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1
I.
Leadership
Transition Strategy:
High
visibility, Low Impact (seek to understand before attempting to be understood)

2
II.
Three
Phases:
a.
Introduction
b.
Data
Gathering for Assessment
c.
Feedback

3 III. Audiences:
4 a.
Internal
i.
Executive
Management
ii.
Direct
Reports
iii.
Middle
Management
iv.
Line
Staff
1.
Clinical
2.
Operations
v.
Medical
Staff

5 b.
External
i.
Community
Leaders
ii.
Neighbors
iii.
Contracted
Service Providers
iv.
Union
Representatives
v.
System
Peers
vi.
Physicians
Group
vii.
Governmental
Regulators
6
IV.
Audience
Size: (estimated frequency in parenthesis)
7 a.
Interpersonal
Meetings (1 hour/weekly)
i.
Executive
ii.
Direct
Reports
iii.
System
Peers* (quarterly)
8 b.
Group (2 hours/bi-weekly)
i.
Senior
Management
ii.
Community
Leaders (quarterly)
iii.
Neighbors (quarterly)
iv.
Union
Representatives (quarterly)
v.
Patient
Satisfaction Focus Groups (as needed)
9 c.
Divisional
(1 hour/quarterly)
i.
Clinical
ii.
Financial
iii.
IT
iv.
HR
v.
Marketing/Business
Development
vi.
Support
Services
vii.
Medical
Staff
10 d.
Organizational
(2 hours/monthly)
i.
Middle
Management
11 e.
Community
i.
On-going
function of Public Relations
12
V.
Introduction
Tactics
13 a.
Organizational
(appeals to audience are in parenthesis)
14
i.
Memo
1. Create memo/letter announcement of arrival with emphasis a brief overview of his plan to get up to speed (visibility and credibility)

15
ii.
Email
1.
Send
out text of announcement w/attached picture (visibility and emotional)
2.
Send
out CV to Middle Management and up.
This will enable reciprocity when you ask for their CV at a later point
in time (visibility, credibility and emotional)
16
iii.
Broadcast
Voice Mail
1.
Rick
reads text of announcement (visibility and emotional)
17
iv.
Intranet
1.
Have
IT department use announcement text and picture for web page linked to Intranet
home page. (visibility and stability)
18
v.
Photo
Ops
1.
Punch
and cookie reception line during shift change on first day or two after on-site
arrival (visibility and emotional)
2.
Schedule
a couple of days to visit cafeteria during lunch and dinner so people have a
chance see and meet Rick in an informal setting. I see this as similar to a reception line standing in front the
cash register would be the ideal placement.
Ideally recruit a highly respected, high-visibility and long-time member
of senior management to accompany you for making introductions (visibility, credibility
and transfer of authority)
19 b.
Tours
1.
Facility,
Safety and Security (visibility and credibility)
20 c.
Group
21
i.
ASAP
host an off-site luncheon with members of Senior Management (visibility,
credibility and emotional)
22
ii.
Schedule
luncheon with middle management similar to quarterly meeting at CPMC (visibility,
credibility and emotional)

23 d.
Interpersonal
i.
Conduct
one-on-One interviews with VPs and Directors using plus minus delta strategy to
gather assessment data. I suggest
following the praise on their plus noting achievement; minimizing minus for the
moment; agree to help where possible on delta.
All this is designed to allow them to show pride in achievement reduce
anxiety over deficiencies and instill the need for planning and proactive
thought when they meet with you again.
(credibility and emotional)

24
VI.
Political
a.
Applying
the Parento Principle to organizations means recognizing that roughly 20% of
the organization cares about your arrival as COO and 80% are ambivalent. Breaking that 20% down further, half of them
are glad to see you because you represent a chance for change. The other half may resent the change in the
status quo you represent. I suggest
focusing on growing the ranks of those who are supportive of you by reaching
out to the 80% who are ambivalent. The
mistakes I often see is too much focus on winning over those who are rooted in
the status quo at the expense of those who can lend support.
b.
Assess
to identify informal opinion leaders. I
would suggest making note of deep subject matter experts, silo-spanning
connectors and the salespersons. Each
of these three types will be key to formulate and promote your agenda later.
VII. Situational Considerations
25 a.
Inclusion
of Second and Third Shift
26 b.
Thanksgiving
and Holiday Season
27 c.
Inter-campus
rivalry