Otis White

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How a Leader Assembles a Winning Team

April 4, 2019 By Otis White

The Buffalo Niagara Medical Campus in Buffalo, New York is so successful today, it’s hard to imagine it didn’t always exist. But it dates only to 2002, when five institutions agreed to collaborate in planning their adjacent properties and recruiting others to join them on the 120-acre campus.

How successful has BNMC been? Matt Enstice, its president and CEO, recites the numbers off the top of his head: from 4.5 million square feet in 2002 to 9 million today; from 7,500 employees to 16,000; from five institutions to nine anchor institutions plus 150 nonprofits and companies. Fueling all this has been $1.4 billion in private and public investment.

So when Enstice and others began talking about the campus idea in 1999, everyone could see its merits, right? Well, no. The five original institutions, which included a hospital, a cancer research and treatment center, a university, an independent research institute, and a large medical practice, didn’t exactly oppose the idea but weren’t convinced it would work, either.

“It took a huge amount of volunteer time,” to get the medical campus idea off the ground, said one of the founders, Tom Beecher, an attorney and veteran civic leader. Assurances were made to the institutions: This would not be a governance organization and would not replace existing boards. Skeptical neighborhood organizations had to be convinced that these institutions would welcome their ideas. Foundations and political interests had to be persuaded.

And then there was the sheer weight of cynicism. You see, the idea of a medical campus in Buffalo wasn’t a new one in 1999. It had been tried before. Several times. At one point Enstice gathered all the failed plans. “I had a stack of plans up to my waist,” he remembers, “and I’m six feet tall.”

So how did Enstice, Beecher, then-Mayor Anthony Masiello, and consultant Richard Reinhard turn the idea of a collaborative, entrepreneurial medical campus from repeated failure to success?

They did it the way great civic leaders always do these things: They saw the way forward, creating not just a plan but a strategy. That’s a critical distinction. Lots of people, it seems, are good at creating plans, but it’s a rare leader who knows how to move from plan to reality.

This was the case in Buffalo in the 1990s, where many could see the city’s needs. (A big one: What could replace our fading manufacturing economy?) Some could even see solutions. (How about building around one of our bright spots, the city’s medical and biosciences economy . . . perhaps by centering it in a campus?)

But only an experienced and respected leader could see how to put the pieces together by assembling a team of planners, advocates, and strategists, anticipating the objections they would face, shaping the arguments, finding money for starting the effort, identifying early wins, and building momentum.

Fortunately, Buffalo had such a leader in Mayor Masiello. His talents lay in three areas: He had relationships with the right people, he knew how government worked and what it could do, and he was a natural cheerleader.  He also had a good sense of timing. He recognized that, in 1999, there were changes at the top of the medical community, so there was a little more openness to trying something new.

His first step was probably the most important one. Masiello picked the right people for this project. Beecher had deep relationships in the philanthropic and health care communities (he had chaired one of the hospital boards). Enstice and Reinhard, who had been Masiello’s chief of staff, were natural organizers with a deep understanding of communities. And Masiello was comfortable leading from behind, as cheerleader, early funder, and remover of political obstacles.

Along the way these four made smart tactical choices. Example: How they invited people into the planning effort. Their rule: You could participate only if you brought money, which they called “skin in the game.” This built commitment to the project and cleared out the time-wasters and political hangers-on who had bogged down earlier efforts. Another example: When they created the BNMC board, they suggested each of the large institutions have two representatives, one of whom must be the institution’s chair. Their thinking: While the CEO would be focused on the institution, the chair would have a longer, broader view of the city’s wellbeing. Again, it built commitment to the idea of a collaborative campus.

There were a half-dozen other things the team did well, from finding and exploiting early “wins” to involving the neighborhoods in exactly the right way. Knowing that Buffalo was, as Masiello puts it, a “seeing-is-believing town,” they led leadership tours of successful medical campuses around the country.

But none of this would have been possible without the decisions made early on by Mayor Masiello: When is the right time to get started? Who are the right people to lead this effort? What obstacles will they face? And what can I do to help them succeed?

A version of this posting appeared on the Governing website.

Photo of the medical campus and downtown Buffalo, courtesy of the Buffalo Niagara Medical Campus.

How to Listen Effectively

April 18, 2011 By Otis White

On his 27th birthday, John Francis, an environmental activist who loved to argue, decided to be quiet for one day and listen to others. The result changed his life. What he learned on his day of silence was that he hadn’t really been listening at all. “I would listen just enough to hear what people had to say and think that I knew what they were going to say, and so I would stop listening,” he said in a speech not long ago. “And in my mind I just kind of raced ahead and thought about what I was going to say back while they were still finishing up. And then I would launch in. Well, that just ended communications.”

At the end of his birthday, he decided to be quiet for another day. And another. And then for an entire year. In all, John Francis remained voluntarily silent for 17 years, during which time he earned three college degrees (including a doctorate), taught classes using sign language, and walked across America. And he listened, really listened, to the people he met. (If you want to know more about Francis’ amazing story, you can hear it—yes, he speaks now—by viewing one of his presentations online.)

