and make you
- 22:39uncomfortable, good.
- 22:41That's the point.
- 22:42And you'll love the deep dive in the
- 22:43article with it's available in the show
- 22:45notes.
- 22:45Subscribe on Substack using the link in
- 22:49the show notes attached here.
- 22:50Subscribe to the podcast and we'll see you
- 22:52next time.
- 22:53Larry, thanks.
- 22:54Awesome.
- 22:55Thank you, Jimmy.