Does a Focus on the Bottom Line Leave Us Short Sighted?

The bottom line. No organization in any industry can say it’s not important. Even nonprofits must bring in revenue, through services rendered or donations, to support their missions.
But, a recent article by McKinsey & Co. suggests that executives’ concern for the bottom line may be hindering the future success of their organizations.
The McKinsey article cites a 2005 study by the National Bureau of Economic Research which found more than 80 percent of executives surveyed “said they would cut expenditures on R&D and marketing to ensure that they met their quarterly earnings targets — even if they believed that the cuts were destroying long-term value.” [Emphasis mine]
Short-term performance is important to executives of for-profit and nonprofit organizations alike, and those leading healthcare organizations are no exception. Leaders of for-profit healthcare organizations have quarterly earnings to worry about, and nonprofit executives often have a significant level of compensation tied to an organization’s annual performance.
While short-term performance is important for organizational success and continued stakeholder support, a mindfulness of the long-term implications of decisions is critical, especially in an industry that is changing so drastically. It is especially during these times of change when future success depends on making investments today — and in healthcare, these investments (electronic health records, ICD-10 training, care protocols, etc.) may have a slight negative impact in the immediate term.
As the McKinsey article explains, executives must focus on both short-term performance and long-term health:

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“Managing companies for success across a range of time frames — a requisite for achieving both performance and health — is one of the toughest challenges in business. Recently, it has been especially hard: turbulent economic conditions, for example, have concentrated the collective minds of many executives on pure survival.

One could argue few industries are undergoing as turbulent a time as healthcare, so a tendency toward a survival instinct is understandable. However, it will be those organizations that continue to prepare for the future that will be positioned for success when the many transformation we are undergoing reaches its end state.

Every healthcare executive should ask themselves this: In an industry that now more than ever must be long sighted, are we too short sighted?

So how can organizations improve their distance vision?

As McKinsey says, “What underlies the breakdown of many long-term initiatives is the tendency of managers to defend the performance of their own silos instead of debating and helping to shape action across the whole organization.”

Sound like any industries you know?

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