[{"_1":2,"_3":-5,"_4":-5},"loaderData",{"_5":6,"_7":8},"actionData","errors","root",{"_137":-5,"_138":-5,"_139":140,"_141":142,"_143":144},"routes/clips.$id.$slug",{"_9":10,"_11":12},"clip",{"_13":14,"_15":16,"_17":-5,"_18":19,"_20":-5,"_21":22,"_23":24,"_25":26,"_27":28,"_29":30,"_31":32,"_33":34,"_35":36,"_37":38,"_39":40,"_41":-5,"_42":-5,"_43":-5,"_44":45,"_46":-5,"_47":48,"_49":50,"_51":-5},"canonicalUrl","https://howleaderslead.com/clips/2575/dont-let-bureaucracy-slow-you-down","id",2575,"title","Don’t let bureaucracy slow you down","subtitle","transcript","WEBVTT\n\n1\n00:00:00.000 --> 00:00:05.000\n- Well, I'd say our culture is an aspirational culture.\n\n2\n00:00:05.000 --> 00:00:09.480\nAnd I've heard the term, I think this is a great term,\n\n3\n00:00:09.480 --> 00:00:13.800\nwe're an adhocracy, not a bureaucracy and a meritocracy,\n\n4\n00:00:13.800 --> 00:00:16.920\nbut really an adhocracy and an adhocracy meaning,\n\n5\n00:00:16.920 --> 00:00:19.720\nif you have a good idea, we're gonna partner with you.\n\n6\n00:00:19.720 --> 00:00:22.760\nAnd the difference is at NYU Langone,\n\n7\n00:00:22.760 --> 00:00:25.760\nwe created a structure and I would say very important\n\n8\n00:00:25.760 --> 00:00:30.000\nin business and in academics, function follows structure.\n\n9\n00:00:30.000 --> 00:00:31.760\nIf you don't have a great structure,\n\n10\n00:00:31.760 --> 00:00:35.400\nyou can optimize the function of the organization.\n\n11\n00:00:35.400 --> 00:00:39.900\nAnd so we created a great structure with minimum barriers\n\n12\n00:00:39.900 --> 00:00:41.800\nand the minimus administration,\n\n13\n00:00:41.800 --> 00:00:46.640\nand that enables us to really function as well as we have.\n\n14\n00:00:46.640 --> 00:00:47.720\n- You mentioned,\n","pretty_transcript","start_time",1463299,"end_time",1508259,"keywords","aspirational culture, bureaucracy, meritocracy, function, structure, optimize, minimum barriers","slug","dont-let-bureaucracy-slow-you-down","origin","cms","mux_playback_id","VaD8GNFL7gDtozBGM5GrwrgBvDDFneUymX9phQ02dyF00","mux_asset_id","Gh7qebYfWn700LrDFi4Mu01KVldScvZ8rsk9o5aH1Cnt4","leader_id",3,"episode_id",150,"updated_at","2025-02-26T20:18:27.000000Z","meta_title","meta_description","og_image_media_id","web_url","https://www.howleaderslead.com/clips/2575/dont-let-bureaucracy-slow-you-down","og_image_url","leader",{"_13":36,"_101":102,"_103":104,"_105":106,"_25":107,"_108":109,"_62":110,"_59":110,"_111":112,"_69":113,"_39":114,"_115":-5,"_41":-5,"_42":-5,"_43":-5,"_116":117,"_89":118,"_44":119,"_120":121,"_122":123,"_46":-5,"_124":125,"_126":127,"_93":128,"_51":-5},"episode",{"_13":38,"_15":52,"_27":53,"_17":54,"_55":56,"_18":57,"_20":58,"_59":60,"_61":-5,"_62":60,"_63":-5,"_64":65,"_66":67,"_68":-5,"_69":-5,"_70":71,"_72":73,"_74":-5,"_35":36,"_39":75,"_41":-5,"_42":-5,"_43":-5,"_76":77,"_78":79,"_80":81,"_82":83,"_84":-5,"_85":-5,"_86":87,"_88":-5,"_89":-5,"_46":-5,"_90":91,"_92":-5,"_93":-5,"_51":-5},"og_image_media","Create accountability","create-accountability","Learn how to drive big results by adding more transparency and accountability to the work you do. See the power of tapping into aspirational belief – both for yourself and your team. Plus, how he’s leading the charge to revolutionize medical education.","summary","

Today’s guest is Dr. Bob Grossman, the CEO of NYU Langone Health.

When he took over in 2007, the hospital had a structural deficit, run-down facilities, and a team that wasn’t really tuned into a bigger vision.

Today, they’re ranked as the number three hospital in the U.S. He’s grown their revenue from $2 billion to $11 billion. And they’re studied as THE model of how to run a patient-centered, successful health organization.

You’ll hear how it happened in this conversation.

And as you might expect, Bob shares a lot of wisdom about culture and vision and all that good stuff.

But you need more than that to make big things happen.

You need accountability – because that’s how you make sure those big ideals are actually showing up in the work day to day.

If you want your team performing at the highest level…

If you want them to really own their actions and decisions …

Then listen to this episode and see how to create more accountability for your organization.

You’ll also discover:

How to turn a lack of experience into a massive leadership advantage
The importance of early, swift action in a new position
The #1 ingredient that’s missing in a dysfunctional workplace
How to lead through a crisis
How Bob communicates with his team – and the surprising response it’s gotten
The 50-year-old problem Bob addressed that changed everyone’s daily workflow

Take your learning further. Get proven leadership advice from these (free!) resources:

The How Leaders Lead App: A vast library of 90-second leadership lessons to stay sharp on the go

Daily Insight Emails: One small (but powerful!) leadership principle to focus on each day

Whichever you choose, you can be sure you’ll get the trusted leadership advice you need to advance your career, develop your team, and grow your business.

