Great by Choice - the 10X Performers in Healthcare

Leading Healthcare Through the StormIn healthcare "The Storm" is not a possibility—it is a certainty. Our recent Culture Coalition sessions on Jim Collins’ research highlight a critical mandate: for our physicians and APPs, greatness is never a function of circumstance. It is a conscious choice. Because luck is asymmetric, good luck cannot cause greatness, but bad luck can certainly end it.The 20-Mile March: Fanatic DisciplineWe must replace sporadic "big pushes" with the 20-Mile March. This requires hitting specified lower and upper bounds consistently. Crucially, the upper bound prevents us from overextending during favorable conditions, ensuring our teams aren't too exhausted to survive the inevitable "10-tails" bad luck events."To 20 Mile March means to hit specified targets year after year with a long-term view in mind... hitting 20 miles a day, no more, no less, no matter what."Empirical Creativity: Scaling InnovationWe must avoid the "Pioneer’s Trap." Innovation without scaling discipline is a liability, not an asset. Our strategy is to fire "bullets"—small, low-risk clinical trials—to gain empirical validation before launching "cannonballs." Our distinctive strength is not just inventing protocols, but the fanatic discipline to scale them identically across every shift.Productive Paranoia: Avoiding the Death LineWe operate in an unforgiving environment where the "Death Line"—the point where a single error or a series of small events kills the enterprise—is always present. To survive, we must maintain buffers. Just as 10X companies carry 3x to 10x more cash-to-assets than their peers, we must build clinical redundancy. Like David Breashears carrying surplus oxygen canisters on Everest, we must ensure redundant staffing and blood supplies before the crisis hits.Conclusion: Your Return on Luck10X leaders don't get more luck; they achieve a higher Return on Luck (ROL) through superior execution. As you lead your departments, ask: What is our "20-Mile March" for the coming year, and do we have the discipline to hold the line? Hosted on Acast. See acast.com/privacy for more information.