Tag Archives: bonus item

“Forgive and remember”

Forgive and remember

File this under “lessons about failure that the nonprofit sector can learn from medical sociology.”

Forgive and Remember: Managing Medical Failure, by Charles Bosk, is a classic of medical sociology, an analysis of how coping with failure is built into the training that surgeons receive in hospital rounds, mobidity and mortality conferences, and other settings.

Please note that I am not claiming that surgeons themselves have a lot to teach us about dealing with failure, because my experience is that while their sub-culture does have rituals and protocols that they enact privately, they still have a way to go in transparency and accountability to others.

This has been my experience in three instances of major surgery:

  1. Surgeon did not follow instructions given by the specialist physician managing my condition.  Acknowledgement: Partial.  Apology: No.
  2. Surgeon did not inform me that the tumor to be removed might be malignant and require addition surgery until I was under anesthesia. Acknowledgement: Yes, after I complained. Apology: Yes, after I complained.
  3. Surgeon did not respect my request regarding administration of anesthesia:  Acknowledgement: Yes, after I complained. Apology: No.

Not that I am bitter.

But let’s face it:  most of us are highly invested in showing the world that we are skillful, trustworthy, and deserving of whatever prestige is ascribed to us.  As a patient, I naturally blamed the surgeons, not only for their errors in judgement, but for the instances in which they failed to acknowledge or apologize for their mistakes.  As a fellow human being, I completely empathize with their reluctance.  I imagine that that reluctance is more acute among professionals who have to cut people open.  Their work is obscenely invasive but often lifesaving,  and therefore must maintain an impeccably trustworthy reputation.

That’s why Brent James is one of my heroes, along with surgeons and physicians like him who are putting it on the line for evidence-based practice.  There will be no accountability, transparency, or improvement in health care unless successes and failures are accurately documented.  Those results must then be carefully analyzed, made available to the public in appropriate ways, and used to improve their efforts.

As with medicine, so with other mission-based organizations.  We need to track outcomes, acknowledge failures, and then do better.  If it takes a pink feather boa and an amusing ritual for nonprofits to get there, I’m all for it, though I’m not expecting surgeons to adopt the feather boa.

As for the slogan, “forgive and remember,” I think of it as both a spiritual and a practical precept.  We not only need to forgive ourselves and others when we have failed – we also need to bear the lessons of failure in mind.  Both individuals and organizations not only need to keep learning, but to take appropriate action to protect those who are at risk.

I used to work in violence prevention, and for me, one of the most heart-rending aspects of it was the well-documented difficulty in stopping offenders from repeatedly battering their loved ones.  In some cases, they simply didn’t see their behavior as abusive, or their loved ones didn’t see any alternative to accepting abuse.

As I reflect on that today, it drives home very painfully the lesson that we cannot always change others, or even control a specific behavior of theirs.  The old cliche that they “have to really want to change” is true, and it’s also true that not everyone who wants to change can do so. This is the really difficult side of facing failure for nonprofit organizations – in some cases, there may be no alternative to severing ties with individuals or organizations, if the organization is going to face its failure and move on.  It’s going to take more than a pink feather boa, a “joyful funeral,” or a FailFaire to get past that.  When the well-being of vulnerable people is on the line, there are cases where forgiving and remembering is crucial, but it isn’t enough.


Bonus item:

Q:  How many psychotherapists does it take to change a lightbulb?

A:  Only one, but the light bulb really has to want to change.

What every nonprofit executive needs to know about information technology (Redux)

Smart Nonprofit Executive

This article is another in a series of republications of items from my now-defunct first blog.  I wrote this in 2004, as one of my first blog articles.  Reflecting on these ten items, I’d say that the underlying principles still hold true, although if I were writing if from scratch today, I’d include more examples and different examples.  I’d be less sure about the percentage break down of a typical nonprofit’s budget. I’d be more sanguine about donated services and hardware, in cases where a really well-planned and well-executed model was in place.The availability of cloud computing has probably made a couple of the bonus items obsolete, but it’s still important for a nonprofit CEO to know how to deal with the organization’s digital storehouse. 


29 Dec 2004 01:03 PM EDT

1.  Very little technical knowledge is required in order for nonprofit CEOs to participate actively in strategic IT planning.

As long as you thoroughly understand your organization’s overall mission, strategy, and tactics and (are willing to learn a little bit about the technology), you can keep your information technology infrastructure on target.

