John is an executive recruiter & speaker sharing his thoughts on healthcare, recruiting, digital technology, career management & leadership. 

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The Power of Habit: Why We Do What We Do in Life and Business
America's Bitter Pill: Money, Politics, Backroom Deals, and the Fight to Fix Our Broken Healthcare System
7 November, 2011 Posted by John G. Self
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19 October, 2017 Posted by John G. Self Posted in Healthcare, Recruiting
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Diversity In Healthcare: The Roadblocks, Pushback Are Real

Posted October 19th, 2017 | Author: John G. Self

SAN ANTONIO — Diversity remains a continuing challenge for healthcare, say members of the National Association of Health Services Executives (NAHSE), a national organization of African American executives and managers who are meeting this week in the Texas’ second largest city. Healthcare organizations whose leadership teams reflect the racial and ethnic makeup of the communities they serve can deliver care more effectively when a community’s racial and cultural factors are included in how decisions are made, NAHSE members say, and the data supports.

diversity in healthcareIn conversations I had with attendees, I was told that progress in improving the diversity of senior leadership teams has been made, but there is still much work to be done. Kevin Loftin, President and Chief Executive Officer of Catholic Health Initiatives, went so far as to say that, although much credit goes to the early African American pioneers who ran what were previously all white hospitals, he doubted there would be true racial parity in healthcare leadership in his lifetime.

Mr. Loftin shared the stage with Lloyd Dean, President and Chief Executive of Dignity Health of San Francisco. These two large healthcare providers are in the final stages of negotiating a merger that would result in the largest healthcare provider organization in the country.

Mr. Dean said he has received telephone calls pushing back against the merger with subtle racial ‘we want our country back’ overtones, implying that two black executives should not be allowed to pull this off.

Disappointing. Just when I thought we had moved past some of these issues, I have learned from my NASHE colleagues that they are still very real important challenges and they are not going away any time soon.

One African American executive went as far as to say that some search firm consultants, charged by their clients to produce a panel of diverse executives, act as if the request never occurred.

My takeaway which, to be honest should not have been that surprising to me, is that there is still much work to be done in our minds, our hearts and, most especially, with our actions.

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© 2017 John Gregory Self

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18 October, 2017 Posted by John G. Self Posted in Interviewing Skills, Podcast, Recruiting
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Trouble With The Curveball Question: The Achilles Heel for Executives [PODCAST]

Posted October 18th, 2017 | Author: John G. Self


Today, our big idea: being prepared for the curveball interview question and why that could make the difference between winning or losing a coveted job.

One of the more enjoyable baseball movies of recent years, Trouble With the Curve, tells the story about an aging, old-school baseball talent scout with fading vision, his estranged daughter and a cocky high school he-man player who every baseball team in America would love to sign. There is only one problem: that high school star can hit a fastball all day long — long and far, but he has trouble with the curve. It is his Achilles heel and the old scout knows it.

In betwixt and between there is a reluctant romance between the aforementioned estranged daughter who takes a leave from an Atlanta law firm where her long-awaited partnership hangs in the balance, and a competing baseball scout, a former minor league pitcher with a bad arm who yearns to be a wannabe baseball announcer for the Boston Red Sox.

The daughter and her father’s boss know something is wrong with the old man and they stand behind him and his experience as a scout when no one else will, and in the end, his judgment proves correct — the arrogant high school he-man star that everyone wanted to recruit cannot hit a big league curveball. If this was a true story, I can tell you with great confidence that the young player would not be the first promising high school or collegiate star who failed to make it in the baseball show because they couldn’t hit a curve.

So what does this baseball yarn have to do with career management? Actually, plenty.

You see, the curveball is a metaphor for the challenging interview question. In fact, recruiters frequently refer to the unanticipated interview questions as curveballs. And just like a swaggering young baseball player who has more confidence than talent or experience, the curveball is their undoing.

For successful major league baseball players, hitting the curveball is a basic requirement. Most players spend hours upon hours in the batting cage trying to master that pitch. They know if you cannot master the curve, you will not make it, or survive, in the show, the big leagues.

The same can be said for executives in competitive searches for the top jobs. Their problem is that they do not get as much practice in handling the curve, the unanticipated question they were not expecting.

Now here is the odd thing: If there was a batting cage for learning how to deal with the curveball, many executives would not invest the time. That fact is not only odd, it is surprising. In a highly competitive market, candidates need to go the extra mile to ensure they differentiate themselves from the dozens of other competing candidates.

This is not a new subject for me. I have touched on this idea several times in the past. What caught my attention and prompted me to revisit this issue was a quote from the Corner Office, a New York Times business column that appears on Fridays and Sundays. Adam Bryant, the New York Times editor and columnist who created this feature in 2009, conducts interviews with chief executives.

The column that caught my attention is one he did with  Bryan Roberts of Venrock, a venture capital firm. A question Bryant always asks and the one I pay the most attention to is this: How do you hire?

