Episode 42
A 2025 Deloitte survey found that solution-oriented leaders in healthcare practices improve team productivity by 23% through enhanced operational efficiency. Yet in most private practices, the management culture is the opposite — managers earn their status by surfacing problems, not by quietly preventing or resolving them. As Albert Einstein said: we cannot solve our problems with the same thinking we used when we created them.
The Manager Who Prevents Problems Is Worth More Than the One Who Solves Them
Brandon's analogy: when you walk into a restaurant and see the manager running frantically between the kitchen and dining room putting out fires — that's not a sign of a great manager, that's a sign of a preventable system failure. The best managers make everything look effortless because they've anticipated and addressed issues before they became visible. The goal in every private practice should be the same: build managers who lead with a prevention mindset, not a crisis response mindset.
Brandon's case study: a manager at one of his client practices who generated constant noise for six months. His approach was methodical — he removed function after function from the manager's plate to isolate whether the problems were real or manufactured. The answer became clear: the manager's perceived job security was built on the volume of problems she was visibly managing. Once those were removed, the noise continued. The role was not a fit. Resources like the GROW coaching model and the book Crucial Conversations give managers structured frameworks to shift from vocalizing problems to proposing and testing solutions.
Seven Strategies to Build Better Managers
Brandon's framework:
- Hire managers, not career ladder climbers — management should fill the bucket of the person doing it.
- Develop soft skills: emotional intelligence, active listening, constructive feedback delivery.
- Provide practical on-the-job training through job rotation and real-world scenarios.
- Invest in continuous learning — books, podcasts, group coaching programs.
- Implement regular 360-degree performance feedback.
- Foster collaboration through team building.
- Gamify results and accountability — make solving problems a source of pride and recognition, not just a job requirement.
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