Example: Your mission is to save the whales (not to maintain a local area network)!  In order to save the whales, you need a strategy: to stay informed and inform others about the issues, lobby for policy changes, to issue action alerts, to raise money, and to maintain relationships with various legislators, constituents, communities, donors, potential friends, and allies. Keep pressing for tactics that will help you achieve your desired outcomes (saving whales); this will enable you to hold your own in most discussions with technical experts.

2. Your board of directors should be calling for and participating in your strategic information technology planning.

If they’re not, it’s time to recruit some board members who are techies. For example, your region probably has an internet service provider, a high-tech corporation, or a large retail firm with an extensive IT department. Perhaps you can recruit representatives from these organizations to serve on your board as part of their community benefits program.

3.  A tremendous number of high-quality resources for strategic IT planning are available to nonprofits at no charge.

Free advice, products, and services make it possible for nonprofits to lower the risk of trying new technology – but in the long run you’ll have to pay real money to have precisely the right tools for supporting your mission.

4.  You can keep an eye on innovations in IT, and think about possible uses for them in the nonprofit sector, even if you don’t have a technical background.

If you regularly read the technology columns of a good daily newspaper, and a few general interest magazines such as “PC Monthly,” “MAC User,” or “Network World,” you will soon catch on to the basic concepts and terminology.  (Don’t worry if it seems over your head at first – you’ll catch on! Everybody has to start somewhere.)

Example: You work for a nonprofit organization with five employees and four non-networked computers. It’s time to link them up so that you and your colleagues can share information and regularly back up your work. As you read articles on wireless networking, and look at the building where you work – which is a pre-electricity Victorian house only somewhat successfully retrofitted for its current functions – you see that you may actually save money by going wireless.

You ask your IT vendors for estimates on drilling and running cables through the building, and find that the cost of labor, support, upgrades, future expansion, and maintenance for a more conventional network will exceed that of a simple wireless network.

5.  Information technology, no matter how strategically you apply it, will probably never save your nonprofit organization any money.

It will, however, enable you to work more effectively. You will probably be able to do more work, of higher quality, with fewer person-hours. But don’t be surprised if this raises the bar of expectations on the part of the board, the community, the clients, the constituents, and the donors!

6.  You need an in-house IT committee.

Convene an Information Technology team or working group, within your nonprofit, and make sure that you meet regularly to give input to the senior management on strategic IT issues.

The team should include a cross-section of staff – administration and finance, programmatic, secretarial. Be sure to include staff members who are overtly or covertly technophobic; their concerns should be addressed.

7.  Secretaries and administrative assistants should be the lynchpins of your IT infrastructure. Budgeting for IT training for these employees can be one of your best investments.

Which staff members are more likely to be there when problems arise, to knowabout the technical abilities (and phobias) of their colleagues, and to know where the (paper or electronic) files are? Professional development that includes IT training is likely to increase job satisfaction and employee retention. Don’t forget to revise job descriptions and job titles as your secretaries and administrative assistants move into IT management responsibilities!

8.  In the long run, IT training and support (and other operating expenses) will make up about 70% of your IT budget.

The more obvious line items – such as hardware, software, and network services – will comprise about 30%. This is a highly counter-intuitive fact of nonprofit life. However, there is research on the “Total Cost of Ownership” that bears this out.

9.  Donated hardware, software, and services can cost a nonprofit more than purchased products or services in the long run.

The cost in person hours of using and maintaining non-standard or sub-standard configurations is astonishingly high, and donated equipment tends to be in non-standard or sub-standard. Likewise, donated services will cost you a great deal of time in support, supervision, and ongoing maintenance. Beware of the web site design services donated by a close relative of the chair of your board! You may end up with something that you don’t like, can’t use, or can’t easily change.

10. In a nonprofit organization, most strategic IT problems are actually organizational development problems.

Is it a CEO who is resistant to technical innovations? A board of directors that hesitates to make the commitment to raise the money need for the IT infrastructure? Line staff who are already stressed and overworked, and can’t stop to learn and implement new technologies? An inability to make outsourced IT consultants or in-house IT staff understand organizational processes? All the information technology in the world won’t resolve these issues, if you don’t address them at the organizational level.

Bonus items: Hands-on IT skills that the CEO, CFO, and COO of every small nonprofit ought to have:

  • How to compose, send, read, and delete email, using the organization’s standard application.
  • How to create and save a simple text document, using the organization’s standard application.
  • How to do the daily back up of the system.
  • How to bring down and bring up the network server.

Now that you’ve read what I formulated in 2004, I’d like to invite you to post comments about what you’d add, cut, or revise in this list of crucial knowledge for nonprofit executives.

%d bloggers like this: