Table of Contents - American College of Healthcare Executives
Transcription
Table of Contents - American College of Healthcare Executives
TableofContents NewWaysofThinkingAboutCareerSuccess BuildingJobSecurity:StrategiesforBecomingaHighlyValuedContributor DiagnosingRisk:StrategiesforPreventingUnexpectedJobLoss ManagingJobTransitions:ThirteenQuestionsforaSuccessfulSearch SixStepstoCreatingaPersonalCareer‐DecisionFramework CreatingandImplementingaReality‐BasedCareerPlan C A R E E R S New Ways of Thinking About Career Success Mike Broscio, director, Healthcare Career Management and Outplacement Practice, Scherer Schneider Paulick, Chicago, and Jay Scherer, principal, Scherer Schneider Paulick O ur healthcare work world is much different today from what we envisioned early in our careers. We are being affected in many ways by stunning changes in technology, government regulations, demographic swings, world politics, financial markets, and the dynamic economy, just to mention a few. Yet everyday we do things that are consistent with how the world was, instead of how it is today or will be tomorrow. Many of us continue to apply a set of career/work norms that have become inappropriate. Have you thought about these contemporary work world questions? • Is it reasonable to be surprised by notification of job loss? • Do you have a plan in the event your hospital is acquired? • How much money have you invested in your own personal skills development in the past year? • Do you believe it is disloyal to return a call from an outside search consultant? • Have you recently assessed your facility’s business needs and proposed a solution? • Have you asked your boss for specific feedback in the past three months? • Do you have a coach? • Can you explain your value proposition in 20 seconds? • What is your competitive advantage? What is your brand? In this article, the first of a series on careers, we look forward. We ask, “Are you thinking in a contemporary way about your career, and do you fully realize how important current thinking is to your future success?” H O W I S T H E H E A LT H C A R E W O R K W O R L D C H A N G I N G ? Just about everything is changing: • Technology improvements affect healthcare operations almost every day, requiring us to learn faster and sort through more information. • Staffing shortages in clinical areas, fewer people pursuing healthcare careers, younger employees who have different attitudes about work, and a more diverse 6 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. C ar eer s workforce make traditional management thinking obsolete. We must all change how we lead. • Continued merger/acquisition activity drives significant job requirement changes and creates workplace stress, forcing us to make more decisions with less time and information. • Cost pressures, including reimbursement issues with government and insurance companies, require regular operations adjustments. • Job tenures are shorter because organizations and employees must make quicker decisions to respond to today’s changing reality. The concept of a lifelong job is vanishing. The road to success is more zigzagged than straight. • Jobs are broader and not as well defined, which creates conflict. Leaders communicate less to staff about what is expected because they have less time. • In the past the belief was that if you worked hard and were loyal to your employer, good things happened to you. Now such guarantees do not exist. • Physicians have complex issues to address such as costs of malpractice, changing reimbursement rules, and insurance requirements. These changes lead to significant workplace stress and conflict. Not just healthcare is affected; most of these changes are happening in all industries. There is no escape! What’s your plan to succeed in this new world? THE FUTURE: A WORLD FOCUSED ON SHARED SUCCESS What we are all experiencing are symptoms caused by the emergence of traditional free-market factors in the healthcare labor market and workplace. Evidence of these free-market tools include more job-posting systems (within organizations and Internet based), more turnover, more pay for performance, more career selfmanagement tools, and more alternate work arrangements. Each helps to promote freer movement of talent to where it needs to be and when it needs to be there in response to market realities. For the foreseeable future, we should be prepared for more free-market impact on our careers. Because our workplace is not stable, our careers will not be stable. It all adds up to a dramatically new world. Not good. Not bad. Just real. A key element of a free market is free will and choice, which is based on business realities: We agree to work together as long as it makes sense for each of us to do so. A balance of power exists between the buyer and the seller (that is, employer and employee) that is driven more by supply and demand and not as much by artificial restraints such as loyalty, security, fear, complacency, poor information, and tradition. This reality can best be summarized by the term “shared success.” Shared success must occur for relationships to be effective and to last. In our new world marked by recruitment, retention, and performance issues, a reasonable balance must exist between employee and employer needs so that the changing 7 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. J o urna l o f H e a lt hca re Ma nagement 48:1 Januar y/Febr uar y 2003 requirements of each, and of the marketplace, are met. To achieve shared success, we all need an efficient way to ask and answer these five important questions: 1. What do employees need to do differently to keep up with the constantly changing needs of their organization? 2. What do organizations need to do differently to keep up with the constantly changing needs of their employees? 3. How can companies and leaders effectively communicate their constantly changing needs? 4. How can employees effectively communicate their own changing needs? 5. How can we integrate answers to these questions to create shared success? Achieving Shared Success In the past, career planning has often focused on your personal “needs,” such as your interests and values, but paid little attention to the needs of your employer or boss. Although focusing on yourself is a priority, you must also balance your needs with the concerns of the organization paying you. Naturally, you spend some time evaluating what your employer is providing you in the way of benefits, compensation, environment, and opportunity. But you also have to fully understand your organization’s needs. By doing so, you are taking an important first step to a key responsibility you have in the new work world: creating shared success. You need a personal philosophy and tools to help you understand your changing reality and to take appropriate action to ensure that your success is balanced with the success of your organization. Being out of balance results in your organization asking you to leave or in your own dissatisfaction with your work. In a changing world, you need to constantly monitor your environment and understand what is going on. But how? We developed a new tool, the Q5 Framework, that can help you do this quickly and effectively. The Q5 Framework The Q5 Framework (see Figure 1) is a tool that helps you to ask and answer important questions related to shared success. It provides the basis for developing and implementing a career-success plan that will benefit both you and your employer. In many ways, Q5 acts like a camera, allowing you to take a snapshot of your current reality. You can then use that understanding to develop and implement a plan. Have you ever looked at a photo of yourself and said, “Is that how I look?” Unfortunately, the camera does not lie. Likewise, Q5 lets you see your career as it is, not as you think it is, and helps you design a plan to achieve success. More importantly, Q5 can be used as a high-speed camera, helping you to take successive snapshots of your environment as it changes so that you can adjust accordingly. You have probably witnessed a workplace situation in which someone wondered why a certain employee did not seem to “get it” or understand. Of course, that employee was not trying to fail. He or she just was not seeing reality 8 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. C ar eer s ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• Y N PA R M E O F C OF • What are my values and interests? • What do I need to keep my life in balance? • What are my developmental needs? IN D N IVID EE U D AL S FIGURE 1 The Q5 Framework Instruction: Answer the questions in each quadrant below and look for gaps in your answer. Develop and implement a career action plan to close those gaps. L UA ID R IV E D FF IN O • What are my skills and talents? • How do I deliver value? • What is my competitive advantage? C O N MP EE A D NY S PLAN IMPLEMENTATION • What are the growth opportunities in my company? • What benefits does my company offer? • What can my company offer to make me more effective? • What are the goals and mission of my company? • What skill sets do I need to help my company? • What changes affect my company’s needs? ®SSP, LLC 1997, 2001 ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• as he or she should, perhaps because he or she has lost track of the requirements for success today after all the changes in the past few years. If you are not paying attention, change followed by change followed by change can very easily result in inappropriate behaviors and outdated skills. Understanding Your Needs and Offer Using the Q5 Framework to plan a career success strategy means first taking a hard look at