by Bill, Leadership, Management

Whether in Healthcare or Elsewhere, It’s the Culture, Stupid!

2 Comments 06 December 2012

Earlier this week, alongside 199 of the brightest, most talented people in the healthcare space, I attended the 2012 Forbes Healthcare Summit. Held at the The Allen Room at Jazz @ Lincoln Center in New York, the conversation and content were as spectacular as the venue. Hats off to Steve Forbes for hosting an event that lived up to its billing, and for allowing me to attend. Given that we frequently coach and train managers and executives from hospitals, big pharma, device manufacturers, and eldercare, I attended the event in an effort to stay current on the trends, opportunities and challenges in their world.

Somewhere late-morning as I furiously scribbled notes, I realized that, despite not being mentioned on the meeting agenda, one word had come up… a lot, almost as much as words I was expecting to hear, like gene, physician, science, payor, and the like . The word – culture. “Its about the culture you need to create.” Mikael Dolston (Pfizer); “The problem is trust.” Peter Tippett (Verizon); “It’s all about culture.” Andy Slavitt (Optum); “The biggest challenges are culture, culture, culture.” Dr. Richard Rothman (The Rothman Institute). “The culture is critical.” Sandra Fenwick (Boston Children’s Hospital). The clear implication from each and every mention was that if you want to innovate, optimize, execute, and get better outcomes, you had better pay attention to getting and keeping the culture thing right. Indeed, sparks flew for a moment or two when one of the presenters suggested that his business might never have gotten off the ground if he had been forced to recruit workers with a public servant mindset from the government sector. Yikes!

Whether in healthcare or elsewhere, I don’t think it’s too big a reach to suggest that the primary burden of responsibility for getting the culture right rests with those of us who occupy a leadership role – generally anyone with a trailing “R” in their job title, like officer, director, manager, supervisor, or leader. So what does that entail? Here are a few thoughts, in no particular order:

In my little pea brain, culture, at least as far as the workspace is concerned, is about expectations, customs, norms, and languages. It lends definition to the tribe. It means we have given serious thought to what it takes to be happy, productive, and successful here, gene mapping the organization if you will. It means that we have set, and abide by certain behavioral boundaries and expectations. It also means that we eject, like a virus, those who prefer to behave outside those lines. It means that, when recruiting, we are as careful about organizational fit as we are talent. Because of these expectations, things like respect and trust are usually in greater supply than elsewhere. As a result, people are more free to perform because they don’t have to waste precious time and energy looking over their shoulder. My questions to you are, how much time and attention are you giving to getting and keeping the culture right in your organization? How stridently do you, as a leader, explain and defend your culture?

These are my thoughts. You are invited to join the discussion.


A pathfinder in the arena of leadership and employee engagement, Bill Catlette is a seminar leader, keynote speaker, and executive coach. He helps individuals and organizations improve business outcomes by having a focused, engaged, capably led workforce. He is co-author of the Contented Cows leadership book series, and Rebooting Leadership. For more information about Bill, his partner Richard Hadden, and their work, please visit their website, or follow him on Twitter at


- who has written 239 posts on Contented Cows.

Contact the author

Your Comments

2 Comments so far

  1. Bob says:

    Great insight Bill; as always!

    Just like you note in your book, people choose their “discretionary effort” on a daily basis.

    If they are not engaged with the culture, then they will choose to do the bare minimum – and who wants that?

    I’ve noticed that one of the hardest things to deal with is when you have an extremely talented person that doesn’t fit the culture.

    The short-term cost to eject that person is high, but the long-term cost of keeping him or her is much higher.

    This is a true test of where your loyalties lie…let him or her slide or make the hard decision? Easier said than done; essential for rock-star culture none the less.

    Thanks for sharing!

  2. Bill Catlette says:

    Thanks, Bob, for your kind words and interest in our work.

    We’re in furious agreement. Failing to address poor job/organizational fit is unkind to everyone, including the involved staff member. It’s committing fraud. For this reason, we frequently encourage clients to be slower to hire (more methodical), and quicker to fire.

    Bill Catlette

Share your view

Post a comment


Considered thought leaders in the arena of leadership and employee engagement, Bill Catlette and Richard Hadden speak to, train, and coach managers on leadership practices for better business outcomes.

OUR PREMISE: Having a focused, engaged, and capably led workforce is one of the best things any organization can do for its bottom line.


Get "Contented Cows Daily Edition". A series of 30 three-minute video leadership lessons delivered daily to your inbox. Click here to learn more.


Subscribe to our blog
Enter your email address:

For Email Newsletters you can trust


Be notified when Bill or Richard will be speaking in your area, and possibly preview or piggyback a program.

Contented Cows on Twitter


Share |

© 2014 Contented Cows. Powered by Wordpress.

Daily Edition Theme by WooThemes - Premium Wordpress Themes

A Road Warrior's Leadership Test - Richard's article in Progressive Dairyman Canada Click here