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June 30, 2017

Positive Delegation – Positive Results!

Positive Delegation – Positive Results!

We want what we want! Yet we often don’t ask for what we want and get upset when we don’t get it. Instead we stew over it until we reach a level of frustration where we eventually blow up. We can stop this cycle of frustration by asking for what we want. However, asking does not mean just blurting out a demand. Positive delegation is much more effective in getting positive results.

Delegation takes place daily in our office. Synonyms for delegate are: assign, entrust and transfer. Which is not usually what I see happen when I am observing team members delegating to one another. Instead, I often see a lot of telling, ordering and just plain barking commands. The end results are neither positive nor effective. I teach the following positive delegation process.

Positive Delegation Process:

  • Start out clarifying what you would like to be done. Take the time to explain clearly by defining who, what, when, where, why, and how. We get so busy and in a hurry…we want to dump the information and run. It’s what I call a flyby. Avoid flybys! If you don’t have time to delegate clearly wait until you do.
  • Ask the receiver of the task what they already have on their plate. It may be necessary to re-prioritize the task list if timing is an issue.
  • Ask the receiver of the task if they have any questions about how to complete the task. Answer any questions they may have.
  • If it is more than one step the person delegating is to write it down in bullet point objectives.
  • If it is a longer project schedule check in times (no this does not mean you do not trust them…it allows you to assist with feedback if necessary).
  • Discuss and agree on a realistic time or date to complete the task. Setting a date and time clarifies performance expectations. Without a date it is not a goal only a dream.
  • Once the task is complete the receiver of the task is to confirm with the person delegating that the task has been completed with details

 

 

Detailed job descriptions are important as they create clarity in training and performance expectations. Have you ever asked someone for help only to hear, “it’s not my job”? That is a huge pet peeve of mine. You can avoid the phrase, “it’s not my job”, by adding the following statement to all job descriptions. Your job from the moment you clock in to the moment you clock out is whatever is Legal, Ethical & within your Licensure to help the practice thrive! I suggest reviewing the phrase whenever you are hiring someone new, performing a performance review, or whenever behavior or attitude deems it necessary.

Creating a priority hierarchy also clarifies delegation of performance expectations on when to do what. I utilize the rocks, pebbles and sand analogy. A rock is anything that is important and urgent (needs to be done that day) or there will be negative consequences for the practice. The biggest rock is always the patient right in front of us. Everyone helps everyone with their rocks (as long as it is legal, ethical and within their licensure) before going on to their own pebbles and sand. Once all rocks are completed the team member may move on to their pebbles.

Pebbles are also very important but not urgent. Pebbles are never delegated because they can be done another day without affecting the practice negatively. Everyone is responsible for their own pebbles. A pebble can eventually become a rock if left undone based on change in urgency. For example ordering supplies might become a rock if you must order that day or you will run out of necessary supplies before they arrive. Even washing uniforms may become a rock if there are none available for the next day and it is close to closing.

Sand is the filler to fill in open time with cleaning and organizing. Sand is also never delegated. Everyone is responsible for their own. This helps to prevent delegating the things that are less desirable.

Cross training raises the level of delegation of performance expectations by enabling team members to know how to support each other better. I have found having clinical and non-clinical team members observe each other goes a long way in raising job awareness.

Everyone will feel more empowered to support their co-workers resulting in a win for the patients, the practice and the team!

June 1, 2017

Wake Up and Be Awesome! Part 3

Wake Up and Be Awesome! Part 3

June 2017

In Wake Up and Be Awesome Part 1 we talked about how a Perceptive Focus can help us to wake up and be awesome! It is crucial to have a clear understanding of what specific actions and attitudes are necessary to help us achieve awesomeness. The more specific we are, the more precise the focus and the better the results.

Part 2 focused on Optimistic Conviction in order to continually strive to be our best in the face of adversity. Throughout our journey, we will encounter dissuasion from naysayers and discouragement from failures. It is the firm belief that we can succeed that will allow us to become all we are capable of being!

Wake Up and Be Awesome Part 3 will focus on the strength of Passionate Perseverance to keep on keeping on striving to be awesome.