yourself and taking stock. Questions to ask include What are my values and interests? What are the things that I care about? What motivates me? What are my skills and talents? What experiences do I have? What are my development needs? How do I deliver value? How do I want to deliver value? What’s my competitive advantage? Understanding Your Organization’s Needs and Offer It is critical that you understand your organization’s needs, its key strategies, how your job contributes to those strategies, and the skill requirements necessary to succeed. Because your employer’s needs stem directly from the needs of its customers, understanding customers’ needs and how they align with your knowledge and experiences can also make you a valued employee. Inside your organization, you can talk with your supervisor about his or her expectations and how they may change in the future. For positions outside your organization, networking can be a significant help. 9 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. J o urna l o f H e a lt hca re Ma nagement 48:1 Januar y/Febr uar y 2003 You also need to fully understand your employer’s offer. Questions to ask include Why are you working here? What are the pros and cons? Is it really better anywhere else, and how can I find out? Talk with colleagues or human resources professionals at your organization. Remember, finding an organization where it is “less crazy” or where there is less change is no easy task! Analyzing Overlaps and Gaps With a snapshot of the four most important factors regarding your work—your needs, your offer, your organization’s needs, and your organization’s offer—take a hard look at that photo to see what you like and do not like. Key questions to ask include What am I doing well to meet my organization’s needs? What can I do better to meet my organization’s needs? What is my organization doing well to meet my needs? What can my organization do better to meet my needs? From this analysis comes an understanding of key gaps from which you can then develop a short- or long-term plan to achieve shared success. But remember, when a key change occurs in one quadrant, you need to react and do something to ensure balance in all quadrants in your Q5 framework. Keep taking those photos. Your Preliminary Strategic Career Plan The next step is to map out a career action plan that will help decrease gaps between your needs and offer and those of your employer’s. Fully developing and implementing this plan takes a bit of thought and work. We will cover this issue in our next column. Until then, think of one thing you might want to do differently. It could be a change in behavior or attitude, something you need to learn, or a way to get more information about what is going on in your organization. Ask a colleague, coach, or your current manager to review your ideas to keep you focused. Find out how realistic they believe your thinking is and what suggestions they would make. You might also receive some unexpected support from those who can help. Write down what you plan to do and set a timeframe (say, three months). Then work on that one thing when you have time and review your progress at that point. It really is that simple, and that hard. A single change in behavior can be one of the most difficult things we as human beings have to do. However, change is much easier if you can clearly see how the change helps you achieve shared success and benefits you and your organization. NO GOING BACK Many authors, including William Bridges (in Creating You and Company) and Tom Peters (in The Brand You 50), suggest saying goodbye to most of your hard-earned beliefs about how it was supposed to be and embracing these new realities of work: 10 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. C AREERS • We are all contingent workers serving increasingly demanding customers. • We must continually produce value and acquire the new skills needed to produce this value in the future. • Performance expectations and related rewards will change frequently. • We need to be willing and able to transition from one facet of an industry to another or from one industry to another. Your future career success may depend on how you choose to respond to these new realities. Accept them, and you begin to take control of your career choices; ignore them, and you may be unable to take advantage of career opportunities that will emerge. For more information on the concepts in this column, please contact Mike Broscio at mbroscio@ache.org. 11 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. C A R E E R S Creating and Implementing a Reality-Based Career Plan Mike Broscio, director, Healthcare Career Management and Outplacement Practice, Scherer Schneider Paulick, Chicago, and Jay Scherer, Principal, Scherer Schneider Paulick D o you have a plan to ensure your career success in the future? If you are like many professionals, you must admit that you do not. Yet in other parts of our lives, most of us do have plans. Most of us have regular checkups at least to understand what we need to do to stay healthy. Most of us have a plan for continued financial success. The same idea applies with careers. A career plan is critical to building long-term professional success. Like a financial plan, a career plan must be based on reality and must be updated regularly to account for changes in personal needs and the marketplace. In our career-coaching practice, we often hear professionals say, “I’ve made it this far without a career plan, why do I need one now?”; or “There are too many unknowns for me to develop a plan. It’s just a waste of time”; or even, “I can’t control my career, it’s in the hands of others.” These comments are reflective of a time passed and of old thinking. Because of rapid job movement today, you must have a dynamic, flexible plan if you expect to get what you want out of your current position and career. You cannot trust others or the market. You have to carve out and exploit your own niche. This article, the second in a series, describes the steps involved in developing and implementing a reality-based plan using the Q5 Framework discussed in last issue’s column. The Q5 Framework provides the building blocks for creating shared success— your ability to ensure a reasonable balance between the fulfillment of your needs and meeting your organization’s needs. THE THREE STEPS The three steps to building a career plan are (1) understanding your reality, (2) analyzing overlaps and gaps in that reality, and (3) developing a written plan based on that analysis. Understanding Your Reality Using Figure 1 as a worksheet, take a snapshot of your current reality by filling out each box for your individual needs and offer and the organization’s needs and offer. Write your answers on a separate piece of paper, then summarize them on the worksheet. If you need help, ask a mentor, a coach, or a colleague you trust. The following guidelines will help you respond appropriately to each category. Individual Needs (What’s important to you?) • Choose three or four personal values that are most important to you. These values may include advancement, compensation, change, creativity, health, ability to help 76 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. C ar eer s ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• FIGURE 1 Understanding Your Reality A1: INDIVIDUAL NEEDS A4: COMPANY OFFER A2: INDIVIDUAL OFFER A3: COMPANY NEEDS ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• others, independence, intellectual status, location, personal development, family relationships, recognition, security, teamwork, and work under pressure. • List motivators and demotivators for each of your last four jobs. Do you see trends? What do you want to do more of and less of? • Think about how you spend your time. Each week has 168 hours. Add up the actual amount of time you spend on working, eating, sleeping, being with family, partaking in recreation, cleaning, and so on. Then, determine how you would like to ideally spend those hours. What’s the difference? • Write a paragraph answering the question, “The meaning of success to me is. . . .” Are you heading in the right direction? • Summarize your answers on the worksheet under A1. Individual Offer (How do you provide value?) • Write your top ten professional accomplishments. Summarize the key skills you used to achieve each. • Review your past performance reviews. List the key themes, both positive items and those needing development. • Think of how you contribute to your organization. What can people count on you to get done? How are your skills and attributes important to the organization? 