A new threshold – laid off

By September 21, 2012December 16th, 2018Caregiver, ePatient, Leader, Consumer

As you were recently informed, due to the need to reduce operating costs, the Hospital is required to eliminate positions. Unfortunately, your position is one of those affected by this difficult decision.

A definite threshold in a health journey. Going through the stages of grief exiting one space and excited by new prospects as I enter the next. This is where some earlier posts on my blog come in: ResiliencySuperpowersRest, Improvisation.
What have I learned these past few weeks about the industry? Frantic rush to merge, expand, and cut expenses – dynamic tension between these simultaneous imperatives. A few organizations are well poised to consider, now what – many are not. The challenges of creating systemness and alignment from diverse cultures and entities, always endemic in health care, are now more pressing. Rapid, intense change causes teams within organizations to constrict, contract, protect. Leaders can leverage this stressful opportunity to create alignment by focusing on the patient, providers, and staff experience. Who can disagree with this beacon? Focusing on patient experience across the continuum of care is intrinsically rewarding – spiritually healing – and makes business sense because positive experience prevents leakage and increases loyalty. Clinicians are critical – they understand healing. Leaders need their help applying their craft to organizational health. Their jobs are harder, they need superpowers more than ever. They know where the system is weak and wasteful, just look at their workarounds – pearls  for change. Patients want their journey to be simpler and kinder – it’s far cheaper and more effective to anticipate their needs rather react to their dissatisfaction. Everywhere we find relationships requiring information and communication – patients, caregivers, providers, staff, leaders. Automate that sharing of information – bidirectional where possible.
I need to rest and heal to prepare for the intensely exciting new vistas ahead. I have worked my whole career to be ready for this moment. Be still my heart.


  • Mike Brennan says:

    Few are as powerfully equipped as you to deal with this change; I am confident that you will turn it into a triumph. That said, my experience in dramatic vocational situation change, as I choose to call the occasions when I have been escorted to the door by security personnel, suggests that there is pain along with the joy. Wrap yourself in prayer, know that you are in our thoughts-M

  • KathyPooler says:


    As scary as this change may be , I have no doubt you will turn this time into an opportunity for even greater “vistas.” I am looking forward to following you on your journey. Keep blogging and sharing your stories. They are wonderful!
    I love your statement ” I have been waiting my whole career for this moment.” 🙂
    May your rest period be restorative. The world needs you and your insights and I trust you will keep delivering in style!

  • Alison says:

    Hi Danny,
    Please do stay in touch. It has been great working with you, and I’ll be keeping up via the blog. Let me know if there is anything I can do!

  • Paola says:

    Danny, it was a pleasure to work with you…although all to briefly. We were heading into some exciting work together. I wish you the best of luck on your new endeavors. Please do stay in touch! I look forward to following your progress through your blog. Paola

    • Danny van Leeuwen says:

      Thanks Paola. Your team does good and valuable work for Boston Children’s. In these tough times, innovation is needed more than ever and harder to sell. Can’t look forward when your head is down. Yes, stay in touch

  • Joyce says:

    Danny, so are you saying that your job was cut?
    One thing I have learned over the past year is that I feel a person can never be sure of their position in the organization. Bassett Health Care, the organization that had one of the best and most recognized midwifery services in the country, changed their delivery system on intrapartum, and now have hospitalists for the majority of the time. As a result, the vast majority of the midwives left because they were not “catching babies.”
    The job I left in IN “disemployed” their entire midwifery service 5 days after my last day of work.
    It is a crazy, cutthroat industry.

    • Danny van Leeuwen says:

      The fast pace of change can be bewildering. I don’t think its personal. Sometimes hard to understand. As I said in the blog, the strategic thinking of expense reduction can use a very different brain that managing what comes next. I feel fortunate that I am nimble, resilient, and well networked. However sometimes a broad base of skills is harder to market than a specific and valuable skill, like midwifery.

Leave a Reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.