Linda Hill (23:16)
Yes. So, you know, one of the things, and this is going back to what you said about stars. So Dr. Rakesh Suri, who was the CEO that we studied in, we studied two CEOs, actually, the first and then, and then him. But really the, the chapter that you read, we focus on how he began to build a, a learning culture, which in fact, Cleveland Clinic, Cleveland, the main campus, has a learning culture, both as well. So, so one thing, I'm just going to use the COVID example, but in some ways, we hate to think about COVID We made a very tough decision. We thought our book would come out in 2022, 2023, but we decided we would collect data throughout Covid because there was a lot of innovation happening and a lot of organizations were doing things differently. So what I'm going to say quickly to go to answer Your question is Dr. Suri, here's a man who's a cardiac surgeon, a pioneer in robotic cardiac surgery, and what he also is, is a Rhodes Scholar. So this is a very smart, very capable person. Again, another star. He's having to learn how to run a hospital that is 7,000 miles away from where he was working in Cleveland. He's in Abu Dhabi. And they needed to understand in many ways the core culture of Cleveland Clinic Main Campus, which is a fabulous culture and it's a fabulous hospital. They were going to bring some of those principles, some of those values to Abu Dhabi, but they knew it wasn't cut and paste. They really had to be able to adapt. And so genius at scale is about how you scale innovation, not just generate innovative solutions, but how do you launch and scale it. You know, 7,000 miles away in A whole different culture, where in fact, in Abu Dhabi, among other things, you treat the family, not the patient. It's very different culture. So even with the digital tools that they were developing, you know, the, the models that were built for how to do scheduling were built kind of in the western world and didn't take into account Ramadan. And guess what? Ramadan's not like Christmas. It moves throughout the year. Right. So even some of the tools that they were developing, when you think about the data on which you did the learning, those models learned they were the wrong. They learned on the wrong model. So they had to be very learning focused. And one, when Covid hit, Dr. Suri said to me, and my husband's a physician, he's a professor at Harvard Medical School, and you know, you need your physicians to be confident. But what he said to me is, Linda, what does it mean to lead when you feel like you're leading through a fog? What does it mean to lead when you can't see, when you have no vision? And that's how he felt, if you will, when he first learned of COVID and saw what was happening with it. And he said, at first I thought my job was to take charge and steer the ship because that's what you do in a crisis. But then I felt thought, nope, that's not my job. Instead, I need to hyper empower everyone in the organization. And the way I hyper empower them first is I make sure that they all understand there is nothing called business as usual. Nothing called business as usual. Everything we do is a working hypothesis. Working hypothesis. So this issue of if it is a working hypothesis, then we're going to have to make decisions. We're going to make the best decisions we can with the data we have. And guess what? A lot of it's going to be sort of ambiguous or even look conflictual or we're not going to have it, but we're going to have to make a decision. And the only way we'll know if that decision was right is when we get feedback on the impact of that decision. And he said, going back to. He said that's the only way we're going to know. So he said the faster we can get feedback on the impact of the decision we made or the action we took, the faster we'll know if we need to we're on the right track and we should continue in that direction or. Or we're not and we need to pivot. So the first thing we have to admit is there's no business as Usual and I don't know. So Dr. Suri, if you think about he's an Abu Dhabi, he's a surgeon, et cetera, he says to the whole organization after he's done his thinking about all of this he says to them, I'm scared but I trust you. I'm scared but I trust you. Going back to, you know, I don't have all the answers but guess what? Together we will have the answers that we need to get this done. And he felt he was late in making decisions but want you to know that they were testing for variants of COVID in early January. Early January. Think about when they start. We started doing that in the United States and in early January he, that is why he thought I have no vision because this virus is not operating the way and I've seen everything I thought but no I haven't. So admitting that you don't know and telling people, by the way, I'm the head of this hospital, I'm, you know, I, I'm used to knowing and this is a very smart man, a very visionary, I don't know but I trust you that together when we're hyper empowered we're going to figure it out. So I think that kind of or you know, that's not what you think you'll hear from a leader in Abu Dhabi, which is a pretty hierarchical place in many ways and hospitals are notoriously hierarchical. And that's what he said to them and he spoke to them in terms of coaching going back to private, public. He had a coach and when he had start leading over with a camera, you know, he ended up in quarantine. He hired a coach to look at his face to understand what were people seeing? Am I sending the right message to people? Do I look too intense? Do I look, you know, not interested enough, too tired? So this man understood how to use himself as an instrument to get things done and that he needed to really perfect that because people needed him. He needed very much to be on top of leadership. He needed to lead in a way that people would feel hyper empowered to make these tough decisions.