77 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. J o urna l o f H e a lt hca re Ma nagement 48:2 M ar ch/Apr il 2003 • What business are you in today? As the CEO of your own “service business,” you need to determine your mission, understand your key offers to the organization, exploit your competitive advantage, and minimize your competitive disadvantage. Write a one-page “business overview” that summarizes these ideas. • Summarize your answers on the worksheet under A2. Company Needs (What’s important to your organization’s success?) • What are the key competitive issues for your organization? What do your customers want that you are struggling to deliver? Is someone else in your market doing a better job? • How can you make a difference on these issues? What skills are needed to so do? Do you have these skills? • What competencies does your organization require for success? For example, the American College of Healthcare Executives has ten standards of excellence for its staff, including service, quality, integrity, responsibility, timeliness, professionalism, teamwork, resourcefulness, fiscal responsibility, and development. What do your organization’s competencies mean to you? How are you doing on each? • What changes do you see coming for your organization? What can you do to get ready? Can you suggest a project to help your organization’s competitive positioning? • Summarize your answers on the worksheet under A3. Company Offer (How does your organization fulfill your needs?) • List benefits, compensation, learning opportunities, and formal training programs at your organization. Which ones work well for you, and which are sources of dissatisfaction? • What other job within your organization would you like to take on? Do you have the skills to be successful at it? Remember, job requirements also include “soft” qualifications such as style, maturity, judgment, and trustworthiness. • Can you volunteer to work on a project to learn or contribute in new ways? • Is there an important new job that needs to be created? Talk with someone why that role delivers value and why you are the one who can do it. • How would you change your current role to make it more consistent with your needs and offer? Remember, any change must achieve shared success. • Summarize your answers on the worksheet under A4. Analyzing Overlaps and Gaps With this snapshot of your reality, conduct an analysis of the overlaps and gaps in your answers to categories in Figure 1. Answer the questions in Figure 2 to identify current areas where there is a good fit between you and your organization and where there is not a good fit. How far out of balance is your Q5 Framework? If it is somewhat out of balance, your short-term and mid-term career success is probably achievable at 78 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. C ar eer s ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• FIGURE 2 Analyzing Overlaps and Gaps What am I doing well to meet my organization’s needs? What can I do better to meet my organization’s needs? What is my organization doing well to meet my needs? What can my organization do better to meet my needs? GOOD FIT & OVERLAPS POOR FIT & GAPS ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• your current employer. If your framework is significantly out of balance, you may be able to do things to balance it but you may also need to consider moving to a new organization or even changing your career. Developing a Written Plan Figure 3 is a worksheet for your short-term and long-term action plans. Overall, the plan should include: • a summary of the current reality and a thorough analysis of overlaps and gaps between each category; • a list of key activities that can close the gaps and capitalize on overlaps; • prioritization of activities, including time frame (both short term and long term) and specific steps needed to accomplish them; and • a process for regularly updating the plan to adapt to changes (see Figure 4). A journal is also helpful to track your progress with following your plan. I M P L E M E N TAT I O N Although a plan is always indispensable, it is worthless unless implemented. Increase your implementation success by: • adjusting your plan regularly to reflect current reality. Take successive snapshots of your reality every few months or when a significant change occurs. Key changes that may require a plan adjustment include personal changes, such as a family addition or sudden financial problem; professional issues, such as boredom with work, newly learned skill, or feedback on a development need; and organizational events, such as a new boss, new organization strategy, or a merger and acquisition. Organizational 79 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. J o urna l o f H e a lt hca re Ma nagement 48:2 M ar ch/Apr il 2003 ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• FIGURE 3 Developing Your Written Plan SHORT-TERM ACTION ITEMS Overlap/Gap Activity What I Will Do? By When? LONG-TERM ACTION ITEMS Overlap/Gap Activity What I Will Do? By When? ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• culture changes, such as loss of an important coworker or team member, can also be included. • making career decisions more quickly. In general, the longer you wait to make a career move (when you cannot reasonably balance your Q5 Framework in your current job), the higher the risk that someone else will make that move for you. If you cannot achieve balance and are thinking about a job or career change, you can analyze a new job opportunity with the Q5 Framework. • investing in yourself to stay relevant. Why wait until your organization provides you training? Get it yourself. Find a program that closes gaps in your plan. Take a vacation, if you must, to be able to attend. A NOTE FOR MANAGERS What do managers and organizations need to do differently in the new workworld to support employees and achieve shared success? They must • assert less control. As the free market enters the workplace, managers are less able to control everything. In fact, top-down control creates significant conflict in an organization that is trying to respond to market needs in a timely basis. Delegate responsibility. Trust employees to do their work. Ask them what they plan to do instead of telling them what they should do. Use the Q5 Framework to communicate expectations. • focus on shared success. There is no win-lose in today’s workplace. There’s either win-win or lose-lose. If your employees feel they are losing and the organization is 80 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. C AREERS •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• FIGURE 4 Adjusting the Plan to Reflect Current Reality TYPE DESCRIPTION OF CHANGE WHEN IMPACT ON MY Q5 My Needs My Offer Company Needs Company Offer Other: market, finances, long-term goals, etc. LIST OF ADJUSTMENTS REQUIRED •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• winning, they will not stay or their contribution will begin to slide. To help them balance their Q5 Framework, you can provide more information, ask more questions, be more flexible, and mentor. • clarify changes in the organization’s needs. Work on ways to communicate changes to your employees. As a manager, one of your key roles is to simplify external complexities so your employees can understand how changes can affect them. This way, employees know how to adjust their individual offer. For more information on the concepts in this column, please contact Mike Broscio at mbroscio@ache.org. 81 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. C A R E E R S Building Job Security: Strategies for Becoming a Highly Valued Contributor Mike Broscio, director, Healthcare Career Management and Outplacement Practice, Scherer Schneider Paulick, Chicago, and Jay Scherer, Principal, Scherer Schneider Paulick S ome healthcare executives continue to believe that job security is something that is automatically provided by their organizations. This perception may have been true in the past, but even then, executives still had to make contributions to earn this security. The increasing competition and performance requirements in the work world today require executives to focus on providing relevant value everyday to secure their positions. Among the most important skills of successful healthcare executives is their ability to understand the changing needs of the employer and marketplace and to find effective ways to meet those needs. Still, that is not enough. An executive also needs to ensure that others in the organization are aware of his or her contributions. By doing so, the executive is creating shared success, delivering value that benefits him or her and the organization, and building on security. F I V E S T R AT E G I E S F O R B U I L D I N G S E C U R I T Y These five approaches will help you build your short-term and long-term security in today’s work world. Understand the Organization’s Requirement Following are techniques for understanding the requirements for success at your organization. Choose one or two that make sense for you. Remember that taking any action is better than doing nothing! • Keep a change journal. When you see new and different things occurring at your organization, write them down. What are the patterns? What do you need to do to adapt? • Develop a strong internal network. You can learn important information by talking with people in the know. Set a goal of talking with someone once per week about current trends and practices and future issues. You need to seek out information, not wait for it to come to you. • Find mentors. Having several mentors who have differing skills and positions inside and outside your company is useful. A single mentor is unlikely to have enough scope of expertise, experience, interest, or contacts to help you maximize your personal progress and professional growth. Select someone who has your interests at heart, who has contacts, who is knowledgeable about your field or interest, and who 147 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. J o urna l o f H e a lt hca re Ma nagement 48:3 M ay/June 2003 will level with you. Good mentors may be a senior manager, a peer, a subordinate who will level with you, a technological guru, an industry expert, or a former classmate. Invite your potential mentor to lunch or coffee to see if you have common interests. • Study the organization’s strategic plan. Do you know where your organization is going? Is the information available? Can you collect it from newspaper or magazine articles or from investor analysis? What are the implications for your position now and in the future? • Ask for feedback. Feedback is critical to security, but good feedback is difficult to get and give. Instead of waiting to be told how you are doing, you have to figure it out by doing the following: 1. Ask your manager. Listen to the response well, paying attention to subtleties. Do not overreact or argue over suggestions. 