Leading a global health organization

11-Mar-2010


Tachi Yamada the President of the Bill & Melinda Gates Foundation - Global Health Program was interviewed in the New York Times recently.

Here is our synopsis:

Becoming a manager

The most difficult transition to becoming a manager is the issue of delegation. What do you give up?  If you micromanage, you can stand over everybody and guide them - but you won’t have enough hours in the day to do that.  Learning how to delegate and still make sure everything happens is where I learned the principle of “micro-interest”.  I monitor the details.  I have intimate knowledge of what’s going on, but I don’t tell people what to do.

Focus on the critical things

If there are 10 tasks in a project, what is the one thing that everything else hinges on?  Problems can occur in the other 10 areas, but they won’t determine the overall outcome.  There may be one or two points where the outcome of the entire project is at stake, and you’d better be on top of these.

Focus on what is great

You can’t go into an organization, fire everybody and bring in everybody you want. You have to work with the people you have.  If I spend my time focusing on everything that’s bad, I’ll get nothing done.  Or I could say, what are the best things about the people I have?  What makes them great, and how can I really improve them one or two notches?

Hire those who embrace change

Take somebody who’s moved 10 times in their lives.  And then take someone who has lived in one town their whole lives. Who do you think is more willing to change?  Hire people who truly embrace change, otherwise you will have an organization that’s constantly fighting to stay at the status quo.  That leads to stagnation, and there are many examples of companies that have failed because of that.  

Hire for intelligence

You can’t train people to be more intelligent.  It’s not about whether they can add and subtract six-figure numbers - but that they can take a complex problem, break it down into its pieces and figure out the best way forward.  There’s nothing more complex and abstract than human relationships.  And if they can work their way through a human relationship problem intelligently, my guess is that they’re very smart people.

Give direct feedback

It doesn’t matter how many good things you say, the one bad thing is what sticks. So if I have something negative to say, I will say it.  I will be clear about it.  I won’t try to couch it in a lot of positives.  People have a natural tendency to not want to hear a negative message, so I try to do it as quickly as I can, and I try to do it in the moment.   But I also try to give positive feedback in other moments.  To try to mix the two is very hard, because the positive messages get lost in the one negative message, and the negative message gets garbled.

Get outside your own geography

You can’t possibly be competitive in today's world unless you actually go outside your own geography and learn the way other people live and think.   What’s "out there" is more important than what you already know.

Be with people

When you are with somebody, make that person feel like nobody else in the world matters.  I turn off my mobile phone because I don’t want the outside world to impinge on the conversation we’re having.  Every moment counts, and that moment is lost if you’re not in that moment 100 percent.
 
Stephen Lynch

Chief Operating Officer - Global Operations
RESULTS.com


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