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The Real Job of Managers  C131

           tions for reduced fasting times. Her recommendations were accepted
           and implemented successfully. She had a very positive impact, and
           other employees know they can do the same.

           Q:  How have the values and practices of your senior leaders
           shaped your management culture?
           Lang: In health care it’s easier because the values and the mission are
           clear to everyone. Our employees just want to know the organization
           is doing well, they have the equipment to do their job, and they can
           be involved in decision making. The visibility of our leaders is ex-
           tremely important. Our senior leaders are out and about all the time,
           making rounds and letting all staff know they can be easily accessed.
           They are thanking employees, telling them “I heard you did a great
           job—thanks so much,” and sending thank-you notes. It just comes
           instinctively to our senior leaders. They are nice people to begin with,
           and are sincerely interested in people’s lives. We also have what we
           call “Chat and Snack” meetings once a quarter with the six VPs and
           the CEO, where they provide hospital updates and respond to ques-
           tions from staff. These sessions have really helped to create trust.
              We also focus on fairness. We can’t afford to be the highest-paying
           hospital, but we try hard to be fair with pay and benefits. We know other
           organizations make deals and exceptions on pay and benefits, but we
           rarely do. Where we do make exceptions is with employee recognition and
           development. Winchester has one of the most flexible workforces when
           compared to other hospitals, with many different shift options. We are
           open to making accommodations and working out arrangements with
           individual employees that make life and family responsibilities easier for
           them. We help nursing assistants pay for nursing school. All flexibility
           issues are job dependent and employees know that.

           Q: If you were to create a headline that described how your com-
           pany has developed a culture of strong management practices,
           what would it be?
           Lang: Leadership matters—that’s the key. It’s all about your leaders.
           Our Press-Ganey survey scores were extremely high on leadership.
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