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will happen usually does happen. Obviously, one needs to be practical. Certain goals   Many exercises show how well-
        might not be realistic, but starting with green light thinking as to what might be  functioning teams communicating
        possible is better than limiting oneself right from the beginning. Locally, who would  within themselves outperform
        have ever believed Collier County would have the longest life expectancy and be  groups which are in dysfunction.
        the healthiest and happiest place in the nation? Our Metropolitan Statistical Area  MBA students are typically
        (MSA) this past year was first by a hundredth of point of 190 MSAs according  aggregated into  teams  at  the
        to the most recent Gallops-Healthways Survey. http://www.well-beingindex. beginning of the program because
        com/2015-community-rankings                                          in most real businesses, teams
           In August, 2016 Kiplinger Letter named Naples as the best place to retire— rather than individuals are more
        another example of optimism. This recognition is amazing, especially considering  functional and productive.
        that it wasn’t long ago when our part of southwest Florida was known as a small and
                                                                             NUMBER 6: COMMUNICATION
        sleepy fishing village. Our local leaders have been optimistic with their green-light
        thinking as Naples has evolved to be the jewel it is.
                                                                               You cannot assume people know what is going on.
                                                                             Most people need to hear something seven times before
        NUMBER 3: COURAGE                                                    they can remember the message. Jack Welch, the famous
           No one ever said it was going to be easy, but if you do the right thing often  former CEO of GE, said you have to deliver the message
        enough, you get the right result. Being around altruistic and self-motivated people  until you are sick of it, and then you have just started. Think
        and having these two characteristics yourself will reinforce your will to stay the  how often advertisers try to get in front of you to get a
        course and do the right thing for long-term success. Getting caught up in the day- message across.
        to-day drama and noise associated with people who are short sighted, egocentric,   Having everyone on the team agree with the goal and
        and selfish is not only deleterious for innocent bystanders but also harmful for these  understand the plan, as well as participate at the correct
        negative folks.                                                      time and in the appropriate manner, makes for success.
           Courage is doing the right thing, and grit is the ability to stay the course even  The opposite is so true. Asking folks to repeat a message
        when the going gets tough. Taking a chance on a new service or group when a long- back takes a little more energy and time initially but is
        standing anachronistic group becomes too mercenary, unconcerned enough with  well worth the effort. Even summarizing a conversation,
        quality, or inflexible is the correct course even when the short-term consequences  ending a meeting or engagement with a quick wrap-up,
        are costly in terms of resistance or loss of reputation and income. Don’t be afraid to  and enumerating a list of “to dos” are much more effective
        be innovative. After the initial “hit,” everyone is much better off as new best practices  than just assuming that everyone is on the same page.
        are developed and shared across the nation.
                                                                             NUMBER 7: CELEBRATION AND FEEDBACK
        NUMBER 4: RELENTLESS PREPARATION                                       Positive  feedback is  very important and  too  rare in

           “If you fail to plan, you are planning to fail!” is a saying attributed to Benjamin  today’s society.  Three or four wins combined with one
        Franklin as well as a few other notables. Even though the originator is uncertain,  not-so-good outcome turns out to be the best mix to
        the message is strong and important. Learning new ways to care for patients—be it  foster progress. All wins or all defeats are not as good as
        infection prevention, placement of central intravenous lines, or response to a mass  having a therapeutic blend. Children who are successful
        casualty event such as a fire, flood, or hurricane—all proceed better when everyone  in elementary school are best served by the combination
        has practiced in a mock drill.                                       of mostly positive feedback with some opportunities for
           As an institution, NCH practices for all of these unwelcome events knowing  improvement.
        that sometime we will be stressed with the real emergency. For the non-emergency   Having day-to-day constructive criticism is part of
        patient care therapeutic procedures, we train on life-like manikins in a simulation  our socialization process. Isolation and lack of feedback
        lab. These manikins, computer controlled and able to mimic real patients with tears,  at any age is deleterious for development and progress.
        grimaces, short bursts of words, heart beats, EKG rhythms, and other human-like  Celebration is part of the socialization process that gets
        responses, engage the care team as if they were in a real life situation. After the  people together by doing good for each other. People
        clinical scenario is over, the team debriefs with the coach, learning what they did  who live well into advanced age typically have a group of
        well and where they can improve. Again, relentless preparation makes the difference.    friends who socialize daily at mealtime or by taking walks
                                                                             together. At the opposite extreme, isolation is very painful
                                                                             and among the worse punishments created—exactly why it
        NUMBER 5: TEAMWORK                                                   is reserved for particularly bad behavior in prisons.
           No one is as smart as all of us. Surrounding oneself with good people and using   Many books on leadership with additional and different
        everyone’s good attributes will give a much better result than trying to be the Lone  comments employ some of the seven elements enumerated
        Ranger even though he had his faithful Tonto. Knowing yourself, both good and  above. Many different styles of leadership also have special
        bad qualities, is a good starting point. And if you can’t identify any weaknesses in  places in specific situations. In general, even top-down to
        your own personality, just ask your wife or significant other. If your mate doesn’t have  participatory to servant leadership all use some of the seven
        some suggestions for you to improve, then you have a co-dependent relationship and  attributes in different amounts to yield successful outcomes.
        an even bigger opportunity for change.                                 Leadership is not a mystery. Explore, see what works for
                                                                             you, and become a leader.
     Life in Naples | February 2017                                                                                          47
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