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    Confessions of a laid-off hospital administrator

    June 3rd, 2009

    by Toe Knee Chin*

    If you have been following my twitter feed, you'll know that I was laid off from the business development director role at my health system about six weeks ago. I was called into my boss's office and the HR professional was also sitting at the table. Even though I had prepared for this moment and I knew it was coming, my heart was still pumping when I heard, "Unfortunately...Your position was one of the ones that has been eliminated."

    Thousands of times over, this is happening in hospital offices across the country. In fact, just in Chicagoland alone, there's probably been 1,000-plus layoffs. As such, this is obviously a pretty touchy and raw subject for many. Nonetheless, for me, at the risk of sounding a little insensitive or overly positive, I've taken this whole situation as a great opportunity, and am looking at it as great timing.

    I don't get philosophical too often here at Hospital Impact, but maybe this topic deserves a bit of just that. Here are some things I've been thinking about:

    [More:]

    1. Being laid off has given me some much needed time to slow down a bit. Sometimes the hurry of life prevents us from really reflecting about how we're wired and what we're passionate about. I truly enjoyed my role in the health system but not for the reasons I initially thought. I know that as I step into my next chapter, I feel 10-times more equipped to find something that will fit me like a glove because I've had some time to really think things through.

    At a deeper level, I think our media-junkie culture also makes it easy for us to fill up our days so much that we don't have to face ourselves. For me personally, it has been a great time to slow down and renew my faith walk. It has been both challenging and rewarding to not do anything, but rather, just be. No big titles. No accomplishments to achieve. Nothing to prove to anyone. Just enjoying being present in the moment.

    2. Being laid off brings out the best and worst of people. I feel the same way about money. The famous saying among superstar athletes is that making a lot of money doesn't change people--it just amplifies who they already are. I think being laid off (or watching it happen to your colleagues) is the same. Folks that were already insecure become more so. Folks that are positive and motivated see it as an opportunity. Laid-off lemonade, so to speak. For the laid off and the left-behind, these layoffs really mess with you, especially if your value and sense of self-worth is overly-tied to your work. You really have to do some reflection about what truly motivates you, and how you define value in yourself.

    3. Healthcare--and in particular hospital administration--is such a small world. Everyone literally knows everyone. I believe it now more than ever. I feel very fortunate to have met so many people through this blog, and it has definitely helped me transition into the next chapter (more on that soon). Nonetheless, 100 percent of professionals know that they need to network. My advice: Be in the 5 percent that actually do it. And do it before you need it. If you wait until you need to do it, it'll be too late. All of my leads were with people who already knew me well.

    4. Hospital culture varies as much as hospitals vary. Some cultures are very execution-oriented. Some are very relational-oriented. Some are very planning-oriented. Some cultures are just nice. Some cultures are too nice.

    Nonetheless, no culture is right or wrong, as long as the cultures don't get in the way of great and sustainable patient care. But, now I know more about myself and what type of cultures I will thrive in. A question I now will always ask in all my future interviews (sitting on both sides of the table): What three words best describe the culture here?

    Side note: Of course, even within a hospital exists many subcultures. Some would argue that a hospital has as many cultures as it has people managers.

    5. Being laid off means more time with the family this summer. I've already scoped out all of the free outings here in Chicago. This will be a memorable summer of some great day trips for me and my 3-year-old.

    6. Some practical advice: Check out this savvy daddy blog post I wrote on the 20 things to prepare for the down economy--this encapsulates most of it. Hit up all the job boards (ACHE & HFMA have good ones), but more importantly see item No. 3 from above. Also check out this list of 30 websites to hit when you're laid off; it's from one of my favorite blogs, Mashable.

    So, that's my laid off story, forever enshrined on the Internet for all to see. Anyone care to share their laid off story? Any tidbits of advice on getting to the next chapter?

    * - Toe Knee Chin is obviously not my real name, but I'm guessing you figured out who I am. Others randomly googling me can, too, but at least, it'll take them some head scratching and savviness to figure it out.

    Comments, Pingbacks:

    Comment from: Joseph D. [Visitor]
    Yes, good luck! Always remember to know yourself- that is what it's all about; and enjoy what you do in a zesty cultural environment (you know what I mean)
    Permalink 06/04/09 @ 16:14
    Comment from: Michael [Visitor] · http://www.medstrategypartners.com
    Your viewpoint and approach is healthy and appropriate. Those with a positive outlook will see this as a time to reinvent themselves and leverage their experience and strengths. Those with a positive outlook will continue to succeed and thrive even during these challenging times.

    Best of luck as you move to the next chapter in your professional career.
    Permalink 06/04/09 @ 17:35
    Comment from: Paul Fallon [Visitor]
    Thank you for sharing your emotions on such a raw and personal subject. That takes courage and thats exactly what you need in the endeavors that you will have ahead of you. Your thinking determines your behavior. Your behavior determines your actions. That being said I beleive your thinking to be in the right place for the opportunities that lie ahead of you. You must be positive and see life with the glass three quarters full to see your position elimination as an opportunity. I recently had that happen to me in January of 08 and in the process of looking for a new job I found the job I had been dreaming about and life is really good. The job I have now far exceeds the one I had so you never know what will happen. keep up the good work and let your faith carry you through the more challenging times ahead.
    Permalink 06/05/09 @ 09:40
    Comment from: jeffrey nemetz [Visitor] · http://thinkhbg.com
    Tony-

    Over twenty years ago, I was faced with a similar circumstance, my job was going to be eliminated and I learned about it many months in advance of the 'meeting'. This notice, provided the opportunity to fire up my thinking about networking, which at that time was limited to phone time. No instant messaging, tweets, emails, nor blogging. What I learned about myself and the business world at large, is there are many people like you and me who moved through a period of transition with grace and humility and a new sense of self.

