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Leadership Requires Top Bench Strength

 |  By Philip Betbeze  
   July 29, 2011

We're facing an impending leadership chasm in healthcare.

Why? For starters, the impact the baby boom generation is expected to have on demand for healthcare services isn't limited to artificial knees and hips. In fact, it means a large percentage of current senior leaders in healthcare have begun to retire, and that trend will only pick up steam in the coming decade or so.

So what do you do?

Luckily for you, we tackled that problem right here in Nashville in a Roundtable you can find either in the July issue of HealthLeaders magazine or at the link I just provided.

In it, we discussed just these trends—and possible solutions—with some of the top hospital and health system talent in the country. Replacing a key leader is not something you want to contemplate when retirement (or other reason for departure) is common knowledge. Rather, you want to build systems and processes that help you develop future leaders from within your organization.

San Diego-based Scripps Health, where one of our panelists, Veronica Zaman, is corporate vice president of talent management, is on a leadership team that has undergone a 10-year process of identifying its internal talent because it simply makes sense. It's expensive to replace good talent with the volatility in the market today.

"The discussion and the transparency around what we're doing related to succession planning has just been a jump start," she says. "A lot of our talented frontline managers, directors, and those young VPs that are just starting off really seem energized by the fact that they could come to a place like Scripps Health and have a full career there."

Tom DeBord, now president of Summa Healthcare's Barberton Hospital, credits help from senior colleagues in his eventual transition to president after starting at the hospital 23 years ago as director of accounting. The culture of servant leadership is ingrained throughout the system, where senior executives serve as "teachers" in actual classroom settings to help mentor the younger generation who will eventually step into leadership roles at the system.

"All of us have worked really hard to build confidence in our brand within our communities, and having folks in place who can step in is essential to maintaining the trust that the community has in that brand," he says. "I worked hard and I felt like I deserved to get the opportunities, but I had somebody helping me along the way."

Alan Bradford, chief human resources officer at Baptist Healthcare in Birmingham, AL, came to healthcare from the grocery business, but has worked hard to instill a sense of possibility within the system, so that junior executives don't necessarily feel the need to go elsewhere to advance. But that doesn't mean making promises you can't necessarily deliver, he says.

"You have to be bluntly honest with them: We're training you and developing you because you're showing potential, but we don't have a clear, defined role open for you. But when we do have a position, we're not going to hire it from the outside if we have a viable candidate inside. We'll take a risk on someone internally that we wouldn't take on an external person."

Take a look at the transcript for this event, which I moderated, if you haven't already. It's free, and it's required reading for executives who want to make leadership development a top priority, straight from executives who already do.

Philip Betbeze is the senior leadership editor at HealthLeaders.

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