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Health & Medical


Orchestrating success



How to use communication to get people working toward the same goals

By Erik Cassano


Smart Business Cincinnati | March 2008

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Nancy Kremer<br />St. Luke Hospitals
Nancy Kremer
St. Luke Hospitals

As a leader, you have to maintain a delicate balance when it comes to communication, says Nancy Kremer.

While you want everyone in your company on the same page, working toward the same goals and embracing the same core values, you also want each of them to think freely, challenge assumptions and bring new ideas to the table.

According to Kremer — head of St. Luke Hospitals, a member of The Health Alliance, a health care system with an estimated $71.2 million in annual revenue, according to Hoovers.com — managing a business is lot like conducting an orchestra. Even if you have the most talented musicians, if they don’t know how to play their parts, the music won’t sound right. As with a conductor standing before his ensemble, a good business leader must always show the way to harmony.

Smart Business spoke with Kremer about why communication from the top is so important.

Seek different perspectives. While you want everyone focused in the same direction, you also want enough differences so that you’re never at fault for things like groupthink.

You want to have differences of opinion, challenging directions so that you are really ensuring that your goals are the appropriate goals. A mentor of mine in the past said, ‘Health care is much like an orchestra; regardless of the section of instrument that you play, everyone needs to be playing the instruments correctly for the symphony to sound correct.’ The same is true here — where everyone needs to be contributing from a quality point of view.

Another part when you’re talking about issues of goals and objectives is also to recognize that goals and objectives are best identified and observed when they are shared.

Communicate through different avenues. You have to commit to a very thorough communication structure and make sure everyone in the organization, regardless of what they contribute to that communication process, has access to that information. It’s committing to an effective process.

People need a variety of venues to obtain information. Some people interpret better from written communication, others from face-to-face, and it requires really sending our information in a variety of different ways. We’ll try to offer it in multiple different forums, be it in groups as well as written. We also try to consider timing as well as different written formats.

When you are dealing with a change in strategy, with significant change in the organization, it requires face-to-face, along with many other platforms of communication. It depends on the type of information and the relevance to the reader. Some information is very targeted and some is very broad. It depends on the audience.

We like to do face-to-face when we’re talking about new service development, when we’re talking about any HR issues that might affect individuals directly. We also like to do face-to-face just for an interactive opportunity to ask questions and give progress reports.

You don’t always have the opportunity to stick to the schedule you started in the morning, and you have to make a decision to alter the events of the day. That is true with communication — where you need to make decisions to contact someone, meet with someone or with a group if there are issues or concerns that are raised.

It’s really that communication is the most important process that occurs in an organization, and you have to make time to do it correctly. Communication is always something you can improve upon. You’re never getting it just right.

Seek feedback on your communication. If you’re not reaching people, you’re wasting your time. If you’re not reaching people, they don’t have the information to perform correctly or interpret correctly. Information is two ways, so the information from the associates to the administrative staff is very key to make sure our function is suited to what it needs to be. I look at our position as that we’re here to support the real work that is done out there. If we are not connecting with communication, we are likely not performing the way we need to.

We seek feedback through a variety of things. One, by just asking associates, asking the patients, asking physicians, either through formal surveys, one-on-one or in meetings, talking about what is working and not working. We have done surveys that are very specific as to whether someone likes this type of communication better than that type. People are always willing to share that with you. Then it’s important that the organization responds to that.

Know how others see you. If you’re a leader with passion, I think it shows. And it’s a very basic characteristic to be seen as someone who presents consistent candor, someone who is right out there with information and is out there to share information with your people.

It has to be a part of your style, a desire to make your employees realize that you are about building trust and consistency. It’s about all of those things, and it’s a lot about appreciation of others and their contributions to the organization. No one accomplishes much by themselves. That’s why we have a constant team effort in this organization.

HOW TO REACH: St. Luke Hospitals, (859) 572-3100 [east], (859) 212-5200 [west] or www.stlukehospitals.com

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