","WEBVTT\n\n1\n00:00:00.000 --> 00:00:07.260\nWelcome to How Leaders Leave Where Every Week you get to listen in while I\n\n2\n00:00:07.260 --> 00:00:08.160\ninterview some\n\n3\n00:00:08.160 --> 00:00:10.400\nof the very best leaders in the world.\n\n4\n00:00:10.400 --> 00:00:13.920\nI break down the key learning so that by the end of the episode, you'll have\n\n5\n00:00:13.920 --> 00:00:14.560\nsomething\n\n6\n00:00:14.560 --> 00:00:18.320\nsimple you can apply as you develop into a better leader.\n\n7\n00:00:18.320 --> 00:00:20.200\nThat's what this podcast is all about.\n\n8\n00:00:20.200 --> 00:00:23.620\nWell, get ready because you're about to hear one of the most dramatic\n\n9\n00:00:23.620 --> 00:00:24.680\nturnaround stories\n\n10\n00:00:24.680 --> 00:00:30.520\nout there because my guest today is Dr. Bob Grossman, the CEO of NYU Langone\n\n11\n00:00:30.520 --> 00:00:31.360\nHealth.\n\n12\n00:00:31.360 --> 00:00:37.260\nWhen he took over in 2007, the hospital had a structural deficit with rundown\n\n13\n00:00:37.260 --> 00:00:38.160\nfacilities\n\n14\n00:00:38.160 --> 00:00:41.680\nand a team that wasn't really tuned in to a bigger vision.\n\n15\n00:00:41.680 --> 00:00:46.230\nNow, fast forward to today, their rank is the number three hospital in the\n\n16\n00:00:46.230 --> 00:00:47.920\nUnited States.\n\n17\n00:00:47.920 --> 00:00:52.720\nHe's grown their revenue from $2 billion to $11 billion and they're studied as\n\n18\n00:00:52.720 --> 00:00:53.600\nthe model\n\n19\n00:00:53.600 --> 00:00:58.280\nof how to run a patient-centered, successful health organization.\n\n20\n00:00:58.280 --> 00:01:00.280\nYou're going to hear how it happened today.\n\n21\n00:01:00.280 --> 00:01:04.640\nAnd as you might expect, Bob shares a lot of wisdom about culture and vision.\n\n22\n00:01:04.640 --> 00:01:08.400\nBut you know, you need more than that to make big things happen.\n\n23\n00:01:08.400 --> 00:01:12.510\nYou need accountability because that's how you make sure those big ideas are\n\n24\n00:01:12.510 --> 00:01:13.120\nactually\n\n25\n00:01:13.120 --> 00:01:15.880\nshowing up in the work day to day.\n\n26\n00:01:15.880 --> 00:01:19.420\nIf you want your team performing at the highest level, if you want them to\n\n27\n00:01:19.420 --> 00:01:20.360\nreally own their\n\n28\n00:01:20.360 --> 00:01:23.820\nactions and decisions, then keep listening and learn how to create more\n\n29\n00:01:23.820 --> 00:01:24.680\naccountability\n\n30\n00:01:24.680 --> 00:01:26.680\nfor your organization.\n\n31\n00:01:26.680 --> 00:01:31.800\nSo without further ado, here's my conversation with my good friend and soon to\n\n32\n00:01:31.800 --> 00:01:32.600\nbe yours,\n\n33\n00:01:32.600 --> 00:01:39.560\nDr. Bob Grossman.\n\n34\n00:01:39.560 --> 00:01:43.510\nBob, we're going to get to your amazing turnaround story in a few minutes, but\n\n35\n00:01:43.510 --> 00:01:44.240\nI always like\n\n36\n00:01:44.240 --> 00:01:45.600\nto start out at the beginning.\n\n37\n00:01:45.600 --> 00:01:50.830\nNow, you went into radiology and I know you were at NYU and you built one heck\n\n38\n00:01:50.830 --> 00:01:51.720\nof a department\n\n39\n00:01:51.720 --> 00:01:52.720\nthere.\n\n40\n00:01:52.720 --> 00:01:55.280\nIt was one of the departments that was very highly rated.\n\n41\n00:01:55.280 --> 00:01:58.480\nTell us how you got the CEO job of NYU.\n\n42\n00:01:58.480 --> 00:02:00.520\nWell, it was interesting.\n\n43\n00:02:00.520 --> 00:02:02.720\nSo I came to NYU in 2001.\n\n44\n00:02:02.720 --> 00:02:07.220\nI had been at University of Pennsylvania at Penn Medical Student and then I\n\n45\n00:02:07.220 --> 00:02:08.320\ncame back there.\n\n46\n00:02:08.320 --> 00:02:13.120\nI actually was in neurosurgery, came back there in radiology.\n\n47\n00:02:13.120 --> 00:02:14.760\nAnd then went to NYU.\n\n48\n00:02:14.760 --> 00:02:21.230\nAnd NYU at the time was a rather weak department of radiology and they had\n\n49\n00:02:21.230 --> 00:02:22.880\nlousy equipment\n\n50\n00:02:22.880 --> 00:02:25.880\nand equipment and capital in radiology.\n\n51\n00:02:25.880 --> 00:02:26.880\nVery important.\n\n52\n00:02:26.880 --> 00:02:30.960\nSomebody said, \"Well, we're a Siemens site for imaging.\"\n\n53\n00:02:30.960 --> 00:02:33.480\nI said, \"Well, what do we get from Siemens?\"\n\n54\n00:02:33.480 --> 00:02:36.760\nYou know, we're right in the middle of Manhattan.\n\n55\n00:02:36.760 --> 00:02:41.910\nAnd they said, \"Oh, we get pulse sequences and pulse sequences are the software\n\n56\n00:02:41.910 --> 00:02:42.520\nthat really\n\n57\n00:02:42.520 --> 00:02:46.160\ndrive the M.R.S.C. and I said pulse sequences.\"\n\n58\n00:02:46.160 --> 00:02:48.880\nI said, \"Let's see how much we're really worth.\n\n59\n00:02:48.880 --> 00:02:53.960\nLet's do an RFP and have Siemens in general electric compete to see who could\n\n60\n00:02:53.960 --> 00:02:54.800\nbe a single\n\n61\n00:02:54.800 --> 00:02:55.800\nvendor.\"\n\n62\n00:02:55.800 --> 00:02:57.400\nAnd that was pretty interesting.\n\n63\n00:02:57.400 --> 00:02:59.600\nAnd we got them to compete.\n\n64\n00:02:59.600 --> 00:03:03.570\nKen Langone accused himself because he had been on the board of general\n\n65\n00:03:03.570 --> 00:03:03.840\nelectric.\n\n66\n00:03:03.840 --> 00:03:09.420\nAnd Siemens won and we got a hundred plus million dollars in the deal and Ken\n\n67\n00:03:09.420 --> 00:03:10.240\nLangone,\n\n68\n00:03:10.240 --> 00:03:12.000\nthat caught Ken Langone's eye.\n\n69\n00:03:12.000 --> 00:03:14.080\nAnd Ken was the chairman of NYU.\n\n70\n00:03:14.080 --> 00:03:15.080\nCorrect.\n\n71\n00:03:15.080 --> 00:03:16.320\nYeah, absolutely.\n\n72\n00:03:16.320 --> 00:03:18.160\nSo you're running the radiologist's plan.\n\n73\n00:03:18.160 --> 00:03:19.160\nIt's interesting.\n\n74\n00:03:19.160 --> 00:03:23.520\nYou're in a hospital that basically is not doing well, okay?\n\n75\n00:03:23.520 --> 00:03:25.760\nBut you excelled with your department.\n\n76\n00:03:25.760 --> 00:03:30.240\nHow did you build a department of excellence in an overall environment that was\n\n77\n00:03:30.240 --> 00:03:30.680\non the\n\n78\n00:03:30.680 --> 00:03:31.680\ndecline?\n\n79\n00:03:31.680 --> 00:03:37.340\nI created and tapped into the aspirational vision of individuals in the\n\n80\n00:03:37.340 --> 00:03:38.440\ndepartment who\n\n81\n00:03:38.440 --> 00:03:39.440\nwanted to be great.\n\n82\n00:03:39.440 --> 00:03:40.960\nWho yearned for that.\n\n83\n00:03:40.960 --> 00:03:43.280\nAnd I said, \"We're going to be the best department in the world.\"\n\n84\n00:03:43.280 --> 00:03:47.100\nAnd people, I remember when person saying in the department, \"Bob, let me get\n\n85\n00:03:47.100 --> 00:03:48.120\nthis right.\n\n86\n00:03:48.120 --> 00:03:51.720\nWe're an ocean liner and you're going to turn it on a dime.\"\n\n87\n00:03:51.720 --> 00:03:53.880\nAnd I said, \"Yeah.\"\n\n88\n00:03:53.880 --> 00:03:57.200\nAnd I only accepted excellence.\n\n89\n00:03:57.200 --> 00:04:01.640\nEverybody has to ask the question, whatever they're doing is this world class.\n\n90\n00:04:01.640 --> 00:04:02.640\nAnd they got it.\n\n91\n00:04:02.640 --> 00:04:07.200\nAnd we were able to recruit great people and it turned around.\n\n92\n00:04:07.200 --> 00:04:11.720\nAnd one thing begets another if you do it correctly.\n\n93\n00:04:11.720 --> 00:04:14.480\nDid you really want the CEO job when it came up?\n\n94\n00:04:14.480 --> 00:04:15.960\nI didn't think about it.\n\n95\n00:04:15.960 --> 00:04:17.880\nI've always been in the moment.\n\n96\n00:04:17.880 --> 00:04:21.000\nI never looked over my shoulder for the next job.\n\n97\n00:04:21.000 --> 00:04:25.440\nAnd they just came to me as opposed to me trying to be a CEO.\n\n98\n00:04:25.440 --> 00:04:27.080\nI never thought about it.\n\n99\n00:04:27.080 --> 00:04:32.960\nAnd somebody asked me in the search committee, \"Would you apply to be the dean\n\n100\n00:04:32.960 --> 00:04:33.680\nand CEO?\"\n\n101\n00:04:33.680 --> 00:04:34.680\nAnd I thought about it.\n\n102\n00:04:34.680 --> 00:04:36.560\nAnd I said, \"Sure.\"\n\n103\n00:04:36.560 --> 00:04:40.320\nBut it wasn't in my thinking at all.\n\n104\n00:04:40.320 --> 00:04:41.800\nSo you're like a great athlete.\n\n105\n00:04:41.800 --> 00:04:44.120\nYou just kind of stay in the moment, the president.\n\n106\n00:04:44.120 --> 00:04:46.760\nAnd don't stay more of a neutral stay.\n\n107\n00:04:46.760 --> 00:04:47.760\nCorrect.\n\n108\n00:04:47.760 --> 00:04:52.040\nAnd I never, I think, I always say, \"We run our own race.\n\n109\n00:04:52.040 --> 00:04:53.040\nI'm not reactive.\n\n110\n00:04:53.040 --> 00:04:54.040\nWe're proactive.\"\n\n111\n00:04:54.040 --> 00:04:59.530\nSo I'm sure in why you looked outside for a CEO, you are insider and you get\n\n112\n00:04:59.530 --> 00:05:00.440\nthe job.\n\n113\n00:05:00.440 --> 00:05:05.440\nDo you think having that experience inside was a big, big plus for you?\n\n114\n00:05:05.440 --> 00:05:06.440\nHuge plus.\n\n115\n00:05:06.440 --> 00:05:10.670\nAnd I think it's very important because traditionally academic medical centers\n\n116\n00:05:10.670 --> 00:05:13.200\nand businesses look\n\n117\n00:05:13.200 --> 00:05:15.880\nparticularly at your curriculum vitae.\n\n118\n00:05:15.880 --> 00:05:19.920\nAnd I have to say nothing very little in my curriculum vitae or anybody's\n\n119\n00:05:19.920 --> 00:05:20.740\ncurriculum\n\n120\n00:05:20.740 --> 00:05:24.080\nvitae predicts how well a leader they're going to be.\n\n121\n00:05:24.080 --> 00:05:25.480\nIt's very interesting.\n\n122\n00:05:25.480 --> 00:05:30.640\nBut it did help that I understood some of the issues as I saw them.\n\n123\n00:05:30.640 --> 00:05:31.640\nI knew the people.\n\n124\n00:05:31.640 --> 00:05:34.360\nI knew the good people and the not so good people.\n\n125\n00:05:34.360 --> 00:05:40.600\nSo it enabled me to be very aggressive early on in my tenure.\n\n126\n00:05:40.600 --> 00:05:41.600\nYeah.\n\n127\n00:05:41.600 --> 00:05:48.440\nAnd you know, the NYU Langone story really begins with adversity.\n\n128\n00:05:48.440 --> 00:05:53.020\nCan you kind of set the stage for us on what it was like even when you were CEO\n\n129\n00:05:53.020 --> 00:05:53.280\n?\n\n130\n00:05:53.280 --> 00:05:54.280\nYes.\n\n131\n00:05:54.280 --> 00:06:02.830\nSo I started, I was named the dean and CEO in March 2007, but I started in July\n\n132\n00:06:02.830 --> 00:06:02.960\n.\n\n133\n00:06:02.960 --> 00:06:08.520\nAnd I asked for all this information and they had these books, these thick bind\n\n134\n00:06:08.520 --> 00:06:09.160\ners full\n\n135\n00:06:09.160 --> 00:06:11.760\nof books and they couldn't give me all the information.\n\n136\n00:06:11.760 --> 00:06:14.680\nI said, \"There's something wrong with this system.\n\n137\n00:06:14.680 --> 00:06:15.840\nI'm going to be...\"\n\n138\n00:06:15.840 --> 00:06:16.840\nIt's like flying.\n\n139\n00:06:16.840 --> 00:06:22.280\nAnd at that time we were about $2 billion business and it's like flying a 747\n\n140\n00:06:22.280 --> 00:06:22.920\nwithout\n\n141\n00:06:22.920 --> 00:06:24.960\nany control panel.\n\n142\n00:06:24.960 --> 00:06:29.880\nAnd on top of that, when I started to dig into the finances, we had a\n\n143\n00:06:29.880 --> 00:06:31.520\nstructural deficit\n\n144\n00:06:31.520 --> 00:06:39.720\nof about $150 million a year, which was backstopped by a royalty from the drug\n\n145\n00:06:39.720 --> 00:06:41.000\nRemicade, which\n\n146\n00:06:41.000 --> 00:06:47.100\nwas very dangerous because if you have an event like Vioxx, the drug is out and\n\n147\n00:06:47.100 --> 00:06:47.760\nyou're\n\n148\n00:06:47.760 --> 00:06:49.480\ngoing bankrupt.\n\n149\n00:06:49.480 --> 00:06:52.920\nAnd so we were confronted with financial instability.\n\n150\n00:06:52.920 --> 00:07:00.000\nOur bonds were about junk-rated and the facilities were old.\n\n151\n00:07:00.000 --> 00:07:03.440\nThat's what it looked like.\n\n152\n00:07:03.440 --> 00:07:04.440\nAnd I didn't know anything.\n\n153\n00:07:04.440 --> 00:07:06.240\nOther than that, it's great.\n\n154\n00:07:06.240 --> 00:07:08.240\nOther than that, it's perfect.\n\n155\n00:07:08.240 --> 00:07:13.520\nWell, this is where your optimism had to be a big plus player as well.\n\n156\n00:07:13.520 --> 00:07:16.360\nWhy did you have a strong belief that you could turn the business around?\n\n157\n00:07:16.360 --> 00:07:18.080\nBecause you had to.\n\n158\n00:07:18.080 --> 00:07:26.760\nWell, I wasn't afraid of the job and I never thought I was going to fail.\n\n159\n00:07:26.760 --> 00:07:30.880\nI thought I knew what I wanted to do.\n\n160\n00:07:30.880 --> 00:07:35.840\nAnd I said, \"We are going to be a world-class patient-centered, integrated\n\n161\n00:07:35.840 --> 00:07:37.120\nacademic medical\n\n162\n00:07:37.120 --> 00:07:38.680\ncenter.\"\n\n163\n00:07:38.680 --> 00:07:44.960\nAnd people, at first, were negative and not believers.\n\n164\n00:07:44.960 --> 00:07:48.980\nBut that was the vision we tapped in, again, tapped into the aspirations of the\n\n165\n00:07:48.980 --> 00:07:49.400\npeople\n\n166\n00:07:49.400 --> 00:07:51.200\nwho worked there.\n\n167\n00:07:51.200 --> 00:07:55.510\nAnd I said, \"We're not going to accept anything except, again, what does it\n\n168\n00:07:55.510 --> 00:07:57.480\ntake to be excellent?\"\n\n169\n00:07:57.480 --> 00:08:00.320\nBob, that phrase \"world-class\" is thrown around a lot.\n\n170\n00:08:00.320 --> 00:08:04.800\nAnd loosely, how did you make it mean something to NYU?\n\n171\n00:08:04.800 --> 00:08:09.230\nSo actually, in my investiture speech, I spoke about what it meant to be world-\n\n172\n00:08:09.230 --> 00:08:09.680\nclass.\n\n173\n00:08:09.680 --> 00:08:14.800\nAnd I said, \"You can tell by the metrics, by the people who come here, by who\n\n174\n00:08:14.800 --> 00:08:15.640\nwe recruit,\n\n175\n00:08:15.640 --> 00:08:18.200\nhow we feel about ourselves.\"\n\n176\n00:08:18.200 --> 00:08:24.420\nAnd it would be proclaimed by external metrics, not us just saying it, by deeds\n\n177\n00:08:24.420 --> 00:08:25.760\n, not words.\n\n178\n00:08:25.760 --> 00:08:30.120\nYou talked a couple times already about the importance of having an aspir\n\n179\n00:08:30.120 --> 00:08:31.040\national goal,\n\n180\n00:08:31.040 --> 00:08:34.280\nbecause people want to be a part of something great.\n\n181\n00:08:34.280 --> 00:08:37.720\nTalk a little bit more about that and how you really came to that conclusion.\n\n182\n00:08:37.720 --> 00:08:40.160\nWell, I think it's part of me.\n\n183\n00:08:40.160 --> 00:08:43.800\nI always aspire to be a part of something great.\n\n184\n00:08:43.800 --> 00:08:46.960\nAnd I think, in general, a lot of people do.\n\n185\n00:08:46.960 --> 00:08:53.360\nAnd many individuals have it in their innate ability to do something great.\n\n186\n00:08:53.360 --> 00:08:58.750\nI was speaking to the head of neurology who came and transformed a horrible\n\n187\n00:08:58.750 --> 00:08:59.720\ndepartment\n\n188\n00:08:59.720 --> 00:09:04.760\ninto maybe arguably the best neurology department in the world.\n\n189\n00:09:04.760 --> 00:09:08.600\nAnd he didn't realize he had the gifts to be able to do that.\n\n190\n00:09:08.600 --> 00:09:13.950\nAnd so a lot of people, you give them the confidence in the institution and\n\n191\n00:09:13.950 --> 00:09:14.400\nwhat you're\n\n192\n00:09:14.400 --> 00:09:15.400\ndoing.\n\n193\n00:09:15.400 --> 00:09:18.880\nAnd actually, they're wonderful and they can do the job.\n\n194\n00:09:18.880 --> 00:09:22.600\nI know Bob, you describe yourself as an unfiltered leader.\n\n195\n00:09:22.600 --> 00:09:23.760\nWhat do you mean by it?\n\n196\n00:09:23.760 --> 00:09:24.760\nRight.\n\n197\n00:09:24.760 --> 00:09:29.360\nSo that came out of this book by Godam Makanda.\n\n198\n00:09:29.360 --> 00:09:36.160\nWhat it means is a lot of people come up through organizations and are sort of\n\n199\n00:09:36.160 --> 00:09:37.120\nnurtured by\n\n200\n00:09:37.120 --> 00:09:38.560\nthe organization.\n\n201\n00:09:38.560 --> 00:09:43.510\nAnd those are generally people who do okay, but they're not going to be either\n\n202\n00:09:43.510 --> 00:09:44.560\nexceptionally\n\n203\n00:09:44.560 --> 00:09:46.920\ngood or exceptionally bad.\n\n204\n00:09:46.920 --> 00:09:52.970\nAnd then there are the people who are unfiltered leaders who don't come up the\n\n205\n00:09:52.970 --> 00:09:54.320\nordinary way,\n\n206\n00:09:54.320 --> 00:10:00.040\nwho have different life stories, if you will, and different experiences.