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Needed: Healthy Incentives to Stop Getting Fatter

Buried in the current debate over healthcare reform is the fact that 70% of our health care spending is to treat “lifestyle-related chronic disease.” That’s a polite way of saying that two-thirds of our healthcare costs are due to Americans getting fatter. And THAT is just an incredible statement, which I would not believe except that it came from Ross DeVol and his crack economic team over at the Milken Institute.

healthy choicesEven worse, for every dollar we spend on healthcare, we lose three to four times as much in lost productivity. This is through absenteeism (sick days), “presenteeism” (when sick people show up for work to avoid losing pay and then perform below par); and time off for care-giving.

Taken together, the healthcare and lost-productivity costs of chronic disease now add up to a trillion-dollar a year hit to the U.S. economy. Half of all Americans now suffer from a chronic disease. Two-thirds of us are overweight or obese. Things are only getting worse, since obesity spreads like a social epidemic.

The single most effective way to promote affordable healthcare and economic growth is to give people financial incentives for healthy behavior.  One organization which is leading the way on tying financial incentives to reducing obesity is the Harlem Children’s Zone, under the leadership of its visionary CEO, Geoffrey Canada. Unfortunately, the healthcare legislation taking shape in Congress reflects the view that people should not be responsible for their own unhealthy behavior. This is a huge missed opportunity.

Let’s you and I do our part.  We each can resolve to make healthy choices.

I know that for my own family, this is easier said than done. Having recently had a baby, I’ve got another 15 to lose. We’re working to ease my husband from his KitKat-cheeseburger-beer “old Dave” ways, and that is an ongoing process. As for our daughter, we’ll try to raise her with healthy habits from the start.

You in?

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What to Make of Steve Jobs and Apple

Last Friday night around midnight, The Wall Street Journal broke the news of Steve Jobs’s liver transplant last April. The story raised more questions than it answered. Here’s a round-up of the week’s most interesting commentary, and how to think about it all.

steve jobs sickThe Wall Street Journal story was unusual on two counts. First, they offer no source for the information — not even an “according to sources familiar with the matter”. Deputy Managing Editor Allan Murray, asked about the lack of sourcing, simply says “Trust us. We’re the Wall Street Journal.” Apparently, everyone does, as all the other news outlets have picked up the story only by sourcing the Journal itself.

Second, as blog Daring Fireball notes, the fact that this news broke months after the transplant, at midnight on the day of what seems to be the most successful new product launch in Apple history, appears to be beyond coincidence. The leak came from Apple itself, because someone wanted it told that way, and on that day.

The New York Times followed by saying that Apple’s obsession with secrecy is nothing new. To enter their offices, employees working on secret projects must repeatedly swipe their badges and enter numeric codes. But even by Apple’s standards, the story notes, the company’s handling of the news of Jobs’s health has been unparalleled.

Times business columnist Joe Nocera wonders what it really mean that Jobs now is back at work. Is he part-time? To what extent will his health continue to impinge on his ability to function as CEO?

Forget about all the good-hearted but misguided people who say we should  respect the privacy of Steve Jobs. If this were, say, Cirque du Soleil, I’d agree that we should simply shut up and enjoy being enchanted. That’s because Cirque is privately-owned and controlled by its largest shareholder, its wildly-creative founder and chairman, Guy Laliberte.

Apple, on the other hand, is public, and thus has responsibilities to be transparent and avoid lying. Remember in January, when Apple claimed that Job’s condition was nothing more than a hormonal imbalance? We’ll see what the SEC has to say about that.

All this puts Apple’s board in a bind. Steve Jobs is not allowing them to do what I’d argue is the most important job of any company board of directors: to put in place a succession plan. In fact, he has a history of actively cutting off at the knees anyone who does get named his successor. As technology pundit Rob Enderle puts it:

His health has made his dependability questionable and his ability to actually do the job as he has defined it nearly impossible. He appears to tie his own mortality, as many do, to retaining the job which actually means he likely feels the only way he is leaving is if is no longer living and the stress of the job coupled with his weakened health makes that more likely.

The Apple board can’t back-fill him without Steve acting to protect his job and forcing out the person the board selects, and the board can’t fire him because that will result in the very problem they are trying to avoid near term. They are seriously stuck with a problem they can’t fix and yet will be held accountable for. Watch for any drama between Jobs and anyone seemingly positioned as his heir. The last true Jobs heir was Jon Rubenstein, and he was driven out of Apple some time ago and currently runs Palm.

I’ll give the last word to business writer Bill Taylor, who advises, if you admire the leadership of Steve Jobs – and there’s so much to admire in what he’s achieved – do not try this at home:

Jobs, for all of his virtues, clings to the Great Man Theory of Leadership — a CEO-centric model of executive power that is outmoded, unsustainable, and, for most of us mere mortals, ineffective in a world of non-stop change. A Wired magazine cover story from last year made the point well. The article begins with a memorable anecdote — the CEO, in search of a space in the company’s crowded parking lot, regularly leaves his Mercedes in a handicapped space, sometimes taking up two spaces. The pattern became so noticeable that employees, according to the article, put notes on his windshield that read, Park Different.

Humility is not part of the Steve Jobs leadership repertoire — and that’s worked out fine for him. But humility has become a crucial part of the job description for leaders who aren’t Steve Jobs. So marvel at his products, applaud his feel for design, wonder at his capacity to cast such a large shadow over so many industries — and, by all means, pray for his speedy recovery and long health.

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Bonne Anniversaire Cirque du Soleil

This week marks the 25th birthday of Cirque du Soleil, the extraordinary circus for adults, whose mission is to invoke the imagination, provoke the senses and evoke the emotions of people around the world.

If you’re not among the 90 million who’ve been, what are you waiting for?

