Burnout Proof Leadership: Identify Shift and Leadership Skills for Midlife Women Entrepreneurs

In today’s episode our conversation focuses on strategies related to well-being and resilience. 

Clinician burnout is a significant issue and it is getting a lot of attention right now.  

Unfortunately, 50% of the clinicians including nursing and physicians are experiencing burnout.

We are very fortunate to have Dr. Bernadette Melnyk from The Ohio State University on the show today.  Dr. Melnyk is an inspiring leader who is blazing a significant well-being and resilience trail at OSU as the very first Chief Wellness Officer in the country! 

As clinicians we tend to take care of everybody else and neglect our own self-care.  Sound familiar?  

The challenges with burnout aren’t going away without intention and attention. 

The National Academy of Medicine (NAM) formerly the Institute of Medicine has created an Action Collaborative to raise visibility of  clinician burnout, suicide, stress, depression and anxiety; improve the baseline understanding and challenges of well-being and advance evidence-based multidisciplinary solutions to improve patient care by caring for the caregiver.

There are system issues that need to be addressed and individual factors that require attention at the same time.  Hmmm…sounds like a polarity! 

Join us to hear Dr. Melnyk share her experience with creating a culture of well-being and sheds some light on how others can begin the journey.

In this podcast, business leaders navigate the challenges of high-pressure jobs, tackling burnout, micromanagement, and decision fatigue while honing emotional intelligence, communication skills, and problem-solving abilities to strengthen their leadership identity. Through discussions on leadership development, stress management, conflict resolution, and time management, listeners gain insights into achieving work-life balance, overcoming the struggles of being overworked, and fostering personal growth in the ever-evolving workplace.

There is a call for alignment between education and the healthcare delivery system

This alignment has been recognized as a critical component in efforts to improve health and the healthcare system.

To this point most of the interprofessional work has occurred in education with the intention to drive changes in healthcare.

If positive changes in healthcare are to occur, it must come from an alignment between practice and education.

90-95 % of the current workforce has potentially not participated in interprofessional education

There appears to be a gap in awareness on the practice side of what has been occurring with interprofessional education and a lack of interprofessional practice champions in healthcare organizations

There is a truth in the interprofessional education and collaborative practice polarity that enables you to look at it differently

There is a lot of work to be done even though efforts have been going on for over 50 years.

Listen as Michelle and Tracy talk with Dr. Tony Breitbach about what’s happening nationally and what’s needed to address the challenges discussed.

In this podcast, business leaders navigate the challenges of high-pressure jobs, tackling burnout, micromanagement, and decision fatigue while honing emotional intelligence, communication skills, and problem-solving abilities to strengthen their leadership identity. Through discussions on leadership development, stress management, conflict resolution, and time management, listeners gain insights into achieving work-life balance, overcoming the struggles of being overworked, and fostering personal growth in the ever-evolving workplace.

Is there anyone who is not trying to manage the relationship between SELF and OTHERS?

In today’s podcast we discuss the SELF and OTHER Polarity.  This one show’s up in all aspects of life.  

We can feel the tension between SELF and OTHER at work as clinicians and leaders.  The SELF and OTHER tension can also be felt at home as parents or in our marriages or relationships.  

This is NOT going away!

Do you often feel like you are being forced to make a choice?  To choose between yourself and caring or focusing on others?

Maybe you feel the stress of trying to get to a 50/50 balance between both.

Good news!  It’s not an either/or choice!  You can also forget trying to find a 50/50 balance!  

This is a polarity and all it requires is awareness and vigilance to create a dynamic balance and leverage the tension.

Listen as we talk about what this SELF and OTHERS polarity looks like and how to leverage it.

Go to here to down load the SELF and OTHER Polarity Map and Reflection Worksheet.

In this podcast, business leaders navigate the challenges of high-pressure jobs, tackling burnout, micromanagement, and decision fatigue while honing emotional intelligence, communication skills, and problem-solving abilities to strengthen their leadership identity. Through discussions on leadership development, stress management, conflict resolution, and time management, listeners gain insights into achieving work-life balance, overcoming the struggles of being overworked, and fostering personal growth in the ever-evolving workplace.

“Patients are the co-pilot in the airplane called better healthcare” Ben Moulton

This is a very interesting episode because today we’re talking with Dr. Glyn Elwyn a physician/researcher and Ben Moulton a lawyer/patient advocate about the Directive and Shared Decision-Making Polarity.

This polarity can show up in different contexts, leaders and employees, parents and children, but today we are discussing this polarity within the context of decision-making between the provider and patient/family. 

At the heart of person-centered care is partnering with individuals and their families in planning, developing and monitoring care in a way that best meets their needs and is considerate of their preferences.   