\n\n207\n00:10:00.040 --> 00:10:05.110\nAnd you put them in a position of leadership and either they could be very\n\n208\n00:10:05.110 --> 00:10:05.880\ngreat.\n\n209\n00:10:05.880 --> 00:10:11.280\nAbraham Lincoln was considered a giant unfiltered leader, Winston Churchill unf\n\n210\n00:10:11.280 --> 00:10:12.240\niltered leader.\n\n211\n00:10:12.240 --> 00:10:17.060\nA lot of leaders who come up say in general electric are filtered leaders,\n\n212\n00:10:17.060 --> 00:10:18.360\ngreat leaders,\n\n213\n00:10:18.360 --> 00:10:22.290\nbut can either be very good or very bad because they've been trained in the\n\n214\n00:10:22.290 --> 00:10:22.960\nsystem.\n\n215\n00:10:22.960 --> 00:10:26.840\nAnd I clearly, I had no business experience.\n\n216\n00:10:26.840 --> 00:10:28.960\nI didn't know what a board was.\n\n217\n00:10:28.960 --> 00:10:32.200\nI had no idea how they operated.\n\n218\n00:10:32.200 --> 00:10:35.320\nI had a little management experience.\n\n219\n00:10:35.320 --> 00:10:39.070\nSo you're basically didn't have any biases that got you in the way of really\n\n220\n00:10:39.070 --> 00:10:39.680\npursuing\n\n221\n00:10:39.680 --> 00:10:42.040\nthe truth of what it would take to turn around the business.\n\n222\n00:10:42.040 --> 00:10:43.040\nIs that a good definition?\n\n223\n00:10:43.040 --> 00:10:44.040\nI think yes.\n\n224\n00:10:44.040 --> 00:10:46.480\nI also think I was much more audacious.\n\n225\n00:10:46.480 --> 00:10:48.840\nYou know, I was at Harvard Business School.\n\n226\n00:10:48.840 --> 00:10:53.480\nThey did a case study of what we had done after Hurricane Sandy.\n\n227\n00:10:53.480 --> 00:10:58.440\nAnd I remember sitting as a fly in the audience and the case is presented.\n\n228\n00:10:58.440 --> 00:11:01.880\nI'm thinking, if I went to business school, I would never have been as aud\n\n229\n00:11:01.880 --> 00:11:02.480\nacious.\n\n230\n00:11:02.480 --> 00:11:05.480\nI was scared to hell out of here.\n\n231\n00:11:05.480 --> 00:11:06.480\nRight?\n\n232\n00:11:06.480 --> 00:11:08.480\nBecause these guys were.\n\n233\n00:11:08.480 --> 00:11:13.740\nWell, speaking of audacious, you said you knew a lot of the staff when you took\n\n234\n00:11:13.740 --> 00:11:14.080\nover\n\n235\n00:11:14.080 --> 00:11:17.680\na CEO and it encouraged you to move quickly.\n\n236\n00:11:17.680 --> 00:11:19.040\nYou made some big calls.\n\n237\n00:11:19.040 --> 00:11:21.120\nYou took out a lot of people very early on.\n\n238\n00:11:21.120 --> 00:11:23.200\nHow many people did you move out?\n\n239\n00:11:23.200 --> 00:11:26.920\nWe took out the top five people in the sixth person resigned.\n\n240\n00:11:26.920 --> 00:11:31.000\nSo the CFO, the president of the hospital, the vice president of the hospital,\n\n241\n00:11:31.000 --> 00:11:31.520\nthe chief\n\n242\n00:11:31.520 --> 00:11:37.600\nmedical officer, the head of HR and the senior vice dean on the school site.\n\n243\n00:11:37.600 --> 00:11:39.840\nSo all the management left.\n\n244\n00:11:39.840 --> 00:11:43.040\nHow'd you get the courage to really follow your conviction on that?\n\n245\n00:11:43.040 --> 00:11:44.920\nBecause obviously you knew there had to be changed.\n\n246\n00:11:44.920 --> 00:11:47.280\nBut you could go in there and be a little tepid.\n\n247\n00:11:47.280 --> 00:11:49.040\nHow fast did it take you to do this?\n\n248\n00:11:49.040 --> 00:11:50.040\nI did it in one day.\n\n249\n00:11:50.040 --> 00:11:51.480\nI fired all of them in one day.\n\n250\n00:11:51.480 --> 00:11:53.120\nAs soon as you became CEO?\n\n251\n00:11:53.120 --> 00:11:54.120\nYeah.\n\n252\n00:11:54.120 --> 00:11:55.120\nFirst thing.\n\n253\n00:11:55.120 --> 00:11:59.720\nNow, that takes a real strong conviction that you know.\n\n254\n00:11:59.720 --> 00:12:03.640\nOr, well, I didn't think about it.\n\n255\n00:12:03.640 --> 00:12:04.640\nIt's interesting.\n\n256\n00:12:04.640 --> 00:12:05.640\nI knew I was right.\n\n257\n00:12:05.640 --> 00:12:07.760\nAnd, chin sickly, I just said, we're going to do this.\n\n258\n00:12:07.760 --> 00:12:12.840\nAnd, of course, I spoke to Ken Langone and he agreed.\n\n259\n00:12:12.840 --> 00:12:15.160\nYou know, that was the thing.\n\n260\n00:12:15.160 --> 00:12:18.960\nThe Harvard Business School, they didn't get that.\n\n261\n00:12:18.960 --> 00:12:20.120\nBut it was the right thing to do.\n\n262\n00:12:20.120 --> 00:12:23.200\nYou clearly shocked the system and people knew there was a new sheriff in town.\n\n263\n00:12:23.200 --> 00:12:24.520\nThere's no question about that.\n\n264\n00:12:24.520 --> 00:12:27.720\nHow important do you think that is as a leader when you take over?\n\n265\n00:12:27.720 --> 00:12:29.560\nI think it's very important.\n\n266\n00:12:29.560 --> 00:12:34.350\nOne of the things about leadership is it starts when they push the button and\n\n267\n00:12:34.350 --> 00:12:35.600\nyou have to\n\n268\n00:12:35.600 --> 00:12:36.600\nget going.\n\n269\n00:12:36.600 --> 00:12:42.610\nYou can't take a while that people are expecting changes and the expectations\n\n270\n00:12:42.610 --> 00:12:42.800\nare very important.\n\n271\n00:12:42.800 --> 00:12:49.080\nThey're very high and to sit there and just wait and wait and wait.\n\n272\n00:12:49.080 --> 00:12:53.840\nYou lose that reservoir of support that you have initially.\n\n273\n00:12:53.840 --> 00:12:58.280\nI learned that much.\n\n274\n00:12:58.280 --> 00:13:01.460\nBecause you're listening to this, I can tell you're the kind of person who\n\n275\n00:13:01.460 --> 00:13:02.200\nwants to learn\n\n276\n00:13:02.200 --> 00:13:04.040\nhow to lead well.\n\n277\n00:13:04.040 --> 00:13:07.600\nBut there's a lot of companies out there who want to take that desire and\n\n278\n00:13:07.600 --> 00:13:08.240\ncharge you\n\n279\n00:13:08.240 --> 00:13:15.160\n$500 or $1,000 or heck, even $20,000 to try and show you how to lead.\n\n280\n00:13:15.160 --> 00:13:17.160\nThat's just not right.\n\n281\n00:13:17.160 --> 00:13:20.420\nIf you want to be a better leader, I believe you deserve to have access to\n\n282\n00:13:20.420 --> 00:13:21.120\nsomething that\n\n283\n00:13:21.120 --> 00:13:24.880\nwill truly help you and it shouldn't cost a fortune.\n\n284\n00:13:24.880 --> 00:13:29.400\nSo I want you to go to howleaderslead.com and start my leadership class.\n\n285\n00:13:29.400 --> 00:13:31.400\nIt's really and truly free.\n\n286\n00:13:31.400 --> 00:13:36.040\nAnd after you take this class, you're going to feel more confident in your role\n\n287\n00:13:36.040 --> 00:13:36.360\nand you'll\n\n288\n00:13:36.360 --> 00:13:39.680\nbe on your way to getting big things done with your team.\n\n289\n00:13:39.680 --> 00:13:43.360\nGo check it out at howleaderslead.com.\n\n290\n00:13:43.360 --> 00:13:53.700\nBesides letting those top people go and replace them with talented people, you\n\n291\n00:13:53.700 --> 00:13:55.120\ntook some real\n\n292\n00:13:55.120 --> 00:13:59.630\nspecific actions to let people know that things were going to be different\n\n293\n00:13:59.630 --> 00:14:01.080\naround here and\n\n294\n00:14:01.080 --> 00:14:05.200\ndrive home the belief that you could actually become world class.\n\n295\n00:14:05.200 --> 00:14:06.200\nCan you share a few examples?\n\n296\n00:14:06.200 --> 00:14:08.480\nYeah, I would just make that observation.\n\n297\n00:14:08.480 --> 00:14:14.180\nSo one of the members on our board was John Stewart who had been the former CEO\n\n298\n00:14:14.180 --> 00:14:15.280\nof Mackenzie\n\n299\n00:14:15.280 --> 00:14:22.360\nand when he heard what I was doing, he said, \"Bob, it's never going to work.\n\n300\n00:14:22.360 --> 00:14:24.720\nYou can't do all this change.\n\n301\n00:14:24.720 --> 00:14:26.440\nOrganizations can't absorb it.\"\n\n302\n00:14:26.440 --> 00:14:28.960\nA year later, he came back to me.\n\n303\n00:14:28.960 --> 00:14:32.760\nHe said, \"You're exactly right.\"\n\n304\n00:14:32.760 --> 00:14:36.640\nSo I thought that was pretty interesting.\n\n305\n00:14:36.640 --> 00:14:40.240\nBut we changed in three dimensions.\n\n306\n00:14:40.240 --> 00:14:44.750\nSo again, the missions of an academic medical center are education, research\n\n307\n00:14:44.750 --> 00:14:45.600\nand clinical\n\n308\n00:14:45.600 --> 00:14:47.040\ncare.\n\n309\n00:14:47.040 --> 00:14:52.740\nWe measured, we became very matrically driven on the clinical side and on the\n\n310\n00:14:52.740 --> 00:14:53.960\nresearch side.\n\n311\n00:14:53.960 --> 00:15:00.790\nAnd that's very important because previously a lot of the investigators had\n\n312\n00:15:00.790 --> 00:15:01.920\nlived in the\n\n313\n00:15:01.920 --> 00:15:04.480\nether of ambiguity.\n\n314\n00:15:04.480 --> 00:15:07.000\nSo if you don't measure it, they think they're great.\n\n315\n00:15:07.000 --> 00:15:09.200\nI love that ether of ambiguity.\n\n316\n00:15:09.200 --> 00:15:11.200\nThat's a great phrase.\n\n317\n00:15:11.200 --> 00:15:12.200\nThank you.\n\n318\n00:15:12.200 --> 00:15:15.900\nWhen there's no transparency, everybody thinks they can do whatever the hell\n\n319\n00:15:15.900 --> 00:15:16.600\nthey want and\n\n320\n00:15:16.600 --> 00:15:20.040\nthey just can proclaim themselves being great.\n\n321\n00:15:20.040 --> 00:15:22.990\nAnd then on the educational side, we said we're going to transform the\n\n322\n00:15:22.990 --> 00:15:23.600\ncurriculum to\n\n323\n00:15:23.600 --> 00:15:26.000\nthe 21st century.\n\n324\n00:15:26.000 --> 00:15:32.080\nAnd on the clinical side, as I said, we held people accountable both on the\n\n325\n00:15:32.080 --> 00:15:33.120\nambulatory\n\n326\n00:15:33.120 --> 00:15:34.800\nside and the inpatient side.\n\n327\n00:15:34.800 --> 00:15:38.800\nWell, tell us a story about the elevators, for example, in terms of the\n\n328\n00:15:38.800 --> 00:15:40.040\nspecific action.\n\n329\n00:15:40.040 --> 00:15:47.360\nSo the Tisch hospital, which is our flagship hospital, Tisch Hospital had these\n\n330\n00:15:47.360 --> 00:15:49.080\nelevators.\n\n331\n00:15:49.080 --> 00:15:56.210\nAnd the metaphor was they were so out of date that in order to go up, you had\n\n332\n00:15:56.210 --> 00:15:57.320\nto go down.\n\n333\n00:15:57.320 --> 00:16:02.840\nBecause you couldn't get in on the first floor because it was too crowded.\n\n334\n00:16:02.840 --> 00:16:08.000\nAnd it was horrible because doctors were then reluctant to see patients because\n\n335\n00:16:08.000 --> 00:16:08.920\nit took 20\n\n336\n00:16:08.920 --> 00:16:09.920\nminutes to get up.\n\n337\n00:16:09.920 --> 00:16:12.600\nI said, we're going to do elevators.\n\n338\n00:16:12.600 --> 00:16:16.520\nAnd everybody looked at me and said, you can't put in elevators.\n\n339\n00:16:16.520 --> 00:16:18.920\nI said, of course we can.\n\n340\n00:16:18.920 --> 00:16:22.480\nWe got a wonderful gift from the Tisch family.\n\n341\n00:16:22.480 --> 00:16:26.000\nAnd we put in external elevators outside the building.\n\n342\n00:16:26.000 --> 00:16:31.130\nAnd it transformed the way patients were seen and the whole workflow because\n\n343\n00:16:31.130 --> 00:16:32.160\nnurses and\n\n344\n00:16:32.160 --> 00:16:36.930\ndoctors, et cetera, didn't want to take 20 minutes to go up and down in the\n\n345\n00:16:36.930 --> 00:16:37.760\nelevators\n\n346\n00:16:37.760 --> 00:16:38.760\nfor lunch breaks.\n\n347\n00:16:38.760 --> 00:16:41.880\nSo you saw very quickly a problem that had been occurring for years.\n\n348\n00:16:41.880 --> 00:16:42.880\n50 years.\n\n349\n00:16:42.880 --> 00:16:43.880\n50 years.\n\n350\n00:16:43.880 --> 00:16:47.670\nAnd it was so visible that it probably had as much impact in terms of telling\n\n351\n00:16:47.670 --> 00:16:48.320\neverybody\n\n352\n00:16:48.320 --> 00:16:50.920\nthings are going to be different as anything you could have done.\n\n353\n00:16:50.920 --> 00:16:51.920\nCorrect.\n\n354\n00:16:51.920 --> 00:16:52.920\nThat was one thing.\n\n355\n00:16:52.920 --> 00:16:53.920\nDefinitely.\n\n356\n00:16:53.920 --> 00:16:56.200\nAnd then I said, we're going to build a new hospital pavilion.\n\n357\n00:16:56.200 --> 00:17:01.400\nAnd everybody said, and there were a lot of those type of moments where you had\n\n358\n00:17:01.400 --> 00:17:01.680\nall\n\n359\n00:17:01.680 --> 00:17:03.000\nthe naysayers.\n\n360\n00:17:03.000 --> 00:17:06.520\nAnd I said, of course we're going to do this.\n\n361\n00:17:06.520 --> 00:17:08.280\nYou make it sound so easy.\n\n362\n00:17:08.280 --> 00:17:14.840\nYou know, organizationally, you talk about replacing silos with clouds.\n\n363\n00:17:14.840 --> 00:17:16.400\nThat's an interesting concept.\n\n364\n00:17:16.400 --> 00:17:17.400\nExplain that one.\n\n365\n00:17:17.400 --> 00:17:18.400\nRight.\n\n366\n00:17:18.400 --> 00:17:25.440\nWell, in health care and in businesses in general, people tend to be siloed.\n\n367\n00:17:25.440 --> 00:17:32.800\nAnd in order to really create value and energy, you have to break through the\n\n368\n00:17:32.800 --> 00:17:34.600\nsilos and enable\n\n369\n00:17:34.600 --> 00:17:37.400\ncross pollination, if you will.\n\n370\n00:17:37.400 --> 00:17:41.880\nAnd so we incentivize people to work together.\n\n371\n00:17:41.880 --> 00:17:44.640\nAnd again, part of it is creating transparency.\n\n372\n00:17:44.640 --> 00:17:46.760\nAnd everybody sees what they're doing.\n\n373\n00:17:46.760 --> 00:17:50.220\nAnd understanding the whole is greater than the sum of its parts and incentiv\n\n374\n00:17:50.220 --> 00:17:51.200\nizing that.\n\n375\n00:17:51.200 --> 00:17:52.200\nYeah.\n\n376\n00:17:52.200 --> 00:17:55.440\nAnd you talked about the importance to move to being patient centered.\n\n377\n00:17:55.440 --> 00:17:58.800\nYou know, that seems like, well, of course, why wouldn't you be customer\n\n378\n00:17:58.800 --> 00:17:59.480\nfocused?\n\n379\n00:17:59.480 --> 00:18:00.480\nWas that a big insight?\n\n380\n00:18:00.480 --> 00:18:02.640\nDid everybody say, oh, yeah, that's a great idea.\n\n381\n00:18:02.640 --> 00:18:06.400\nLet's be more patient centered or would you have to sell that up bill?\n\n382\n00:18:06.400 --> 00:18:10.200\nThey liked the idea, but they didn't know what patient centered was.\n\n383\n00:18:10.200 --> 00:18:14.750\nAnd I think that's very important because in health care, once you change the\n\n384\n00:18:14.750 --> 00:18:15.400\nconstruct\n\n385\n00:18:15.400 --> 00:18:20.000\nwhen you're the patient, you understand what it means to be patient centered.\n\n386\n00:18:20.000 --> 00:18:26.200\nAnd that means caring for the patient in a way that you wanted to be cared for\n\n387\n00:18:26.200 --> 00:18:26.720\nand being\n\n388\n00:18:26.720 --> 00:18:31.040\nempathetic and compassionate and being excellent.\n\n389\n00:18:31.040 --> 00:18:34.930\nYou know, Bob, vision is one thing, but you got to close the gap and really,\n\n390\n00:18:34.930 --> 00:18:36.480\nreally execute.\n\n391\n00:18:36.480 --> 00:18:39.360\nAnd I understand you had like a one page roadmap.\n\n392\n00:18:39.360 --> 00:18:40.600\nCan you talk about that?\n\n393\n00:18:40.600 --> 00:18:41.600\nYeah.\n\n394\n00:18:41.600 --> 00:18:47.190\nAnd really on, I decided because again, academic health systems are pretty\n\n395\n00:18:47.190 --> 00:18:48.240\ninteresting and\n\n396\n00:18:48.240 --> 00:18:49.240\ncomplex.\n\n397\n00:18:49.240 --> 00:18:53.480\nAnd I thought, well, I'm going to try to articulate everything I wanted to do\n\n398\n00:18:53.480 --> 00:18:54.880\nin the next five\n\n399\n00:18:54.880 --> 00:18:57.880\nto 10 years on a one pager.\n\n400\n00:18:57.880 --> 00:19:01.600\nAnd I sat there and I wrote out this one pager.\n\n401\n00:19:01.600 --> 00:19:03.840\nAnd I think I got it pretty right.\n\n402\n00:19:03.840 --> 00:19:04.840\nIt's handwritten.\n\n403\n00:19:04.840 --> 00:19:05.840\nYeah.\n\n404\n00:19:05.840 --> 00:19:06.840\nhandwritten.\n\n405\n00:19:06.840 --> 00:19:07.840\nDid you share that broadly with the organization?\n\n406\n00:19:07.840 --> 00:19:08.840\nWas some of you kept in your desk?\n\n407\n00:19:08.840 --> 00:19:09.840\nI kept it in my desk.\n\n408\n00:19:09.840 --> 00:19:13.370\nYou know, when they said I shouted, this is what a consultant, a low paid\n\n409\n00:19:13.370 --> 00:19:14.480\nconsultant.\n\n410\n00:19:14.480 --> 00:19:20.710\nYou know, you've talked a little bit about it, but I know that you made metrics\n\n411\n00:19:20.710 --> 00:19:21.960\ninstrumental\n\n412\n00:19:21.960 --> 00:19:25.320\nto your turnaround and your passion about what you call your dashboard.