Latest / Becker’s Healthcare Podcast / Building Sustainable Leadership and Executive Resilience in Healthcare with Brett Antczak
Transcript
- 0:02- There's a small circle of people who truly
- 0:04- understand what it takes to lead a health
- 0:05- system right now. The decisions are enormous.
- 0:08- The variables are constantly shifting, and the stakes
- 0:11- of getting a call wrong don't stay contained.
- 0:14- That's not a complaint. It's a structural reality.
- 0:17- And it's why the most effective c suite
- 0:19- leaders are deliberate about where they go to
- 0:21- pressure test their thinking.
- 0:22- Becker's fourteenth annual CEO and CFO roundtable
- 0:26- brings together more than 1,500
- 0:28- executive level attendees
- 0:30- and nearly 400 speakers for four days built
- 0:32- around growth, financial sustainability,
- 0:35- workforce strategy, and the leadership questions that don't
- 0:38- have easy answers.
- 0:39- Join us November second through the fifth in
- 0:41- Chicago.
- 0:42- For the agenda and event details,
- 0:45- visit beckershospitalreview.com
- 0:47- and click on the events tab in the
- 0:49- upper right.
- 0:50- Hello, and welcome to the Becker's Healthcare podcast.
- 0:53- My name is Chanel Banger. And today, I'm
- 0:55- excited to speak with Brett Anzac,
- 0:57- an executive coach and founder of Age of
- 1:00- Advantage,
- 1:01- who joins us today to speak
- 1:03- about sustainable leadership and executive resilience in health
- 1:07- care. Brett, thank you so much for joining
- 1:09- me today. Hi, Chanel. Thank you so much
- 1:11- for having me. It's an honor to be
- 1:13- with you.
- 1:14- Perfect. Well, to get us started out, could
- 1:16- you please introduce yourself and tell us a
- 1:17- bit about your career in health care?
- 1:20- Oh, you bet. I'm Brett Anzak, and I've
- 1:23- spent,
- 1:23- almost thirty years in small business ownership and
- 1:27- hospital leadership, including serving as a CEO.
- 1:30- And I would did that mainly in the
- 1:32- rural hospital or critical access hospital space, and
- 1:36- I built what looked like a great life
- 1:38- from the outside. The title, the income, the
- 1:40- reputation, I I had it all. But somewhere
- 1:43- along the way, I realized that success and
- 1:45- the fulfillment just really aren't the same thing.
- 1:48- And so that realization has become my mission.
- 1:51- And today as the founder of Age of
- 1:53- Advantage where I work with other high achieving
- 1:55- executives,
- 1:57- I work with them to start building a
- 1:59- life that feels as good as it looks.
- 2:01- And, one of the exciting new things that
- 2:03- I've accomplished off my bucket list is I've
- 2:06- also completed my new book,
- 2:08- architecting the sovereign leader, which ties in with
- 2:11- that executive coaching program that I've put together.
- 2:14- Thank you so much for the introduction. And
- 2:16- so you spoke about how you made that
- 2:18- shift from running a critical access hospital to
- 2:21- coaching c suite leaders.
- 2:23- What was the catalyst that happened that made
- 2:26- you make that shift?
- 2:28- Well, you know, as
- 2:30- from the view of the CEO office, from
- 2:32- one of the little tiny critical access hospitals,
- 2:35- it's really kind of a unique vantage point.
- 2:37- You know, it's it's not part of, you
- 2:39- know, the big
- 2:41- glitzy, polished hospitals that, you know, so many
- 2:43- people think about.
- 2:45- It's really the community's lifeline.
- 2:48- And for years,
- 2:50- I thought I had really reached the pinnacle
- 2:51- of my service, and I was just doing
- 2:53- really great as a CEO.
- 2:55- But as I look back at it, what
- 2:57- I really was is I was just what
- 2:59- I call a heroic fixer.
- 3:02- I was the one that stabilized the chaos.