To be person-centered individuals need to not only act in a person-centered manner but also think in that way.

Historically the provider was the expert and had the answers and directed the care and patients/families were followers or passive participants.

Today there is a desire to have decision-making be an experience where the expertise of the provider along with the values, beliefs and needs of the patient/family are leveraged.  

The challenge is providers and patients and families aren’t always equipped to engage in shared decision-making.

Glyn and Ben share with us what is happening nationally in support of shared decision-making and how decision aides can prepare both providers and patients/families to participate in the shared decision-making process.

In this podcast, business leaders navigate the challenges of high-pressure jobs, tackling burnout, micromanagement, and decision fatigue while honing emotional intelligence, communication skills, and problem-solving abilities to strengthen their leadership identity. Through discussions on leadership development, stress management, conflict resolution, and time management, listeners gain insights into achieving work-life balance, overcoming the struggles of being overworked, and fostering personal growth in the ever-evolving workplace.

This polarity is a “BIGGY” listeners!

Today we are talking about the technology platform and practice platform polarity.

We have 20 years of experience with this polarity.  We’ve used health information technology at the point of care as clinicians, lead implementations of technology and practice frameworks in hospitals, developed evidence-based content to integrate into the electronic health record and participated on one of the first design teams for the electronic health record.

We recognized early on health information technology needs to be intentionally designed to support professional practice and patient-centered care.

During this episode Michelle and Tracy share lessons learned over the past 20 years and discuss today’s health information technology realities.

Healthcare needs a strong technology platform and a strong practice platform if we expect to provide safe, efficient, person-centered, quality care.

As a generation, today’s healthcare leaders were the pioneers that took the first steps to implement health information technology in healthcare.  Now when leaders step back, it gives them an opportunity to look at what’s been learned and where we are nationally in leveraging this polarity.

In this podcast, business leaders navigate the challenges of high-pressure jobs, tackling burnout, micromanagement, and decision fatigue while honing emotional intelligence, communication skills, and problem-solving abilities to strengthen their leadership identity. Through discussions on leadership development, stress management, conflict resolution, and time management, listeners gain insights into achieving work-life balance, overcoming the struggles of being overworked, and fostering personal growth in the ever-evolving workplace.

Have you ever heard of the phrase, “There is no I in team”? 

Well, there is an “I in Individual”, and teams are made up of individuals. So, in reality, there is an I in Team!  

Nationally leaders are looking to team-based care as one of the solutions to poor quality care.  There is an emphasis on moving away from individual autonomous care to team-based care.  What leaders don’t realize is individual and team is a polarity that needs to be leveraged.

“Individual and Team” represent an interdependent pair of values that are very powerful when leveraged well.  

We often don’t see individual and Team through a polarity lens, which is why it is important to shine a light on it and explore its significance during times of complex change in healthcare.

During this podcast we explore this crux polarity within the context of the clinical healthcare team.  It is a significant polarity today with the national focus on improving the quality of care and moving to value-based care.  

Value-based care calls for collaborative teamwork.  However, most of the current workforce is not prepared to practice as a team.

Tracy and Michelle share their experience as interprofessional clinicians and colleagues.  They give insight on ways to leverage and manage the Individual and Team polarity over time to achieve sustainable outcomes.  

Episode Summary Points:

·        Why we need an I in Team

·        There is a common goal when working as a team

·        Major influencing factors have shifted the focus to team-based care 

·        There is lack of progress in achieving the IOM recommendations 

·        Moving from volume to value-based care increases the tension, especially when

         using a problem-solving lens

·        Majority of current workforce is not prepared to practice as a team

·        Everyone has a preference pole

·        Leveraging Individual and Team helps to achieve the Quadruple Aim

·        Using a problem-solving lens is preventing progress and achievement of sustainable

          results.

Teaching Points:

·        Individual and Team represent two different poles, both are equally important

·        Be aware of your preference pole especially if you are a leader in a power position

          because you can heavily influence how the individual and team polarity is 

           experienced.

·        Listen for “from-to” statements, it may indicate a polarity exists

In this podcast, business leaders navigate the challenges of high-pressure jobs, tackling burnout, micromanagement, and decision fatigue while honing emotional intelligence, communication skills, and problem-solving abilities to strengthen their leadership identity. Through discussions on leadership development, stress management, conflict resolution, and time management, listeners gain insights into achieving work-life balance, overcoming the struggles of being overworked, and fostering personal growth in the ever-evolving workplace.

In this episode we focus on an over-arching healthcare polarity.  The Margin and Mission Polarity.  Everyone in healthcare is impacted by this polarity.  

Both Margin and Mission must to be present for the system to be sustainable and provide the healthcare we need.

Today we're looking at this polarity within the context of complex care and social needs.

