TIME'S NOW for Women Healthcare Leaders : A Guide for the Journey

**__TIME’S NOW for Women Healthcare Leaders: A Guide for the Journey__** Women comprise over 80 percent of healthcare frontline employees, but they often hit the proverbial glass ceiling. Only 30 percent of healthcare C-suite Executives and less than 15% of CEOs are women. Moreover, while 51 percent of medical students are women, only 16 percent of the Department Chairs and Deans are women. Clearly, women are facing barriers to achieving their potential, limiting their ability to add their unique talents and skills to the tables of leadership. The author provides extensive detail on these barriers and approaches to their solutions. This is a practical "how-to" book that will help women in healthcare envision their ability to contribute and inspire them to lead. The author sees this as not only helping women, but also facilitating solving healthcare’s myriad problems, improving health and benefitting society. \*\*\* This book is a must-read primer for women seeking leadership. It is practical, thought provoking, and carefully researched, addressing why women’s leadership is important and how women can be better leaders. Gabow’s approach capitalizes on interviews with strong women leaders. She uses the notions she learned from the interviews coupled with research from the literature to create an easy-to-read, motivating, and challenging book for women and men! Nancy Agee President and CEO Carilion Clinic Past Chair American Hospital Association __TIME’S NOW for Women Healthcare Leaders__ is filled with powerful examples of how women have overcome multiple obstacles and prevailed on their leadership journeys. It is a MUST read for women and men about the obstacles to be overcome, potholes to avoid, and the shout outs to be given to women who every minute, every hour, every day are committed to human caring. It has captured the heart and spirits of women from diverse backgrounds who have and continue to demonstrate their commitment to making society a better place for all! Linda Burnes Bolton, DrPH, RN, FAAN Senior Vice President and System Chief Equity Officer Cedars Sinai Health System This highly engaging book addresses the relative dearth of women leaders in healthcare through thoughtful assessment of how leaders’ values and actions can improve healthcare within healthcare organizations and systems. Dr. Gabow, an exceptional leader whose relentless passion for excellence for patients served by Denver Health earned her national renown, combines insightful observations from her own path with current statistics about women in medicine, experiences of other successful women leaders, and mentoring skills to offer wise counsel to all current and future leaders. The thoughtful distillation of practical wisdom offered here make this book a unique contribution and highly relevant to healthcare in America today. Carolyn Clancy, M.D. Past Director, Agency for Healthcare Research and Quality This insightful book is full of personal stories, honest reflections, and data-driven guidance from and about women leaders. It serves as a wonderful resource for those motivated to advance diverse and inclusive organizations. **Karen DeSalvo, M.D., MPH**Chief Health Officer, Google Health Past Acting Assistant Secretary for Health, US HHS National Coordinator for Health Information Technology, US HHS TIME’S NOW for Women Healthcare Leaders: A Guide for the Journey is a practical “how-to” book that will help women in healthcare envision their ability to contribute and inspire them to lead. Cover 1 Endorsement Page 2 Half Title 6 Title Page 8 Copyright Page 9 Dedication 10 Table of Contents 12 Foreword 18 Acknowledgments 20 Author 22 Introduction 24 Chapter 1 Why Should Women Lead? 26 American Healthcare 27 Thought Exercise 27 What Women Bring 32 Thought Exercise 32 What Leaders Told Me 36 Perspective of Other Women Leaders 36 Denver Health Women Leaders 37 Aspiring Women Leaders 39 Thought Exercise 40 Male Physician Leaders 40 Chapter 2 Lay of the Land 44 Women Healthcare Pioneers 45 Thought Exercise 46 Women’s Role in Health and Caregiving 48 Maternal-Child Health 48 Thought Exercise 49 Women’s Role in the Care of the Family 49 Women in the Healthcare Professions 