I’ve got a clip for you, from the show Alegría. Alegría is Spanish for Joy, but I chose this clip because the theme of this show is the abuse of power and the subsequent struggle for freedom. It’s a story of hope and perseverance, and a haunting elegy in light of the bloodshed unfolding this week in Iran.

Cirque was founded in June 1984 by college dropout, folk musician and fire-eater Guy Laliberté. In the quarter century since, Laliberté has built his troupe of stilt-walkers into an $800 million empire with 4,000 employees from 40 countries. He’s now one of Canada’s richest men, and a regular on the Forbes billionaire lists.

Along the way, he bought out his co-founder and has rejected numerous buyout offers in favor of keeping control over his singular vision. The company remains independent and privately owned today.  That has meant scrapes with bankruptcy and risk-taking that would make most investors quiver. He remains the company’s controlling shareholder, reportedly still owning 95% of the shares.

Now only 49, Laliberté remains the guiding visionary in charge of every show. As he puts it:

“I am blessed for what I have, but I believed in it from the beginning. Today, the dream is the same: I still want to travel, I still want to entertain, and I most certainly still want to have fun.”

Laliberté’s reign at Cirque someday will come to an end. He’ll decide to sell, or he’ll just plain get tired. That juncture will be a true test for the company.

Meanwhile, we’ll continue to revel in the magic, shouting, Vive le Cirque!

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54% of Workers Plan to Resign After Recession Ends

The latest unemployment news to get my attention: Not only is unemployment at historic highs, but also the percent of people who have been unemployed more than six months is 50% higher than at any time since the Great Depression. This will have long-term implications for unemployed Americans and the economy at large in terms of damage to psyches, checkbooks, and skills. At the thought of all this pain, my heart aches. I’m sure yours does too.

Some CEOs assume that, with all this bad news, people who are working feel lucky to have a job.  So they’re focused on what they need to do to get through the recession: manage cash and cut expenses.  Employees, as the biggest expense for many companies, are getting short shrift. Companies are lowballing job offers, cutting pay, denying bonuses, and generally putting a lower priority on their people.

businessman escapingThe problem with ignoring your people is that your most important assets also are your most tenuous. And having a job does not equal job satisfaction.  Over half of working adults say they are likely to look for a new job after the recession ends.

The numbers are staggering:

  • 66% of American workers are currently dissatisfied with their compensation
  • 76% are dissatisfied with future career growth opportunities at their company
  • 48% are dissatisfied with the relationship they have with their boss
  • 77% are dissatisfied with the strategy and vision of the company and its leadership

CEOs looking hopefully toward economic recovery may be shocked by an unprecedented exodus of talent when that time comes.

Better rev up your retention efforts now. And, start with your pivotal talent!

_____

* Hat tip to HR Chief Bill Budzinski for sending me the worker dissatisfaction data.

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Nine Tips to Make Reference Checks Count

Next time you make a hire, do not rely solely on the interview process. reference-checks-kittenResearch shows that what we know about ourselves is fairly limited, with many of our impulses, traits and beliefs residing in our subconscious. See photo.

The current recession only further increases the business risks of each new hire. To reduce those risks, conduct good reference checks, since reference checks are the only way to verify what a candidate is really like. Do not ask the most commonly asked reference question: “Tell me about Laura’s strengths and weaknesses.” It prompts bland generalizations, and leads nowhere.

Here’s how to make reference checks count:

1.  Create a roadmap. The goal of referencing isn’t to dig dirt, or to get gossip, but to verify a candidate’s fit for the position.  Identify the specific skills, competencies and personal characteristics required for the position, and reference against those.

2.  Focus on references from the past five years. People grow. Studies show that the best predictor of future behavior is immediate past behavior.

3.  Conduct 360° references.  Don’t just speak with former bosses. If the candidate you are considering has already had some career success, she’s already shown some skill in managing upwards. Often, the most revealing references are provided by direct reports and peers.

4.  Always go off-list. Inform the candidate that it’s your policy to identify and call people not on her list, and ask if she has any concerns with that. If yes, those concerns can be revealing. When speaking with her references, always ask if there are others who might have different perspectives on what it was like to work with her. Then call them.

5.  Take control of each call. Avoid wasting anyone’s time. Start each call knowing exactly what you’re after on that call.  Could be one thing, or four, based on your referencing roadmap, and when and in what capacity this referee knows your candidate. Perhaps you have a question around a candidate’s departure from a certain job, or how well he manages his peers. If the conversation veers off-topic, promptly steer it right back to your agenda.

6.  Get specific examples, then drill down. Don’t ask present-tense questions: “How does she…” Rather, get specific examples from the past: “Can you remember a time when Susan actively mentored a member of her team?” When you hear generalizations, get examples. For each example given, drill down to find out the original Situation, what Actions she took, and the Result of each example. S-A-R.

7. Identify developmental areas. One of my favorite questions, at the end, is: “If you were his executive coach, what would you have him working on in the next three years?” More effective than asking for the candidate’s weaknesses, and opens the door to further probing.

8. Hit Pause. If the reference ever hesitates, wait. People do not like breaks in conversation. By pausing, you’ll often get the most revealing insights.

9.  Take notes. Research shows that memories of conversations always are faulty, and are colored by one’s own opinions of the candidate. I always tap along on my computer, taking near-verbatim notes. When I review and type them up, I always see things I forgot were said. Try to take down nearly everything that’s said on your call, so you can later assemble your notes from all the calls to get a more rounded view of your candidate.

Five or six reference checks like this, lasting 45-60 minutes each, and you’re done. Yes, that’s a serious investment of time, but it pales in comparison to the cost of a wrong hire. And, if all works out, you’ll gain excellent insights for onboarding your newest hire.

Was this helpful? What are your experiences with referencing? Let me know if you have questions I should address in future posts.

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