\n\n413\n00:19:25.320 --> 00:19:27.280\nYou know, tell us about that.\n\n414\n00:19:27.280 --> 00:19:28.280\nRight.\n\n415\n00:19:28.280 --> 00:19:33.240\nSo as I said early on, this was like flying a plane without control panels.\n\n416\n00:19:33.240 --> 00:19:36.880\nSo I got a hold of the head of IT.\n\n417\n00:19:36.880 --> 00:19:38.520\nAnd I said, I want to build a dashboard.\n\n418\n00:19:38.520 --> 00:19:41.800\nAnd he said, of course, yes, or we'll build a dashboard.\n\n419\n00:19:41.800 --> 00:19:46.120\nAnd I said, get the people who own the data because that's their silos.\n\n420\n00:19:46.120 --> 00:19:49.200\nI'm going to put them in a room with you.\n\n421\n00:19:49.200 --> 00:19:53.260\nAnd I said, I'm the only person from the administration who's going to be there\n\n422\n00:19:53.260 --> 00:19:53.800\nbecause\n\n423\n00:19:53.800 --> 00:19:54.800\nI'm going to design it.\n\n424\n00:19:54.800 --> 00:19:58.180\nBecause if you put five people in the room, everybody's going to say, I want it\n\n425\n00:19:58.180 --> 00:19:58.920\nthis way,\n\n426\n00:19:58.920 --> 00:20:00.120\nthis way, and nothing gets done.\n\n427\n00:20:00.120 --> 00:20:05.790\nSo I took the responsibility, took two years to design and build in the process\n\n428\n00:20:05.790 --> 00:20:06.120\n.\n\n429\n00:20:06.120 --> 00:20:12.720\nI fired him to got another head who would be much more effective.\n\n430\n00:20:12.720 --> 00:20:17.400\nAnd I built it the way I wanted it as I saw it.\n\n431\n00:20:17.400 --> 00:20:22.780\nAnd of course, there were naysayers in the room and it turned out to be organic\n\n432\n00:20:22.780 --> 00:20:23.000\nand it\n\n433\n00:20:23.000 --> 00:20:24.000\nwas dynamic.\n\n434\n00:20:24.000 --> 00:20:28.080\nAnd to this day, we have dashboard meetings every month to refine it.\n\n435\n00:20:28.080 --> 00:20:32.840\nAnd everybody now, it's the only source of truth in the entire organization.\n\n436\n00:20:32.840 --> 00:20:36.490\nNow, you said you built this dashboard the way how you wanted it, but you had\n\n437\n00:20:36.490 --> 00:20:36.880\nto get\n\n438\n00:20:36.880 --> 00:20:39.880\na lot of input from other people so that they could own it, right?\n\n439\n00:20:39.880 --> 00:20:40.880\nWell, right.\n\n440\n00:20:40.880 --> 00:20:42.760\nIn the end, everybody owned it.\n\n441\n00:20:42.760 --> 00:20:47.720\nAnd part of it was just using it as a means for evaluation.\n\n442\n00:20:47.720 --> 00:20:48.920\nSo they had buying it.\n\n443\n00:20:48.920 --> 00:20:52.080\nIt sounded like this was one of those things where you just personally had to\n\n444\n00:20:52.080 --> 00:20:52.560\nchampion\n\n445\n00:20:52.560 --> 00:20:55.520\nand then bring people along later.\n\n446\n00:20:55.520 --> 00:20:56.520\nExactly.\n\n447\n00:20:56.520 --> 00:20:57.520\nExactly.\n\n448\n00:20:57.520 --> 00:20:59.120\nYou just knew deep down it was the right thing to do.\n\n449\n00:20:59.120 --> 00:21:01.400\nPeople kind of went kicking and screaming.\n\n450\n00:21:01.400 --> 00:21:02.400\nExactly.\n\n451\n00:21:02.400 --> 00:21:06.070\nYou should determine when those things are versus taking the time to make sure\n\n452\n00:21:06.070 --> 00:21:06.440\npeople\n\n453\n00:21:06.440 --> 00:21:07.440\nare aligned.\n\n454\n00:21:07.440 --> 00:21:08.440\nHow do you look at that?\n\n455\n00:21:08.440 --> 00:21:10.520\nThat the sightiness versus alignment?\n\n456\n00:21:10.520 --> 00:21:12.400\nI think you just know it.\n\n457\n00:21:12.400 --> 00:21:16.720\nI think good leaders have a lot of emotional intelligence.\n\n458\n00:21:16.720 --> 00:21:20.180\nAnd your emotional intelligence has to you when you have to bring people along\n\n459\n00:21:20.180 --> 00:21:20.640\nand when\n\n460\n00:21:20.640 --> 00:21:22.920\nyou just make the decision.\n\n461\n00:21:22.920 --> 00:21:25.970\nYou know, a lot of CEOs kind of sit back and they kind of have the people bring\n\n462\n00:21:25.970 --> 00:21:26.480\nstuff to\n\n463\n00:21:26.480 --> 00:21:30.040\nthem and you know, they don't get involved in really making it happen.\n\n464\n00:21:30.040 --> 00:21:34.410\nYou seem to be a guy who rolls up their sleeves and get into the detail and\n\n465\n00:21:34.410 --> 00:21:35.080\nreally, you\n\n466\n00:21:35.080 --> 00:21:39.120\nknow, if you want it done, you're in there to make sure it's done right.\n\n467\n00:21:39.120 --> 00:21:40.120\nRight.\n\n468\n00:21:40.120 --> 00:21:42.120\nWhere'd that come from?\n\n469\n00:21:42.120 --> 00:21:46.360\nYou know, again, I think it's just part of the DNA.\n\n470\n00:21:46.360 --> 00:21:50.900\nMy wife would say, I'm unusual because I'm pretty visionary and I'm into the\n\n471\n00:21:50.900 --> 00:21:51.720\ndetails.\n\n472\n00:21:51.720 --> 00:21:53.920\nThe details are really important for a CEO.\n\n473\n00:21:53.920 --> 00:21:57.160\nIf you don't know the details, you really don't know what's going on.\n\n474\n00:21:57.160 --> 00:21:59.040\nBut you shouldn't be a micromanager.\n\n475\n00:21:59.040 --> 00:22:03.720\nPeople want to be successful and feel good about their jobs.\n\n476\n00:22:03.720 --> 00:22:07.560\nSo I think that's the resonant frequency you have to find.\n\n477\n00:22:07.560 --> 00:22:10.280\nNow, you know, obviously you managed out a lot of people.\n\n478\n00:22:10.280 --> 00:22:12.080\nYou had to bring in a lot of talent.\n\n479\n00:22:12.080 --> 00:22:13.720\nDid you own the talent process?\n\n480\n00:22:13.720 --> 00:22:16.280\nHow involved did you get in recruiting the top people?\n\n481\n00:22:16.280 --> 00:22:20.960\nYeah, I was involved in recruiting the very top people, every one of them.\n\n482\n00:22:20.960 --> 00:22:25.720\nAnd then of course they, if you get good people, they beget good people.\n\n483\n00:22:25.720 --> 00:22:29.400\nAnd I replaced, I think, 31 of the 34 chairs.\n\n484\n00:22:29.400 --> 00:22:32.890\nCan you tell us a story about a talent that you recruited that really made a\n\n485\n00:22:32.890 --> 00:22:34.040\nbig difference?\n\n486\n00:22:34.040 --> 00:22:36.080\nAnd what's your most proud of?\n\n487\n00:22:36.080 --> 00:22:37.080\nSure.\n\n488\n00:22:37.080 --> 00:22:39.960\nI'm proud of so many people.\n\n489\n00:22:39.960 --> 00:22:45.750\nBut I'll give you the story of Steve Galera, who is the head of neurology, a\n\n490\n00:22:45.750 --> 00:22:46.680\nfantastic\n\n491\n00:22:46.680 --> 00:22:48.520\nneurologist.\n\n492\n00:22:48.520 --> 00:22:51.200\nAnd I knew him at University of Pennsylvania.\n\n493\n00:22:51.200 --> 00:22:54.040\nHe did research for me as a resident.\n\n494\n00:22:54.040 --> 00:22:58.520\nAnd he was a great guy, fantastic student.\n\n495\n00:22:58.520 --> 00:23:02.720\nBut I was doing a research project on multiple sclerosis.\n\n496\n00:23:02.720 --> 00:23:06.080\nAnd he came to me and he said, \"Bob, I want to work with you.\"\n\n497\n00:23:06.080 --> 00:23:09.440\nAnd you know, he didn't know that much, but he was a great runner.\n\n498\n00:23:09.440 --> 00:23:12.960\nHe was all IV in the 100-yard dash.\n\n499\n00:23:12.960 --> 00:23:15.360\nAnd I said, \"Steve, you're going to park the cars.\"\n\n500\n00:23:15.360 --> 00:23:17.800\nI'm the patient.\n\n501\n00:23:17.800 --> 00:23:21.160\nAnd he did a fantastic job.\n\n502\n00:23:21.160 --> 00:23:24.120\nAnd then so many years later, I recruit him.\n\n503\n00:23:24.120 --> 00:23:27.840\nAnd he comes to NYU right before Hurricane Sandy.\n\n504\n00:23:27.840 --> 00:23:31.040\nI spent forever trying to recruit him.\n\n505\n00:23:31.040 --> 00:23:34.160\nAnd we had a horrible neurology department.\n\n506\n00:23:34.160 --> 00:23:38.160\nAnd he built it into just the most amazing neurology department.\n\n507\n00:23:38.160 --> 00:23:41.400\nWe're over 250 neurologists now.\n\n508\n00:23:41.400 --> 00:23:43.200\nThat's amazing.\n\n509\n00:23:43.200 --> 00:23:46.370\nYou know, when you had a lot of success, people go, \"Oh, man, look at that\n\n510\n00:23:46.370 --> 00:23:47.000\nsuccess.\n\n511\n00:23:47.000 --> 00:23:48.200\nThat's really great.\"\n\n512\n00:23:48.200 --> 00:23:49.800\nYou know, and obviously it is great.\n\n513\n00:23:49.800 --> 00:23:54.440\nDid you have a failure along the way that really ended up being a blessing in\n\n514\n00:23:54.440 --> 00:23:56.200\ndisguise?\n\n515\n00:23:56.200 --> 00:23:58.840\nWell, I think I had a lot of failures.\n\n516\n00:23:58.840 --> 00:24:03.720\nWhen I was at University of Pennsylvania, I was passed over to be the chairman\n\n517\n00:24:03.720 --> 00:24:04.000\nof the\n\n518\n00:24:04.000 --> 00:24:06.440\nDepartment of Radiology.\n\n519\n00:24:06.440 --> 00:24:08.440\nI thought I was pretty good.\n\n520\n00:24:08.440 --> 00:24:13.850\nAnd that's one of the reasons why I left Penn and went to NYU and made lemonade\n\n521\n00:24:13.850 --> 00:24:14.280\n.\n\n522\n00:24:14.280 --> 00:24:17.240\nDefinitely did that.\n\n523\n00:24:17.240 --> 00:24:21.440\nYou know, how would you describe the culture that you've created?\n\n524\n00:24:21.440 --> 00:24:23.200\nAnd how do you gauge that?\n\n525\n00:24:23.200 --> 00:24:28.480\nWell, I'd say our culture is an aspirational culture.\n\n526\n00:24:28.480 --> 00:24:33.220\nAnd I've heard the term, I think this is a great term, we're an ad hoc-cracy,\n\n527\n00:24:33.220 --> 00:24:33.520\nnot a\n\n528\n00:24:33.520 --> 00:24:37.640\nbureaucracy and a meritocracy, but really an ad hoc-cracy.\n\n529\n00:24:37.640 --> 00:24:40.800\nAnd an ad hoc-cracy meaning, \"If you have a good idea, we're going to partner\n\n530\n00:24:40.800 --> 00:24:41.800\nwith you.\"\n\n531\n00:24:41.800 --> 00:24:46.320\nAnd the difference is at NYU Langone, we created a structure.\n\n532\n00:24:46.320 --> 00:24:51.250\nAnd I would say, very important in business and in academics, function follows\n\n533\n00:24:51.250 --> 00:24:51.960\nstructure.\n\n534\n00:24:51.960 --> 00:24:56.260\nIf you don't have a great structure, you can optimize the function of the\n\n535\n00:24:56.260 --> 00:24:57.400\norganization.\n\n536\n00:24:57.400 --> 00:25:02.370\nAnd so we created a great structure with minimum barriers and the minimus\n\n537\n00:25:02.370 --> 00:25:03.760\nadministration.\n\n538\n00:25:03.760 --> 00:25:08.560\nAnd that enables us to really function as well as we have.\n\n539\n00:25:08.560 --> 00:25:13.410\nYou know, you mentioned Hurricane Sandy, when you have a crisis like that, that\n\n540\n00:25:13.410 --> 00:25:13.840\n's really\n\n541\n00:25:13.840 --> 00:25:17.080\nwhen you probably find out how good your culture really is.\n\n542\n00:25:17.080 --> 00:25:19.280\nCan you tell us that story?\n\n543\n00:25:19.280 --> 00:25:20.280\nSure.\n\n544\n00:25:20.280 --> 00:25:21.960\nSo that's a great story.\n\n545\n00:25:21.960 --> 00:25:25.880\nAnd it's a great story about the heart and soul of an institution.\n\n546\n00:25:25.880 --> 00:25:30.240\nHurricane Sandy was something that nobody was prepared for.\n\n547\n00:25:30.240 --> 00:25:35.210\nAnd we find out within 12 hours, we have 15 million gallons of contaminated\n\n548\n00:25:35.210 --> 00:25:35.880\nwater in\n\n549\n00:25:35.880 --> 00:25:38.400\nour basements and subbasement.\n\n550\n00:25:38.400 --> 00:25:41.440\nNone of the backup systems were, nothing's working.\n\n551\n00:25:41.440 --> 00:25:46.280\nAnd the first thing we had to do was evacuate the 320 patients.\n\n552\n00:25:46.280 --> 00:25:50.190\nAnd once you evacuate the patients, it's all about time and money and\n\n553\n00:25:50.190 --> 00:25:51.200\nleadership.\n\n554\n00:25:51.200 --> 00:25:55.940\nAnd with Ken's help, he convinced the Democrats and the Republicans to work\n\n555\n00:25:55.940 --> 00:25:56.880\ntogether in the\n\n556\n00:25:56.880 --> 00:26:02.240\nCongress for this Hurricane Sandy bill for New York in the surrounding states.\n\n557\n00:26:02.240 --> 00:26:04.920\nAnd then it was just about piecing everything together.\n\n558\n00:26:04.920 --> 00:26:09.300\nAnd part of the decision-making early on, I was confronted with the fact that\n\n559\n00:26:09.300 --> 00:26:10.440\nthe institution\n\n560\n00:26:10.440 --> 00:26:13.000\nwas going to be shut down.\n\n561\n00:26:13.000 --> 00:26:16.240\nAnd actually the emergency room was shut down for two years.\n\n562\n00:26:16.240 --> 00:26:20.320\nAnd the hospital was shut down for over 60 days.\n\n563\n00:26:20.320 --> 00:26:22.520\nAnd I said, we're going to pay everybody.\n\n564\n00:26:22.520 --> 00:26:24.440\nAnd that's a really important decision.\n\n565\n00:26:24.440 --> 00:26:27.320\nAnd Ken, Langone, agreed with it.\n\n566\n00:26:27.320 --> 00:26:33.410\nAnd it totally made an enormous difference in how everybody felt about the\n\n567\n00:26:33.410 --> 00:26:34.720\ninstitution.\n\n568\n00:26:34.720 --> 00:26:38.390\nBecause when the chips are down, you see your character and the character of\n\n569\n00:26:38.390 --> 00:26:39.000\nthe people\n\n570\n00:26:39.000 --> 00:26:42.600\nwho work their character, the institution, et cetera.\n\n571\n00:26:42.600 --> 00:26:47.680\nAnd in the end, I said, we're going to make lemonade out of the lemons.\n\n572\n00:26:47.680 --> 00:26:50.760\nAnd we were very strong going into Hurricane Sandy already.\n\n573\n00:26:50.760 --> 00:26:52.320\nAnd we emerged even stronger.\n\n574\n00:26:52.320 --> 00:26:53.320\nYeah.\n\n575\n00:26:53.320 --> 00:26:54.480\nWell, that's amazing.\n\n576\n00:26:54.480 --> 00:26:59.680\nAnd what's the responsibility of a leader when you have a crisis like that?\n\n577\n00:26:59.680 --> 00:27:03.000\nSo I think it's very important to be there.\n\n578\n00:27:03.000 --> 00:27:08.570\nOne of the early things I did was move the senior management team right to the\n\n579\n00:27:08.570 --> 00:27:09.280\nlobby of\n\n580\n00:27:09.280 --> 00:27:10.720\nthe hospital.\n\n581\n00:27:10.720 --> 00:27:13.480\nSo everybody saw what was going on.\n\n582\n00:27:13.480 --> 00:27:19.360\nAnd all day in, day out, seven days a week, they saw us functioning.\n\n583\n00:27:19.360 --> 00:27:21.920\nAnd that, I think, provided some confidence.\n\n584\n00:27:21.920 --> 00:27:24.400\nBut leaders have to lead and make decisions.\n\n585\n00:27:24.400 --> 00:27:27.680\nAnd it was all the time about decision making.\n\n586\n00:27:27.680 --> 00:27:32.160\nAnd an anecdote about that on a plane ride, I was sitting next to a guy who was\n\n587\n00:27:32.160 --> 00:27:32.760\na guy who\n\n588\n00:27:32.760 --> 00:27:34.880\nwas a fighter pilot.\n\n589\n00:27:34.880 --> 00:27:36.640\nAnd I said, what's the hardest thing you do?\n\n590\n00:27:36.640 --> 00:27:40.420\nHe said, it's all about instantaneous decision making every minute, every\n\n591\n00:27:40.420 --> 00:27:41.000\nsecond.\n\n592\n00:27:41.000 --> 00:27:42.320\nAnd I think that's what a leader is.\n\n593\n00:27:42.320 --> 00:27:44.840\nThey're making decisions all the time.\n\n594\n00:27:44.840 --> 00:27:52.400\nAnd those decisions ultimately determine success of failure.\n\n595\n00:27:52.400 --> 00:27:56.600\nWe'll be back with the rest of my conversation with Dr. Bob Grossman in just a\n\n596\n00:27:56.600 --> 00:27:56.880\nmoment.\n\n597\n00:27:56.880 --> 00:28:00.900\nYou know, Dr. Grossman had to take some pretty big risks to turn around NYU\n\n598\n00:28:00.900 --> 00:28:02.360\nLangone Health.\n\n599\n00:28:02.360 --> 00:28:05.490\nAnd he couldn't have done it without the support of the chairman there, the one\n\n600\n00:28:05.490 --> 00:28:06.400\nand only Ken\n\n601\n00:28:06.400 --> 00:28:07.400\nLangone.\n\n602\n00:28:07.400 --> 00:28:10.880\nNow, Ken is a mentor of mine and a dear friend of Booth.\n\n603\n00:28:10.880 --> 00:28:14.910\nAnd it's funny, in our episode of How leaders lead, Ken's supportive style of\n\n604\n00:28:14.910 --> 00:28:15.560\nleadership\n\n605\n00:28:15.560 --> 00:28:17.960\ncomes through loud and clear.\n\n606\n00:28:17.960 --> 00:28:24.240\nYou want to have an environment where you encourage people to take chances.\n\n607\n00:28:24.240 --> 00:28:28.960\nAnd if it's an honest, legitimate mistake, their careers aren't at risk.\n\n608\n00:28:28.960 --> 00:28:31.720\nYou want people to stick their neck out.\n\n609\n00:28:31.720 --> 00:28:34.520\nWho knows when the next greatest idea is going to come from?\n\n610\n00:28:34.520 --> 00:28:37.900\nTo me, it will come out of those calls that I hope I encourage these kids to\n\n611\n00:28:37.900 --> 00:28:38.600\nstick their\n\n612\n00:28:38.600 --> 00:28:40.760\nneck out and take chances.