{"id":39116,"date":"2024-10-24T23:47:37","date_gmt":"2024-10-25T06:47:37","guid":{"rendered":"https:\/\/blogs.georgefox.edu\/dlgp\/?p=39116"},"modified":"2024-10-24T23:47:37","modified_gmt":"2024-10-25T06:47:37","slug":"a-humble-takover","status":"publish","type":"post","link":"https:\/\/blogs.georgefox.edu\/dlgp\/a-humble-takover\/","title":{"rendered":"A Humble Takover?"},"content":{"rendered":"<p style=\"font-weight: 400\">Hospice faces a cruel reality in this country; it makes money.\u00a0 As we have discussed throughout our studies, money is power.\u00a0 An article noted that \u201cAs it turns out, not even hospice care is immune to private equity\u2019s takeover of <a href=\"https:\/\/www.bloomberg.com\/news\/features\/2019-10-03\/how-private-equity-works-and-took-over-everything\">just about everything<\/a>. One study\u00a0found that the number of US hospices owned by private equity firms nearly quadrupled between 2011 and 2019. And the percentage of American hospices that operate for-profit in general has\u00a0<a href=\"https:\/\/www.nhpco.org\/wp-content\/uploads\/NHPCO-Facts-Figures-2022.pdf\">ballooned dramatically<\/a>\u00a0in the past couple of decades\u2014going from approximately\u00a0<a href=\"https:\/\/www.nytimes.com\/2023\/06\/10\/health\/hospice-profits.html\">40 percent of the total<\/a> In 2001 to\u00a0<a href=\"https:\/\/www.nhpco.org\/wp-content\/uploads\/NHPCO-Facts-Figures-2022.pdf\">72 percent<\/a>\u00a0in 2020.\u201d<a href=\"\/\/5B740197-EF86-49D4-AE8A-48165CB6EDAF#_ftn1\" name=\"_ftnref1\">[1]<\/a>\u00a0 This is concerning as many Hospice faces are being bought out by companies who do so only to make money.\u00a0 Pursuing this Doctorate has been career-making for me; I was able to move up in leadership, and on July 1<sup>st, I<\/sup> received a promotion for a job designed for me by our Vice President.\u00a0 A week later, news came down that after about 17 years of existence, our company was bought, and on January 1<sup>st,<\/sup> we came under new ownership, new rules, and new anxiety.<\/p>\n<p style=\"font-weight: 400\">In reading <em>Humble Leadership: The Power of Relationships, Openness, and Trust <\/em>by Edgar\u00a0\u00a0\u00a0\u00a0 \u00a0Schein and Peter Schein, I am drawn to this way of leading with humility.\u00a0 Schein and Schein define humble leadership as \u201cconcerning itself with creating the culture that makes purposeful forward movement sustainable as the world of work evolves.\u201d<a href=\"\/\/5B740197-EF86-49D4-AE8A-48165CB6EDAF#_ftn2\" name=\"_ftnref2\">[2]<\/a> My company works hard on our culture. I bang the drum of keeping our culture, and now we inherit a new culture.\u00a0 Thankfully, the owners put their heart and soul into our work, and when they sold the company, they waited for a company whose culture aligned with ours.\u00a0 Our new company has its mission and vision in every job description, and easily found on their website, it\u2019s called CAPLICO.\u00a0 The first C said it all and made me think of Humble leadership.\u00a0 C= Customers Second, A=Accountability, P=Passion for Learning, L=Love one Another, I=Intelligent Risk Taking, C=Celebration and O=Ownership.\u00a0 When you work in healthcare, you usually find healthcare workers who have a humble heart and servant\u2019s heart, and it becomes easy to put the customer first, especially in Hospice. \u00a0When a patient dies or is dying, it is easy to put yourself aside and show up.\u00a0 That is what you do most of the time, except when it\u2019s outside of your scheduled hours.\u00a0 Putting customers second is an act of Humble leadership.<\/p>\n<p style=\"font-weight: 400\">\u201cLevel 1 Relationships are defined as Transactional role and rule-based supervision, service and most forms of \u201cprofessional\u201d helping relationships.\u201d<a href=\"\/\/5B740197-EF86-49D4-AE8A-48165CB6EDAF#_ftn3\" name=\"_ftnref3\">[3]<\/a> This is how I would describe Hospice, as we tend to think we are the \u201cone\u201d who shows up and is needed. Authentic, Humble leadership and Customers Second means we care for ourselves.\u00a0 By setting boundaries, we practice humble leadership by knowing our colleague has it!\u00a0 It doesn\u2019t have to be ourselves; we are a team, and all have a role.\u00a0 To do this well, we must be in \u201clevel 2 relationships as defined as Personal cooperative, trusting relationships as in friendships and effective teams.\u201d\u00a0 We need to trust our colleagues to handle our patients.\u00a0 I look forward to seeing how this particular mission plays out in January!<\/p>\n<p style=\"font-weight: 400\">Accountability and Ownership are also important leadership qualities in Hospice.\u00a0 As mentioned at the beginning of this blog, many private equities are getting into profitable Hospices and have abused them, even committing mediocre fraud, so now we need accountability more than ever.\u00a0 When my new company says ownership, they mean us, the local branches. I see this working well only when our CEO buys in.\u00a0 The CEOs of the company taking over believe in this mission.\u00a0 They were named one of the country\u2019s top 10 Hospice companies in 2024.