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Positive versus Negative Vision:  Which is your leadership platform?  

Recently I was working with an executive team, facilitating their development of a vision for the organization.  The company was founded almost 20 years ago on the simple vision of "improving healthcare."  Somehow the company lost site of that simple, positive affirmation of what they were all about.  In the midst of competition, regulatory pressure and employee unrest---all real threats that were draining the emotional and financial reserves of the system--- they were tempted to define their vision in new term of combat.  Phrases that came easily were: "beating the odds," "out-swimming the sharks," "hunkering down." 

My clients were able to re-align themselves with words that reflected their original intention to positively impact healthcare delivery.  Throughout our process together I thought about author Peter Senge's words of wisdom on positive versus negative vision. Here is an excerpt from his highly acclaimed book, The Fifth Discipline:

"What do we want?" is different from "What do we want to avoid?"  This seems obvious, but in fact negative visions are probably more common than positive visions.  Many organizations truly pull together only when their survival is threatened.  They focus on avoiding what people don't want---being taken over, going bankrupt, losing jobs, not losing market share, having no downturns in earnings, or "not letting our competitors beat us to market with our next new product."  Negative visions are, if anything, even more common in public leadership, where societies are continually bombarded with visions of "anti-drugs," "anti-smoking," "anti-war," or "anti-nuclear energy."

Negative visions are limiting for three reasons.  First, energy that could build something new is diverted to "preventing" something we don't want to happen.  Second, negative visions carry a subtle yet unmistakable message of powerlessness:  our people really don't' care.  They can pull together only when there is sufficient threat.  Lastly, negative visions are inevitably short term.  The organization is motivated so long as the threat persists.  Once it leaves, so does the organization's vision and energy.

There are two fundamental sources of energy that can motivate organizations:  fear and aspiration.  The power of fear underlies negative visions.  The power of aspiration drives positive visions.  Fear can produce extraordinary changes in short periods, but aspiration endures as a continuing source of learning and growth." 

If you are leading physicians in your organization, it will be important to devote significant energy on the positive future vision of your organization.  You will be tempted to rally around a negative vision, or to use the negative scenarios as too much of a lever for change.  Ultimately people move willingly toward a compelling future vision, and move in spurts or temporarily when they are avoiding negative consequences.

Francine R. Gaillour, MD, Business Consultant and Executive Coach for Healthcare Leaders francine@physicianleadership.com, (206) 686-4205



Francine R. Gaillour, MD, MBA, FACPE
15600 NE 8th Street, Suite B1-173
Bellevue, WA  98008
(206) 686-4205

Francine R. Gaillour, MD   2006 Ki Health, Inc.