\n\n613\n00:28:40.760 --> 00:28:44.580\nI got to tell you, the whole conversation with Ken is full of wisdom and it's\n\n614\n00:28:44.580 --> 00:28:45.000\none of\n\n615\n00:28:45.000 --> 00:28:46.520\nmy favorites.\n\n616\n00:28:46.520 --> 00:28:48.800\nScroll back in the feed and give it a listen.\n\n617\n00:28:48.800 --> 00:28:58.640\nIt's episode 89 here on How leaders lead.\n\n618\n00:28:58.640 --> 00:29:02.080\nIf you had to boil it down, Bob, and I know this is hard to do because we've\n\n619\n00:29:02.080 --> 00:29:02.840\nalready talked\n\n620\n00:29:02.840 --> 00:29:11.720\nabout a number of things that you've done, what would be your secret ingredient\n\n621\n00:29:11.720 --> 00:29:12.080\n?\n\n622\n00:29:12.080 --> 00:29:17.480\nThe secret ingredient is having the right people.\n\n623\n00:29:17.480 --> 00:29:24.740\nAnd with the right people and the right vision and being able to execute that\n\n624\n00:29:24.740 --> 00:29:26.000\nvision, it's\n\n625\n00:29:26.000 --> 00:29:28.880\ngoing to auger for success.\n\n626\n00:29:28.880 --> 00:29:33.350\nI think the right people are so important because one person doesn't do\n\n627\n00:29:33.350 --> 00:29:34.120\nanything.\n\n628\n00:29:34.120 --> 00:29:44.030\nReally, it's a team of people and that team has to be focused, driven, and if\n\n629\n00:29:44.030 --> 00:29:45.200\nyou have\n\n630\n00:29:45.200 --> 00:29:49.720\nthose ingredients, you're going to have success.\n\n631\n00:29:49.720 --> 00:29:54.220\nWhat would you say is the most unique people challenge you have in your\n\n632\n00:29:54.220 --> 00:29:55.200\nindustry?\n\n633\n00:29:55.200 --> 00:29:58.160\nHow you deal with a lot of thoroughbreds.\n\n634\n00:29:58.160 --> 00:30:03.840\nOkay, you have doctors and scientists.\n\n635\n00:30:03.840 --> 00:30:07.180\nI think they're the most brilliant people in the world and they're all going to\n\n636\n00:30:07.180 --> 00:30:07.440\nwin\n\n637\n00:30:07.440 --> 00:30:09.160\nthe Nobel Prize.\n\n638\n00:30:09.160 --> 00:30:16.520\nIn general, academics are more negative than positive thinkers and sometimes\n\n639\n00:30:16.520 --> 00:30:17.320\nthat's a\n\n640\n00:30:17.320 --> 00:30:19.320\nproblem.\n\n641\n00:30:19.320 --> 00:30:25.440\nExitions, in general, because they are so focused, they sometimes have\n\n642\n00:30:25.440 --> 00:30:28.160\ndifficulty seeing the\n\n643\n00:30:28.160 --> 00:30:29.800\nforest.\n\n644\n00:30:29.800 --> 00:30:34.060\nAnd yet you've been able to get everybody aligned around this one patient, one\n\n645\n00:30:34.060 --> 00:30:34.760\nchart,\n\n646\n00:30:34.760 --> 00:30:37.040\none experienced focus.\n\n647\n00:30:37.040 --> 00:30:42.600\nWhat really drove that and how did you bring your people together to make this\n\n648\n00:30:42.600 --> 00:30:43.640\na reality?\n\n649\n00:30:43.640 --> 00:30:51.660\nWell, I tried to get people to buy into the vision and 15 or 16 years ago, a\n\n650\n00:30:51.660 --> 00:30:52.800\nlot of people\n\n651\n00:30:52.800 --> 00:30:58.030\ncouldn't see it and I thought we could be the best institution in the United\n\n652\n00:30:58.030 --> 00:30:58.760\nStates,\n\n653\n00:30:58.760 --> 00:31:00.560\nbut it would take a lot of work.\n\n654\n00:31:00.560 --> 00:31:04.280\nAnd you know, David, people want to be at the best.\n\n655\n00:31:04.280 --> 00:31:08.760\nThey want to be associated with the best and especially in healthcare.\n\n656\n00:31:08.760 --> 00:31:14.400\nAnd so to get the majority of people in our organization to think that they\n\n657\n00:31:14.400 --> 00:31:15.320\ncould be the\n\n658\n00:31:15.320 --> 00:31:22.360\nbest, have confidence, if we did X, Y, and Z, that actually they could see that\n\n659\n00:31:22.360 --> 00:31:23.080\nwe were\n\n660\n00:31:23.080 --> 00:31:29.480\ngoing to move up the rankings and be one of the top institutions in the world.\n\n661\n00:31:29.480 --> 00:31:34.080\nAnd that becomes a self-fulfilling prophecy.\n\n662\n00:31:34.080 --> 00:31:39.860\nYou really coined this one patient, one chart, one experienced focus and you\n\n663\n00:31:39.860 --> 00:31:40.840\nreally used\n\n664\n00:31:40.840 --> 00:31:44.600\nin technology as an enabler to make that happen.\n\n665\n00:31:44.600 --> 00:31:49.860\nYou know, what advice can you give to leaders on how to make technology an enab\n\n666\n00:31:49.860 --> 00:31:50.480\nler?\n\n667\n00:31:50.480 --> 00:31:52.920\nYou have to have the correct technology.\n\n668\n00:31:52.920 --> 00:31:56.220\nLet's begin with that because there's a lot of technology out there and you\n\n669\n00:31:56.220 --> 00:31:58.520\nhave to understand\n\n670\n00:31:58.520 --> 00:31:59.800\nwhat actually works.\n\n671\n00:31:59.800 --> 00:32:06.490\nAnd for us, when we originally looked at electronic health records, we wanted\n\n672\n00:32:06.490 --> 00:32:09.160\nan enterprise solution.\n\n673\n00:32:09.160 --> 00:32:11.320\nWe wanted no interface.\n\n674\n00:32:11.320 --> 00:32:16.740\nAnd the technology became one of the foundational elements on which we could\n\n675\n00:32:16.740 --> 00:32:19.000\nbuild a health system.\n\n676\n00:32:19.000 --> 00:32:24.000\nSo technology is foundational.\n\n677\n00:32:24.000 --> 00:32:29.040\nIt's not the solution, but it helps you get to where you want to be.\n\n678\n00:32:29.040 --> 00:32:35.680\nYou know, you've expanded from two in-patient facilities to now six, I believe.\n\n679\n00:32:35.680 --> 00:32:39.760\nYou know, I would imagine every time you expand, there's a big discussion about\n\n680\n00:32:39.760 --> 00:32:40.400\nhow far you\n\n681\n00:32:40.400 --> 00:32:42.440\ncan really stretch your brand.\n\n682\n00:32:42.440 --> 00:32:45.760\nHow do you expand your brand into these new venues?\n\n683\n00:32:45.760 --> 00:32:47.760\nWell, you have to be very careful.\n\n684\n00:32:47.760 --> 00:32:49.840\nAnd brand is very important to us.\n\n685\n00:32:49.840 --> 00:32:54.000\nAnd we try to be as deliberate as possible.\n\n686\n00:32:54.000 --> 00:32:57.600\nAnd with respect to brand, we also want one culture.\n\n687\n00:32:57.600 --> 00:33:05.540\nAnd so part of it is the electronic health record helps us because it also\n\n688\n00:33:05.540 --> 00:33:07.600\nenables us\n\n689\n00:33:07.600 --> 00:33:12.800\nto have one type of practice across the entire system.\n\n690\n00:33:12.800 --> 00:33:14.160\nAnd you have to be careful.\n\n691\n00:33:14.160 --> 00:33:16.400\nYou want to add the correct doctors.\n\n692\n00:33:16.400 --> 00:33:22.640\nYou want people who buy into the understanding that this is very patient-\n\n693\n00:33:22.640 --> 00:33:23.600\ncentered.\n\n694\n00:33:23.600 --> 00:33:26.280\nAnd we expect excellence.\n\n695\n00:33:26.280 --> 00:33:28.360\nWe have very high standards.\n\n696\n00:33:28.360 --> 00:33:30.160\nAnd a lot of people like it.\n\n697\n00:33:30.160 --> 00:33:33.760\nSome people, we not like it.\n\n698\n00:33:33.760 --> 00:33:37.640\nYou mentioned culture, and I know you're a big believer in culture.\n\n699\n00:33:37.640 --> 00:33:41.720\nAnd you summed up your core values with the acronym of PRIDE.\n\n700\n00:33:41.720 --> 00:33:45.880\nTell us about it and how you drive that deep as a leader.\n\n701\n00:33:45.880 --> 00:33:52.840\nWell, we are a very accountable organization at the same time, very transparent\n\n702\n00:33:52.840 --> 00:33:53.000\n.\n\n703\n00:33:53.000 --> 00:33:56.440\nAnd we are associated with that.\n\n704\n00:33:56.440 --> 00:33:58.280\nWe care about performance.\n\n705\n00:33:58.280 --> 00:34:00.680\nWe care about respect.\n\n706\n00:34:00.680 --> 00:34:05.880\nWe care about integrity, diversity, and excellence.\n\n707\n00:34:05.880 --> 00:34:11.720\nAnd we live by those values upfront and, as I said, totally transparently.\n\n708\n00:34:11.720 --> 00:34:15.960\nAnd your values really form your culture.\n\n709\n00:34:15.960 --> 00:34:22.200\nYou have to walk the walk as well as talk the talk, if you know what I mean.\n\n710\n00:34:22.200 --> 00:34:27.240\nAnd you have to have a lot of people, examples that you can use as teachable\n\n711\n00:34:27.240 --> 00:34:28.240\nmoments to express\n\n712\n00:34:28.240 --> 00:34:29.880\nyour values.\n\n713\n00:34:29.880 --> 00:34:33.900\nOff the top, can you remember one of those tangible moments where you did\n\n714\n00:34:33.900 --> 00:34:35.440\nexactly that?\n\n715\n00:34:35.440 --> 00:34:36.440\nSure.\n\n716\n00:34:36.440 --> 00:34:38.440\nWe do it every day.\n\n717\n00:34:38.440 --> 00:34:43.400\nWe care when somebody violates our integrity.\n\n718\n00:34:43.400 --> 00:34:45.760\nWe take appropriate actions.\n\n719\n00:34:45.760 --> 00:34:48.600\nWhen care is less than excellent.\n\n720\n00:34:48.600 --> 00:34:51.560\nWe discuss it openly.\n\n721\n00:34:51.560 --> 00:34:55.240\nWe try to learn from our examples.\n\n722\n00:34:55.240 --> 00:34:57.880\nAnd we try never to make the same mistake twice.\n\n723\n00:34:57.880 --> 00:35:02.720\nAnd that happens on a daily basis, actually.\n\n724\n00:35:02.720 --> 00:35:08.400\nYou say, and I love this, only the lead dog sees new terrain.\n\n725\n00:35:08.400 --> 00:35:09.400\nWhat's next?\n\n726\n00:35:09.400 --> 00:35:12.400\nWhat's next for NYU Langone?\n\n727\n00:35:12.400 --> 00:35:15.920\nFirst of all, every day is a new day.\n\n728\n00:35:15.920 --> 00:35:18.880\nAs you know, in any business.\n\n729\n00:35:18.880 --> 00:35:21.560\nAnd what got you there doesn't keep you there.\n\n730\n00:35:21.560 --> 00:35:24.320\nSo you have to be very hungry.\n\n731\n00:35:24.320 --> 00:35:28.400\nEverybody has to always be alive.\n\n732\n00:35:28.400 --> 00:35:36.720\nSo for us, what's next is we did, we're in the process of doing a merger in\n\n733\n00:35:36.720 --> 00:35:37.760\nSuffolk County\n\n734\n00:35:37.760 --> 00:35:40.000\nwith a small community hospital.\n\n735\n00:35:40.000 --> 00:35:44.160\nBut we think it's an important hospital on Long Island.\n\n736\n00:35:44.160 --> 00:35:52.170\nWe hope to have a new hospital around Minneapolis, which will take five to six\n\n737\n00:35:52.170 --> 00:35:53.720\nor so years.\n\n738\n00:35:53.720 --> 00:35:58.400\nAs you said, we're in Florida, particularly in the Palm Beach area.\n\n739\n00:35:58.400 --> 00:36:01.440\nAnd we hope to build our practice down there.\n\n740\n00:36:01.440 --> 00:36:07.640\nIn terms of science here, we're investing in science, investing in science.\n\n741\n00:36:07.640 --> 00:36:13.960\nWe want to organically grow our scientific endeavors.\n\n742\n00:36:13.960 --> 00:36:18.360\nIn terms of education, we've been on the bleeding edge of changing education.\n\n743\n00:36:18.360 --> 00:36:25.320\nSo this year, our medical school is an all three year medical school.\n\n744\n00:36:25.320 --> 00:36:27.480\nTraditional medical school is four years.\n\n745\n00:36:27.480 --> 00:36:30.360\nArizona is going to three years.\n\n746\n00:36:30.360 --> 00:36:37.800\nI think we reformed our entire curriculum, which I think makes it even better\n\n747\n00:36:37.800 --> 00:36:38.680\nfor students\n\n748\n00:36:38.680 --> 00:36:39.680\ncoming to NYU.\n\n749\n00:36:39.680 --> 00:36:42.120\nSo there are a lot of things on our plate.\n\n750\n00:36:42.120 --> 00:36:47.360\nAnd we're a very aspirational organization.\n\n751\n00:36:47.360 --> 00:36:52.080\nYou know, that's a radical thing in a very established industry to go from a\n\n752\n00:36:52.080 --> 00:36:52.760\nfour year\n\n753\n00:36:52.760 --> 00:36:54.240\ndegree to three year.\n\n754\n00:36:54.240 --> 00:36:58.080\nI mean, that is a great, that is a major breakthrough.\n\n755\n00:36:58.080 --> 00:37:01.000\nI mean, how in the world did you pull that off?\n\n756\n00:37:01.000 --> 00:37:06.880\nSo we started about seven, eight years ago.\n\n757\n00:37:06.880 --> 00:37:10.120\nThe students coming to medical school today are different than when I went.\n\n758\n00:37:10.120 --> 00:37:14.120\nThey have far more experience and taken more courses.\n\n759\n00:37:14.120 --> 00:37:22.340\nAnd it doesn't necessarily make sense to follow an edict from the earliest part\n\n760\n00:37:22.340 --> 00:37:23.640\nof the 20th\n\n761\n00:37:23.640 --> 00:37:24.640\ncentury.\n\n762\n00:37:24.640 --> 00:37:30.080\nThis is a flexner report, I think in 1912 or something like that.\n\n763\n00:37:30.080 --> 00:37:33.200\nAnd all the medical schools were locked up with that.\n\n764\n00:37:33.200 --> 00:37:37.400\nAnd we said it doesn't make sense for students who are different.\n\n765\n00:37:37.400 --> 00:37:43.540\nAnd actually the fourth year of medical school was a time where most of the\n\n766\n00:37:43.540 --> 00:37:46.320\nstudents auditioned.\n\n767\n00:37:46.320 --> 00:37:49.160\nThey went to other places to see if they could get residency.\n\n768\n00:37:49.160 --> 00:37:51.840\nSo they weren't even at your institution.\n\n769\n00:37:51.840 --> 00:37:55.870\nAnd I thought the crime was that the parents are paying the tuition for the\n\n770\n00:37:55.870 --> 00:37:56.560\nstudents to\n\n771\n00:37:56.560 --> 00:37:58.960\nbe all over the place.\n\n772\n00:37:58.960 --> 00:38:03.080\nIt really didn't make sense for a lot of the students.\n\n773\n00:38:03.080 --> 00:38:11.620\nSo we started a three year MD program where about 20% of our students took that\n\n774\n00:38:11.620 --> 00:38:12.600\npathway\n\n775\n00:38:12.600 --> 00:38:15.160\nand they became very successful.\n\n776\n00:38:15.160 --> 00:38:19.760\nWe have a lot of data for over 100 students who did that.\n\n777\n00:38:19.760 --> 00:38:25.250\nAnd then a couple of years ago, four years ago, we started another small\n\n778\n00:38:25.250 --> 00:38:26.480\nmedical school\n\n779\n00:38:26.480 --> 00:38:31.560\nfor primary care out in Minneapolis.\n\n780\n00:38:31.560 --> 00:38:37.520\nAnd that was an all three year school and that was tuition free as well.\n\n781\n00:38:37.520 --> 00:38:39.520\nAnd all of those students did great.\n\n782\n00:38:39.520 --> 00:38:41.480\nThey just the first class just graduated.\n\n783\n00:38:41.480 --> 00:38:43.480\nAnd we said, what the heck is wrong?\n\n784\n00:38:43.480 --> 00:38:46.040\nWe should be all three year.\n\n785\n00:38:46.040 --> 00:38:49.800\nAnd we made that radical change this past year.\n\n786\n00:38:49.800 --> 00:38:52.720\nAnd I think it's going to work out fantastic.\n\n787\n00:38:52.720 --> 00:38:55.960\nKen and Elaine Langoone, I know surprised you a few years ago with the\n\n788\n00:38:55.960 --> 00:38:57.000\nannouncement that\n\n789\n00:38:57.000 --> 00:39:02.850\nNYU School of Medicine was to be renamed the NYU Robert I. Grossman School of\n\n790\n00:39:02.850 --> 00:39:03.600\nMedicine.\n\n791\n00:39:03.600 --> 00:39:05.120\nThat sounds pretty lofty.\n\n792\n00:39:05.120 --> 00:39:07.520\nBut tell us a story about that.\n\n793\n00:39:07.520 --> 00:39:11.240\nYeah, well, I was shocked.\n\n794\n00:39:11.240 --> 00:39:18.390\nSo it's a good story because I'm at this event, which is in the hall of Denver\n\n795\n00:39:18.390 --> 00:39:19.360\nat the Metropolitan\n\n796\n00:39:19.360 --> 00:39:20.600\nMuseum of Art.\n\n797\n00:39:20.600 --> 00:39:23.000\nIt's a beautiful setting.\n\n798\n00:39:23.000 --> 00:39:26.120\nAnd this was an event to honor Ken and Elaine.\n\n799\n00:39:26.120 --> 00:39:29.040\nAnd as you can imagine, all of Ken's friends were there.\n\n800\n00:39:29.040 --> 00:39:30.040\nIt was incredible.\n\n801\n00:39:30.040 --> 00:39:31.960\nYeah, I was there actually.\n\n802\n00:39:31.960 --> 00:39:33.680\nI remember it.\n\n803\n00:39:33.680 --> 00:39:41.000\nAnd I'm sort of the master of ceremonies and we do the first part of it, and\n\n804\n00:39:41.000 --> 00:39:42.440\nthen the second\n\n805\n00:39:42.440 --> 00:39:44.520\npart.\n\n806\n00:39:44.520 --> 00:39:50.650\nAnd Ken gets up there and I'm looking at my watch and we try to get out by nine\n\n807\n00:39:50.650 --> 00:39:51.480\no'clock\n\n808\n00:39:51.480 --> 00:39:53.680\nand the second part didn't start.\n\n809\n00:39:53.680 --> 00:39:57.670\nI'm saying, oh my God, people are going to be so unhappy because these things\n\n810\n00:39:57.670 --> 00:39:58.480\nstart drowning\n\n811\n00:39:58.480 --> 00:39:59.480\non.\n\n812\n00:39:59.480 --> 00:40:06.680\nAnd Ken gets up there, it is usual, man, or talks about what a great country.\n\n813\n00:40:06.680 --> 00:40:10.960\nAnd I'm thinking to myself, oh my God.\n\n814\n00:40:10.960 --> 00:40:14.960\nThat he says, and now you're going to hear from my wife, Elaine, and Elaine\n\n815\n00:40:14.960 --> 00:40:15.880\ngets up there.\n\n816\n00:40:15.880 --> 00:40:19.760\nAnd I'm actually not focused on what Elaine is saying.