The Time is Right...

I was talking with Monecia Thomas, the director of the Management Academy for Public Health, about recruitment for the program. She and the program coordinator, Nancy Cripps, have been working hard contacting teams that have expressed interest and urging them to submit applications. All are due at the end of May, but because it is a competitive process, the earlier the better!

We know that funds are tight right now, but I’m going to lay out a few reasons this is actually the perfect time to come to the Management Academy.

1. The economy may get worse, and the skills you gain at the Management Academy will see you through the rough patches. It will help you manage your people and resources more efficiently and effectively; it will maximize your connection with the larger community of individuals and organizations interested in the public’s health; it will give you the means to bring money in to your organization that is not tied to political or grant makers’ priorities. The external evaluation of our pilot phase indicated that public health agencies had garnered $6 million in revenue from training that had cost $2 million to provide. And that was back in 1999-2002: we’ve had hundreds more students since then, all of whom have written, and many of whom have implemented successful business plans for revenue-generating public health projects. Imagine what the next large evaluation study may show!

2. The political environment is changing. All signs point to a greater willingness of the new administration to put federal monies towards health care and public health priorities in the coming years. Already Congress and President-Elect Obama are preparing to renew the bill that provides health insurance for low-income children. Also, insurance for legal immigrants under 21 may be added back into the bill, after having been cut more than a decade ago. As public health managers, you can be at the forefront of this new era. Expertise in building strategic partnerships, managing data to make the best case for your priorities, and managing money to support shifting emphases will all help you.

3. The workforce is changing. It has to: we must bring in new public health professionals and management to fill the void that will be created as today’s public health workforce retires. How better to groom that promising middle manager for a leadership role than to teach him or her strategies for managing money, people, and information? Do they know how to delegate tasks? Do they know how to read a budget? Do they know how best to communicate in written work or oral presentations?

Public Health Business Planning: A Practical Guide is about one small part of the Management Academy for Public Health. Call Nancy Cripps at (919) 966-2248 or Monecia Thomas at (919)843-8541 to learn more about the rest of the program.

-- Anne Menkens

Big Hairy ATTAINABLE Goals

Making New Years resolutions is not all bad. If you take Steve’s words of advice and make your resolutions positive statements with a clear mission, and break them down into concrete things you can do to reach that mission, a resolution to succeed could be the ticket to success.

In Chapter 1 of the book (pg. 11 to be exact), we list a few examples of initiatives that started out as Management Academy business plans. Here are some of the New Years resolutions that might have been the germs for those plans:


  • Deal with mental health issues in our community
  • Bring private practice behavioral health providers into the orbit of the public health department
  • Increase positive results for low-income, at-risk pregnant women
  • Decrease Medicaid costs for treatment of at-risk pregnant women
  • Provide training options for public health workforce development in Wisconsin
  • Increase physical activity in our community’s children
  • Help the family members of HIV-positive patients to get health care services
  • Improve waste water treatment in rural Virginia


Notice a few things:

  • Each of these resolutions is a positive statement of a concrete (not abstract) goal
  • Each resolution is a reasonable goal for a public health organization
  • Each resolution is easily broken down into specific objectives, tasks, plans

When we talk about BHAGs, the A stands for Audacious, but it could also stand for Attainable. Audacious is better, because it gets your attention, and it forces you to say WHAT should be done and WHY, without worrying too early about the WHO or HOW. But Attainable should be your next thought: WHO’s going to do it? HOW will they do it? And answer positively, as if the sky’s the limit, but stay concrete. WHO will do it? The 10 new people we’re going to hire. HOW will we hire them? By partnering with these potential stakeholders…. WHEN? Maybe not today, but by this particular date, if we do these particular things.

So don’t stop making resolutions. Just keep it real, as they say. And don't wait for January 1.

New Year's Resolutions...

Happy New Year everybody--

I've been thinking about New Year's resolutions over the last few days. A friend asked me what mine were, and I told him I didn't like them. He wanted to know why not.

Partly, my issue with the New Year's resolution is the way it suggests that I am the problem. I'm doing too much of something (smoking, drinking, watching TV, surfing) or not enough of something (working out, helping the kids with homework). Why? Because I'm rotten. If I just had a little more resolve, this issue wouldn't exist.

Many resolutions, it seems to me, are addressed at long-standing issues or behaviors. It isn't that I turned bad last year all of a sudden, it's that I've been this way for a long time. But what's changed, besides the big number at the top of the calendar? Nothing. All the reasons for my bad behavior remain the same. There's a book I like, How the Way We Talk Can Change the Way We Work, that addresses this point. Keegan and Lahey point out that there are almost always competing priorities that have been preventing you from changing whatever it is you now want to change by making a resolution. Underlying those priorities are assumptions. (For example: I can't take time to run because that's not productive work; other people need me. Running is selfish; if I'm selfish I will be shunned, which is much worse than heart disease).

The point is this: in the absence of some careful thought, even our best-intentioned resolutions are unlikely to be successful. The system will prevail. Worse yet, the role of the system will remain invisible to us! We will likely see our failure as a reflection on our own lack of willpower, our insistence on subverting our own good intentions, our own failure in self-management. This is all in the structure of the New Year's resolution: "Do this... or else know yourself to be an irresolute failure."

Better would be to develop some big strategic goals for yourself, and then start devising plans to address those big goals. My wife and I have made "healthy and happy" a strategic focus for the last couple of years. There are hundreds of ways to go after that goal-- and if many of them fail, that's OK. Keep trying! Find some things that work! Reflect regularly on what is and isn't making you happy! Ditch what isn't working! Maybe a conscious program of saying "please" in the family setting would increase happiness! Give it a shot! Try a pilot! And then think of ways to sustain it!

Let me briefly bring it back to the subject of the blog: one, self-management is a key success factor, the foundation of good leadership. Two, don't do "New Year's Resolution"-style planning and then expect good results. Do solid strategic planning, and then do solid business planning on specific action items.

--Steve Orton