I doubt I could manage even a day of silence, nevertheless years. Perhaps you couldn’t either. But you don’t have to be silent to listen more effectively. And it’s a skill worth learning, maybe the single best thing you could do to make yourself a better leader.

Why? Start with the obvious: You can’t be a leader unless you have followers, and you can’t gain followers if you don’t understand them well enough to represent them. This involves listening. If you want to be effective as a leader, you’ll have to be more than a mouthpiece for a group: You’ll have to negotiate for your followers, and effective negotiating means knowing how leaders of other groups think about things. Finally, leadership means sometimes having to change your followers, as when circumstances shift dramatically and your group has to adapt. To do any of this involves listening deeply—truly taking in others’ fears, hopes, vision and motivations—before acting.

There are other reasons listening can make you a better leader: You’ll arrive at better solutions because you’ll have more complete information. Your ideas will gain greater support if you’ve developed them after consulting others. You’ll make fewer gaffes if you know others’ sensitivities. Finally, you’ll enjoy one of the greatest benefits of civic leadership, which is to learn about people who are different from you in background, temperament and world view.

And it all begins with listening. So how can you improve your listening skills? Here are some ways:

  • Start by concentrating. This sounds simple but isn’t. The greatest obstacle to listening is distraction. Instead of paying attention to others, we let our minds wander—to what else we need to do, whom we need to see, what we’ll say next, and a hundred other things. So begin your meetings with a reminder: Stay focused on the other person’s words.
  • Ask open-ended questions that require explanations rather than closed-ended questions that can be answered with a “yes” or “no.” So you might ask, “How did you feel?” rather than “Were you angry?” because it offers a fuller understanding of the person. And keep your questions brief. The simpler the question, the more detailed and candid the responses tend to be.
  • Listen for insights into the person. People often say a lot more than they intend or we expect them to say; as a result, we don’t always take in what they’re telling us. Your meetings may be about a community issue, but if you ask good questions and listen carefully, you can learn a lot about the person who’s talking. You can not only get her opinions, you can get her life story and motivations, how she forms opinions and reads people. These things can be critically important later on as you work with this person. So listen for these deeper insights.
  • Take time. It takes a while to understand people, and the longer you spend, the more you learn. Don’t expect to learn someone’s life story, philosophy and motivations in 30 minutes’ time. Plan on an hour or more, which is why lunch can be a good time for such meetings.
  • Make it comfortable. Here’s another reason to consider lunch as a good setting for listening: It gets the person out of her office and away from her desk. Simply moving to neutral ground will sometimes open up conversations, particularly if the person has reason to see you as a potential adversary. But be careful: Chose quiet restaurants where you won’t be rushed, and think of places where the other person might feel comfortable.
  • Make eye contact. It seems like a small thing, but looking a person in the eye builds trust and comfort. And for you to listen deeply, you need people to trust you and feel comfortable sharing their hopes and fears.
  • If they attack you or your group, don’t be defensive. Ask the person why they feel that way. Keep in mind that every civic leader comes under attack from time to time, sometimes unfairly. If you meet anger with defensiveness, it deepens the antagonism. But if you seek to understand the anger, it diffuses it—and may win you grudging admiration. It’s something good salespeople know: When the customer attacks, don’t defend; probe.

At some point, though, we must move from listening to acting, right? Of course, but as international mediator Mark Gerzon says in his book “Leading Through Conflict,” we don’t suffer in American life from too much listening (which Gerzon calls “inquiry leadership”). We suffer from too little listening and understanding. Here’s Gerzon’s advice about when to move from inquiry to advocacy:

The general rule is this: inquiry precedes advocacy. If you (1) are uncertain about having reliable, complete information; (2) have not yet engaged all the relevant stakeholders; and (3) doubt that you will have sufficient votes, power, or other support to put your plan in action, then it is time for inquiry, not advocacy. However, if you (1) have access to all the necessary information, (2) have obtained input from all the necessary people, and (3) have mapped a clear road to implementing a viable plan, then go ahead. Advocate your “solution” to the issue or conflict, and begin to rally everyone behind you.

In other words, until you understand an issue from all sides, have a clear plan, and enjoy broad support, listen up.

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About Otis White

Otis White is president of Civic Strategies, Inc., a collaborative and strategic planning firm for local governments and civic organizations. He has written about cities and their leaders for more than 30 years. For more information about Otis and his work, please visit www.civic-strategies.com.

The Great Project

Otis White's multimedia book, "The Great Project," is available on Apple iTunes for reading on an iPad. The book is about how a single civic project changed a city and offers important lessons for civic leaders considering their own "great projects" . . . and for students in college planning and political science programs.

For more information about the book, please visit the iTunes Great Project page.

Follow Us on Mastodon

You can find Otis White’s urban issues updates by searching on the Mastodon social media site for @otiswhite@urbanists.social.