2. Collect input on events in which you were involved. Get a sense of people’s expectations from you and the event. Have them evaluate what went well and what needed improvement. Understand the Market’s Needs The best way to understand more about the market is to do your own research. Read, talk with experts and peers in other organizations, attend professional conferences, and join professional associations and volunteer on one of their task forces. We have informally studied the practices of successful executives and professionals in the healthcare market. Our study revealed key lessons, which are summarized below. Use the questions in each lesson to find out what you can do to meet the market’s needs. • Contribute. Do you produce value every day? Do you or your employees focus on critical business elements? • Behave appropriately. How you conduct yourself may be as important as the results you get. Do people trust you? Can you work with a team? Is your work approach consistent with those of your leaders? • Adapt. Are there changes in your organization that you do not agree with? Do others perceive your disagreement? Are your adapting and flexibility skills up to speed? In our career-management practice, we find that many successful senior executives leave their positions because they disagree with or cannot adapt to the new direction of the organization. • Learn. To keep up with change, executives must constantly learn. Are your skills and knowledge of the healthcare field and its technology current? Do you take responsibility for your learning? • Anticipate vague performance expectations. Rapid changes in the marketplace create rapid changes in performance requirements. How good are you at meeting expectations that are not articulated to you? Can you figure out what needs to be done when sudden changes occur? 148 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. C ar eer s • Focus on customers. Everything is about the customer, so being knowledgeable about and responsive to the customer’s requirements are vital. Are you good with customers? • Be likeable. People want to work with people they like. Do you focus on establishing effective working relationships? • Understand business. Look at the big picture of running a business by learning about finance, marketing, information technology, and other important areas. Consider problems from differing points of view—that is, from a financial view, clinical standpoint, and so forth. Do you think and act like a businessperson? • Know how to sell. Achieving buy-in for an idea is not easy. The most effective form of communication is when you enlighten people on how a point of view or suggestion helps them, not you. Your point of view needs to be balanced with those of others. Can you sell? Uncover Unmet Needs and Solve Them CEOs and boards may not know all of the organization’s unmet needs. Your contribution in pointing them out and solving them can ensure your security. Examples of unmet organization needs or problems include customer dissatisfaction, inefficient processes, lack of innovative or creative thinking, poor communication among departments or groups, or overfocus on unprofitable businesses. Summarize on a sheet of paper (1) your understanding of these unmet needs within your organization and within the marketplace and (2) your recommendation for meeting these needs. When deciding on the actions you might take, remember that to successfully meet a need you must have the skills (value proposition) and interest related to that specific need. Here are some pointers: • Look around you. Sometimes unmet needs can be found within the scope of your position. If this is the case, you have an advantage, as you already know your area and may offer solutions that are practical and easier to implement. • Help others. If you uncover unmet needs outside your role, offer help, but be careful with your approach and use your selling skills. You can make a suggestion within the context of working together to get better results for the organization. • Create new roles. Sometimes creating a new role is the answer to meeting an unmet need. If this is the case, put together a presentation that outlines the advantages of this new role and your willingness and ability to fill the role. If your skill set and personal needs do not fit the role, suggest someone who might best fill the role. • Think strategically. Our career-management practice is often retained to help a leader think more strategically. Strategic thinking is often defined as carefully examining the organization to identify its unmet needs and then outlining improvements and working to meet those goals. Many leaders often say, “We need people to think outside the box.” In this section, we just outlined the process for doing so. 149 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. J o urna l o f H e a lt hca re Ma nagement 48:3 M ay/June 2003 Make Others Aware of Your Value Proposition Many people object to using self-promotion as a success strategy, as many of us have been raised to be humble about our accomplishments. However, it is necessary for those who have an influence on your career success to be aware that you and your skills are important to the organization’s success. Maintaining a positive “brand” may help in accomplishing this strategy. Each person has a brand that identifies that person in the market. Examples of brands include “difficult to work with,” “business savvy,” “creative,” or “very thorough.” The brand is based both on the impressions a person makes in the marketplace and on the well-received activities the person undertakes to promote recognition of his or her abilities and contributions. If you view yourself as a service business, then your brand must somehow relate to being “highly knowledgeable in customer service, marketing, operations, and delivering quality.” Here are suggestions on selling your ability to contribute in ways that are viewed positively. • Develop internal relationships. Whether you like it or not, security is often based on who you know and how strong that relationship is. What are you doing to work on building broad-based relationships with your peers, senior leadership, board, and staff? • Volunteer on teams. Volunteer on teams where you can make a contribution. But make sure that those teams are positive and forward thinking and are composed of the organization’s movers and shakers. • Write articles. You can build a brand as an expert when you get published. Look for opportunities to write for a publication in your field or to serve on editorial boards or publication review panels. • Join external organizations. Select one or two professional associations or trade groups where you can meet a broad group of people who work in organizations or industries that you may contact if a need arises for you to make a transition in the future. • Build external friendships. You can get your work done effectively and at the same time develop lasting relationships with outsiders (e.g., suppliers, consultants, customers) based on respect and shared success. These relationships with people who are “in the market” on a daily basis can be critical to building an outside network in the event you need it. Of course, you need to balance these activities with getting your work done, so select only a few at a time. You do not want your brand to be “joins everything and never gets his work done.” Make Career Decisions Based on Shared Success One of the most difficult ways we can protect our security is by leaving our current organization. So many of us hesitate in doing this, opting to wait for things to get better. We may also feel we do not have the time or skills to find something new, so 150 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. C AREERS we use excuses such as, “I’m going to retire soon anyway.” What criteria do you follow for determining whether it is time to begin looking? Here are helpful questions to consider: • Can you reasonably balance your Q5 Framework? (see previous articles in this series) • Is there a critical personal need you have that the organization is no longer able to meet? • Do you have a new boss who does not view your value proposition as relevant or adequate? • Has your organization’s strategy changed so that your skills are no longer important? • Are you unhappy with your current role and are there no other satisfactory opportunities in your organization? For more information on the concepts in this column, please contact Mike Broscio at mbroscio@ache.org. 151 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. C A R E E R S Diagnosing Risk: Strategies For Preventing Unexpected Job Loss Mike Broscio, director, Healthcare Career Management and Outplacement Practice, Scherer Schneider Paulick, Chicago, and Jay Scherer, principal, Scherer Schneider Paulick I n our executive-transition coaching practice, we find that many executives are unprepared when their career plan is interrupted unexpectedly. But is being surprised by job loss reasonable in today’s ever-changing work-world realities? Continuing cost reductions and increasing pressure to get immediate results have helped set the stage for downsizing. With more free-market dynamics affecting the job market, including basic risk–reward principles, receiving higher compensation today naturally means taking on higher risk. Why do executives continue to be surprised by job loss? Many are victims of