    My networking forced me to see what I love most, helping to solve problems for companies who want to be perceived as special. At first, I turned my network into a source of referrals and it wasn't long before I was consulting and eventually producing what later became known as the category of healthcare branding.

    Yes, the world is small, and the people who know you either through your writing or work will continue to be a source of strength and ideas.

    I have every confidence that your next position will leverage the work you have managed in new and different ways. And, you will be successful.

    Family first. Enjoy Summer in Chicago. :)
    J
    Permalink 06/05/09 @ 13:51
    Comment from: Nate [Visitor]
    Sorry to hear about your entry into the realm of the displaced health care worker. With the administration's plans in mind, think outside your experience because those jobs are not coming back. Health care as we have known it is as good as gone. "Hope" you're enjoying the "change" that Chicago has brought us all.
    Permalink 06/05/09 @ 14:55
    Comment from: Janice [Visitor]
    I see nothing but great things ahead for you. I've been on the wrong side of the desk myself (my first job.) It was rough at the time, but definitely led me in better directions as it forced me to reassess. I found it difficult to reach out to friends for contacts and advice, but found out most people wanted to do all they could to help. Good luck!!!
    Permalink 06/05/09 @ 16:51
    Comment from: TK [Visitor]
    My bud's a hospital exec-headhunter. How would he reach you? Think.
    Permalink 06/08/09 @ 08:51
    Comment from: Anne [Visitor] · http://www.drugreimbursement,org
    You hit the nail on the head. We all must remember that we are not what we do for living. Too many people go through life living through their jobs. That's where all their friends are. You get up, go to work and stay late just to come home & do it all over again.I know you have bills to pay, but wake up! Enjoy your freedom and find out who you REALLY are.
    Permalink 06/08/09 @ 14:04
    Comment from: Santa Fe Steve [Visitor]
    You are in denial. You have been laid off. You may never work again in your field. Stop wasting time checking out freebie events and start looking for a job or figuring out how you will earn a living and support your family.
    Permalink 06/08/09 @ 15:51
    Comment from: TK [Visitor]
    It took only 3.5 hours of drilling, but I finally got the data I was looking for -- http://www.hospitalimpact.org/index.php/about/2005/10/27/about_me_1 I'll pass it along.
    Permalink 06/08/09 @ 17:11
    Comment from: Hospital Impact [Member]
    thanks everyone for all the advice, perspectives, and support - it means a great deal to me. In this new economy, each of us individuals is essentially a "free agent" or a "small business." Whether we work for the same company for 30 years or 30 days, our work, our reputation, our approach towards people follows us.
    Permalink 06/10/09 @ 11:05
    Comment from: Christina [Visitor] · http://thielst.typepad.com
    We are in the same boat! One thing I've discovered over my many years in the field is that this is one of the job hazards. As the financial picture has changed, so has the staffing structure.

    My belief is that the truly great (and creative) administrators are most likely the ones who can avoid layoffs. They can see the environmental changes coming and make adjustments in staffing, accordingly. I wish we could all work for these leaders - or be one ourselves.
    Permalink 06/28/09 @ 14:18
    Comment from: Nursing work junky [Visitor] · http://alliedtech.org/category/registered-nurse-nursing-work-nurse-work/
    Hi there,
    I just want to first start off and say I am sorry to hear about your job and I am glad you are seeing it in as positively as you can. I also want to say that youre rigth your not alone my hospital has been letting go of plenty of their staff. There is just not enough money for everything. I also see plenty of nurses and Paramedics that have been coming into my ACLS and Pals classes that quite simply cant find a job after they have gotten out of school. The world is rough right now but we will all get through it together.
    Permalink 07/28/09 @ 05:33
    It's sad to see that job losses are even affecting hospitals. Sorry to hear about your job. I'm not sure where all this is heading, though about now I do feel the world is ready for some sort of 'reboot'.
    Permalink 08/17/09 @ 13:36
    Comment from: Web Design India [Visitor] · http://www.technoscore.com/
    Nonetheless, no confessions is right or wrong, as long as the confession don't get in the way sustainable patient care.
    Permalink 12/01/09 @ 04:42
    Comment from: Barry Goettsch [Visitor]
    Going on ten months ago I was forced to resign or be terminated by my CEO when he found out that I had submitted my resume for a CEO position. Since then I have had a handful of interviews that went well but I have not nailed down a job as of yet. Searching for a job while not being employed under these circumstances has proven to be a considerable hurdlel, one that I am not sure I will be able to overcome. Additionally, I am not using my past CEO as a reference because I have heard that he has undermined past opportunities. Double whammy. My performance has always been exemplary but how do I secure a job with time away and no CEO reference working against me. My CEO has been in hospital administration for some time here in Iowa and I fear that he has poisoned the barrel. He is not well respected in the state but still seems to be able to carry enough influence. Any advice? Thanks
    Permalink 12/17/09 @ 20:20
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