50 Nursing 50 Physicians 51 Other Healthcare Professions 53 Women in Research 54 Women as Investigators 54 Women as Research Subjects 56 Gender and Pay 57 Nursing Pay 58 Physician Pay 58 Thought Exercise 60 Addressing Gender Pay Inequality 60 Women in Healthcare Leadership 61 Going Forward 64 Chapter 3 Obstacles and Opportunities 66 Bias 68 Bias in Language 69 Thought Exercise 69 Thought Exercise 70 Motherhood Penalty 70 Addressing Institutional Gender Bias 71 Thought Exercise 72 Sexual Harassment 72 Thought Exercise 75 Burnout 77 Thought Exercise 81 Imposter Syndrome 81 Thought Exercise 83 Responses to Obstacles 83 Opportunities 84 Changing the Culture 84 Improving Care 86 Chapter 4 First Things First 88 Values 88 Thought Exercise 89 Thought Exercise 91 Living the Values 93 Thought Exercise 94 Aligning Values 94 Thought Exercise 96 A Vision of Leadership 97 Thought Exercise 99 Chapter 5 You Can’t Parachute into Leadership 100 Leading from Where You Stand 101 Thought Exercise 102 Thought Exercise 104 Thought Exercise 107 Using Clinical Training 108 Formal Leadership Preparation 110 Training for the Clinician 110 Thought Exercise 112 Training for the Administrator 112 Thought Exercise 113 Documenting Your Accomplishments 113 Thought Exercise 114 Applying for Leadership 114 Battlefield Promotions 115 Role Models, Mentors, Sponsors, and Coaches 116 Thought Exercise 117 Thought Exercise 118 Chapter 6 Now You Are a Leader 122 Introducing Yourself 123 Thought Exercise 123 Building Your Team 124 Establishing Relationships 124 Recruiting 125 Thought Exercise 126 Thought Exercise 126 Thought Exercise 127 Evaluating, Mentoring, Sponsoring, and Supporting 129 Evaluating 129 Thought Exercise 130 Mentoring, Sponsoring, and Supporting 131 Supporting the Workforce 131 Thought Exercise 132 Accountability: What Are the Rules and What Do They Mean? 133 Changing Roles, Disciplinary Actions, and Terminations 133 Communication 136 Thought Exercise 137 Thought Exercise 138 Chapter 7 Even Leaders Have a Boss 142 Thought Exercise 142 The Boss on the Chart 142 Thought Exercise 143 Thought Exercise 144 Thought Exercise 145 Your Peers 145 Thought Exercise 145 The Board 146 Thought Exercise 148 Thought Exercise 148 The Community 149 Thought Exercise 149 Thought Exercise 150 Thought Exercise 151 Affiliated Organizations 151 Chapter 8 Making the Trains Run on Time and Laying New Tracks 154 Thought Exercise 155 Data Is Your Friend 156 Thought Exercise 157 Thought Exercise 158 Thought Exercise 159 Research is a Teacher 159 Thought Exercise 160 Making Decisions 160 Thought Exercise 162 Thought Exercise 163 Making the Trains Run on Time 166 Thought Exercise 167 Laying New Tracks 168 Thought Exercise 168 Thought Exercise 170 Create a New Financial Model 170 Become an Independent Entity 171 Adopt and Adapt Lean 171 Change the Care Delivery Model 172 Changing Landscape and Risk 172 Chapter 9 Sharing and Receiving Lessons Learned 174 Sharing Your Lessons Learned 174 Barriers to Sharing 174 Thought Exercise 175 How to Share 175 Thought Exercise 176 Thought Exercise 177 Thought Exercise 179 Receiving Lessons Learned 180 Thought Exercise 180 Chapter 10 Remember the Obvious 182 Balance 182 Thought Exercise 184 Children 184 Beyond Children 187 Support 187 Thought Exercise 188 Well-Being 188 Appearance 189 Thought Exercise 190 Behaviors 190 Chapter 11 Reflections of Women Leaders 194 Appendix 212 References 214 Index 230 barriers;,bias;,decision-making;,healthcare;,inequality;,leadership;,management barriers,bias,decision-making,healthcare,inequality,leadership,management TIME’S NOW for Women Healthcare Leaders: A Guide for the Journey Women comprise over 80 percent of healthcare frontline employees, but they often hit the proverbial glass ceiling. Only 30 percent of healthcare C-suite Executives and less than 15% of CEOs are women. Moreover, while 51 percent of medical students are women, only 16 percent of the Department Chairs and Deans are women. Clearly, women are facing barriers to achieving their potential, limiting their ability to add their unique talents and skills to the tables of leadership. The author provides extensive detail on these barriers and approaches to their solutions. This is a practical "how-to" book that will help