itmay-happen-to-someone-else-but-not-to-me thinking. Confident with their current contribution and security, these executives often do not pay enough attention to the reality around them. Many executives are overworked and too busy to notice signals that all is not well or that fundamental organization or strategy changes have occurred that affect their roles. In busy times, you absolutely must pay close attention to your job performance. In today’s work world, however, you must also keep an eye on issues broader than your performance, such as office relationships, politics, communications, and perceptions of you and your behavior; market dynamics; strategy changes; and the organization’s bottom-line performance. These factors can potentially create risk for you and your current role. In this article we offer simple guidelines to help you pay closer attention to risks in your environment and to take more effective control of your career. PROCESS FOR REDUCING YOUR CAREER RISK When change happens, especially rapid change, staying in tune with your environment and its realities becomes difficult. Provided in Table 1 is a checklist to help facilitate your own efforts in diagnosing significant career risks that may need your attention now. Awareness is the first step in reducing your risk and gaining back control of your career direction. In this section, we present a process you can implement to help prevent an unexpected career interruption. Step 1: Review and Describe the Risk Factors. For each risk factor in Table 1 that applies to you (checked yes), write out a brief paragraph describing the situation. Include in your description the following key components: (1) the specific event(s) related to the risk factor, (2) the date the event occurred and when you became aware of it, and (3) the potential causes. Are there any other issues not addressed by the diagnostic checklist? If so, add them to your description. Does the situation look different when you see it on paper? In what way? 216 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. C ar eer s ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• TA B L E 1 R i s k D i a g n o s t i c C h e c k l i s t Does it Apply to Me? Yes No Risk Factor 1. Is your organization in a high-risk situation? a. Is your organization performing poorly? b. Has a major new-technology implementation occurred that may affect your function or role? c. Have you recently been acquired or have you just made an acquisition? d. Has a significant strategy change occurred recently? □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ 6. Are you feeling differently about your work? a. Is your work becoming significantly less satisfying to you? b. Is your stress level increasing? c. Are you making mistakes more frequently? d. Do you feel overwhelmed by the demands of your job? □ □ □ □ □ □ □ □ 7. Are your behaviors inconsistent with behaviors required for the new work world? Are your behaviors potentially causing problems on the job? a. Do you tend to “tell or yell” to get things done, rather than “sell”? b. Have you failed to increase your sense of urgency? c. Have you failed to improve your adapting skills? d. Have you failed to improve your time-management or prioritizing skills? e. Do you try to overcontrol your staff? □ □ □ □ □ □ □ □ □ □ 2. Have key organizational high-risk events occurred recently? a. Do you (or your boss) have a new boss, who started within the past 12 to 18 months? b. Has a key mentor or sponsor left the organization recently? c. Do you have any new key peers who have significant influence with your boss? 3. Have there been noticeable changes in communications? a. Have key people, including your boss, stopped or significantly reduced their communications with you? b. Do you consistently get unexpected reactions to something you say or do? c. Have you been left out of the loop on important decisions? d. Have you been passed over to take a lead role on a project or to be a part of a committee that would normally occur? e. Are you getting noticeably more feedback than before about a specific performance issue? 4. Do you find yourself consistently disagreeing or at odds with the organization’s mission or direction? a. Are your priorities or focus not what your boss wants or what the organization is saying it needs? b. Are you increasingly frustrated with decisions that get made by the executive committee or your boss? c. Are you feeling less connected or committed to the organization? 5. Have you become dependent in your thinking or behaviors? a. Do you find yourself hesitating more, waiting to take action, or uncertain of priorities? b. Have you stopped learning or developing your skills? c. Have you achieved most of the career goals you thought you would? d. Have you become overly fearful of job loss? e. Have you delayed developing and implementing your personal career plan? ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 217 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. J o urna l o f H e a lt hca re Ma nagement 48:4 Jul y/Augus t 2003 Step 2: Assess the Risk Factors and Prioritize. How does each risk factor potentially affect your career success? Assess each factor in terms of (1) who or what group it affects besides yourself, (2) what that individual’s or group’s influence is over your career success, and (3) how the issue is currently visible, or if it has been noticed yet. After reviewing your notes, identify one or two factors that can affect you most. Step 3: Generate Alternative Solutions. What potential action can you take to solve or reduce each of your risk factors? At this point, brainstorm alternatives without evaluating whether the possible action item would be effective. Step 4: Get a Second Opinion. In assessing your risk and developing alternative ideas, you may realize that you need more information to better understand what is going on and what you can do to correct the situation. For each risk factor, record (1) the additional information you need, (2) the individual or location from which you can get facts, and (3) the lessons you learned after collecting more input. Fully comprehending the elements of a potential career risk without input from others is difficult. Discuss the issue with your mentor, trusted friend, spouse, former classmate, or executive or career coach. Step 5: Develop an Action Plan. Based on the situation, risk factor, and input from others, choose one or two issues to concentrate on; then, lay out your plan for reducing your risk. Very often at this point of the process, key action plans have become readily apparent. If they have not, then consulting with an executive or career coach may be necessary (see “Professional Help” section). Your action plan should have these key components: (1) goals/desired outcomes, (2) time frame, and (3) action steps. Support from others is also essential. Remember, behavior change almost always helps you solve your problems if that change is focused on helping you get what you want and is balanced with the needs of others. Step 6: Implement the Plan. As you begin to implement your plan, determine if you need to have a discussion with your boss. One reason is to gain buy in to your action plan; another reason is to find out if there has been any damage done to your relationship. Often, people are afraid to have such a discussion for fear of bad news. If a meeting is in order, you will need to take the lead in bringing up any item concerning you. Direct communication is usually better. Never forget the power of a positive attitude. During the discussion, be prepared with solutions; don’t just raise problems or questions. Putting together ideas that solve issues is a key component to reducing your risk and improving relationships with others. Step 7: Prevent Future Risk. What can you do to avoid risk factors? Sometimes, job difficulties occur when executives have in some part misunderstood the world around them. They are not in tune with their own interests and needs, and that in turn affects their perceptions. Developing a comprehensive, reality-based career plan (which was discussed in previous columns) can help you feel better about 218 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. C AREERS your career and prospects. A good plan reduces your frustration, indecision, and dependency; increases your understanding of reality; and moderates your overall risk. PROFESSIONAL HELP The use of executive or career coaches is rising quickly in popularity, in part because they reduce the career risks of busy executives. Consider the benefits of a coach. Coaches can provide sound professional advice on a wide variety of career topics. In some ways, coaches take the place ofl eadership training or even human resources confidants, which help executives meet the demands of today’s workplace. In addition, coaches come from a variety of backgrounds, including the business, psychology, and counseling fields. You can pick a coach based on background or training that you think will be most useful for your situation now and in the longer run. Selection of a coach should be based on the coach’s experience with delivering results and on his or her ability to relate with you. Because coaching is a relatively new solution, you have to be aware ofi nexperienced coaches. Don’t be afraid of asking a long list of questions that specifically relate to the coach’s experiences, knowledge, and methods. Get references as well. Ask professional organizations or coworkers to refer you to a good coach. Many executives now rely on coaches the same way they depend on a doctor, accountant, or lawyer. They develop lasting relationships with their coaches over time, and they call