Many people have asked if I would give some “real life” examples of Sacred Leadership in action. I have decided to draw my first example from health care based upon two news reports. The first is from a January 12,2007 Wall Street Journal article (http://online.wsj.com/article_print/SB116857143155174786.html) The second is from ABC News in a report televised on October 17, 2006 (http://abcnews.go.com/Video/playerIndex?id=2579357).
I’ll begin with the Wall Street Journal article “A Novel Plan Helps Hospital Wean Itself Off Pricey Tests.” In this first case, Virginia Mason Medical Center in Seattle was being pressured by Aetna Insurance and several large local employers, including Starbucks, to reduce their costs for healthcare. The hospital has consistently received “top marks for quality and patient safety.” In addition, the medical center adopted some “assembly line methods of Toyota” to improve the flow of patient traffic for those awaiting chemo therapy. Wait times dropped from four hours to ninety minutes.
Even with their continuous improvement efforts and their quality reputation, the medical center was forced to look for additional ways to cut costs. They found several areas they could improve upon. For instance they were able to cut the cost of back pain treatment by nearly 50% while also reducing the wait time for patients. In spite of these efforts, the medical center is still struggling to meet the cost constraints requested by the insurer and employers.
Now let’s examine the second case which aired on ABC news in October of 2006. ABC interviewed changes made by Dr. Brent James of Intermountain Health Care System in Utah. After reviewing treatment result data, Dr. James found that “doctors were far less accurate if they relied on their memories rather than on computer data.”
Like the Seattle medical center described earlier, Dr. James looked outside the health professions for possible solutions. He turned to the airlines where pilots, like doctors, have a high stake in client safety. Lives are in their hands.
Like Virginia Mason Medical Center, new approaches were implemented. “As it turned out, Intermountain Health Care Center was sending 1,300 jaundiced babies home each year because they looked pink and healthy, only to have them return for intensive care. After a new rule requiring all newborns be tested for jaundice before discharge, the number has dropped by 900.” A new cardiac drug regimine has saved 450 lives a year, and fewer induced deliveries has led to shorter labor, fewer sick babies. Changes in these three areas alone resulted in savings of $15 million. “The experiment proved that higher quality care can lower costs, and doctors can save lives and money by doing it right the first time.”
Regardless of these amazing improvements, Intermountain Health Care, like the first case study, found the profits were diminished because Medicare pays doctors for the quantity of care they provide rather than the quality of that care.
These two case studies highlight the difference between traditional leadership and Sacred Leadership. The Seattle hospital approached this as a business management problem that impacted the bottom line. Intermountain Health Care focused on patient care.
Where did we see Sacred Leadership principles in action? At Intermountain the change effort was focused on the “sacred” mission of providing improved health care. In fact, when Dr. James lectures pediatricians, “he reminds them of why they got into medicine in the first place — to send home happy, healthy babies who keep their parents up at night for the right reasons.” In other words, he reminds them of their “sacred” mission.
Sacred Leadership demands a laser like focus on a mission to serve the common good - in this case the common good as defined by the patients’ health. Both cases turned to improved management procedures to improve results but only the mission focused leader achieved dramatic improvement in patient care and dramatic decreases in costs - both outcomes realted to Sacred Leadership.
The other issue highlighted by both of these cases is the failure of the insurance companies, employers and the federal government to understand their “sacred” charge of helping their clients and employees to live healthy and productive lives. I’ll save that discussion for another day.
I realize that these two examples are oversimplified, but that does not decrease the significance of focusing on a “sacred” mission to serve the common good. We must all find the “sacredness” in our chosen professions and lead from that very sacred place.