Living the DaVita Way

On a chartered bus in Nashville, surrounded by colorfully-clad nurses and office administrators, I knew I was in for a different sort of experience when the woman next to me found out I was a newbie, leaned closer and assured me: “Everyone remembers their first.”

It’s not what you think.

In fact, it was the annual conference for the 41,000 employees of DaVita, a Fortune 500 company that specializes in renal care – and, as it turns out, in creating a transformational organizational culture.

The bus was part of an elaborate plan to ensure that every arrival to the conference felt welcomed and valued. Volunteers were scattered throughout the airport with signs leading us slowly to the bus, where we boarded amidst an expectant, cheerful din. An orientation video provided further clarity of what to expect, although nothing can really prepare you for arriving at a hotel and being greeted by hundreds of red-shirted DaVita employees, a house band playing Jumpin’ Jack Flash, and the company’s CEO, Kent Thiry, personally greeting – and hugging – each new arrival.

Veteran staffers refer to it as “the DaVita way”, and it was on display for the next three days. Yet DaVita’s story is not just remarkable for what it is, but what it was, and how it remade itself.

Headquartered in Denver, DaVita was, as recently as 1999, nearly bankrupt. That’s when Thiry took the top post and chose to embark on an organization-wide effort to craft a new set of core values and sense of mission, and a work culture of shared responsibility, democratic decision-making, and continuous learning and growth.

“About a third of the staff said, ‘OK, that’s the fad of the month,’ Thiry recalled for the Stanford Business Review. “A third of the room was literally insulted that I would be demeaning them by thinking that they’d fall for that sort of rhetorical flourish. And maybe a third were interested.”

But Thiry persisted, so certain was he that a healthy culture helps people “feel an emotional level of trust and mutual commitment” and frees them from the feelings of fear, confusion and mistrust that plague unhealthy work environments.

After years of working at it, DaVita now describes itself as a global village with a Trilogy of Care: “for our patients, our teammates and our world.” As DaVita Chief Wisdom Officer Steve Priest explains, “When we choose to become citizens of the DaVita community, we make a decision to engage our head, heart and hands for the greater good of those around us.”

That means employees are expected to watch out for each other and work toward the good of the community. It means DaVita’s business objectives are always designed to support the village first, and the bottom line second. And it means that what drives each employee has more to do with who they are than what they do. “We say we are a community first and a company second,” Thiry said. “That doesn’t mean we don’t care about profit, but it’s a means, not the end.”

The clarity of this vision is on ubiquitous display at a DaVita conference. Giant banners list the company’s mission and core values, alongside personal testimonials from staff, clients and patients that testify to the power of the DaVita way. Thiry also models the values by publicly sharing the results of his own 360-degree performance review – and publicly reflecting on the areas where he sees himself in need of the most improvement.

As one attendee told me, “What makes us special is that our goal is not just to create better workers. We value all aspects of a person – head, heart and hands – and we evaluate people that way as well. That’s why our culture is so strong – we share a mission to cultivate healthy, happy people – our patients, our clients, and ourselves – and that is the standard against which we measure our work each year.”

Thanks to this clarity of purpose, the dark days of 1999 have given way to annual revenue in excess of $6 billion, alongside a strong commitment to organizational democracy. “A company produces most what it honors most,” says Thiry. “And we want a community of citizens, not just employees. You can’t create citizens unless you ensure that everyone has a voice and an understanding of how to use it effectively. It really is that simple – and that difficult.”

My neighbor was right. Everyone really does remember their first.

Tribal Leadership, Chicago & Organizational Culture

I’m in Chicago this week attending the National Charter Schools Conference, and on the plane this morning I continued reading a book that was recommended to me last week by Zappos’ Tony Hsieh, called Tribal Leadership.

It’s a fascinating book to be reading as we prepare to start a completely new school. And as someone who has written previously about the prevalence of the wrong sort of business thinking in school reform, I’m struck by how poorly most of my field’s most visible leaders heed the authors’ advice.

To test this theory, check out the following quotations and post a comment to let me know if you think it sounds a lot like (or unlike) any of our current national figures in education:

  1. (Describing a hospital that had effectively remade itself) — “The leaders spent most of their efforts building strong relationships between the company’s employees, volunteers, and patients. Instead of telling people what to do, they engineered experiences in which staff members would look at the same issues they were dealing with, so that strategy became everyone’s problem. And they got out of the way and let people contribute in their own way to the emerging goals.”
  2. (Describing a dehumanizing organizational culture) — “Within this sort of culture, knowledge is power, so people hoard it. People at this stage have to win, and for them winning is personal. They’ll outwork and outthink their competitors on an individual basis. The mood that results is a collection of ‘lone warriors,’ wanting help and support and being continually disappointed that others don’t have their ambition or skill. Because they have to do the tough work (remembering that others just aren’t as savvy) , their complaint is that they don’t have enough time or competent support.”
  3. (Describing the late 19th/early 20th century origins of our public education system) — “The solution was to train a new generation of workers by teaching them inside a system that looked a lot like a factory. A star pupil is one who does the homework and has the right answers. This new system undid the classical liberal education, which said that the value was in the well-designed question, and this shift in focus made the worker exploitable. The system didn’t emphasize creative thinking, strategizing, leadership or innovation. Stars were smart conformists, and people who stuck to the pattern became model students . That approach also bred the “I’m great (and you’re not)” mentality, based on homework, grades, and knowing the right answer. It does not emphasize empowerment, creativity, or individual satisfaction.”

The main point of the authors — who, although they may sound like Linda Darling-Hammond or John Dewey, are actually career business consultants — is that the best leaders are those that “focus on two things, and only two things: the words people use and the types of relationships they form.” Words, because they shape how we view the world and our place in it; and relationships, because without a strong amount of trust, transparency, and mutual accountability, the best you can hope for is short-term (illusory) change.

I can understand why we must be mindful of tending to these insights as we grow our school from the ground up. What I can’t understand is why doing so puts us largely at odds with the most visible “reformers” of our day.