\n\n817\n00:40:19.760 --> 00:40:22.360\nI'm focused on the clock.\n\n818\n00:40:22.360 --> 00:40:24.080\nAnd this is about 9.30.\n\n819\n00:40:24.080 --> 00:40:28.480\nAnd then I see my name up there, the Robert I. Grossman School of Medicine.\n\n820\n00:40:28.480 --> 00:40:30.480\nI couldn't believe it.\n\n821\n00:40:30.480 --> 00:40:31.960\nIt's beyond belief.\n\n822\n00:40:31.960 --> 00:40:35.600\nAnd I'm so grateful to Ken and Elaine.\n\n823\n00:40:35.600 --> 00:40:38.880\nAs you know, David, they're the greatest people in the world.\n\n824\n00:40:38.880 --> 00:40:40.360\nYeah, that's great.\n\n825\n00:40:40.360 --> 00:40:42.800\nAnd a well-deserved honor and everybody.\n\n826\n00:40:42.800 --> 00:40:45.840\nEverybody loves standing up and giving you the ovation that you deserve.\n\n827\n00:40:45.840 --> 00:40:50.240\nI like to get into the minds of leaders to learn how they make decisions.\n\n828\n00:40:50.240 --> 00:40:53.820\nAnd we've talked a little bit about this already, but it's your school of\n\n829\n00:40:53.820 --> 00:40:54.560\nmedicine.\n\n830\n00:40:54.560 --> 00:40:56.960\nStudents get free tuition.\n\n831\n00:40:56.960 --> 00:41:01.360\nWhere did that idea come from and how did it become a reality?\n\n832\n00:41:01.360 --> 00:41:05.280\nSo the idea actually came from me.\n\n833\n00:41:05.280 --> 00:41:10.860\nAnd I was a scholarship kid from the time I started college through medical\n\n834\n00:41:10.860 --> 00:41:11.680\nschool.\n\n835\n00:41:11.680 --> 00:41:18.000\nAnd when you have significant needs, you live from hand to mouth a lot.\n\n836\n00:41:18.000 --> 00:41:25.630\nAnd I thought, you know, it's just unconscionable and moral imperative for\n\n837\n00:41:25.630 --> 00:41:26.920\nstudents not to do\n\n838\n00:41:26.920 --> 00:41:35.240\nnot to feel the dead burden that they've accrued over years of education.\n\n839\n00:41:35.240 --> 00:41:40.200\nAnd this became honorous where you had students graduating with $200,000 worth\n\n840\n00:41:40.200 --> 00:41:41.720\nof debt, $300,000\n\n841\n00:41:41.720 --> 00:41:46.680\nif doctors married doctors, you know, $500,000 worth of debt.\n\n842\n00:41:46.680 --> 00:41:50.160\nAnd you just can't get out from under that dead burden.\n\n843\n00:41:50.160 --> 00:41:58.640\nSo it was really something I felt strongly about Ken bought into it.\n\n844\n00:41:58.640 --> 00:42:02.480\nYou know, it's interesting, David, I'll give you one anecdote here.\n\n845\n00:42:02.480 --> 00:42:07.280\nWe used to have lunches for students.\n\n846\n00:42:07.280 --> 00:42:13.960\nEverybody shows up because they are living at the margin, these students.\n\n847\n00:42:13.960 --> 00:42:18.280\nAnd so for us, and Ken agreed, it was critically important.\n\n848\n00:42:18.280 --> 00:42:20.560\nAnd the question is how to do it.\n\n849\n00:42:20.560 --> 00:42:22.200\nAnd you have to be focused.\n\n850\n00:42:22.200 --> 00:42:24.040\nAnd it's a long term objective.\n\n851\n00:42:24.040 --> 00:42:26.680\nAnd why haven't so many other schools done it?\n\n852\n00:42:26.680 --> 00:42:30.200\nBecause it's very difficult to do.\n\n853\n00:42:30.200 --> 00:42:36.280\nBecause the easy thing is to take philanthropy and put it into buildings.\n\n854\n00:42:36.280 --> 00:42:40.200\nPut it into something where you can get your name on it.\n\n855\n00:42:40.200 --> 00:42:44.000\nAnd here, getting a corpus for tuition takes a long time.\n\n856\n00:42:44.000 --> 00:42:46.440\nIt took us, I think, 12 years.\n\n857\n00:42:46.440 --> 00:42:48.880\nJust raising the money and getting that done.\n\n858\n00:42:48.880 --> 00:42:53.480\nAnd plus, you turn the hospital into a real profit generator too, which had to\n\n859\n00:42:53.480 --> 00:42:54.760\nhelp, right?\n\n860\n00:42:54.760 --> 00:42:56.800\nThat absolutely helped.\n\n861\n00:42:56.800 --> 00:43:05.440\nBut this was from philanthropic and amazingly generous donors.\n\n862\n00:43:05.440 --> 00:43:06.800\nYeah, that's great.\n\n863\n00:43:06.800 --> 00:43:11.440\nWhat do you remember, Bob, about the day this was announced to the students?\n\n864\n00:43:11.440 --> 00:43:15.000\nThe students couldn't believe it.\n\n865\n00:43:15.000 --> 00:43:20.760\nStudents and their parents, it's impossible to really say they give you the\n\n866\n00:43:20.760 --> 00:43:21.960\nfeeling in\n\n867\n00:43:21.960 --> 00:43:23.440\nthe room.\n\n868\n00:43:23.440 --> 00:43:31.160\nAnd I remember one student's father yelling to a student, \"You made the right\n\n869\n00:43:31.160 --> 00:43:32.440\nchoice.\"\n\n870\n00:43:32.440 --> 00:43:35.440\nThat is great.\n\n871\n00:43:35.440 --> 00:43:43.200\nBut the truth was, it was overwhelming.\n\n872\n00:43:43.200 --> 00:43:46.440\nAnd what it did for the students, we surveyed them.\n\n873\n00:43:46.440 --> 00:43:50.320\nAnd one of the things they said, it decreased their stress.\n\n874\n00:43:50.320 --> 00:43:54.600\nAnd it's been almost five years since the day that you made that announcement.\n\n875\n00:43:54.600 --> 00:43:57.770\nAnd what's been the biggest challenge that you face as a result of that\n\n876\n00:43:57.770 --> 00:43:58.440\ndecision?\n\n877\n00:43:58.440 --> 00:44:02.000\nWell, the question, it isn't a challenge.\n\n878\n00:44:02.000 --> 00:44:06.990\nIt's a question, and when you get something for nothing, do you appreciate it\n\n879\n00:44:06.990 --> 00:44:07.760\nas much?\n\n880\n00:44:07.760 --> 00:44:13.850\nAnd I hope the students do, because we worked very hard for it, and it was very\n\n881\n00:44:13.850 --> 00:44:14.760\nmeaningful\n\n882\n00:44:14.760 --> 00:44:16.240\nto the donors.\n\n883\n00:44:16.240 --> 00:44:20.840\nAnd sometimes, you just take it for granted.\n\n884\n00:44:20.840 --> 00:44:23.400\nAnd that's something we...\n\n885\n00:44:23.400 --> 00:44:30.240\nI don't think they take it for granted, but I hope not.\n\n886\n00:44:30.240 --> 00:44:31.240\nYeah.\n\n887\n00:44:31.240 --> 00:44:36.440\nIt's an interesting insight, and it's true in so many places.\n\n888\n00:44:36.440 --> 00:44:40.280\nBut you're just taking such an overwhelming burden off their hands.\n\n889\n00:44:40.280 --> 00:44:42.000\nI'm sure they'll be grateful forever.\n\n890\n00:44:42.000 --> 00:44:43.000\nI hope so.\n\n891\n00:44:43.000 --> 00:44:49.240\nAnd as Ken said, I hope they remember when they become successful to get back.\n\n892\n00:44:49.240 --> 00:44:52.200\nYou know, Bob, this has been so much fun talking to you.\n\n893\n00:44:52.200 --> 00:44:54.680\nAnd I want to have some more with my lightning round of Q&A.\n\n894\n00:44:54.680 --> 00:44:56.240\nSo are you ready for this?\n\n895\n00:44:56.240 --> 00:44:57.240\nSure.\n\n896\n00:44:57.240 --> 00:44:58.640\nWhat'd you have for breakfast?\n\n897\n00:44:58.640 --> 00:45:01.600\nCereal and peanut butter and jelly.\n\n898\n00:45:01.600 --> 00:45:05.280\nThe breakfast of champions and a true doctor.\n\n899\n00:45:05.280 --> 00:45:10.120\nWhat's one word others would use to best describe you?\n\n900\n00:45:10.120 --> 00:45:11.560\nMaybe focused.\n\n901\n00:45:11.560 --> 00:45:14.920\nWhat would you say is the one word that best describes you?\n\n902\n00:45:14.920 --> 00:45:16.880\nInteresting, fun.\n\n903\n00:45:16.880 --> 00:45:20.800\nThe best word to describe your golf game.\n\n904\n00:45:20.800 --> 00:45:25.720\nFrustrating.\n\n905\n00:45:25.720 --> 00:45:30.400\nIf you could be one person beside yourself for a day, who would it be and why?\n\n906\n00:45:30.400 --> 00:45:33.960\nLeBron James.\n\n907\n00:45:33.960 --> 00:45:34.960\nWhy is that?\n\n908\n00:45:34.960 --> 00:45:41.480\nWell, I can't imagine what it is like to be such a consummate athlete.\n\n909\n00:45:41.480 --> 00:45:43.400\nHe really is, you know.\n\n910\n00:45:43.400 --> 00:45:47.160\nAnd what's the best word you'd use to describe being a doctor?\n\n911\n00:45:47.160 --> 00:45:50.320\nI think passionate about what you do.\n\n912\n00:45:50.320 --> 00:45:53.000\nThe best word to describe being a CEO.\n\n913\n00:45:53.000 --> 00:45:54.000\nDriven.\n\n914\n00:45:54.000 --> 00:45:56.560\nYour biggest pet peeve.\n\n915\n00:45:56.560 --> 00:45:58.640\nGovernment.\n\n916\n00:45:58.640 --> 00:46:02.200\nDescribe your last, \"I can't believe this is happening to me\" moment.\n\n917\n00:46:02.200 --> 00:46:07.360\nDo you mean the answer is Hurricane Sandy.\n\n918\n00:46:07.360 --> 00:46:11.080\nWe talked about that.\n\n919\n00:46:11.080 --> 00:46:12.720\nYour most famous patient.\n\n920\n00:46:12.720 --> 00:46:16.800\nWell Ken Lango.\n\n921\n00:46:16.800 --> 00:46:20.280\nWhat leader do you pull a lot of inspiration from and why?\n\n922\n00:46:20.280 --> 00:46:23.960\nI like Terry Truman and Dwight Eisenhower.\n\n923\n00:46:23.960 --> 00:46:32.040\nThey were both great leaders and they led in spite of a lot of negativity and\n\n924\n00:46:32.040 --> 00:46:33.440\ntremendous\n\n925\n00:46:33.440 --> 00:46:35.480\nodds.\n\n926\n00:46:35.480 --> 00:46:39.480\nWhat would I hear if I turned on the radio in your car?\n\n927\n00:46:39.480 --> 00:46:41.400\nProbably Frank Sinatra.\n\n928\n00:46:41.400 --> 00:46:44.040\nWhat's something about you a few people would know?\n\n929\n00:46:44.040 --> 00:46:47.320\nI have a very good eye.\n\n930\n00:46:47.320 --> 00:46:50.080\nAn eye for everything.\n\n931\n00:46:50.080 --> 00:46:53.640\nIt's a radiologist.\n\n932\n00:46:53.640 --> 00:46:58.040\nIt's all about vision and I think I see things differently.\n\n933\n00:46:58.040 --> 00:47:02.440\nI have a different aesthetic pace and things like that.\n\n934\n00:47:02.440 --> 00:47:03.440\nInteresting.\n\n935\n00:47:03.440 --> 00:47:05.120\nThat's it for the lightning round.\n\n936\n00:47:05.120 --> 00:47:06.920\nThank you very much.\n\n937\n00:47:06.920 --> 00:47:10.800\nKeep eating those healthy breakfasts Bob.\n\n938\n00:47:10.800 --> 00:47:14.200\nA couple of final questions and I'll let you go.\n\n939\n00:47:14.200 --> 00:47:16.240\nYou've had such a remarkable career.\n\n940\n00:47:16.240 --> 00:47:21.030\nWhen you look at your own being, your own person, what's your unfinished\n\n941\n00:47:21.030 --> 00:47:21.920\nbusiness?\n\n942\n00:47:21.920 --> 00:47:31.360\nI want to continue what we're doing here because we have a lot of unfinished\n\n943\n00:47:31.360 --> 00:47:32.680\nbusiness\n\n944\n00:47:32.680 --> 00:47:37.680\nand I'm pretty happy with me where I am in life.\n\n945\n00:47:37.680 --> 00:47:39.400\nGreat, great.\n\n946\n00:47:39.400 --> 00:47:44.520\nWhat's one piece of advice you'd give anyone who wants to be a better leader?\n\n947\n00:47:44.520 --> 00:47:53.120\nFind things you're passionate about and care deeply about them and focus on\n\n948\n00:47:53.120 --> 00:47:54.160\nthem.\n\n949\n00:47:54.160 --> 00:47:55.160\nIt's very important.\n\n950\n00:47:55.160 --> 00:47:59.800\nI think that leaders, it's not good enough to have vision.\n\n951\n00:47:59.800 --> 00:48:05.000\nYou have to be able to execute the vision and the combination makes you\n\n952\n00:48:05.000 --> 00:48:05.480\nsuccessful.\n\n953\n00:48:05.480 --> 00:48:10.760\nBob, you are so passionate and you are such an extremely gifted leader.\n\n954\n00:48:10.760 --> 00:48:14.810\nI actually think you're instinctually one of the best leaders I've ever ever\n\n955\n00:48:14.810 --> 00:48:15.360\ntalked to\n\n956\n00:48:15.360 --> 00:48:17.960\nin my entire life.\n\n957\n00:48:17.960 --> 00:48:23.240\nWhat you're doing is not only changing NYU Langone, you're changing medicine\n\n958\n00:48:23.240 --> 00:48:24.000\nand you're\n\n959\n00:48:24.000 --> 00:48:28.080\nmaking the world a better place and you're really leaving a lasting mark on the\n\n960\n00:48:28.080 --> 00:48:29.080\nworld.\n\n961\n00:48:29.080 --> 00:48:32.680\nI love the fact that you've got so much more to do and I know you're going to\n\n962\n00:48:32.680 --> 00:48:33.440\nget it done\n\n963\n00:48:33.440 --> 00:48:37.200\nand I want to thank you for sharing your story and being with us today.\n\n964\n00:48:37.200 --> 00:48:38.320\nI truly appreciate it.\n\n965\n00:48:38.320 --> 00:48:50.170\nWell, I don't know about you, but my mind is spinning with all the leadership\n\n966\n00:48:50.170 --> 00:48:51.360\nwisdom\n\n967\n00:48:51.360 --> 00:48:52.360\nBob just shared.\n\n968\n00:48:52.360 --> 00:48:57.430\nHow you got to harness the power of belief, tap into people's aspirations and\n\n969\n00:48:57.430 --> 00:48:57.960\njust be\n\n970\n00:48:57.960 --> 00:48:59.480\nyourself.\n\n971\n00:48:59.480 --> 00:49:03.230\nYou can see how all those lessons have played a role in the incredible\n\n972\n00:49:03.230 --> 00:49:04.280\nturnaround at NYU\n\n973\n00:49:04.280 --> 00:49:05.480\nLangone Health.\n\n974\n00:49:05.480 --> 00:49:07.080\nBut it's not just talk.\n\n975\n00:49:07.080 --> 00:49:11.320\nDr. Grossman doesn't just let people say they're doing a good job.\n\n976\n00:49:11.320 --> 00:49:15.670\nHe needs to know those results are really happening and the dashboard he\n\n977\n00:49:15.670 --> 00:49:16.680\nchampioned has\n\n978\n00:49:16.680 --> 00:49:21.960\ngiven everyone a clear picture of what's really working and what's not.\n\n979\n00:49:21.960 --> 00:49:26.220\nIt's brought transparency and accountability to their work and it's really made\n\n980\n00:49:26.220 --> 00:49:27.000\na difference\n\n981\n00:49:27.000 --> 00:49:29.320\nin their overall performance.\n\n982\n00:49:29.320 --> 00:49:33.040\nWhen you're in charge, it's not enough to have just strong values and ideas.\n\n983\n00:49:33.040 --> 00:49:36.790\nWe've also got to create accountability so you can make sure all that good\n\n984\n00:49:36.790 --> 00:49:37.320\nstuff is\n\n985\n00:49:37.320 --> 00:49:40.360\ntruly happening in your organization.\n\n986\n00:49:40.360 --> 00:49:45.140\nThis week, I want you to come up with one idea to bring more accountability to\n\n987\n00:49:45.140 --> 00:49:45.680\nthe work\n\n988\n00:49:45.680 --> 00:49:47.200\nyou do.\n\n989\n00:49:47.200 --> 00:49:50.040\nHow well do you measure what's working and what's not?\n\n990\n00:49:50.040 --> 00:49:53.400\nAre your metrics visible to the people who need to see them?\n\n991\n00:49:53.400 --> 00:49:57.440\nWhat kind of structure do you have in place for follow up and review?\n\n992\n00:49:57.440 --> 00:50:01.290\nDig into one of those questions this week because when you find ways to bring\n\n993\n00:50:01.290 --> 00:50:02.480\nmore accountability\n\n994\n00:50:02.480 --> 00:50:06.960\nto the work you do, you'll find new levels of excellence too.\n\n995\n00:50:06.960 --> 00:50:09.360\nI'm absolutely sure of it.\n\n996\n00:50:09.360 --> 00:50:11.400\nSo do you want to know how leaders lead?\n\n997\n00:50:11.400 --> 00:50:15.680\nWhat we learned today is the great leaders create accountability.\n\n998\n00:50:15.680 --> 00:50:21.010\nComing up next on how leaders lead is Ben Weprin, CEO of AJ Capital and\n\n999\n00:50:21.010 --> 00:50:22.680\ngraduate hotels.\n\n1000\n00:50:22.680 --> 00:50:25.450\nWhen you're trying to manifest something, you have to be able to tell that\n\n1001\n00:50:25.450 --> 00:50:25.840\nstory.\n\n1002\n00:50:25.840 --> 00:50:29.920\nYou have to be able to articulate your unbridled passion and interest very\n\n1003\n00:50:29.920 --> 00:50:31.080\nclearly and people\n\n1004\n00:50:31.080 --> 00:50:32.800\nhave to believe that you're going to do it.\n\n1005\n00:50:32.800 --> 00:50:34.240\nWe're building something that's in the future.\n\n1006\n00:50:34.240 --> 00:50:39.630\nYou have to be able to believe my story or you're not going to invest in being\n\n1007\n00:50:39.630 --> 00:50:40.040\npart of\n\n1008\n00:50:40.040 --> 00:50:41.320\nthat journey.\n\n1009\n00:50:41.320 --> 00:50:44.200\nAnd so the story is everything.\n\n1010\n00:50:44.200 --> 00:50:49.040\nSo be sure to come back again next week to hear our entire conversation.\n\n1011\n00:50:49.040 --> 00:50:53.040\nThanks again for tuning in to another episode of How leaders lead where every\n\n1012\n00:50:53.040 --> 00:50:53.760\nThursday you\n\n1013\n00:50:53.760 --> 00:50:58.240\nget to listen in while I interview some of the very best leaders in the world.\n\n1014\n00:50:58.240 --> 00:51:02.230\nI make it a point to give you something simple on each episode that you can\n\n1015\n00:51:02.230 --> 00:51:03.040\napply to your\n\n1016\n00:51:03.040 --> 00:51:06.560\nbusiness so that you will become the best leader you can be.\n\n1017\n00:51:06.560 --> 00:51:16.560\n[BLANK_AUDIO]\n\n1018\n00:51:16.560 --> 00:51:44.560\n[ Silence ]","