I thank my mom, Ione Miller, every day for imparting her strength of passionate perseverance on me. One of her favorite sayings was, “Come hIn the very early stages of my speaking career, I lost a speaking opportunity with a larger organization. After reviewing my video, they rescinded the contract because they believed I could not hold the audience’s attention. They were accurate with their assessment at the time. I was devastated. As hard as it was to hear, it became clear that I needed coaching and a lot of practice if I wanted to be awesome at speaking. So I worked with speaking coaching and then practiced, practiced and practiced even more. My practice audience was an audience of two. Gus, an orange Persian cat and Zoe an energetic seven pound Yorkie. I videotaped each practice presentation in order to critique myself, as I couldn’t count on more than an occasional meow or bark from Gus and Zoe. The next big meeting I was hired to present at was IACA in San Francisco, in the spring of 2009. I think I practiced that speech over 200 times. I was going to make sure I rocked it! Fast forward to 2017, I now have the privilege and honor of being invited to speak and coach nationally and internationally on a regular basis! No, it’s not easy showing up being who we want to be every day…but it is so worth it!

Passionate Perseverance – The dictionary defines Passion as enthusiasm and desire and Perseverance as steady persistence in a course of action, a purpose in spite of difficulties, obstacles, or discouragement. It is passion that enables us to inspire others to believe in us enough to help us to achieve our dreams. Perseverance is the determination, grit and endurance we need to keep on striving, even when we are weary from battling the noise to settle for normal.

 

 

So, I am going to challenge you to identify and change the limiting beliefs and stories that are stopping you from going after what you want in life, and being who you want to be. The truth is none of us are who we were. We are not even the same person we were yesterday, because we are the accumulation of all our life experiences and they continue to shape, change and help us grow with every breath we take. It’s up to each one of us to decide how we will respond to the events that happen in life.

How exciting that every day – EVERY day, we have the power and the opportunity to wake up and be awesome!

TA-DAH!

May 1, 2017

Wake Up and Be Awesome! Part 2

Wake Up and Be Awesome! Part 2

May 2017

In Wake Up and Be Awesome Part 1 we talked about how a Perceptive Focus can help us to wake up and be awesome! It is crucial to have a clear understanding of what specific actions and attitudes are necessary to help us achieve awesomeness. The more specific we are, the more precise the focus and the better the results.

Wake Up and Be Awesome Part 2 will focus on the strengths of optimistic conviction to become all we are capable of being. We will need optimistic conviction to overcome the naysayers in our world.

Unfortunately, many of us have had the experience of being in the presence of a naysayer. Sometimes the naysayer may even be a close friend or family member. Think of the last time you were excited to challenge yourself to raise the bar. You decided to share the news with someone you trusted only to have your spirits dampened by their discouraging words.

I remember confiding in a close friend when I had decided to write my first book. She informed me that I was not capable of writing a book because my writing skills weren’t good enough. After all, who was I to assume that I could attempt such a feat? She was highly educated, (more highly than I was), and even she wouldn’t consider such a feat. She remarked that even if I did happen to write something how would I possibly edit, publish and print? I am happy to say I did not heed her words. I have written two books since that conversation, Rise & Shine! and TA-DAH! which are going on 2nd and 3rd printings. I am currently pondering topics for a third book. I have a goal of writing at least five books in my lifetime.

We can’t let the naysayers in the world stop us from striving for excellence. Just imagine if we did how different our world would be today. For example, Walt Disney was called a dreamer and was told he couldn’t and shouldn’t attempt his dreams. Disney Land has been thriving since July of 1955, Disney World since October 1971 and between the two, now have over 90,000 visitors per day. Thomas Edison made 1,000 unsuccessful attempts at inventing the light bulb. When a reporter asked, “How did it feel to fail 1,000 times?” Edison replied, “I didn’t fail 1,000 times. The light bulb was an invention with 1,000 steps.” Henry Ford went bankrupt twice before he achieved success on his third attempt. Amelia Earhart became the first woman to fly across the Atlantic Ocean in June of 1928. I presume she received a great deal of negative push back on her journey. Imagine how many awesome achievements would have not been accomplished if the strivers of the world allowed discouraging words and fear of failing to stop them.