- 3:05- I was just bridging the budget gaps. I
- 3:07- was helping keeping the ER staff, recruiting docs
- 3:09- for the clinic.
- 3:11- But while I was busy fixing all of
- 3:13- that around me,
- 3:15- what I noticed,
- 3:17- you know, if I can use a financial
- 3:18- term, my internal balance sheet was really moving
- 3:22- in towards insolvency.
- 3:25- And I remember one late night sitting in
- 3:27- my office and lights are humming and, you
- 3:29- know, everyone else had left.
- 3:31- And I had this kind of an odd
- 3:33- analogy come to mind that I was really
- 3:35- the human heat sink for the entire operation,
- 3:39- which which, you know, a heat sink is
- 3:41- the one that absorbs everything.
- 3:43- And I was the one absorbing the anxiety
- 3:45- for the town,
- 3:47- the issues from the physicians, demands from the
- 3:49- board. And so really on paper, I was
- 3:52- doing great,
- 3:53- but internally, I was a structural disaster.
- 3:57- And so from that, I realized we often
- 3:59- mistake success for sustainability.
- 4:02- And
- 4:03- what was coming to mind is that we
- 4:06- assume always, you know, as we look at
- 4:08- executives
- 4:09- that
- 4:10- they're they're happy, they're doing great. And because
- 4:13- they're winning, they look from the outside like
- 4:15- they're strong and doing great.
- 4:18- But I know from that moment, you know,
- 4:22- all of us often on the inside have
- 4:24- things that we need to fix.
- 4:26- And so as I continue to work with
- 4:29- my other leaders and especially the ones in
- 4:31- my c suite,
- 4:32- I help them to make those kind of
- 4:34- shifts as well. And, now I'm excited to
- 4:37- kinda take those programs and ideas to other
- 4:39- people to help them shift out of that
- 4:41- rut and find better balance in their life.
- 4:44- Got it. Got it. Thank you so much
- 4:45- for walking us through that. And now at
- 4:47- the top of the call, before we start
- 4:49- recording, you
- 4:50- framed burnout as an architectural problem rather than
- 4:53- a wellness problem. What do you mean by
- 4:56- that, and why does that distinction matter for
- 4:59- hospital leaders specifically?
- 5:02- Oh, you bet. This this is kinda one
- 5:04- of those real interesting thoughts.
- 5:06- As a hospital executive,
- 5:08- the standard advice we get, you know, from
- 5:10- our board or well meaning folks
- 5:13- is they say, you know, when you're exhausted,
- 5:15- oh, just take a vacation, just practice some
- 5:18- self care, go to yoga,
- 5:20- learn to meditate.
- 5:21- But burnout isn't really a wellness issue. It's
- 5:24- really more of a structural collapse.
- 5:27- And, Chanel, if you think about it like
- 5:29- a bridge, the bridge doesn't collapse because it's
- 5:32- lacking strength.
- 5:34- It collapses because it's lacking symmetry and there's
- 5:36- weakness within it.
- 5:39- So in the pursuit
- 5:41- of mastery, most health care executives
- 5:44- allow their internal structures to become dangerously lopsided,
- 5:48- and they optimize everything for their career, their
- 5:51- vocation, for the hospital,
- 5:53- while things like their health, their love and
- 5:55- relationships, their personal freedoms just undergo systemic collapse.
- 6:00- And so when you treat burnout like an
- 6:03- architectural
- 6:04- problem,
- 6:05- you can really stop trying to put the
- 6:07- band aid on exhaustion by just saying, oh,
- 6:09- take a vacation.
- 6:11- And what you really need to do and
- 6:13- change your mindset about
- 6:15- is start redesigning the foundation of your life.
- 6:19- And where you look at where the load
- 6:21- bearing walls in life are placed,
- 6:23- a lot of sovereign leaders,
- 6:25- just are creating structural symmetry
- 6:28- that or a sovereign leader creates symmetry across
- 6:31- all of those different areas of their life
- 6:34- as opposed to just getting lopsided and only
- 6:36- focusing on their career.