David Novak 0:04

Welcome to How leaders lead where every week you get to listen. And while I interview some of the very best leaders in the world, I break down the key learning so that by the end of the episode, you'll have something simple you can apply as you develop into a better leader. That's what this podcast is all about. Well get ready because you're about to hear one of the most dramatic turnaround stories out there, because my guest today is Dr. Bob Grossman, the CEO of NYU Langone health. When he took over in 2007, the hospital had a structural deficit with rundown facilities and a team that wasn't really tuned into a bigger vision. Now, fast forward to today, they're ranked as the number three hospital in the United States, he's grown their revenue from 2 billion to $11 billion. And they're studied as the model of how to run a patient centered, successful health organization. You're going to hear how it happened today. And as you might expect, Bob shares a lot of wisdom about culture and vision. But you know, you need more than that, to make big things happen. You need accountability, because that's how you make sure those big ideas are actually showing up in the work day to day, if you want your team performing at the highest level, if you want them to really own their actions and decisions, then keep listening and learn how to create more accountability for your organization. So without further ado, here's my conversation with my good friend, and soon to be yours, Dr. Bob Grossman.

Bob, we're gonna get to your amazing turnaround story in a few minutes. But I always like to start out at the beginning. Now you went into radiology and I know you were at NYU, and you build one heck of a department there as one of the departments that was very highly rated. Tell us how you got the CEO job of NYU?

Speaker 1 1:58

Well, it was interesting. So I came to NYU in 2001, I had been at University of Pennsylvania, Penn medical student and when I came back there, I actually was in neurosurgery came back there and radiology. And then went to NYU and NYU at the time, was a rather weak Department of Radiology. And they had lousy equipment and equipment and capital in radiology is very important. Somebody said, Well, you're, we're a Siemens site for imaging. I said, Well, what do we get from Siemens? You know, we're right in the middle of Manhattan. And they said, Oh, we get pulse sequences. And pulse sequences are the software that really drive the mag Mr. Scanner, I said, Paul sequences, I said, Let's see how much we're really worth. Let's do an RFP and have Siemens and General Electric compete to see who could be a single vendor. And that was pretty interesting. And we got them to compete Ken Langone recused himself because he had been on the board of General Electric and Siemens one and we got 100 plus million dollars in the deal. And Cadillac got that card, Ken Langone sigh.

David Novak 3:11

Ken was the the chairman of NYU crown. Yeah, absolutely. So you're running the radiologist. But it's interesting. You're in a hospital that basically is not doing well. Okay. But You excelled with your department? How did you build a department of excellence in an overall environment that was on the decline?

Speaker 1 3:31

I created and tapped into the aspirational vision of individuals in the department who wanted to be great, who yearn for that. And I said, we're going to be the best department in the world and people. I remember when person saying in the department, Bob, let me get this, right. We're an ocean liner. And you're going to turn it on a dime. And I said, Yeah. And I only accepted excellence. Everybody has to ask the question, whatever they're doing is this world class. And they got it. And we were able to recruit great people. And it turned around and you know, one thing begets another, if you do it correctly,

David Novak 4:10

did you really want the CEO job when it came up?

Speaker 1 4:14

I didn't think about it have always been in the moment. I never looked over my shoulder for the next job. And they just came to me, as opposed to me trying to be a CEO. I never thought about it. And somebody asked me in the search committee, would you apply to be would you like to apply to be the dean and see oh, and I thought about it, I said, sure. But it wasn't in my lesson in my thinking at all.

David Novak 4:40

So you're like a great athlete just kind of stay in the moment the present and don't get stay more of a neutral state?

Speaker 1 4:46

Correct. And I never, I think I always say we run our own race. I'm not reactive, or proactive.

David Novak 4:54

So I'm sure in law, you looked outside for a CEO you are Insider, and you get the job. Have you think having that experience inside was a big, big plus for you?

Speaker 1 5:04

Huge plus. And I think it's very important because traditionally academic medical centers and businesses look particularly at your curriculum V tie. And I have to say nothing very little on my curriculum vitae, or anybody's curriculum vitae predicts how well a leader they're going to be. It's very interesting. But it did help that I understood some of the issues as I saw them. I knew the people I knew the good people and the not so good people. So it enabled me to be very aggressive. Early on in my tenure.

David Novak 5:40

Yeah. Yeah. In you know, the, the NYU Langone story really begins with with adversity. Can you kind of set the stage for us on on what it was like when you were CEO?

Speaker 1 5:53

Yes. So I started I was named the dean and CEO in March 2007. But I started in July, and I asked for all this information. And they had these books, these thick binders full of books, and they couldn't give me all the information. I said, there's something wrong with the system, I'm going to be like flying. And at that time, we were about $2 billion business. And it's like flying a 747 without any control panel. And on top of that, when I started to dig into the finances, we had a structural deficit of about $150 million a year, which was backstopped by a royalty from the drug Remicade, which is very dangerous, because if you have an event like Vioxx, the drug is out, and you're going bankrupt. And so we were confronted with financial instability, our bonds were about junk rated. And the facilities were old. That was that's what it looks like. And I didn't know anything. Other than that, other than that, it's perfect.

David Novak 7:09

Well, this is where your optimism had to add a big plus play as well. Why do you have a strong belief that you can turn the business around because you had to?

Speaker 1 7:18

Well, I wasn't, you know, I wasn't afraid of the job. And I never thought I was going to fail. I thought I knew what I wanted to do. And I said, we are going to be a world class, patient centered, integrated academic medical center. And people you know, at first were negative and not believers. But that was the vision, we tapped in, again, tapped into the aspirations of the people who work there. And I said, we're not going to accept anything except, again, what does it take to be excellent? Bob, that

David Novak 7:57

phrase, world class is thrown around a lot and loosely, you know, how did you make it mean something at NYU?

Speaker 1 8:04

So actually, in my investiture speech, I spoke about what it meant to be world class. And I said, you can tell by the metrics by the people who come here by who we recruit how we feel about ourselves, and when it would be proclaimed by external metrics, not us, not us just saying and by Deeds, not words,

David Novak 8:25

you've talked a couple times already about the importance of having an aspirational goal, because people want to be a part of something great. Talk a little bit more about that, and how you really came to that conclusion?

Speaker 1 8:37

Well, I think it's part of me, I always aspired to be a part of something great. And I think in general, a lot of people do. And, you know, many individuals have it in their innate ability to do something great. I was speaking to the head of neurology, who came and transformed a horrible department into maybe arguably the best neurology department in the world. And he didn't realize he had the gifts to be able to do that. And so a lot of people, give them the confidence in the institution and what you're doing, and actually, they're wonderful, and they can do the job.

David Novak 9:18

You know, I know Bob, you describe yourself as an unfiltered leader. What do you mean by that?

Speaker 1 9:23

Right? So that came out of this book by Gautam makhanda. What it means is, a lot of people come up through organizations and are sort of nurtured by the organization and those are generally people who do okay, but they're not going to be either exceptionally good or exceptionally bad. And then there are the people who are unfiltered leaders who don't come up the ordinary way, who have different life stories, if you will, and different experiences and You put them in a position of leadership and either they could be very great. Abraham Lincoln was considered, you know, giant, unfiltered leader, Winston Churchill, unfiltered leader, a lot of leaders who come up, say in general electric are filtered leaders, great leaders, but can either be very good or very bad because they've been trained in the system. And I clearly, I had no business experience. I didn't know what a board was. I had no idea how they operated. I have a little management experience, you're basically

David Novak 10:35

didn't have any biases that got you in the way of really pursuing the truth what it would take to turn around the business better?

Speaker 1 10:42

I think yes, I also think I was much more audacious. You know, I was at Harvard Business School, they did the case study of what we had done after Hurricane Sandy. And I remember sitting as a fly in the audience, and the case is presented. I'm thinking if I went to business school, I would never have been as I

David Novak 11:04

would have scared the hell out of

Unknown Speaker 11:05

you. Because right because they these guys were.

David Novak 11:09

Well, speaking of audacious, you know, you said you knew a lot of the staff when you took over a CEO and encourage you move quickly. You made some big calls, you took out a lot of people very early on how many people did you move out,

Speaker 1 11:23

we took out the top five people on the sixth person resigned. So the CFO, the president of the hospital, the Vice President of the hospital, the chief medical officer, and head of HR and the Senior Vice Dean on the school side. So all the management,

David Novak 11:40

how did you get the courage to really follow your conviction on that? Because obviously, you knew there had to be changed. But you know, you could go in there and be a little tepid, how fast did it take you to do this?

Unknown Speaker 11:49

I did it in one day.

David Novak 11:50

I fired off in one day, as soon as you became CEO. Yeah. First day, that takes a real strong conviction that you know,

Speaker 1 11:59

or, well, I didn't think about it. It's interesting. I knew I was right, intrinsically, I just said we're gonna do this. And of course, I spoke to Ken Langone. And he agreed, you know, that was the thing about Harvard Business School they didn't get. But it was the right thing for you

David Novak 12:20

clearly shock the system and people knew there was a new sheriff it down. There's no question about that. How important do you think that is, as a leader, when you take over,

Speaker 1 12:27

I think it's very important. One of the things about leadership is it starts when they push the button, and you have to get going, you can't take a while that people are expecting changes, and the expectations are very high. And to sit there, and just wait and wait. And wait, you lose that reservoir of support that you have initially, I learned that much.

David Novak 12:57

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Besides letting those top people go and replace them with talented people, you took some real specific actions to let people know that things were going to be different around here and and drive home the belief that you could actually become world class, can you? Can you share a few examples?

Speaker 1 14:06

Yeah, I just make that observation. So one of the members on our board was John Stewart, who had been the former CEO of McKinsey. And when, when he heard what I was doing, he said, Bob, it's never gonna work. You can't do all this change organizations can absorb it. A year later, it came back to me, he said you're exactly right. So and that was I thought that was pretty interesting. But we changed in three dimensions. So again, the missions of an academic medical center are education, research and clinical care. We measured we became very metrically driven on the clinical side and on the research side, and that's very important because previously, a lot of the investigators He had lived in the ether of ambiguity. So if you don't measure it, they think they're great.

David Novak 15:06

I love that ether of ambiguity. That's a great, thank you.

Speaker 1 15:11

When there's no transparency, everybody thinks they can do whatever the hell they want. And they just go proclaim themselves being great. And then on the educational side, we said, we're going to transform the curriculum to the 21st century. And on the clinical side, as I said, we held people accountable, both on the ambulatory side and the inpatient side will tell us a

David Novak 15:35

story about the elevators, for example, in terms of the specific action,

Speaker 1 15:39

so the Tisch Hospital, which was, which is our flagship ship possible, Tisch hospital had these elevators in the elevators. And the metaphor was, they were so out of date that in order to go up, you had to go down. Because you couldn't get in on the first floor because it was too crowded. And it was horrible, because doctors were then reluctant to see patients because it took 20 minutes to get up. I said, we're going to do elevators, and they everybody looked at me and said, Well, you can't put in elevators. I said, Of course we can. And we got a wonderful gift from the Tisch family. And we put in external elevators outside the building, and it transformed the way patients were seen. And the whole workflow because nurses and doctors, etc. Didn't want to take 20 minutes to go up and down in the elevators for lunch. But you saw

David Novak 16:38

very quickly a problem that had been occurring for years. 50 years, 50 years, and it was so visible, that it probably had as much impact in terms of telling them why things are going to be different as anything you could have done. Right.

Speaker 1 16:50

Correct. That was one thing that definitely and then I said we're going to build a new hospital pavilion, and everybody said, No. And there were a lot of those type of moments where you had all the naysayers and I said, of course we're gonna do this.

David Novak 17:05

It makes it sound so easy. You know, organizationally, you talk about replacing silos with clouds. That's an interesting concept. Explain now,

Speaker 1 17:17

right? Well, in healthcare, and in businesses in general, people tend to be siloed. And in order to really create value, and energy, you have to break through the silos and enable cross pollination, if you will. And so we incentivize people to work together. And again, part of it is creating transparency. And everybody sees what they're doing. And understanding the whole is greater than the sum of its parts and incentivizing that.

David Novak 17:50

Yeah. And you talked about, you know, the importance to move to being patient centered. You know, that seems like Well, of course, why wouldn't you be customer focused? Was, was that a big insight? Did everybody say, oh, yeah, that's a great idea let's be more patient centered, or was or do you have to sell that uphill?

Speaker 1 18:06

They liked the idea, but they didn't know what patient centered was. And I think that's very important. Because in healthcare, once you change the construct, when you're the patient, you understand what it means to be patient centered. And that means caring for the patient in a way that you want it to be cared for. And being empathetic, and compassionate. And being excellent.

David Novak 18:30

You know, vision is one thing, but you got to close the gap and really, really execute and understand you have like a one page roadmap. Can you talk about that?

Speaker 1 18:40

Yeah. So early on, I decided because again, academic health systems are pretty interesting and complex. And I thought, well, I'm going to try to articulate everything I wanted to do in the next five to 10 years on a one pager. And I sat there and I wrote up this one pager. And I think I got it pretty, right. It's handwritten,

David Novak 19:04

yeah, handwritten. Did you share that broadly with the organization was you kept?

Speaker 1 19:08

I kept it at my desk. But you know, when they said, I shouted, this is what a consultant, a low paid consultant.

David Novak 19:16

Yeah, you've talked a little bit about it. But I know that you made metrics instrumental to your turnaround and your passion about what you call your dashboard. You know, tell us about that. Right.

Speaker 1 19:27

So as I said, early on, this was like flying a plane without control panels. So I got a hold of the head of it. And I said, I want to build a dashboard. And he said, Of course, yeah, sure. We'll build a dashboard. And I said, get the people who own the data, because that's their silos, and we're gonna put them in a room with you. And I said, I'm the only person from the administration who's going to be there because I'm going to design it. Because if we put five people in the room, everybody's going to say I want it this way, this way, and nothing gets done. So I took the responsibility, took two years to design and build in the process, I fired him to get another head who would be much more effective. And I built it the way I wanted it as I saw it. And of course, there was naysayers in the room. And it turned out to be organic, and it was dynamic. And to this day, we have dashboard meetings every month to refine it, and everybody now, it's the only source of truth in the entire organization.

David Novak 20:33

Now, you said you built this dashboard the way how you wanted it, but you had to get a lot of input from other people so that they could own it. Right?

Speaker 1 20:39

Well, right. In the end, everybody owned it. And part of it was just using it as a means for evaluation. So they had by him,

David Novak 20:48

it sounded like this was one of those things where you just personally had to champion and then bring people along later. Exactly, exactly. You just knew deep down it was the right thing to do. And people kind of went kicking and screaming exactly how does a leader determine when those things are versus time, taking the time to make sure people are aligned? How do you look at that, that decisiveness versus alignment?

Speaker 1 21:10

I think you just know what I think good leaders have a lot of emotional intelligence, and your emotional intelligence has to you when you have to bring people along. And when you just make the decision,

David Novak 21:22

you know, a lot of CEOs kind of sit back and they kind of have their people bring stuff to them. And you know, they don't get involved in really making it happen. You seem to be a guy who rolls up their sleeves and get into the detail. And really, you know, if you want it done, you're in there to make sure it's done. Right.

Unknown Speaker 21:38

Right. Where'd that come

David Novak 21:39

from? Bob?

Speaker 1 21:41

Oh, I, you know, again, I think it's just part of the DNA. My wife would say, I'm on yours, because I'm pretty visionary. And I'm into the details. The details are really important for a CEO. If you don't know the details, you really don't know what's going on. But you shouldn't be a micromanager. People want to be successful and feel good about their job. So I think that's the resonant frequency you have to find.

David Novak 22:07

Now, you know, obviously, you manage that a lot of people you had to bring in a lot of talent. Did you own the talent process on the handball, did you get and recruiting the top people? Yeah,

Speaker 1 22:16

I was involved in recruiting the very top people, every one of them. And then of course, they if you get good people, they beget good people. And I replaced I think 31 of the 34 chairs.

David Novak 22:29

Can you tell us a story about a talent that you recruited? That really made a big difference? you're most proud of?

Speaker 1 22:35

Sure. I'm proud, proud of so many people. But give the story of Steve Galera, who is the head of neurology, a fantastic neurologist, and I knew him at University of Pennsylvania. He did research for me as a resident, and he was a great guy, fantastic student. But I was doing a research project and on on multiple sclerosis, and he came to me and he said, Bob, I want to work with you. And you know, he didn't know that much. But he was a great runner. He was all IV in the 100 yard dash. And I said, Steve, you're going to park the cars of the patients. And he did a fantastic job. And then so many years later, I recruit him. And he comes to NYU right before Hurricane Sandy and I spent forever trying to recruit him. And we had horrible neurology department. And he built it into just the most amazing neurology department have over 250. Neurologists

David Novak 23:40

now. Yeah, that's, that's amazing. Yep. You know, you when you have a lot of success, people go, Oh, man, look at that success. That's really great. You know, obviously, it is great. But did you have a failure along the way that really ended up being a blessing in disguise.

Speaker 1 23:56

I think I had a lot of failures. When I was at University of Pennsylvania, I was passed over to be the Chairman of the Department of Radiology. I was thought I was pretty good. And that's one of the reasons why I left Penn and went to NYU. Yeah, and made lemonade.