 

 

Optimistic Conviction – The dictionary defines Optimistic as expecting a favorable view of events or conditions and outcome and Conviction as a fixed or firm belief. We will need an optimistic conviction in order to continually strive to be our best in the face of adversity. Throughout our journey, we will encounter dissuasion from naysayers and discouragement from failures. It is the firm belief that we can succeed that will allow us to become all we are capable of being!

I have had failures in my life. What’s ironic is those failures have often turned out to open new doors and set me up for even greater successes. At the very least, I have grown as a result of those failures. Think about experiences you have had in your past that you labeled as bad, negative or even failures. Did any of those experiences open a new door for you? Maybe you had a difficult move or change in job or even a divorce that was scary and difficult at the time. However, in the end, it allowed you to be free to strive for much more. We really won’t know whether something was a positive or negative in our life until we are ready to take our last breath.

Tune in next month for Wake Up and Be Awesome! Part 3

March 30, 2017

Wake Up and Be Awesome! Part 1

Wake Up and Be Awesome!  Part 1

April 2017

I have the privilege of coaching dental teams nationwide. A recent conversation with a leadership team about their progress since our Culture Camp prompted me to write this article. During our conversation, the doctor made the statement; “It’s not easy showing up being who you want to be every day!” Such a profound and true statement!

Showing up being the person we desire to be isn’t easy! It requires a daily quest to wake up and be awesome! It means not just responding or reacting to circumstances or people based on how we feel in the moment. Instead, it necessitates making mindful choices that support our end goal of becoming the person we strive to be.

It never ceases to amaze me how many people willingly settle for average or status quo in their personal and their professional lives, yet are quick to judge others for wanting to strive for awesomeness. They consider themselves “rational realists”. I refer to them as the naysayers of the world. The word “can’t” is the foundation of their outlook and vocabulary. They often look down their noses with disdain and think of strivers as dreamers who are impractical and unrealistic.

I feel sad for the naysayers of the world. Their negativity is often fueled by a lack of belief in themselves. That negativity stops them from going after what they want in life and from being the most awesome they can be. Therefore, if they can’t or won’t be awesome, someone else shouldn’t or couldn’t possibly be.

 

 

Choosing to continue to strive – to wake up and be awesome every day, takes specific character strengths: The strengths of perceptive focus, optimistic conviction and passionate perseverance to become all we are capable of being. This month we will address Perceptive Focus!

Perceptive Focus – The dictionary defines Perceptive as having or showing keenness of insight, understanding, or intuition, and Focus as a central point, as of attraction, attention, or activity. When striving to wake up and be awesome, it is crucial to have a clear understanding of what specific actions and attitudes are necessary to help us achieve awesomeness. The more specific we are, the more precise the focus and the better the results. Once we have defined those qualities, it is imperative to give them our full attention daily.

Let’s say your goal is to be a more positive person. It is too general and vague to just declare that you want to be a more positive person. It is important to define specific actions and attitudes a positive person would exemplify.

For example, you might say that being a more positive person would mean that you:

  • smile at others
  • focus on what you can do rather than what you can’t
  • speak positively of others
  • show appreciation with a genuine compliment
  • practice gratitude by saying thank you more often

I would choose at least three and no more than five actions to practice daily. Now you have a tangible daily action plan you can focus your attention on to help you become a more positive person. You can measure how you did by reviewing your day. Did you smile at everyone you encountered today? Did you focus on what you can do versus what you can’t? Did you speak positively of others? Did you genuinely compliment others? Did you say thank you? Practice your actions daily until they become en-grained into a habit (which takes approximately 66 days). Once an action becomes a habit, add a new action step to your daily routine to continue to raise the bar.