women in healthcare envision their ability to contribute and inspire them to lead. The author sees this as not only helping women, but also facilitating solving healthcare’s myriad problems, improving health and benefitting society. *** This book is a must-read primer for women seeking leadership. It is practical, thought provoking, and carefully researched, addressing why women’s leadership is important and how women can be better leaders. Gabow’s approach capitalizes on interviews with strong women leaders. She uses the notions she learned from the interviews coupled with research from the literature to create an easy-to-read, motivating, and challenging book for women and men! Nancy Agee President and CEO Carilion Clinic Past Chair American Hospital Association TIME’S NOW for Women Healthcare Leaders is filled with powerful examples of how women have overcome multiple obstacles and prevailed on their leadership journeys. It is a MUST read for women and men about the obstacles to be overcome, potholes to avoid, and the shout outs to be given to women who every minute, every hour, every day are committed to human caring. It has captured the heart and spirits of women from diverse backgrounds who have and continue to demonstrate their commitment to making society a better place for all! Linda Burnes Bolton, DrPH, RN, FAAN Senior Vice President and System Chief Equity Officer Cedars Sinai Health System This highly engaging book addresses the relative dearth of women leaders in healthcare through thoughtful assessment of how leaders’ values and actions can improve healthcare within healthcare organizations and systems. Dr. Gabow, an exceptional leader whose relentless passion for excellence for patients served by Denver Health earned her national renown, combines insightful observations from her own path with current statistics about women in medicine, experiences of other successful women leaders, and mentoring skills to offer wise counsel to all current and future leaders. The thoughtful distillation of practical wisdom offered here make this book a unique contribution and highly relevant to healthcare in America today. Carolyn Clancy, M.D. Past Director, Agency for Healthcare Research and Quality This insightful book is full of personal stories, honest reflections, and data-driven guidance from and about women leaders. It serves as a wonderful resource for those motivated to advance diverse and inclusive organizations. Karen DeSalvo, M.D., MPH Chief Health Officer, Google Health Past Acting Assistant Secretary for Health, US HHS National Coordinator for Health Information Technology, US HHS "The healthcare workforce now represents I out of 7 employees in the US healthcare workforce. Women now comprise most of the healthcare trainees and workforce, but they often hit a glass ceiling. For example, 84% of frontline hospital employees are women, but only 43% are executive, only 11% are CEOs and there is not a single CEO of a Fortune 500 healthcare company. Moreover, while 51% of the medical students are women, only about 16% of the Department Chairs and Deans are women. Clearly, women are facing barriers to achieving their potential and limiting their ability to help solve the issues facing healthcare. As is demonstrated by the readership of Lean In, women are seeking guidance and direction in achieving leadership roles. However, women in healthcare, particularly those in the healthcare professions, want focused advice from women who have walked the walk. This book would be unique as it will be written by two women who have attained the highest leadership level by different routes, Dr. Gabow via the medical profession and Ms. Marks via the administrative route. This adds breath, robustness and applicability to the book. This is a practical "how to book" that will help women in healthcare to envision their ability to contribute, to aspire to leadership positions in healthcare organizations, health plans, physician groups and to help them achieve that goal. The authors see this as not only as a help to women, but also as a help to healthcare by increasing the leadership talent pool and thus, facilitating the nation's the ability to address the myriad of problems facing healthcare"-- Provided by publisher