Here is what Mr. Roberts said: I start off most interviews with, “What can I answer for you?” It tells me a lot, including how knowledgeable they are about the company, how much they’ve thought about the interview and what they care about. I leave it very open-ended and listen to where they go. I can tell an enormous amount from that.

Then I say to them, “If we take the next step, I’m going to do a bunch of reference checks. I’ll find 10 people who know you, including names you won’t give me. How will they describe you?”

I find that makes people much more honest, because it’s no longer about what they think of themselves or how they want to project themselves.

Then Mr. Bryant poses a question I frequently use: What were you doing outside of class during you’re years in college?

Mr. Roberts explained that he ran a business that did work in the surrounding community.

Here is how he described his entrepreneurial venture:

“We painted. We trimmed trees. We cleaned some restaurants. We did anything. I didn’t know what I was doing, but at that point in life, you don’t fall hard or far. You can mess something up and figure out how to own it and get yourself out of it.

You also learn that life is not about avoiding problems; it’s about how you deal with them. That is a core tenet for me now. If you spend your life trying to avoid problems, you will never get anything done. You’ll just be trying to mitigate risk all day long.

You’re going to make some wrong decisions. The question is how well and quickly do you deal with them?”

Corner Office is a great column and each one always offers some insight into how other successful executives interview — their curveball questions.

So, here is today’s playbook takeaway:  The curveball is an integral part of major league baseball. The real pros master it. Not every home run is the product of a fastball. There have been plenty of game-winning hits off a curveball.

Baseball players, like executives, all have a history and recruiters, like baseball scouts, are trying to gain insight with that information.

The curveball question: know that it is coming. Understand it. Anticipate it and then hit it. That could make the difference between landing the job and being first runner-up.

Now, I invite you to follow me on Twitter, Facebook and on LinkedIn. We also have a special LinkedIn Group for Rural and Community Hospitals where we post relevant breaking news. I hope you will join us there.

If you are considering a career transition, please contact me at CareerTransitions@JohnGSelf.Com. We will work with you to help get the transition coaching benefits you will need to successfully navigate this challenging and highly competitive job market.

© 2017 John Gregory Self

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17 October, 2017 Posted by John G. Self Posted in Career Management, Executive Leadership, Leadership
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Bad News About Leaders Travels Faster, Lasts Longer

Posted October 17th, 2017 | Author: John G. Self

How you manage your brand (reputation) in the workplace is just as important as promoting it in the great outdoors that is the court of public opinion.

You cannot separate your “inside” brand — how you treat your employees, your vendors and customers — and “outside” brand — how you interact with business and civic leaders. This is especially true if you are a CEO or a member of the senior leadership team. You would think this idea would reflect some basic common sense. The problem is that when it comes to self awareness about their reputation, common sense can be one of today’s biggest misnomers for some executives. For those who think that this does not matter, I have a book I think you should read: “The No A**hole Rule:  Building a Civilized Workplace and Surviving One That Isn’t” written by Stanford professor Robert I. Sutton, PhD.

If you are an up and coming executive with a promising career ahead, this is an important lesson to learn now: you must protect your brand, your reputation — not at the expense of your employees — but for the good of the organization and your future. If you sense that people are afraid of you, or that your direct reports or peers are standoffish, now is the time — not next month, next quarter or next year – to nip the issue in the bud. Bad news about a leader’s reputation travels fast and lasts long.

One board chair who was recovering from a recent executive mis-hire that disrupted his organization told me, “Yes we face some very real challenges as the result of a destabilized reimbursement environment and increased competition but we are not interested in blowing up the organization to ‘save’ it. We believe there are nice people who are great leaders. That is what we want.”

As an executive recruiter who specializes in searching for CEOs and other senior executives for community hospitals, I have seen far too many talented men and women who were producing impressive results but were waylaid, not by some big action or decision, but rather death by a thousand cuts due to their bad or abusive behavior or unchecked arrogance. Three or four decisions or actions that the powers that be did not like is not what I am talking about. Those types of situations are quite common at all levels of management. Rather, it is the continuing lack of reputation awareness that can derail a career. That you nailed it with your operational or financial performance will not mitigate the damage to your brand if your brand is one of rudeness and demeaning behavior towards those you work with. Those two issues seem to travel separate paths with the latter winning out in the so-called court of public opinion.

In times of a crisis turnaround situation a board may be willing to take a chance on a brilliant producer. However, more often than not, recruiters, internal or external, are notoriously risk averse and employers almost never want to bring in an executive that will wreak havoc on the organization’s core values in hopes that the operational and financial results will outweigh boorish behavior.

The challenges that face healthcare organizations are significant and expanding each day. The industry cannot afford to hire talented leaders with reputations for producing great results but who cannot treat people with dignity and respect.

You do not have to act like an a**hole to get good results. There is enough empirical evidence to scuttle that myth.

© 2017 John Gregory Self

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