 

Tune in next month for Wake Up and Be Awesome! Part 2

March 1, 2017

C.L.E.A.R. Leadership! (Part 2)

C.L.E.A.R. Leadership! (Part 2)

There are 5 leadership fundamentals that help to clarify leadership. The acronym C.L.E.A.R. exemplifies these 5 fundamentals. This month we will cover the final two C.L.E.A.R. Leadership fundamentals. Please refer to February’s message to review the first three fundamentals.

C – Core Standards

L – Live by Example

E – Empowerment

A – Accountability

R – Results

 

Accountability –   C.L.E.A.R. Leadership is dependent on leaders being responsible and accountable! It means consistently doing what they said, when they said, and how they said they would do it. It means holding everyone equally accountable. No exclusions no exceptions or you divide the team and lose trust. Also no deviations for team members regardless of longevity.  Accountability does not mean telling someone something once. It means delegating clear expectations and following up as needed until completion is confirmed. Accountability means never leaving anything up to assumptions. When we commit to something we hold ourselves accountable to delivering what we promised.

Here is how we often lose trust with accountability. Someone asks us to do a task for them. We take it on and promise to complete by a certain date and time. Usually we think of what is the fastest could we get it done (if everything went perfect) and we commit to that time frame. Walla…life gets in the way and we don’t get it done on time. When we don’t do what we said we would do when we said we would do it we instantly lose trust. I don’t know about you but very seldom does everything go perfect in my life.

I have found it works best to think of what would be the worst case scenario for timing. For example I am often asked to write articles for different Dental Publications. If I know I can have it done in a week if everything goes smooth I will ask if I can have two weeks. In most cases it doesn’t matter to the publisher. I finish and submit my article in 10 days and I look like a super star! The key is to under promise and over deliver. The problem is our society has become just the opposite…over promising and under delivering. Just think about the solicitation and advertising you hear.   How often do you hear ridiculous claims? Do you instantly trust…or have you gotten jaded by so many negative past experiences?

Life happens and sometimes even with our best efforts we can’t fulfill our promises. In order not to damage trust keep people in the loop by communicating in a timely manner what you can do.

 

 

Results – It is important to have an end goal in mind in order to get results. Otherwise, if you don’t know what you want to achieve how do you know when you’ve arrived? It’s very difficult to lead others when they are unsure of the results you desire. Clearly define the results you want to achieve. The more focused the result the clearer the strategy becomes to achieve success. What will make the biggest impact in achieving your desired results?

Establish the why behind the results desired. What are the benefits if the results are achieved and the consequences if they are not? Identifying the why is what gives us the purpose and the perseverance to keep going even when we hit obstacles and meet resistance. It is important for the why to be a value of eight or above on a scale of one to ten. Otherwise, you increase the risk of losing motivation and not succeeding.

Set trackable benchmarks that are challenging and yet achievable. Monitor your progress daily, weekly, monthly etc. depending on the benchmark. When you aren’t achieving a benchmark take time to uncover the specific area(s) of concern. Where do you need to focus more time and energy? What can you start doing or what can you stop doing to make the biggest impact? What specific action steps do you need to take to get the results you desire?

Practice C.L.E.A.R. Leadership and lead in life!

December 1, 2016

O.R.A.N.G.E. Power!

The color Orange has great power! We get happier when are surrounded with the color orange. My husband Steve, teases me about living in an orange bubble of happiness and positive energy. Those of you who know me know that the color orange plays a big part in my life and my business brand.  So what is O.R.A.N.G.E. power?

Different colors generate different energy and emotions. The color orange creates feelings of happiness and positive energy! I surround myself with orange to inspire happiness and positive energy within. It also inspires happiness and positive energy in others. I travel almost weekly flying to coaching and speaking venues and spend a lot of time in airports. Whenever I wear an orange scarf or for that matter anything orange people seem to smile at me more often and even go out of their way to compliment on the color Orange. Recently when I was standing in line waiting to board, five different people walking by stopped and walked over to me in line to comment on my orange scarf. The man standing behind me asked if people always went out of their way to compliment me. I told him it only happens when I wear the color orange. A car service driver last week commented within the first couple minutes of our drive how happy he was to have an upbeat person in his car. I had not said a word other than hello but I was wearing an orange scarf. The color orange just makes people feel happier and more positive,