- 6:39- Got it. Got it. And now digging a
- 6:41- little bit deeper into that, what is the
- 6:43- single biggest mistake you see high performing health
- 6:46- care executives making right now, and what is
- 6:49- the cost of that mistake?
- 6:51- You bet.
- 6:52- Having been there, I've lived this, and I've
- 6:54- I've watched many of my friends live this
- 6:56- as well.
- 6:58- And a lot of us as health care
- 7:00- executives,
- 7:01- we spend our lives, really solving today's problems
- 7:05- or maybe even just looking at the strategic
- 7:08- vision for our facilities,
- 7:09- but we never take time to intentionally design
- 7:12- a future that we actually want
- 7:14- or create a life that that we want
- 7:16- to be living.
- 7:18- And so the the biggest mistake is staying
- 7:20- trapped in the identity of, you know, what
- 7:22- I would call my old life that heroic
- 7:24- fixer.
- 7:26- We become conditioned to believe that leadership is
- 7:29- just reacting to the fires or the problems
- 7:32- and just getting folks over those
- 7:35- emergency issues. And it it's really just becomes
- 7:37- a negotiation with chaos
- 7:39- is the way I I felt and the
- 7:41- way I kinda see it in my mind.
- 7:43- And what's really interesting is a lot of
- 7:46- executives
- 7:47- and leaders throughout these organizations,
- 7:50- they wear that exhaustion like a badge of
- 7:52- honor.
- 7:53- Like they're being super effective or they're working
- 7:56- really hard.
- 7:57- And the cost of that mistake is massive
- 8:00- because not only does it lead to the
- 8:02- structural collapse like we were just talking about,
- 8:04- but organizationally,
- 8:06- it can really be devastating.
- 8:08- Because when you look at that executive leadership
- 8:11- team,
- 8:12- they're really the engine of that entire organization.
- 8:16- And when they're exhausted
- 8:19- or when they're not
- 8:21- truly functional
- 8:22- in their
- 8:23- lives, they become a single point of failure.
- 8:26- And so when you're that hero fixer, you're
- 8:29- really the bottleneck.
- 8:30- And the mark of truly sovereign design
- 8:33- is an organization that can function with clarity,
- 8:36- more speed,
- 8:37- and grace when that executive or that leader
- 8:42- walks out the door. They they can function
- 8:44- without them.
- 8:45- And so the goal really of sovereign leadership
- 8:47- is to make yourself increasingly
- 8:49- unnecessary.
- 8:51- But oftentimes, what happens, and and I've I've
- 8:53- been there, you know, sadly. You know, the
- 8:56- executive ego fights that every step of the
- 8:58- way. You know, we wanna be indispensable,
- 9:01- but we really have to learn to practice
- 9:03- what I call identity liquidity,
- 9:06- where we're firing the version of ourselves that
- 9:08- got us to that point,
- 9:10- as the executive.
- 9:11- And we really need to create a next
- 9:14- version of ourselves
- 9:16- that's creating the legacy that we want to
- 9:18- leave with our organization.
- 9:21- I love that. So kind of surrounding yourself
- 9:24- with people that you can trust and depend
- 9:27- on while not burning yourself out at the
- 9:29- same time.
- 9:31- And,
- 9:32- kind of a different question here. So you
- 9:35- have a master class called mastery beyond the
- 9:37- boardroom.
- 9:38- Who is it for, and what does somebody
- 9:41- walk away with after going to it?
- 9:44- You bet. So mastery beyond the boardroom is
- 9:47- really built specifically for that high performing leader
- 9:51- who's winning professionally
- 9:52- but losing personally, you know, against those other
- 9:55- domains, you know, their love and relationships, their
- 9:58- personal
- 9:58- time freedoms, maybe their health and well-being.
- 10:01- And what I've really tried to do is
- 10:03- design it for that CEO, the CFO, the
- 10:06- CNO, or really
- 10:08- any executive
- 10:10- who's tired of running on that treadmill of
- 10:12- the crisis management, and they just need to
- 10:14- reclaim strategic command of their life.