on their coaches when needed, including for an annual career check up. For more information on the concepts in this column, please contact Mike Broscio at mbroscio@ache.org. 219 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. C A R E E R S Managing Job Transitions: Thirteen Questions for a Successful Search Mike Broscio, director, Healthcare Career Management and Outplacement Practice, Scherer Schneider Paulick, Chicago, and Jay Scherer, Principal, Scherer Schneider Paulick S ometimes the result of proactive career management and careful thought is a decision to make a job or organization change. Sometimes despite all your proactive efforts, something occurs that changes your role unexpectedly and quickly. Business relationships end, and others begin; those changes are normal. But change is difficult. In spite of all the organizational downsizing in the last 20 years and the increasing amount of job switching initiated by individuals, human reactions to any kind of job transition (whether company or self-initiated) have not changed. Reactions range from fear to relief to anger to disappointment. Also, doubt is almost always present. A recent survey conducted by our executivetransition coaching practice on 150 executives and middle managers in transition confirmed something we suspected: The perceived value of job-search advice is greater for issues related to the mind than to nuts-and-bolts topics; that is, job seekers prefer guidance on confidence, decision criteria, mindset, and emotions over tips on resume making and interviewing. One executive summarized our findings well, saying “success in this process is not about this nit or that nat, it’s about what’s between your ears.” In this column, we present job transition advice that is more strategic than tactical. Your answers to the 13 questions we pose below can help you build a solid understanding about transition and can enable you to sort through and apply to your situation the broad range of tactical recommendations (such as for resume development, interviewing strategies, and networking techniques) that are available everywhere else. 1. CAN YOU MANAGE REJECTION? Rejection is a significant part of any effective job search, whether it comes from your former company or in the form of a search firm that does not call back after promising to do so. Sales professionals use one technique for staying positive through constant rejection: to think that “each no I get means I’m that much closer to a yes.” This thinking reflects the belief that if you get up to the plate enough, you will eventually get a hit. Most executives in transition highly underestimate the volume of continuous activity needed in a successful job search. They seem to not understand that no matter how good they are, they will face rejection during the search process. 287 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. J o urna l o f H e a lt hca re Ma nagement 48:5 September /October 2003 Embrace rejection, as it may very well mean you are making progress toward your goal! Find a good sales book that has a chapter on dealing with rejection to help you change your outlook and manage your choices. Another mistake many executives in transition make is putting too much stock in one opinion they receive. One negative opinion is not an adequate sample to base actions on. Consider your reactions carefully before making changes based on one opinion. 2. HAVE YOU ACCEPTED THE NEW WORK WORLD? Most executives in transition remain resistant to the free-market forces affecting the job market. This emerging free-market system, marked by increasing movement of talent and fewer artificial movement barriers such as job security and organizational loyalty, requires adapting by executives. One way to adapt is to view yourself as a service business competing for customers. What are your mission, value proposition, and competitive advantage? What is your best market segment? What would your 20-second commercial outlining how you deliver value look like? You need answers to these questions to compete effectively in the free market. Accept this new work world. Read about it, plan for it, anticipate it. Resist it and you will fall behind and reduce your long-term viability and competitiveness. 3. DO YOU HAVE A PLAN? To articulate his career plan, one of our executive clients developed a PowerPoint slide presentation. The presentation includes the following titles: (1) Why Am I Leaving My Company?, (2) Focus of My Job Search, (3) Geographical Preference, (4) Value Propostion, (5) Strengths, (6) My Leadership Style, (7) Areas for Improvement, (8) Important Personal Values and Interests, (9) Specific Career Ideas and Options, (10) Market Segment Options, (11) Action Items and Priority, and (12) Start-Up Plan for the New Job. What is your plan? You decide the format, but its components should reflect the notion that you are launching a service business in today’s marketplace. A good plan builds confidence in action and tactics, and confidence is a critical element to job search success. 4. ARE YOU SEARCHING FOR SOMETHING YOU WANT? Executives in transition sometimes feel like they have to pursue a job that they are no longer committed to or interested in. Financial realities sometimes lead to a feeling of being trapped in a specific career path. Seeking a role that you are not fully excited about will likely negatively affect your motivation to execute the often grueling and frustrating day-to-day tasks required of a successful search. One way to mitigate this potential demotivator is to begin thinking in the longer term. Evaluate the next job by asking the following: Can it be a stepping stone to something you truly value? Can it teach you skills or present you challenges that will prepare you for the job following that? Thinking longer term is the difference between walking into a cave and walking into a tunnel: a cave surrounds 288 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. C ar eer s you in total darkness, while a tunnel offers you a speck of light on the other side. A vision of a different and better future can help adjust your motivation and attitude. 5 . D O YO U U N D E R S TA N D T H E DY N A M I C S O F T H E M A R K E T ? The executive job search market has several unique aspects, which continue to change. A few of these changes are listed below as well as our view on them: • The assessment of risk is changing. Reduced risk now depends as much on the strength of the relationship between what you deliver and what your organization needs as on the financial stability of the organization. • The impact of basic risk-reward tradeoffs is increasing. The more money you make, the higher the risk you assume—that is a natural market dynamic. What are you going to do to help manage this increased risk? • Time is being redefined. In today’s busy marketplace, one day to working executives feels like seven days to executives who are not working. One executive recently said to us, “when you’re waiting for someone to call back, it’s like dog time.” • Searches are more like a 10K race than a sprint. Dashing out unprepared to this new marketplace may get you a head start, but it will likely tire you out before you reach the finish line. Do you have a plan that can be implemented indefinitely? 6. HAVE YOU ACCEPTED YOUR TRANSFER TO SALES? Having to look for a job is like being transferred to sales. All of a sudden, you have to look for buyers. The first step in making this transition work is to put together a good marketing plan that anticipates the realities of your market. Then, you must commit to implementation. However, many job seekers do the minimum and never fully commit to an all-out sales effort. Have you committed to your job search? 7. DO YOU KNOW YOUR BARRIER TO SUCCESS? Everyone has at least one barrier to job search success, whether it is poor personal image, an unclear value proposition, a preference for waiting for the market to come to you rather than you going to the market, lack of a key credential or certification, or lack of full commitment to the search process. Understanding what your barrier is and then forming a plan to eliminate or at least reduce the impact of that barrier are crucial to job-search success. Evaluate consistent feedback you have received at work and during your search to see if any patterns emerge; those patterns may represent a barrier. You may also ask your mentor or someone you trust to provide constructive feedback. 8. ARE YOU WORRYING ABOUT THINGS YOU CANNOT CONTROL? You cannot control the fact that the job market is difficult. You cannot control the fact that recruiters or hiring staff do not call you back in a timely way. You cannot 289 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. J o urna l o f H e a lt hca re Ma nagement 48:5 September /October 2003 control the fact that your age may be a factor in your job search. And the list goes on and on. Yet, job seekers spend significant time fretting about things that are a given. Over an extended period of time, this behavior takes its toll on mental well-being. When something is bothering you, first think, “Is there anything I can reasonably do about this issue?” If the answer is no, try to move on to something that you can influence such as your effort, strategy, skills, and fitness. 