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October 3, 2016

Constructive Conversation

The words Constructive Criticism always make me cringe. There just doesn’t seem to be anything constructive about criticism. The dictionary defines criticism as the act of passing judgment as to the merits of qualities, values and abilities. I have yet to see where judging someone has helped to promote their further development and advancement or improve outcome. Instead, criticism comes across as judging, condemning or blaming and has negative effects such as employee shut down, lack of confidence and decline in performance. Yet employers and managers continue to utilize constructive criticism to promote employee growth and change. They continue to do so because of misconceptions about effectiveness and not out of maliciousness.

It’s time to transform the criticism part into a constructive conversation. A constructive conversation includes the following fundamentals and has two role players. The two role players are the Approacher and Approachee. The Approacher is the person conveying and enquiring and the Approachee is the person receiving and responding.

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September 3, 2016

The Impact of Employee Turnover!

The Impact of Employee Turnover!

September 2016

The impact of employee turnover is more than just money. Employee turnover takes a huge toll on the patients, practice and the team by negatively impacting patient experience, practice culture, team performance and the bottom line.

The definition of employee turnover in HR terms – employee turnover is a measurement of how long your employees stay with your company and how often you have to replace them. Any time an employee leaves your practice, for any reason, they are called a turnover. You can calculate your annual employee turnover % by dividing the annual employee turnover number by total number of team members.

So what is the impact of employee turnover? Let’s start with the bottom line.

Losing only one mid-level employee that is paid $30 per hour and works 32 hours per week (annual salary of $49,920) can cost your practice anywhere from $24,960 to $99,840 in recruiting and training expenses. This dollar range represents a 6 to 24 months’ salary range of the mid-level employee. You won’t see it as a separate line item on the P & L. However, trust me it is there…hidden in reduced production and collection numbers.

I ask you to think about the last person you hired on your team. How long did it take to you to hire?   Where you successful on the first hire or did you need to rehire? How long did it take to train your new team member to a level of proficiency where they understood office protocols and could perform all aspects of their job? Six months in most cases is not a realistic expectation. The more detailed the position the longer it takes the more it impacts the bottom line. When I worked as a practice administrator at a periodontal practice we found that the average training time to be proficient was two years. Even very highly skilled and trained team members where not capable of just stepping in at the same level of performance. They still required a minimum of 6 months training to learn our office systems, protocols and culture.

Employee turnover affects patient experience. Your patients come to your dental office expecting to see the same faces. When there is constant turnover it creates feelings of doubt and discomfort. Patients are reassured when the person they expect to greet them is there to greet them by name and a warm hello as they walk through the door. Patients often build stronger relationships with the team than they do the doctor because they spend more time getting to know them. Patients often look to team members to reinforce the necessity of treatment. If you question this statement ask your clinical and non-clinical team if they have ever been asked by a patient; do I really need this treatment or would you do this treatment? High turnover results in declining trust and case acceptance.

Employee turnover affects team morale and performance. Most dental practices don’t have spare team members just waiting to pick up the slack. Which means that an existing team member has to spend a large portion of their time training the new team member. In most cases the team member was already working at capacity yet is expected to fit in the training and still perform at the same level. Very few practices adjust their scheduling to accommodate the training process. The added pressure spawns a culture of high stress, low morale and less than performance. In practices where there is consistent turnover there is very little desire to train the new team member. The mindset I often encounter is; why bother…after all they will just be leaving soon anyway. Even a high-performing culture is at the mercy of turmoil from turnover.

Employee turnover affects practice culture. Dentistry is a very small world and people talk. High turnover practices very quickly get a bad reputation in the dental community. The quality of team members they are able to attract and retain is limited. After a while they attract only those employees who can’t find a job anywhere else. OR they end up offering excessive wages to attract applicants and are still not able to retain them; resulting more turmoil and turnover.

Here are some ways to lower turnover in your workplace:

– Interview and vet applicants for character traits, attitude and skill sets as well as fit with the practice culture, managers and co-workers.