During this episode we talk with Lauran Hardin. Lauran is a leader at the National Center for Complex Care and Social Needs. The center is the home for complex care and is transforming care for people with complex health and social needs.  

Lauran is guiding and coaching leaders every day out in the field to manage this polarity.  Her stories and insights are enlightening and inspiring.

Lauan shares with listeners why it’s important to understand the importance of the margin and mission polarity when creating programs that impact utilization and revenue.

Powerful change and transformation can occur when you understand and marshal the power of both sides of the margin and mission polarity.  Lauran shares some stories that will leave you with a feeling of hope.

Join us to learn from Lauran as she shares case studies and outcomes from the world of complex care and social needs.

In this podcast, business leaders navigate the challenges of high-pressure jobs, tackling burnout, micromanagement, and decision fatigue while honing emotional intelligence, communication skills, and problem-solving abilities to strengthen their leadership identity. Through discussions on leadership development, stress management, conflict resolution, and time management, listeners gain insights into achieving work-life balance, overcoming the struggles of being overworked, and fostering personal growth in the ever-evolving workplace.

Relationships are a critical element of interprofessional collaboration.  

In today’s episode, we discuss hierarchy and partnership within the context of interprofessional collaboration in the healthcare setting.  

There is a long history in the evolution of the health professions and how they work together that is rooted in social class and gender differences.

There is extensive literature describing the status inequities and power imbalances between physicians, nurses and other health professionals that exist today.

Historically these differences resulted in a hierarchical power structure within healthcare with the physician in the most superior position of the structure.  Interprofessional collaboration and team processes challenge this hierarchical power structure.

Health professionals bump up against the tension between hierarchy and partnership every day as they try to work in collaborative ways.

When we experience hierarchical relationships as negative or as a problem, it’s natural to want to move away from the experience and toward the opposite, a more partnering relationship.   

There is an upside to hierarchical relationships that we are at risk of losing if we over emphasize partnerships.  

We need both hierarchical and partnering relationships to establish a healthy interprofessional collaborative culture.

In this podcast, business leaders navigate the challenges of high-pressure jobs, tackling burnout, micromanagement, and decision fatigue while honing emotional intelligence, communication skills, and problem-solving abilities to strengthen their leadership identity. Through discussions on leadership development, stress management, conflict resolution, and time management, listeners gain insights into achieving work-life balance, overcoming the struggles of being overworked, and fostering personal growth in the ever-evolving workplace.

We were so excited to have Vicky Schmidt join us for this episode.  Vicky has experienced some of the very best of care and some of the worst care over the past 18 years.  She is a patient advocate for person-centered care and has shared her story with thousands.

During this episode Vicky helps us shine a light on the patient and clinician safety polarity from a patient perspective. 

This is a significant polarity in healthcare and on the minds of clinicians and healthcare leaders everywhere.

The greater purpose of managing the patient and clinician safety polarity is to create a culture of safety for both those that give and receive care.  

Looking at safety in healthcare through the eyes of someone who has been engaged with and experienced healthcare from across the continuum was enlightening and informative.

In this podcast, business leaders navigate the challenges of high-pressure jobs, tackling burnout, micromanagement, and decision fatigue while honing emotional intelligence, communication skills, and problem-solving abilities to strengthen their leadership identity. Through discussions on leadership development, stress management, conflict resolution, and time management, listeners gain insights into achieving work-life balance, overcoming the struggles of being overworked, and fostering personal growth in the ever-evolving workplace.

Is there ever a time when staffing is not being addressed?

Having adequate staff is a critical component of healthcare.  It is more significant than in any other industry probably.  In other industries when someone doesn’t show up for work or you have a few vacancies you may be able to shift things and it’s not that big of a deal (at least it's not life threatening) or you are able to make things work.  In healthcare, when there are staffing issues, the potential for harm to others increases and satisfaction is challenged both for patients and for clinicians.

There is no one solution or silver bullet to addressing staffing problems!  There is a “short game” and a “long game”.  In the short game you are finding solutions to the problem of not having enough staff and in the long game you are managing the polarities that are beneath the staffing problem as a proactive strategy to avoid experiencing the problem. 

During this episode Tracy and Michelle talk about the recruitment and retention polarity that lies beneath the staffing problem.  Managing and leveraging this polarity is the “long game” approach to staffing challenges.

In this podcast, business leaders navigate the challenges of high-pressure jobs, tackling burnout, micromanagement, and decision fatigue while honing emotional intelligence, communication skills, and problem-solving abilities to strengthen their leadership identity. Through discussions on leadership development, stress management, conflict resolution, and time management, listeners gain insights into achieving work-life balance, overcoming the struggles of being overworked, and fostering personal growth in the ever-evolving workplace.