<\/p>\n<p style=\"font-weight: 400\">Schein and Schein note that the future of humble leadership involves \u201cContext over Content, cultural Heterogeneity, Distributed power, mass customization, dynamic organizational design, and virtual presence.\u201d<a href=\"\/\/5B740197-EF86-49D4-AE8A-48165CB6EDAF#_ftn4\" name=\"_ftnref4\">[4]<\/a> We have spent much time discussing why leaders fall off the rails in this class. Perhaps a lot of it concerns the future of humble leadership, which will have to \u201cchallenge the individual abuse of power.\u201d Hospice, as well as all healthcare, is a team effort.<\/p>\n<p style=\"font-weight: 400\">As I face a future of being a leader in healthcare as we move into the next company, I find myself drawn to the exercises in chapter 9.<\/p>\n<p style=\"font-weight: 400\">Exercise 1: \u201cReading and Reflecting.\u201d <a href=\"\/\/5B740197-EF86-49D4-AE8A-48165CB6EDAF#_ftn5\" name=\"_ftnref5\">[5]<\/a> Perhaps the future of leadership challenges the leadership team to read and reflect together.\u00a0 Finding common ideas and influences can enhance our functioning and move to function as a level 2 relationship organization.\u00a0 This is a tangible exercise I believe I can make happen.<\/p>\n<p style=\"font-weight: 400\">Exercise 2: \u201cHomework at your desk: Analyzing Your Present Relationships and Planning for Future Relationships.\u201d<a href=\"\/\/5B740197-EF86-49D4-AE8A-48165CB6EDAF#_ftn6\" name=\"_ftnref6\">[6]<\/a>\u00a0 This exercise would be particularly significant as my roles in leadership are varied and have changed.\u00a0\u00a0\u00a0 Sitting down and reflecting on these changes and the relationships around and with me could be very helpful.<\/p>\n<p style=\"font-weight: 400\">Exercise 3: Enhancement of Behavioral Skills: Personization by asking or revealing (either approach can work).<a href=\"\/\/5B740197-EF86-49D4-AE8A-48165CB6EDAF#_ftn7\" name=\"_ftnref7\">[7]<\/a> Asking questions of another person is something I will be adding to my Doctoral project.\u00a0 Being able to ask good questions and express empathy is crucial to the courageous conversations around End-of-life.<\/p>\n<p style=\"font-weight: 400\">I wasn\u2019t sure a place like healthcare could genuinely have a humble leadership model, but as I review CAPLICO&#8217;s mission statement, I am hopeful that this model of Humility can help us thrive!<\/p>\n<p style=\"font-weight: 400\">\n<p style=\"font-weight: 400\">\n<p><a href=\"\/\/5B740197-EF86-49D4-AE8A-48165CB6EDAF#_ftnref1\" name=\"_ftn1\">[1]<\/a> https:\/\/www.thenation.com\/article\/politics\/healthcare-medicare-illness-privatization\/<\/p>\n<p><a href=\"\/\/5B740197-EF86-49D4-AE8A-48165CB6EDAF#_ftnref2\" name=\"_ftn2\">[2]<\/a> Pg xi<\/p>\n<p><a href=\"\/\/5B740197-EF86-49D4-AE8A-48165CB6EDAF#_ftnref3\" name=\"_ftn3\">[3]<\/a> Pg 24<\/p>\n<p><a href=\"\/\/5B740197-EF86-49D4-AE8A-48165CB6EDAF#_ftnref4\" name=\"_ftn4\">[4]<\/a> \u00a0Schein, Edgar and Schein, Peter. <em>Humble Leadership: The Power of Relationships, Openess and Trust. <\/em>(California, Berrett-Koehler Publishers, inc, 2018). Pg 100-101<\/p>\n<p><a href=\"\/\/5B740197-EF86-49D4-AE8A-48165CB6EDAF#_ftnref5\" name=\"_ftn5\">[5]<\/a> \u00a0Schein and Schein, Pg 131<\/p>\n<p><a href=\"\/\/5B740197-EF86-49D4-AE8A-48165CB6EDAF#_ftnref6\" name=\"_ftn6\">[6]<\/a> Ibid, Pg 135<\/p>\n<p><a href=\"\/\/5B740197-EF86-49D4-AE8A-48165CB6EDAF#_ftnref7\" name=\"_ftn7\">[7]<\/a> Ibid, Pg 137<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hospice faces a cruel reality in this country; it makes money.\u00a0 As we have discussed throughout our studies, money is power.\u00a0 An article noted that \u201cAs it turns out, not even hospice care is immune to private equity\u2019s takeover of just about everything. One study\u00a0found that the number of US hospices owned by private equity [&hellip;]<\/p>\n","protected":false},"author":187,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[1],"tags":[3323,2489,3217],"class_list":["post-39116","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-caplico","tag-dlgp02","tag-schein","cohort-dlgp02"],"acf":[],"_links":{"self":[{"href":"https:\/\/blogs.georgefox.edu\/dlgp\/wp-json\/wp\/v2\/posts\/39116","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.georgefox.edu\/dlgp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.georgefox.edu\/dlgp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.georgefox.edu\/dlgp\/wp-json\/wp\/v2\/users\/187"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.georgefox.edu\/dlgp\/wp-json\/wp\/v2\/comments?post=39116"}],"version-history":[{"count":1,"href":"https:\/\/blogs.georgefox.edu\/dlgp\/wp-json\/wp\/v2\/posts\/39116\/revisions"}],"predecessor-version":[{"id":39117,"href":"https:\/\/blogs.georgefox.edu\/dlgp\/wp-json\/wp\/v2\/posts\/39116\/revisions\/39117"}],"wp:attachment":[{"href":"https:\/\/blogs.georgefox.edu\/dlgp\/wp-json\/wp\/v2\/media?parent=39116"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.georgefox.edu\/dlgp\/wp-json\/wp\/v2\/categories?post=39116"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.georgefox.edu\/dlgp\/wp-json\/wp\/v2\/tags?post=39116"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}