– Set comparable compensation and benefit packages with industry standard. Review compensation and benefits packages at least annually.

– Show respect and recognition to employees. Awards, recognition and praise might just be the single most cost-effective way to maintain a happy, healthy and high-performing practice culture.

– Create a positive practice culture with room to learn and grow.

– Keep employees in the loop and informed about future growth and how they can get there. Annual reviews or midyear check-ins are important; also encourage workers to come to you with career questions and goals throughout the year.

I also invite you to read August and September’s blog to learn even more about how you can transform a high turnover practice culture with high stressed under-performers into a low turnover practice culture with engaged high-performers!

Contact Judy Kay at JudyKay@PracticeSolutionsInc.net today if you want to learn how she can help you build a cohesive team that support each other and the practice, become better leaders, and deliver service with more focus and passion!

June 30, 2016

Cultivating a Culture by Design

Cultivating a Culture by Design!

July 2016

From the moment we step across the office threshold we become a part of the culture!  The dictionary defines culture as a way of life of a group of people–the behaviors, beliefs, values, and symbols that they accept, generally without thinking about them, and that are passed along by communication and behaviors. Every office culture is unique based on the culture they designed or allowed to happen by default. What we do and even what we don’t do creates our culture. If we aren’t cultivating a culture by design we will reap a culture by default.

I chose to use the word cultivate because of my farm upbringing and because it is a great analogy for how I work with teams. Cultivators are designed to disrupt the soil in careful patterns, sparing the crop plants but disrupting the weeds. Similarly I help teams cultivate their culture by maintaining what is good and positive while weeding out the weeds (adverse and negative). I am a culture cultivator! The focus of this message is cultivating a culture by design and references an article, “Five Performance and Accountability Standards to Help Your Team Soar,” that I wrote for the ADA’s 2015 book, “The ADA Practical Guide to Leading and Managing the Dental Team”.

Take a moment and think about your current office culture. Is there any drama, disorder or performance decline? Do any of the following team members and behaviors sound familiar?

The Drama Lover

Kelly makes mountains out of mole hills. Any schedule changes result in meltdowns. If Kelly is missing an instrument from her cassette, instead of just going and replacing it, she wastes time complaining to everyone. She often gossips about one co-worker to another. Kelly believes life doesn’t just happen, it happens to her! She always complains, whines, and criticizes co-workers, patients, family and, for that matter, anyone who crosses her path. Her ongoing drama lowers team morale and distracts everyone from focusing on the patients and the practice.

The Chaos Creator

Sam’s life is always in disarray. He’s almost always late and has an excuse. He overslept because the alarm clock stopped working and he didn’t have time to replace it. Or he didn’t allow adequate drive time because he didn’t check the weather or traffic. Or he was late dropping off the kids at school. Sam’s desk is a disaster, and he can’t find any of the charts or paperwork he needs when he needs them. He’s never prepared for meetings, and is always rushing around, stressed from trying to catch up. The team can no longer rely on him to do his job, and have lost trust and respect for him.

The Checked-out Employee

Georgia has been with the practice for 25 plus years. She was an exceptional employee the first 15 years, but her performance has been in a steady decline for the past ten. Georgia challenges any new ideas and refuses to adopt any change in standards or services. She often has an attitude of entitlement where she feels she deserves special treatment because of her longevity with the practice. She proudly describes herself as direct which really means she lacks a kindness/respect filter. What I refer to as cutting off at the knees. (If you cut someone off at the knees, you humiliate them, bully or force them to do what you want.) This makes others afraid to approach her. She may refuse to attend team functions, morning huddles or team meetings, and refuses to put in extra time in a crunch or do what she considers menial tasks. Her attitude and behavior affects the entire team’s performance level. The team starts to question why they have to adhere to standards if Georgia doesn’t.

If you recognize any of these employees or their poor behaviors…BREATHE…you’re not alone. Many offices struggle with undesirable behaviors – they are often unsure of what to do and don’t comprehend the toxic impact these behaviors can have on a practice. They affect communication, treatment acceptance, team work, work day enjoyment, stress levels, happiness, and more. Patient experience, team performance and the practice bottom line plummet. These behaviors are triggered and escalate from unclear and inconsistent expectations due to lack of culture standards.