David Novak 24:15

That definitely did that. You know, how would you describe the culture that you've you've created? And how do you gauge that? Well, I'd

Speaker 1 24:23

say our culture is an aspirational culture. And I've heard the term I think that's a great term, we're an ad hoc recei, not a bureaucracy and a meritocracy, but really an ad hoc cracy and an ad hoc recei, meaning if you have a good idea, we're going to partner with you. And the difference is at NYU Lancome we created a structure and I would say very important in business and then academics. function follows structure. If you don't have a great structure, you can optimize the function of the organization. And so we created a great structure Are with minimum barriers and de minimis administration. And that enables us to really function as well as we have, you know,

David Novak 25:08

you mentioned, Hurricane Sandy, when you have a crisis like that, that's really when you probably find out how good your culture really is. Can you tell us that story? Sure.

Speaker 1 25:18

So that's a great story. And it's a great story about the heart and soul of an institution, Hurricane Sandy was something that nobody was prepared for. And we find out within 12 hours, we have 15 million gallons of contaminated water in our basements and sub basement. None of the backup systems were nothing's working. And the first thing we had to do is evacuate the 301 a patients. And once you evacuate the patients, it's all about time and money and leadership and with cans how he convinced the Democrats and the Republicans to work together in the Congress for this hurricane Sandy bill for New York and the surrounding states. And then it was just about piecing everything together. And part of the decision making early on, I was confronted with the fact that the institution was going to be shut down. And actually the emergency room was shut down for two years, and the hospital was shut down for over 60 days. And I said we're going to pay everybody. And that's a really important decision and Ken Langone agreed with it. And it totally made an enormous difference and how everybody felt about the institution. Because you know, when the chips are down, you see your character and the character of the people who work there, the character, the institution, etc. And in the end, I said, we're going to make lemonade out of the lemons. And we were very strong going into Hurricane Sandy already. And we emerged even stronger.

David Novak 26:52

Yeah, well, that's amazing. Yeah. And, you know, what's the responsibility of a leader when you have a crisis like that?

Speaker 1 26:59

So I think it's very important to be there. And one of the early things I did was move the senior management team, right to the lobby of the hospital. So everybody saw what was going on. And all day in day out seven days a week they, they saw us functioning, and that I think, provided some confidence, but leaders have to lead and make decisions. And it was all the time about decision making and an anecdote about that. On a plane ride, I was sitting next to a guy who was a fighter pilot. And I said, What's the hardest thing you do? He said, It's all about instantaneous decision making every minute every second. And I think that's what a leader is. They're making decisions all the time. And those decisions ultimately determine success or failure.

David Novak 27:52

We'll be back with the rest of my conversation with Dr. Bob Grossman. In just a moment, you know, Dr. Grossman had to take some pretty big risks to turn around NYU Langone health, and he couldn't have done it without the support of the chairman. They're the one and only Ken Langone. Now, Ken is a mentor of mine and a dear friend of boot. And it's funny, in our episode of how leaders lead can support his style of leadership comes through loud and clear.

Ken Langone 28:17

You want to have an environment where you encourage people to take chances. And if it's an honest, legitimate mistake, their careers aren't at risk. You want people to stick their neck out, who knows where the next greatest ideas got to come from? To me what came out of those calls, that I hope I encourage these kids to stick their neck out and take chances.

David Novak 28:40

I gotta tell you, the whole conversation with Ken is full of wisdom, and it's one of my favorites. Scroll back in the feed and give it a lesson. It's episode 89 here on how leaders lead.

If you had to boil it down, Bob and I know this is hard to do, because we've already talked about a number of things that you've done, what would be your secret ingredient.

Speaker 2 29:11

The secret ingredient is having the right people and with the right people and the right vision and being able to execute that vision. It's going to augur for success. I think the right people are so important because one person doesn't do anything. You know, really it's a team of people and that team has to be focused, driven. And and if you have those ingredients, you're gonna have success.

David Novak 29:49

What would you say is the most unique people challenge you have in your industry?

Speaker 2 29:54

Well, you deal with a lot of thoroughbreds. Okay. You have, you know, doctors and scientists, I think that the most brilliant people in the world and they're all going to win the Nobel Prize. And in general, accurate downmix are more negative than positive thinkers. And sometimes that's a problem and physicians in general, because they are so focused, they sometimes have difficulty seeing

David Novak 30:27

the forest. And yet, you've been able to get everybody aligned around this one patient, one chart, one experience, focus, you know, what really drove that? And how did you bring your people together to get to make this a reality? Well, I

Speaker 2 30:43

tried to get people to buy into the vision. And 1516 years ago, a lot of people couldn't see it. And I felt we could be the best institution in the United States, but it would take a lot of work. And, you know, David, people want to be at the best, they want to be associated with the best and especially in healthcare. And so to get the majority of people in our organization to think that they could be the best have confidence, if we did X, Y, and Z, that actually, they could see that we were going to move up the rankings and be one of the top institutions in the world. And that becomes a self fulfilling prophecy.

David Novak 31:33

You really coined as one patient, one chart, one experience, focus, and, and you've really used in technology as an enabler to make that happen. You know, what advice can you give to leaders on on how to make technology is an enabler,

Speaker 2 31:50

you have to have the correct technology. Let's begin with that, because there's a lot of technology out there, and you have to understand what actually works. And for us, when we originally looked at electronic health records, we wanted an enterprise solution. We want to know interface. And the technology became one of the foundational elements on which we could build a health system. So technology is foundational, it's not the solution, but it helps you get to where you want to be. You know,

David Novak 32:29

you've you've expanded from to inpatient facilities to now six, I believe, you know, it, I would imagine, every time you expand, there's a big discussion about how far you can really stretch your brand. How do you expand your brand into these new venues? Well, you have to

Speaker 2 32:46

be very careful. And brand is very important to us. And we try to be as deliberate as possible. And with respect to brand, we also want one culture, one culture. And so part of it is the electronic health record helps us because it also enables us to have one type of practice across the entire system. And you have to be careful, you want to add the correct doctors, you want people who buy into the understanding that this is very patient centered. And we expect excellence, we have very high standards. And a lot of people like it, some people may not like

David Novak 33:33

you mentioned culture, and I know you're a big believer in in culture, and you summed up your core values with the acronym of of pride, tell us about it and how you drive that deep as a leader? Well,

Speaker 2 33:46

we are a very accountable organization, and at the same time, very transparent. Associated with that. We care about performance, we care about respect. We care about integrity, diversity, and excellence. And we live by those values up front. And as I said, totally transparently. And your values really form your culture. You have to walk the walk, as well as talk the talk, if you know what I mean. There have to be tangible examples that you can use his teachable moments to express your values

David Novak 34:29

off the top. Can you remember one of those tangible moments? Where are you? Where are you? You did exactly that?

Speaker 2 34:35

Sure, we do it every day. We care. When somebody violates our integrity. We take appropriate actions when care is less than excellent. We discuss it openly. We try to learn from our examples and we try never to make the same mistake twice and that happens. You know On a daily basis extra,

David Novak 35:02

you say and I love this only the lead dog sees new terrain. You know, what's next? What's next for NYU Langone.

Speaker 2 35:12

First of all is every day is a new day, as you know, in a bit in any business, and what got you there doesn't keep you there. So you have to be very hungry. Everybody has to always be aligned. So for us what's next is we? We did. We're in the process of doing a merger in Suffolk County with a small community hospital. But we think it's an important hospital on Long Island. We hope to have a new hospital around Mineola, which will take five to six or so years. As you said, were in Florida, particularly in the Palm Beach area, and we hope to build our practice down there. In terms of science here, we're investing in science and investing in scientists. So we want to organically grow our scientific endeavors. In terms of education, we've been on the bleeding edge of changing education. So this year, our medical school is an all three year medical school. Traditional medical schools are four years ours is going to three years. And I think we reformed our entire curriculum, which I think is makes it even better for students coming to NYU. So there are a lot of things on our plate, and we keep every we're very aspirational organization.

David Novak 36:47

You know, that's a radical thing, you know, in a very established industry to go from a four year degree to a three year I mean, that yeah, that is a break. That is a major breakthrough. I mean, how in the world did you pull that off?

Speaker 2 37:00

So we started about seven, eight years ago, the students come into medical school today are different than when I went, they have far more experience in taking more courses. And it doesn't didn't necessarily make sense to follow an EDIC. From the earliest part of the 20th century. This, this is a Flexner Report, I think, in 1912, or something like that. And all the medical schools were lockstep with that. And we said, it doesn't make sense because the students are different. And actually, the fourth year of medical school was a time where most of the students auditioned. They went to other places to see if they can get residency, so they weren't even at your institution. And I thought the crime was that the parents are paying the tuition for the students to be all over the place. It really didn't make sense for a lot of the students. So we started a three year MD program, we're about 20% of our students took that pathway, and they became very successful. We have a lot of data for over 100 students who did that. And then a couple of years ago, four years ago, we started a nother small medical school for primary care out in Mineola. And that was an all three year school and that was tuition free as well. And all of those students did great. They just the first class just graduated, and we said, what the heck is wrong? We shouldn't be all three year. And we made that radical change this past year, and I think it's going to work out fantastically.

David Novak 38:52

Ken and Elaine Langone, I know surprised you a few years ago with the announcement that NYU School of Medicine was to be renamed the NYU Robert II Grossman School of Medicine. You know, that sounds pretty lofty. But tell us a story about that.

Speaker 2 39:07

Yeah, well, I, I was shocked. So it's a good story. Because I'm at this event with which is in the Hall of Dendur at the Metropolitan Museum of Art. It's a beautiful setting. And this was an event to honor Ken and Leigh. And as you can imagine, all of Ken's friends were there. It was incredible.

David Novak 39:30

Yeah, I was there, actually, I remember.

Speaker 2 39:33

Well, and I'm sort of the master of ceremonies, and we do the first part of it. And then the second part, and 10 gets up there and I'm looking at my watch and you know, we try to get out by nine o'clock and the second part didn't start I'm saying, oh my god, people are gonna be so unhappy because these things started droning on and on head gets up there and as usual manner and talks about, you know, what a great country and I'm thinking to myself, Oh my God that he says and now you're gonna hear from my wife laid it laying gets up there and you know, I'm actually not focused on what to lay the saying I'm focused on the clock, and it's about 930. And then I see my name up there the Robert I Grossman School of Medicine, and I couldn't believe it is beyond belief. And you know, I'm so grateful to Ken and Elaine. As you know, David, they're the greatest people in the world.

David Novak 40:38

Yeah, that's great and well deserved honor. And every, everybody loves standing up and giving you the ovation that you deserve. You know, I like to get into the minds of leaders to learn how they make decisions. And we talked a little bit about this already, but But it's your school of medicine, students get free tuition. Where did that idea come from? And how did it become a reality?

Speaker 2 41:01

So the idea actually came from me, and I was a scholarship kid from the time I started college through medical school. And when you have significant needs, you live from hand to mouth a lot. And I thought, you know, it's just unconscionable and a moral imperative for students not to feel the debt burden that they've accrued, over years of education, and this became Honorius, where you had students graduating with $200,000, rather than 300,000 of doctors, married doctors, you know, five and $600,000 worth of debt, and you just can't get out from under that debt burden. So it was really something I felt strongly about Ken bought into it. You know, it's interesting, David, I'll give you one anecdote here. We used to have lunches for students, you know, everybody shows up because they are living at the margin, the students. And so for us, and Ken agreed it was critically important, then the question how to do it. And you have to be focused, and it's a long term objective, and why haven't so many other schools done it as a very difficult to do?

Unknown Speaker 42:29

Because

Speaker 2 42:30

the easy thing is to take philanthropy and put it into buildings, put it into something where you can get your name on it. And here getting a corpus for tuition takes a long time, it took us I think, 12 years,

David Novak 42:46

this raising the money and getting that done, you know, and plus you turned the hospital into a real profit generator to which had to help, right?

Speaker 2 42:55

Absolutely helped. But yeah, you know, this, this was from philanthropic amazingly generous donors.

David Novak 43:05

Yeah, that's great. You know, what do you remember, Bob, about the day this was announced to the students?

Speaker 2 43:12

The students couldn't believe it. Students and their parents, it's impossible to really say they give you the feeling in the room. And I remember one student's father, yelling to the student, you made the right choice. That's great. But the truth was, it was overwhelming. And what it did for the students, you know, we surveyed them. And one of the things they said it decreased their stress.

David Novak 43:49

And it's been almost five years since the day that you made that announcement. And what's been the biggest challenge that you face as a result of that decision?

Speaker 2 43:58

Well, the question isn't a challenge. It's a question. You know, when you get something for nothing, do you appreciate it as much? And I hope students do because we worked very hard for it. And it was very meaningful to the donors. And sometimes, you know, you just take it for granted. And that's something we I don't think it's I don't think they take it for granted. But I hope not.

David Novak 44:30

Yeah. That's an interesting, interesting insight. And it is true in so many places, but you're just taking such an overwhelming burden off their hands. I'm sure they'll be grateful forever.

Speaker 2 44:41

I hope so. And, you know, as Ken said, I hope they remember when they become successful to give back.

David Novak 44:48

Yeah, you know, you Bob, this been so much fun talking to you. And I want to have some more with my lightning round of q&a. So are you ready for this? Sure. What do you have for breakfast

Unknown Speaker 44:59

cereal peanut butter and jelly.

David Novak 45:01

The breakfast of champions as a true Doctor, what's one word others would use the best describe you

Unknown Speaker 45:09

may be focused.

David Novak 45:11

What would you say is the one word that best describes you?

Unknown Speaker 45:14

Interesting fun.

David Novak 45:16

The best word to describe your golf game.

Unknown Speaker 45:22

Frustrating.

David Novak 45:25

If you could be one person beside yourself for a day, who would it be? And why?

Unknown Speaker 45:30

Lebron James?

David Novak 45:33

Why is that? Well,

Speaker 2 45:35

I can't imagine what it's like to be such a consummate athlete.

David Novak 45:41

He really is, you know, and what's the best word you'd use to describe being a doctor?

Unknown Speaker 45:46

I think passionate about

David Novak 45:50

the best word describe being a CEO driven. Your biggest pet peeve.

Unknown Speaker 45:56

Government.

David Novak 45:58

Describe your last I can't believe this is happening to me moment. The

Unknown Speaker 46:04

answer is Hurricane Sandy.

David Novak 46:08

We talked about that. Your most your most famous patient

Unknown Speaker 46:12

was Ken Langone.

David Novak 46:16

What leader do you pull a lot of inspiration from and why?

Unknown Speaker 46:20

I liked Harry Truman and Dwight Eisenhower,

David Novak 46:23

because they were both great leaders

Speaker 2 46:25

and they lead in spite of a lot of negativity and tremendous odds.

David Novak 46:34

What would I hear if I turned on the radio in your car?

Unknown Speaker 46:38

Probably Frank Sinatra.

David Novak 46:41

What's something about you a few people would know, I have

Unknown Speaker 46:44

a very good eye,

David Novak 46:47

an eye for everything.

Speaker 2 46:49

I you know, as a radiologist, it's all about vision. And I think I see things differently. I have different aesthetic tastes and things like that.

David Novak 47:02

Interesting. You know, that's it for the lightning round. Thank you very much. You know, keep keep eating those healthy breakfasts. As Bob, you know, a couple of final questions, and I'll let you go. You've had such a remarkable career, when you look at your, your own being your own person, what, what's your unfinished business?

Unknown Speaker 47:21

I want to continue what we're doing here because we have a lot of unfinished business. And I'm sort of pretty happy, where we where I am in life.

David Novak 47:37

Great, great. What's one piece of advice you'd give anyone who wants to be a better leader,

Speaker 2 47:43

find things you're passionate about, and care deeply about them, and focus on them. And it's very important, I think, as leaders, it's not good enough to have a vision, you have to be able to execute the vision. And the combination makes you successful.

David Novak 48:04

You know, Bob, you, you are so passionate. And you are such an extremely gifted leader. I actually think you're instinctually one of the best leaders I've ever ever talked to in my entire life. And, and what you're doing is not only changing NYU, NYU Langone, you're changing medicine, and you're making the world a better place, and you're really leaving a lasting mark on the world. And I love the fact that you, you've got so much more to do, and I know you're gonna get it done. And I want to thank you for sharing your story. And being with us today, I truly appreciate it.

Well, I don't know about you, but my mind is spinning. With all the leadership wisdom, Bob just shared how you got to harness the power of belief, tap into people's aspirations, and just be yourself. You can see how all those lessons have played a role in the incredible turnaround at NYU Langone health. But it's not just talk. Dr. Grossman doesn't just let people say they're doing a good job. He needs to know those results are really happening. And the dashboard he championed, has given everyone a clearer picture of what's really working and what's not. It's brought transparency and accountability to their work. And it's really made a difference in their overall performance. When you're in charge, it's not enough to have just strong values and ideas. You've also got to create accountability so you can make sure all that good stuff is truly happening in your organization. This week, I want you to come up with one idea to bring more accountability to the work you do. How well do you measure what's working and what's not? Are your metrics visible to the people who need to see them? What kind of structure do you have in place for follow up and review? Dig into one of those questions this week? Because When you find ways to bring more accountability to the work you do, you'll find new levels of excellence to absolutely sure of it. So do you want to know how leaders lead? What we learned today is the great leaders create accountability. Coming up next on how leaders lead is been Weprin, CEO of Ajay capital and graduate hotels.

Ben Weprin 50:22

When you're trying to manifest something, you have to be able to tell that story. You have to be able to articulate your unbridled passion and interest very clearly. And people have to believe that you're going to do it. We're building something as in the future, you have to be able to believe my story, or you're not going to invest in being part of that journey. And so the story is, is everything.

David Novak 50:43

So be sure to come back again next week to hear our entire conversation. Thanks again for tuning in to another episode of how leaders lead where every Thursday, you get to listen in while I interview some of the very best leaders in the world. I make it a point to give you something simple on each episode that you can apply to your business so that you will become the best leader you can be

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