Andrew N. Garman - Healing our future : leadership for a changing health system

Praise for Healing Our Future

The American healthcare system of the future will be built increasingly on the strengths of teams, not individualsan environment where everyone will be a leader. Healing Our Future will be useful for clinicians and others working in teams, as well as individuals considering the pursuit of their first formal leadership role. The book also contains valuable content and reminders for seasoned executives.

Thomas M. Priselac, President and CEO, Cedars-Sinai Health System

I have used this amazing leadership model successfully with my leadership team, resulting in a stronger team and excellent individual development and improvement. This comprehensive leadership model will support the success of individual leaders and organizations alike.

Cynthia Barginere, COO, Institute for Healthcare Improvement

Garman embraces the importance of developing leadership skills in everyone, not just those in leadership positions. He offers a crucial overview of healthcare fundamentals, along with practical guidance and resources. This is a must-have book.

Jeanne Armentrout, Executive Vice President and Chief Administrative Officer, Carilion Clinic

Healing Our Future is a transformative must-read for next-generation healthcare organization and system leaders. Dr. Garman offers a superbly crafted research-based leadership road map, and he delivers it in a clear, accessible, and compelling voice.

Annie Tobias, former Vice President, Learning and Engagement, Ontario Hospital Association, Canada

Healing Our Future is what we need for today and to help us achieve a better tomorrow. The book provides important information in an accessible format that will appeal to leaders at every career stage.

Christy Harris Lemak, PhD, FACHE, Chair, Department of Health Services Administration, University of Alabama at Birmingham

Sustainable healthcare delivery is a global challenge, and success increasingly requires leadership at all levels. Although written in the US context, Healing Our Future offers practical, evidence-based advice that can empower all aspiring leaders to help the health systems they work in to build a healthier future.

Ronald Lavater, CEO, International Hospital Federation

Leadership is like a fine wine, often taking time and experiences to develop. The development journey in Healing Our Future is structured in a way that ensures readers have practical and achievable solutions to evolve their thinking and leadership style, turning challenges into opportunities.

Joseph Moscola, Executive Vice President, Enterprise Management, Northwell Health

Healing Our Future captures the essence of what is required for our leaders as they prepare for the healthcare challenges of the future. The seven disciplines elegantly capture and detail what should be the learning path for our leaders.

Chris Newell, Senior Director of Learning and Development, Boston Childrens Hospital

Andy Garman explores the frailties of healthcare with insight earned from the intellectual rigor of thoughtful research tempered with the scars and bruises from resolute practice. His book presents readers with a blueprint for recognizing their purpose, strengthening competencies, and, lastly but most importantly, being value-driven passionate advocates for health in the community.

Anthony Stanowski, President and CEO, Commission on Accreditation of Healthcare Management Education

Healing Our Future

Healing Our Future

Copyright 2021 by Andrew N. Garman

All rights reserved. No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the publisher, except in the case of brief quotations embodied in critical reviews and certain other noncommercial uses permitted by copyright law. For permission requests, write to the publisher, addressed Attention: Permissions Coordinator, at the address below.

Ordering information for print editions

Quantity sales. Special discounts are available on quantity purchases by corporations, associations, and others. For details, contact the Special Sales Department at the Berrett-Koehler address above.

Individual sales. Berrett-Koehler publications are available through most bookstores. They can also be ordered directly from Berrett-Koehler: Tel: (800) 929-2929; Fax: (802) 864-7626; www.bkconnection.com

Orders for college textbook/course adoption use. Please contact Berrett-Koehler: Tel: (800) 929-2929; Fax: (802) 864-7626.

Distributed to the U.S. trade and internationally by Penguin Random House Publisher Services.

Berrett-Koehler and the BK logo are registered trademarks of Berrett-Koehler Publishers, Inc.

First Edition

Hardcover print edition ISBN 978-1-5230-9010-5

PDF e-book ISBN 978-1-5230-9011-2

IDPF e-book ISBN 978-1-5230-9012-9

Digital audio ISBN 978-1-5230-9013-6

2021-1

Book producer: Westchester Publishing Services

Text designer: Westchester Publishing Services

Cover designer: Adam Johnson

Illustrator: Emily Garman

To our kids, their generation, and the next two they will look after

Healing Our Future

Every time history repeats itself, the price goes up.

Anonymous

T his is a leadership book for people who are more interested in making change happen than in formal leadership roles or titles. In health systems, as in other organizations, leadership has been evolving into a team sport: our environment has simply become too complex to be understood, let alone managed, by a small group at the top of a hierarchy. Regardless of whether leader is part of your title, or even in your job description, in the years ahead you will have increasing opportunities to lead. Id like to help you prepare for these roles as they appear before you, so that you can pursue them with a greater sense of confidence and purpose.

This is also a book about the changing role of health systems in our society. If you are working in a health system, you are working with colleagues who care deeply and inclusively about the health and well-being of others. You are also part of the largest corner of our economy, a sector with both the potential and the responsibility to become a powerful vehicle for pursuing the healthier futures that we know are possible but not certain.

I started my own career as a clinical psychologist, focused mainly on helping individuals in distress find better ways to get their needs met. I did not plan to become a leader, or even to study leadership. Over time, I was doing more and more things that were leadership-like, and then studying leadership to figure out how to do them better. This eventually led to my being asked to run programs, then departments, and then, ultimately, an organization: the National Center for Healthcare Leadership. Over the course of nine years, I had the opportunity to lead numerous research studies examining excellence in healthcare leadership, and analyze the approaches of hundreds of health systems in developing their leaders. The more individuals and organizations I studied, the clearer the commonalities across them became. Cut through all the chaos of personalities and secret recipes, and every leadership model can be mapped to seven universal disciplines. Similarly, every successful leadership development activity involves a finite set of universal learning principles.