Culture standards help eliminate the drama of who is right or wrong and get everyone rowing at a higher level on the same boat. Culture standards create clarity and structure. When there is clarity and structure the drama and confusion that often divides a team disappears. The opposite is true when there aren’t clear culture standards, assumptions, false expectations and differences of opinions run rampant. Every team member comes from a different background with unique and individual experiences. What they believe to be true is shaped by their personal experiences. These experiences create their personal truths, which is how they judge what is right and wrong. Drama, disorder and declining performance surface when there are different expectations of right and wrong due to lack of culture standards.

Have a team meeting to discuss what culture standards the team would like in their work environment. In essence, what will be the code of conduct for the practice? Create the standards together. Creating standards to work by creates clarity and helps the team to be accountable to a specific level of attitude, behavior and communication; the ABC’s of teamwork and performance.

Here are questions to ask the team that will help them create culture standards for the practice pertaining to attitude, behavior, and communication:

  • What makes them happy that they want to see more of – list it as a to do
  • What stresses them that they would like to stop – list what you can do to stop it – for example instead of stop gossiping, use support a gossip free culture
  • What can they do to impact their co-workers and patients in a more positive manner
  • How do they want the team to show up for work every day
  • How can they support each other more
  • How can they communicate more clearly, timely and positively with the team and patients

Once you have completed the culture standards list, print it, frame it and put it on display in your meeting room or wherever the team will see it most often. Review it at your team huddles and meetings, whenever you hire someone new and whenever someone’s behavior deems it necessary. It is important and necessary for the entire team including the doctor(s)to make a commitment to live and maintain the culture standards even when it is difficult or they don’t feel like it. If a team member chooses to not support the culture standards they are choosing to no longer be a part of that culture.

Cultivating a culture by design takes a commitment from the entire team to support and hold each other accountable to the culture standards!

June 1, 2016

4 Steps to Nurture a No-Gossip Culture!

4 Steps to Nurture a No-gossip Culture!

Gossip is a destructive monster that runs rampant in many dental teams! It has become the accepted and even expected as just the norm for many dental cultures! I speak nationally and internationally to dental teams on how to nurture a no-gossip culture.  When I ask them who has gossip in their practice I usually see every hand raise. The reasons I most often receive are:

  • It just is a part of every culture
  • It is a natural thing that women just do
  • It is a form of entertainment
  • It is healthy to vent or blow off steam to relieve stress
  • It is a way to get feedback and support
  • It is a lack of what it really means to gossip

People who engage in workplace gossip often have a strong need to “fit in”, and feel that gossip will help them achieve this. Gossipers often suffer from low self-esteem, and think that talking negatively about others will make them look better. If we truly grasped the devastating fallout from gossip we would no longer accept it as the norm for any culture!

Gossip affects:

  • Patient care and experience
  • Team communication, performance and relationships
  • Practice performance
  • Morale
  • Trust
  • Respect

Needless to say, gossip tremendously impacts the bottom line. I refer to gossip as the Poison Triangle of Mistrust because it often involves two people talking about a third person. Nothing shreds trust and respect and divides a team faster than gossip. Haven’t we all overheard someone talking about us? Do you remember how you felt? How much did you trust the people who were talking about you? How much did you want to communicate or work with them? Gossip is the most divisive form of communication. Just think about the total cost in team and practice performance, team relationships, practice morale and patient experience.

How much more successful could your practice be if could stop gossip from happening? Nurturing a no-gossip culture raises trust and the morale instantly it also elevates communication, team performance and relationships, patient experience and the bottom line! This is big stuff and plenty of reasons to adopt a no-gossip culture! If we want to nurture a no-gossip culture we have to clearly define gossip; set standards to prevent and stop gossip; and establish consequences if gossip continues. So if you are ready to nurture a no-gossip culture continue reading!