9 . A R E YO U R E D U C I N G YO U R U N C E R TA I N T Y ? Uncertainty about where you will work next and in what capacity, combined with the uncertainties of your day-to-day life, can become overwhelming, making you feel like things are out of control. Make decisions about whatever you can—those areas that you can control. Take items off the list. Being undecided on too many issues adds to feeling overwhelmed. What can you decide today to reduce the uncertainty in your life? 10. HAS THE MARKET SEEN YOU IN THE ROLE YOU ARE PURSUING? In our coaching practice, if a client obtains even one interview for the type of role he or she is searching for, we view the case as being “proved.” Our thinking is that if one organization/search firm was impressed enough to grant an interview, then other organizations/search firms will most likely follow and the search will be eventually successful. After you have had at least one interview, the market knows you exist. If time continues to drag on without a solid interview (with a search firm or organization), then you may have to adjust your strategy or tactics. Take a careful look at your plan and how you are implementing it; this examination may yield some answers. Examine your search progress by reviewing the following current trends: • Organizations are hiring people who match exactly the position specification. • Organizations are interested in candidates who can produce revenue for the enterprise. • Salary offers are down; variable pay is increasingly presented. • Some of the most marketable leadership skills and attributes include the following: 1. Success in dealing with tough issues such as declining reimbursement, impact of physician liability insurance, and staff migration and shortages 2. Ability to build solid physician and board relationships 3. Knowledge of managing diversity and successful integration of cultures 4. Skills in business development 5. Broad experience working for diverse types of employers, including practice management, managed care, and hospital organizations 290 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. C ARE ERS 1 1 . A RE YO U M A K I N G A D JU S T M E N T S T O T H E W R O N G THINGS? A job search has two parts—strategy and tactics. Strategy covers the big picture, including the seeker’s value proposition, target market, and basic communication approaches to such elements as resume and interviewing. Tactics are specific techniques and distribution approaches that help sell the job seeker. Once a seeker gets into a search and does not see the expected results, the pressure is on: he or she typically begins adjusting either the strategy or the tactics to determine and fix what is going wrong. However, this can be highly counterproductive if the seeker is adjusting strategy when flawed tactics are the issue or vice versa. The tension of a search also leads people to make adjustments based on little feedback. Our advice is to put together a solid plan, understand good tactics, and then implement it. Collecting and analyzing feedback is always good practice, but slow down on making significant adjustments. Thinking things through well before the pressure of the search begins will likely result in fewer inappropriate or unnecessary adjustments. 1 2 . A RE YO U F O C U S E D O N L E A R N IN G ? “Can I still perform the job?” is a natural question asked by many individuals who have been engaged in lengthy job searches. The answer is relax, you cannot lose your edge in a matter of months. To help with your confidence, take advantage of your job search period as a time to learn. The outplacement industry is known to say, “looking for a job is a full time job.” However, very few job seekers can or should spend 50 hours on their search—that is a sprinter’s pace that will lead to burnout. Conservatively, you have at least five to ten hours per week extra time than you had while working. Some executives use that time to reconnect with friends and family, while others use it to learn. Over a six-month job search period, try to devote 130 hours to learning a new skill or a new language. What’s your learning goal during your transition? 1 3 . A RE YO U C O N F ID E N T IN YO U R A B I L IT Y T O M A K E A G O O D E M P LO Y M E N T D E C I S I O N ? During the job search, hesitation and procrastination can come from not having clear decision criteria in mind. Defining your requirements for a new job early in your search is crucial; you can use those required criteria later when evaluating solid opportunities. When considering whether to accept an offer, you should already have established a systematic approach for evaluating the organization and the opportunity. For more information on the concepts in this column, please contact Mike Broscio at mbroscio@ache.org. 291 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. C A R E E R S Six Steps to Creating a Personal Career-Decision Framework Mike Broscio, director, Healthcare Career Management and Outplacement Practice, Scherer Schneider Paulick, Chicago, and Jay Scherer, Principal, Scherer Schneider Paulick F rom time to time, career opportunities present themselves to you, both from within and from outside the organization, or you may hear of a job opening that is appealing. When it comes time to decide whether to pursue a job opportunity or to accept an offer, do you follow a process for decision making? What steps do you take to maximize your career success in the short- and long-terms? This final article in the careers column addresses the important issue of making good career decisions. The increased movement of talent in the workforce, initiated by individuals and organizations, has presented people today with far more career decisions than those required 10 to 15 years ago. Many employment experts predict that the average working person in the United States will change jobs between five and ten times during their careers. Therefore, having a personal career-decision framework focused on maximizing success is a critical requirement in effective career planning. THE SIX STEPS OF A CAREER-DECISION FRAMEWORK Little is written about techniques for better weighing the pros and cons of working at a certain organization or in a specific role. One reason for this lack is the complexity of the issue—that is, how can you account for all the factors relevant to deciding on a job offer? Another is the difficulty of collecting accurate and meaningful information that serves as the solid foundation for your decision. In this section, we present six steps that will help you begin to build a decision process that works for you. At the core of these steps is the objective of shared success: to make a win-win decision that maximizes your success, balanced with the success and needs of your potential employer organization, department, or supervisor. Step 1: Reduce Decision-Making Barriers Being in the right frame of mind is a critical requirement in effectively deciding whether to take a new job. The following are ways to clear your head: • Do not think traditionally. Are you stuck in the past, operating without a career plan? Are you dependent, waiting for someone else to manage your career and determine your success? Do you understand that in the new work world you are 355 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. J o urna l o f H e a lt hca re Ma nagement 48:6 Nov ember /December 2003 a service business operating in a free marketplace? Do you realize that taking no action is also a career decision? • Take emotions out of the equation. Speed is the enemy in any employment decision. Rushing through the process does not allow you or the organization to collect and deliberate on enough information. The old saying “quick to hire, quick to fire” often holds true for the organization. Try not to be over anxious, fearing the employer’s interest will wane if you do not stay aggressive. Do not react; rather, plan. • Gather enough information. Not knowing enough about the opportunity or organization is risky. It is human nature for many successful people (who are by nature often optimistic) to fill in blanks in information with positive guesses and inferences. Wishful thinking often leads to poor decision making. • Do not put too much stock in one opinion. Ask for input and advice from those you trust, but remember that one feedback is not sufficient for basing a decision on. Many people are willing to give advice, but that advice may not be based on a full understanding of your situation, your desire for a change, and the advantages and disadvantages associated with the opportunity. Be careful about asking for input. Conduct an organized research initiative instead. • Do not let a “push away” be the only reason for making a change. Many job changes are initiated to get away from a difficult situation or boss, an underperforming organization, or a demanding environment. Often this feeling to “push away” allows you to take control of your career. But it should not be the sole motivating factor. The new job offer also has to have “pull”—that is, it has to have an appeal based on the job’s consistency with your requirements. Without feeling this pull, you risk jumping to another opportunity that replicates the one that pushed you into making a change in the first place. Step 2: Use The Q5 Framework To ensure decision success, you need a decision tool that fully accounts for personal and professional needs, skills, and value proposition. It must also account for the new opportunity’s requirements for success. The Q5 Framework (Figure 1), introduced in the first two articles of this column, provides such a decision tool, which is flexible enough to support your personal career decision-making process. The Q5 Framework allows you to ask and answer questions to assess how a job opportunity’s needs and offers fit with your own. Step 3: Clarify Your Needs and Offers (see the Q5 Framework) Any good decision starts with an understanding of what is important to you. With your career, you must have a solid, realistic view of your strengths and weaknesses and know how you can deliver value to your employer. Potential criteria for understanding your employment needs and offers are listed below. Take some time to complete the sentences framing the criteria, then think about which criteria are 356 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. C ar eer s ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• FIGURE 1 The Q5 Framework for Effective Career-Decision Making ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• most important to you; force rank or prioritize each criterion to determine the order of importance. This ranking will be used in Step 6 below. • My primary responsibilities should be . . . • The organization’s strengths/market position should be . . . • My compensation needs (including variable and fixed) are . . . • My benefit plans needs are . . . • Other perks should include . . . • My bosses’ style and approach would ideally be . . . • The culture of this organization should be described as . . . • This organization’s core values should be . . . • The organization’s position/reputation in the marketplace should be . . . • The location of the job (now and the future) needs to be . . . 