Management skill not charisma

One of the blogs I read pointed out something interesting – that the checklist procedure established by Dr. Peter Pronovost has not been adopted by all hospitals. Dr. Wachter, with whom I have disagreed in the past (one of several examples) suggests that lack of charisma is responsible. That is, Dr. Pronovost has charisma but he can’t be everywhere.

There have been studies about charismatic CEOs – I can’t locate the one I remember the best – and I have my own experience. The CEOs for whom I worked were charismatic but often made bad decisions and opted for strategies that failed. Management skill (and some technical understanding) is required to implement worthwhile programs, not charisma.

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