- 10:17- So what I've done in the master class,
- 10:20- we take blueprints and some of the concepts
- 10:23- from my book, Architecting the Sovereign Leader.
- 10:26- And then I've tied that into other frameworks
- 10:29- for my executive reset program and my VIP
- 10:32- programs,
- 10:33- and then we're able to apply them directly
- 10:35- to the executive's life.
- 10:37- So with,
- 10:39- my mastery beyond the boardroom
- 10:42- program, they walk away with concrete tools,
- 10:45- from you know, for example, they use how
- 10:47- to you, use what I call the vagal
- 10:50- break, which is a a breathing technique
- 10:52- to regulate their nervous system under pressure, and
- 10:55- they learn to incorporate language of success into
- 10:57- their thinking and when they're communicating with others.
- 11:01- And these techniques
- 11:03- and the
- 11:05- the framework can really be used not only
- 11:07- just for vocation,
- 11:08- but it can you be used in all
- 11:10- areas of our life.
- 11:12- And then as that true sovereign leader, we
- 11:14- can take those principles and that language of
- 11:17- success and then teach that to our leadership
- 11:20- teams,
- 11:21- and, we can create much higher functioning organizations.
- 11:26- And so it creates really that internal structural
- 11:29- symmetry
- 11:30- that gives that,
- 11:32- that strength,
- 11:33- and it helps us bridge, you know, from
- 11:36- what's gotten us to this point in life
- 11:38- to really where we want to be going,
- 11:41- in the next steps of our career.
- 11:44- And so it it it's able to help
- 11:46- us not only personally but professionally
- 11:49- to become better balanced, which allows us to
- 11:51- really become a better leader for our organization.
- 11:54- And for those of us in rural health
- 11:56- care, these small critical access hospitals, it helps
- 11:59- us to be stronger and, better support for
- 12:01- our communities as well.
- 12:03- I love that. And for the health care
- 12:05- leaders listening who are exhausted and questioning how
- 12:09- much longer they can operate at this pace,
- 12:11- what's the first change you'd recommend to help
- 12:13- them lead sustainably?
- 12:16- You bet. So it's I think all of
- 12:19- us have those
- 12:20- moments,
- 12:21- you know, and I I was telling a
- 12:22- little bit about my story where I remember
- 12:24- sitting in my office one night having my
- 12:27- moment.
- 12:28- I give that the term, you know, really
- 12:30- notice what you're noticing.
- 12:33- And within us, you know, that discontent you
- 12:36- might be feeling or the exhaustion is not
- 12:39- a sign as an executive that we're weak
- 12:41- or we're failing,
- 12:43- but it it's really valuable data,
- 12:46- that your body is trying to give to
- 12:48- you. And, for example, in the health care
- 12:51- world, we always tell our patients never ignore
- 12:53- the signs of an MI or or heart
- 12:55- attack or a stroke.
- 12:56- But oftentimes, what we'll do is we'll ignore
- 12:59- those inner signals that our body is sending
- 13:01- us.
- 13:02- And it's that inner signal
- 13:04- that our body is sending us that tells
- 13:06- us our outer life is really needing an
- 13:08- update.
- 13:09- And so instead of, continuing to be stuck
- 13:12- in the past
- 13:13- or, you know, dealing with your old wounds
- 13:16- or being hostage
- 13:17- to, you know, the chaos that's really going
- 13:20- on in your hospital every day,
- 13:23- By implementing the the framework and the principles
- 13:26- that I teach, you know, first starting to
- 13:28- notice what you're noticing,
- 13:30- you can start moving towards that point where
- 13:32- you can be the visionary,
- 13:34- for your new personal and professional abundance.