Let’s start by dispelling the misconceptions and clearly defining what gossip really is! The sad truth is gossip happens because it is often thought of as fluff stuff and something women just do! “Women do not have to gossip!” BTW women aren’t the only ones who gossip…men gossip too. In fact research shows men outnumber women who gossip by two to one. Men just refer to gossip as venting or blowing off steam!

Which leads me to address the term venting and blowing off steam. Anytime we say something negative or very private about another person it is gossip. We have this false belief that venting or blowing off steam is helpful and healthy. It is neither. Venting or blowing off steam are just more acceptable labels for gossip. Whether you refer to it as venting, blowing off steam or gossip they are equally toxic. When we spew negative words about others we not only bring down the receiver (listener); the giver (spewer) is also affected negatively. Consistent negative thoughts, words or energy whether we are the giver or the receiver or even just in the vicinity changes electricity in our brain which changes the energy in our body and our organs that depend on that energy or no longer nourished and can get disease and sometimes even die. Gossip is just plain toxic to everyone!

Doctors and managers be mindful of sharing a short retort of frustration or discontent with a team member pertaining to another team member. It is gossip, regardless of how harmless it may seem at the moment. How would that person feel if they heard you say it? If you have a frustration or concern go to the source and no one else. Otherwise, you have done nothing to address the problem and it will only continue to grow. The only exception is when the doctor and manger discuss with each other (behind closed doors) how to resolve a behavior or performance concern regarding another employee.

Here are four steps to nurture a no-gossip culture!

Have a with a team meeting and ask the entire team attend. The first step is to define gossip. Establish the definition of gossip for the practice as anything that is negative about another person that would make us think less of them; or private that they do not want others to know. We may think venting or blowing off steam is okay and is not considered gossip. Good qualifiers to ask yourself are:

  • Is what I am about to say true?
  • Is it harmful or hurtful?
  • How would I feel if someone said something similar about me?
  • How am I going to feel later if I say this? (or listen to this)
  • Would it affect their level of trust and respect for me?
  • Does gossiping honor my own personal values?

Clearly define the giver and receiver roles in gossip. The receiver (listener) of gossip is just as responsible as the gossiper (giver). They play a fifty-fifty role. The receiver has the power to stop the gossiper from gossiping to them. In fact the receiver may even play a bigger role. The receiver is usually not at a heightened emotional state and therefore capable of thinking more clearly. Whereas the giver is usually at a heightened emotional state; the fight or flight zone, resulting in the cognitive part of the brain shutting down.

The second step is for the entire team to verbally commit to each other to support a no-gossip culture in words, attitude and actions. Which means they commit to stop gossiping and stop gossipers. Have the team agree on a word or a phrase that they will say if someone starts gossiping to them.   Some of my clients use the word peace (in other words keep the peace) or stop or please go to the source or even remember we said we weren’t going to gossip. It can be anything as long as everyone knows the specific words or phrases.

The third step is to actually take action! If you have a suggestion, question or concern go directly to the source instead of going to others. Say the word or phrase immediately when someone starts gossiping. It is also our responsibility to try to stop gossip even if we just happen to be in a location where several other people are gossiping. In a respectful manner ask them to stop by using the word or phrase and if necessary reinforce how toxic gossip is to the team and the practice. Old habits die hard so it will be necessary for the team to support each other with reminders that they committed to honor a no-gossip culture.

The fourth step is create clear consequences for gossip. I want to be very clear here regarding consequences. Consequences aren’t necessary if a simple reminder from a co-worker stops the gossip. It is only when the gossiper refuses to stop gossiping when they have been asked to stop that it leads to any consequences. It is important to have defined consequences for gossip just like any other culture standard. Spell out specific step-by-step process for number of verbal and written warnings before termination. Yes, gossip is a big enough reason to terminate! The bottom line is that when we support a no-gossip culture we raise the level of communication, team performance and relationships, patient experience and even the bottom line!

Contact Judy Kay at JudyKay@PracticeSolutionsInc.net today if you would like to learn how she can help you build a cohesive team that support each other and the practice, become better leaders, and deliver service with more passion!

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