There is an important difference between ‘managing the talk’ and ‘leading the discussion.’ Managing, to me, seems to be about controlling who says what and when and in effect, corralling all the voices. It does not often lead to a conclusion so…”we better meet again next week!”

Leading the discussion has to do with finding the common element, the issue at hand, the ‘one thing’ that is vital to the effort. While data points are presented and debated, the leader, regardless of their position or status, is the one who can go beneath and beyond the data and relate the ‘story’ that points the way.

2+2 might be 4, or in some cases 22, or in others the entirely wrong equation to be considering. It is the manager who allows the debate to rage (respectfully) among the experts. It is also the manager who suggests the next meeting! It is the leader, however, who tells the story of the equation, has a uniting example, speaks to the overriding issue.

Dr. Frank Dono worked at OhioHealth well into his 80’s as a teacher and physician executive and concluded EVERY meeting with a short, impassioned speech to remind us, “Today we talked about finances, but we are really talking about patients, the quality of their care, the safety we provide, the mercy we show.” EVERY meeting. (I have heard that as he was being wheeled on a gurney during a heart attack, he was calmly instructing the new resident what to do, giving her the confidence to do her best for her teacher! Till the end! Wow!)