- 13:37- And so as you start noticing what you're
- 13:39- noticing
- 13:41- and then act on the signals
- 13:43- that your body is giving to you, you
- 13:46- become ready to stop managing the decline and
- 13:49- moving more into that exhaustion or burnout state
- 13:51- that so many of us wind up in,
- 13:54- and you can start,
- 13:55- really architecting your ascent,
- 13:58- to becoming that sovereign leader.
- 14:01- And, if if folks would like more information,
- 14:04- you know, I'm I'm just throwing out just
- 14:05- a couple principles of the framework here. But
- 14:07- if you'd like more information, you can always
- 14:09- visit us at ageofadvantage.com
- 14:11- and join this mastery of the boardroom
- 14:14- program that I've got.
- 14:16- And one thing that when I'm talking with
- 14:18- other executives, I always like to remind them,
- 14:21- and it creates a good visual image for
- 14:23- us,
- 14:24- that oftentimes
- 14:26- it's
- 14:27- it's we reach that point where we need
- 14:29- to stop sacrificing our health, our and our
- 14:32- relationships on the altar of our vocation.
- 14:35- And we need to just really start
- 14:37- beginning to lead from the power of being
- 14:40- a sovereign leader
- 14:42- instead. And really all of that just starts
- 14:44- with noticing what you're noticing
- 14:46- and acting on it.
- 14:49- Absolutely.
- 14:50- And so as we wrap up, is there
- 14:52- anything else that listeners should know? And can
- 14:54- you state
- 14:55- again the name of the book and where
- 14:58- people can find it and also,
- 15:00- where people can find more about Mastery Beyond
- 15:03- the Boardroom?
- 15:04- You bet. So,
- 15:06- the important thing to recognize
- 15:09- is as we give terms to our experiences
- 15:13- and as we identify
- 15:14- really what we're going through,
- 15:17- as executives, we create frameworks of support for
- 15:21- our leadership teams and everybody else.
- 15:24- And what I'm trying to create with Age
- 15:26- of Advantage
- 15:27- is really that support structure for our executive
- 15:31- leaders
- 15:32- to help us be able to move forward
- 15:34- and really create the legacy that we want
- 15:36- to leave in our organizations.
- 15:39- And,
- 15:40- folks can find more information
- 15:42- on my website. It's just ageofadvantage.com.
- 15:46- There's actually information there in my store
- 15:49- about Architecting the Sovereign Leader,
- 15:52- which is my new book.
- 15:54- And for Becker listeners,
- 15:56- if you use the code Becker 25,
- 15:59- it'll give you a 25%
- 16:00- off the book.
- 16:02- So you can go ahead and, you know,
- 16:03- purchase that with a discount and be able
- 16:05- to read a little bit more about it
- 16:07- there.
- 16:08- And the the one piece I would just
- 16:10- leave folks with
- 16:12- is just remember when we receive those inner
- 16:15- signals,
- 16:16- it doesn't mean we're weak. It doesn't mean
- 16:19- that we're failing.
- 16:21- But when our inner selves are telling us
- 16:23- we need to change or something isn't working,
- 16:25- we need to take action on that, just
- 16:27- like we would really encourage,
- 16:29- you know, our our patients to take actions
- 16:31- when they receive those physical symptoms.
- 16:34- Because if you if you let it fester,
- 16:36- if you let it grow, the problems don't
- 16:38- go away when we ignore them.
- 16:40- And, you know, the better piece is really
- 16:42- to take action and change your life.
- 16:45- Because as a stronger leader, we're able to
- 16:47- effect better change with our leadership teams,
- 16:50- with our entire staff, with our patients,
- 16:54- and within our communities.
- 16:56- And as a leader, I think it's important
- 16:58- that we are involved in that and helping
- 17:00- to move everything forward.
- 17:02- Well, that's a great takeaway for our listeners
- 17:04- and a perfect note to end on. Brett,
- 17:06- I wanna thank you once again for joining
- 17:08- us today and for sharing your insights on
- 17:10- the Becker's Healthcare podcast. Thank you so much.
- 17:12- Chanel, as usual, the pleasure is all mine.