357 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. J o urna l o f H e a lt hca re Ma nagement 48:6 Nov ember /December 2003 • Learning opportunities should include . . . • Travel requirements should be . . . • The opportunity for me to make an impact/difference should be . . . • The physical environment I work in should include . . . • The flexibility in my work schedule should include . . . • Time-at-work requirements should be . . . • My input into my work assignments should include . . . • The type of people interaction (including type of people) I will work with should include . . . • The team reporting to me should be . . . • My peers should be . . . • Important tools/resources available to me should include . . . • Other issues important to me are . . . Step 4: Be Aware of Opportunities at Your Current Organization More opportunities may be available at your current organization than you know. In a recent study of exiting high-value employees, one major global consulting firm found that almost 70 percent of employees who resigned ended up taking roles that they could have filled within the organization they left. Your internal network is critical to uncovering these internal possibilities. Many organizations now post job openings, but the postings rarely mention more senior-level roles. Often executives compare their current role to the one being presented by the search firm, but they overlook a third potential—a new internal role. If you feel good about your organization but not your current role, then uncovering internal opportunities may be in order. Because you have more information about your current organization’s culture and requirements on hand than what you can gather about a new organization during the interview process, a move within your organization is possibly less risky and demands less work. If you have been presented with an internal opportunity, try to step back and look at your organization as if you were an outsider. Only then can you look at it with fresher eyes. Step 5: Seek Information on the Potential Organization A decision to move to another organization should be based on solid information. Although it is hard to fully know an organization until you start working there, research will yield useful insights. Following are a number of suggestions for determining whether a specific organization is a good match and is a place where you can be successful. • Ask questions. Formulate interview questions related to your needs-and-offers criteria (see steps two and three). For example, if flexibility in working hours 358 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. C ar eer s is important to you, ask questions such as, “Do my peers have home offices set up?” “How many of my direct reports have alternative work arrangements?” The timing of your questions is important. The common advice is not to raise questions about compensation and benefits early in the recruiting process, unless you have significant concerns regarding those items. • Talk with relevant people. First, collect insightful information from former or current employees. Usually the best way to do this is to use your network, which may include individuals who are directly or indirectly tied to the organization you are interested in; with their help, you can identify employees you can approach. Second, talk to vendors/suppliers or customers/patients. Remember, you have to talk with enough people to form more complete conclusions, instead of relying on just one or two sources. • Collect company materials. Marketing materials, employee publications, newsletters, and web sites all provide an organization’s philosophy, focus, and priorities. Get as much insight from these vehicles as you can. The knowledge will also better prepare you for the interviewing process. • Visit or walk around. Prior to or after any interviews, visiting the location to get a sense of the internal and external environments is a good idea. In this time of increased security, unplanned visits have become more difficult to do; but they may still be possible at some organizations. As part of the interviewing process, you should be given a tour of the facility. If not, ask for one, but do not ask until the second round of interviews. • Conduct research on the Internet. Checking out official web sites, doing article searches, and accessing healthcare-industry-related web pages can give you quick information about a target organization. Excellent sources include www.hoovers.com and www.guidestar.org. The ACHE (www.ache.org) and AHA (www.aha.org) web sites are great resources as well. • Imagine a day at the new organization/job. This exercise can help you identify feelings about a new place and opportunity, and it may lead you to seek more information that will help in decision making. Find a quiet place, close your eyes, and imagine yourself driving/commuting to the organization. Think about the details of the commute, including parking the car and walking into the building/office. What does everything look like? What do you do first when you get there? Who do you see? Think about the details of the job. When is your first meeting? Who is invited to the meeting? What is the central issue that needs to be addressed? And so on. • Consult or work temporarily. For individuals in the job market, working for a potential employer on a temporary basis can be a great way to learn more about the operation (and for those in charge to learn about the individual). If your objective is to ensure a good fit so that shared success results, this kind of trial period is ideal. 359 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. 3 3 3 3 3 2 2 1 1 1 (range: 3 to 1*) Weight Current Job 67 12 9 6 12 12 6 2 4 3 1 Total 5 4 4 1 3 2 5 5 4 4 Score (range: 5 to 1**) New Job 78 15 12 12 3 9 4 10 5 4 4 Total 5 4 3 4 5 2 4 2 2 4 Score (range: 5 to 1**) Best-Ever Job 83 15 12 9 12 15 4 8 2 2 4 Total •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 4 3 2 4 4 3 1 4 3 1 Score (range: 5 to 1**) *3 = highest priority; 1 = lowest priority; **5 = highest score; 1 = lowest score Total Desirable Location Lack of Organizational Bureaucracy Good Compensation Extensive Time with Family and Friends Trust and Integrity of Bosses/Partners Ability to Lead Process/Strategy Need/Desire for My Expertise Responsibility for Revenue Ability to Lead People Become More Knowledgable/Expert Job-Selection Criteria FIGURE 2 Sample Career Decision-Analysis Worksheet •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• J o urna l o f H e a lt hca re Ma nagement 48:6 Nov ember /December 2003 360 For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org. C ar eer s Step 6: Make an Informed Decision Based on the First Five Steps Career success requires shared success. Your best decision is one that accommodates your contributions to the success of the organization and the organization’s contribution to your success. Figure 2 is a sample career decision-analysis worksheet. The worksheet lists, in order of importance, the job-selection criteria for a hypothetical healthcare executive. Each criteria is given “weight” in the second column, with 3 being highest priority and 1 being lowest priority. The remaining columns rate the executive’s satisfaction with current job, new job, and best-ever job, with 5 being the highest and 1 being the lowest. This sample worksheet provides another view of all the factors you must consider when making a decision focused on shared success. THE NEW JOB Now that you have chosen to accept the position, what are you going to do to be successful in this role? This question has been growing in importance, as executives are increasingly required to fix problems and improve performance in very short time frames. It has also given rise to coaching and training initiatives that are focused on the art of “on boarding”—proven techniques for starting anew successfully at an organization. Our final question for all careerists who are actively managing their careers and who have just decided to make a change is this: “What is your plan over the next six months to ensure you achieve shared success in your new role?” For more information on the concepts in this column, please contact Mike Broscio at mbroscio@ache.org. 361 Photocopying or distributing this PDF is prohibited without the permission of Health Administration Press, Chicago, Illinois. For permission, please contact the Copyright Clearance Center at www.copyright.com. For reprints, please contact HAP1@ache.org.