Literature Review

How UCSF Health is rebuilding an 'instrumental' management layer Becker's Hospital Review; by Kelly Gooch; 12/17/24Middle managers have long played a crucial role in industries across the U.S. However, a November article from global management consulting firm Korn Ferry describes "a disappearing layer of middle management," particularly among professional-service firms that are "delayering" to improve flexibility and responsiveness. ...  [Data] shows that in 2023, middle managers accounted for 31.5% of all layoffs, with an average of 22% between 2018 and 2022. While Mitul Modi, Korn Ferry senior client partner in the firm's global healthcare services practice, said layoffs of managers have occurred at various health systems in 2024, he told Becker's he is not seeing this occur with patient-facing roles. Instead, he has observed an increased emphasis on developing middle managers. ... One example of this is San Francisco-based UCSF Health. ... UCSF Health's efforts center around investing in a management core training program.[Click on the title's link to continue reading.]

Why introverted leaders outperform extroverts by 28% Forbes; by Cynthia Pong, JD; 12/8/24 Move over, charismatic showboats—introverted leaders drive 28% higher productivity from proactive, engaged teams compared to their extroverted counterparts, according to research by Adam Grant from Wharton, Francesca Gino from Harvard Business School and David Hofmann from UNC-Chapel Hill’s Business School. The finding runs counter to conventional wisdom about what makes an effective leader. While extroverts often steal the spotlight at work, introverted leaders are quietly revolutionizing modern workplaces by demonstrating how thoughtful competence can outshine performative leadership any day of the week. ... The secret sauce to introverted leaders’ success? They’re mastering:

Kimberly Duchossois donates $2 million to The HAP Foundation for Palliative Care Education The HAP Foundation - Hospice & Palliative Care Research & Education; by Rachel French; 12/9/24 The HAP Foundation receives a major gift from philanthropist and Board of Trustee Kimberly Duchossois to grow education on palliative care and increase collaboration among health care systems to ensure access to care for all. ... “Ms. Duchossois’ commitment to community and making an impact for families is inspiring and humbling. She has been a leader throughout the health care field and is always willing to listen and lead. With this gift, The HAP Foundation will strengthen our existing palliative care education programming and foster relationships for collaboration among health systems in Illinois." ...

‘You did a good job’Jewish Journal; by Ron Wolfson; 12/4/24 As Jews, we are instructed to say 100 blessings every day, each of them making us aware of the many things for which we are grateful – from simple bodily functions to the beauty of the world in which we live. ... I have been thinking about the way in which we show, or don’t show, gratitude to our leaders in the workplace, ... “We often think of our leaders as we do our parents,” my friend, mentor, and business consultant Stuart Matlins says to me. “We believe our parents know everything and they’ll solve every problem. Same thing with our leaders. We “parentize” our leaders, especially our CEOs and presidents of organizations. And just as we children hardly ever complement our parents, when do we ever complement our leaders? We rarely say to them, “You’ve done a good job.” ... Editor's note: To whom might you voice, "You've done a good job." Mentors? Leaders? Others? Reflecting on your own work, what qualities and measurements for "doing a good job" matter to you, the most? Today, go find at least one person to voice, "You did a good job. Thanks."

Breaking free from self-doubt: A guide to authentic leadership and communication Forbes - Leadership; by Lynn Smith; 11/27/24 In my years of coaching hundreds of top executives, entrepreneurs and CEOs, I've noticed a persistent challenge that holds many back from their full potential as leaders and communicators: self-doubt. This inner critic—what I call the "Brain Bully"—creates a constant stream of negative self-talk. Even the most accomplished leaders wrestle with thoughts like "What if I say the wrong thing?" or "What if I don't sound smart?" These are exact quotes from some of my clients. The larger issue is that inner dialogue was preventing those leaders from communicating clearly and concisely. The self-doubt in their head was reading all across their faces and through their body language. In a time when 93% of communication is weighed by nonverbal cues, we had to do something about this. ... [Click on the title's link to continue reading.]

Unlocking leadership potential: How stretch assignments drive diversity and growth in healthcare American College of Healthcare Executives; by Britany McElry, FACHE, and Jordan Roloff; 11/20/24 In the dynamic world of healthcare, nurturing internal talent for leadership roles isn't just a smart strategy—it's essential for the ongoing success and growth of organizations. As we tackle complex challenges and strive for excellence in patient care, it's clear that the leaders of tomorrow are already among us. ... At Mayo Clinic, we've launched two groundbreaking programs to foster internal talent: the Stretch Assignment Program and Mayo Clinic Rising. ... The Stretch Assignment Program, spearheaded by the eMERGing Leaders Mayo Employee Resource Group, features a blinded application process open to all staff seeking growth and professional development. It offers projects in areas like quality improvement, time management, project management, financial analysis, change management, networking and public speaking that are submitted by leaders needing assistance on key projects. ... The program has already shown impressive results, with 20 participants across Arizona and Northwest Wisconsin, nine of whom have been promoted since participation—a 45% promotion rate.

How health system palliative providers can leverage data to gain more resources Hospice News; by Jim Parker; 11/12/24 Palliative care clinicians in health systems can apply research to lobby administrators for additional resources. In doing so, they may get a profile boost due to the COVID-19 pandemic. Palliative care’s reputation grew during the pandemic, with more patients and health care organizations recognizing its benefits and value. Stakeholders can leverage this in discussions with organization leaders, according to Dr. Tamara Vesel, chief of the Palliative Care Division at Tufts Medical Center and associate professor of medicine and pediatrics, Tufts University School of Medicine. ... When approaching organization leaders to advocate for palliative care, the importance of data cannot be overstated, according to study co-author Dr. Bernice Burkarth, chief medical officer of Tufts Medicine Care at Home and assistant professor of medicine at Tufts University School of Medicine.Editor's note: Reminder, our newsletter's Saturday edition always compiles relevant, timely research articles for you. To me, the word "research" means to "re-search," as in to search again--now--for the best information and appliciations available, today. We do alot of the work for you, re-searching and re-searching topics, pairing timely hospice and palliative challenges with formal research's background needs, research methods, data, references, conclusions, applications, and needs for further examination. 

[In case you missed it] The HOPE Assessment Tool: What you need to know [free webinar by CHAP]Community Health Accreditation Partner (CHAP); 10/21/24 On October 16, 2024, we hosted a webinar on the upcoming implementation of the HOPE Assessment Tool, which will catalyze hospice care starting in 2025. The webinar provided valuable insights into the tool’s implementation, content highlights, and its anticipated impact on hospice program operations. During the session, participants asked numerous important questions, many of which we’ve compiled into this FAQ for further clarification. Access the recorded session and handouts if you missed it or would like to review the presentation.

Global collaboration launches culturally inclusive palliative care education tool Hospice News; by Holly Vossel; 9/16/24 An international collaboration has led to the development of a new palliative care training tool aimed at improving quality and equitable access. Health systems across the globe are recognizing a growing need to boost the supply of providers able to care for a swelling, aging population of serious and terminally ill patients. Rising demand was among the driving forces behind the newly unveiled COllaboratively DEveloped culturalY Appropriate and inclusive Assessment tool for Palliative Care Education (CODE-YAA@PC-EDU). The palliative care education tool was developed in concert by the Council of Europe, the World Health Organization (WHO) and the United Nations. The organizations joined forces to design a sustainable training model that could build up the palliative workforce. The project is supported in part by the research network European Cooperation in Science and Technology (COST).

Nursing students learning to respect culture, tradition at the end of life St. Cloud Live, St. Joseph, MN; by Stephanie Dickrell; 9/6/24  It is called the golden hour — the hour before someone’s death. It’s a time of grief, but it’s also a sacred space. Two nursing instructors at the College of St. Benedict and St. John’s University are trying to make that time better for patients and their loved ones by better preparing their students who will be with them in their final moments. While the rituals surrounding death may vary by time, geography and culture, the program wants to make sure all cultures are respected. ... Julie Keller Dornbusch and Mary Pesch, both trained as Advanced Practice Registered Nurses ... received a prestigious grant from the Morgan Family Foundation of nearly $100,000 to create and test nursing simulations using culturally specific care for the Catholic community, Somali Muslims and Ojibwe people.Editor's note: This article indicates that "training material on culturally specific end-of-life care" is non-existent. This statement is misleading. Examine:

Sophisticated caregiver training remains an underutilized retention, ROI tool Home Health Care News; by Audrie Martin; 8/22/24 ... [Only] 43.8% of home-based care staff and 55% of home health and hospice staff feel prepared to care for new clients, according to the 2024 Activated Insights Benchmarking Report. As a possible result, the annual care staff turnover rate has climbed 14% in the last two years to almost 80%. Organizations demonstrating a commitment to continuing education improve employee satisfaction by allowing caregivers to hone their skills and grow in their careers. Investing in employees’ long-term success will impart a sense of purpose and possibility within a role known for turnover and burnout. “The average home-based care provider offers five hours of orientation and eight hours of ongoing training,” the report read. “Those who offer at least eight orientation hours and 12 hours of ongoing training see an increase of $1,103,291 in revenue. However, while establishing a clear path is one of the top strategies to retaining long-term employees, only 39% of providers have one.”

What is palliative care, and can you get it at home?

Penn Health CEO on piecing together the healthcare hiring puzzle Becker's Hospital Review - Leadership & Management; by Madeline Ashley; 6/17/24 ... Penn Medicine has introduced programs to students and young people that will not only inspire them to join the healthcare industry, but prepare and train them for the opportunities that lie ahead. "I think the world needs mission oriented people," Kevin Mahoney [CEO of Philadelphia-based University of Pennsylvania Health System] told Becker's. "You've got to believe in where you're working, otherwise you're just punching the clock." In late May, the health system partnered with Heights Philadelphia, an organization that connects middle schoolers and up with career and college opportunities, and Philadelphia City Council majority leader Katherine Richardson to hold a career event. ... "By introducing students to the field, we’re creating a pathway to careers that enrich lives and make a difference in others. Encouraging careers in health care also helps to strengthen the field overall, ensuring a pipeline poised to answer the needs of the future." [Click on the title's link to read more of this innovative solution, and other student-oriented programs.]