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CHAPTER EIGHT
MCKESSON
Accelerating the Development of High
Potentials
Leaders Teaching Leaders
 
This chapter outlines a simplistic approach to developing leaders
that focuses on low-cost, high-impact solutions that are scalable,
customizable, and cost-effective.
Although no organization will refute the value of leadership development or its ability to yield results, many find it too expensive to pursue in depth. However, while the size of the investment is nothing to balk at, it is generally overplayed. Most companies cannot afford to invest in all of the best practice leadership development interventions out there, but there is no reason that they cannot design a system that fits their needs at an acceptable cost. Despite being one of the largest companies in the world, McKesson has taken an approach that focuses on choosing only the most simplistic and effective methods based on principles of efficiency and sustainability.
This chapter outlines our leadership development process. And while it may not be perfect for every organization, other organizations can choose individual elements that fit their leadership priorities.
McKesson has found these elements to be effective in designing an ongoing leadership development process:
1. Start with a process to engage executives and supervisors in the learning and developing process.
2. Kick it off with a bang. Engage participants in the development process by beginning with an intervention that gets them together and excited. This will increase the likelihood of their maintaining commitment to their development, both individually and as a team, throughout the process.
3. Combine additional learning events that are easily substituted in or out by the organization based on current leadership strategy and can be easily internalized by participants.
4. Track progress that helps measure return on investment (ROI) and learning while giving participants, supervisors, and business unit leaders a stake in the success of the learning process.
5. Add only the simplest (but still powerful) learning support tools that supplement learning outside the classroom. Anything too complex will be difficult to put into practice by both the organization and participants and may result in excess cost.
6. Be sure to have a senior-level sponsor who is personally committed and pulls in other executive council and board members to become a part of the learning experiences.

Overview of McKesson Corporation

McKesson is ranked eighteenth on the Fortune 500 with more than $88 billion in annual revenue. The company delivers vital medicines, medical supplies, and health information technology solutions that touch patient lives in every health care setting. The depth and breadth of the company’s product and service offerings, coupled with the largest customer base in the health care industry, uniquely position McKesson to meet the needs of its customers:
• 200,000 physicians
• 26,000 retail pharmacies
• 10,000 long-term-care sites
• 5,000 hospitals
• 2,000 medical surgical manufacturers
• 750 home care agencies
• 1,800 health care payers
• 450 pharmaceutical manufacturers

Cultural Context for Program Design

McKesson has a highly decentralized operating environment and maintains a delicate balance between individual business unit autonomy and pursuing the “One McKesson” initiatives—that is, combining a unique collection of health care products and services to create unbeatable value and offerings to clients. The culture is highly relationship driven, with the creation of trusting partnerships based on delivering on commitments critical to success in the organization.
Unlike many other companies today, the leadership team is young. The average age of the top two hundred executives is forty-seven. So although the company is not facing large numbers of looming retirements, it does have a critical need to support both organic and acquisitive growth (there have been about thirty acquisitions in the past five years) with a ready supply of talented leaders. McKesson’s core business is pharmaceutical distribution, which historically has thin margins but generates tremendous cash flow. Anything it does as a business must be cost-effective and a “salable” to profit-center leaders, who keep a close eye on expenses to remain competitive.
McKesson’s vision is to bring together clinical knowledge, process expertise, technology, and the resources of a Fortune 18 company to fundamentally change the cost and quality of health care. With that vision, it needs to be able to continue to execute flawlessly on changing its business internally to shape the cost and quality of health care and be skillful enough to help customers through the change process as well, whether installing a large hospital information technology system or a robot to dispense medications in a pharmacy.

Leadership Development at McKesson Corporation

Historically, McKesson was managed more as independent businesses, but over the past five years, it has been creating shared services and One McKesson processes across all of its businesses. Leadership development has been no exception. Over the past several years, it has designed and implemented human resource (HR) processes and automated systems for performance management, compensation planning, talent acquisition and talent reviews, and succession planning processes.
At the same time it was launching these common practices and end user automation tools, it was also working on workforce development and created a leadership development path for every level of management (see Figure 8.1). It created the McKesson Center for Learning (MCL), which delivers professional management education to first- and second-level managers in the corporation. Next, it created an executive education series to address pressing developmental and business issues for the top two hundred executives. Recently, it designed leadership programs to address the director and vice-president level development needs of leaders in two ways: a three-day leadership development curriculum, Rising Leaders, and a comprehensive nine-month development program for the highest-potential leaders in this target population, called Leaders Teaching Leaders (LTL).
FIGURE 8.1. MCKESSON LEADERSHIP DEVELOPMENT PATH
Source : Scott Boston and Sandy Allred, 2007.
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Leaders Teaching Leaders was created with a goal of accelerating the development of high-potential leaders below the top two hundred at the executive level to increase bench depth to support leadership supply needs. The goal was to get the top seventy-five to one hundred highest-potential people through the process within the next three years.

Design Considerations: Why Leadership Development Programs Fail

As the Executive Development and Talent Management team at McKesson began the project plan to design the LTL program, we saw five areas in which leadership development programs fail and wanted to stay clear of them:
Too elaborate and try to cover too many areas. Often designs for leadership programs are too complex, including action learning pieces that require legions of administrative support. These programs try to “fit twenty pounds of stuff in a five pound bag” rather than focusing on a few simple themes and doing them well.
Lack of a compelling catalyst to convince participants of the need for change or continued growth. As managers progress in their careers, they become convinced that they are successful because they have achieved a certain level and often get set in their ways. Leadership development programs tend to work best when people realize that there is room for improvement. This can be accomplished in a number of ways, including 360-degree feedback and assessment instruments.
Lack of understanding or involvement of key stakeholders to support learners in the process, yet with an expectation of change and growth. All too often there is CEO support for programs but little connection to the program from senior line leaders and, most important, participants’ supervisors. So while leaders may intellectually understand the importance of programs, they remain at arm’s length during the process. This often results in poor support for ongoing budgeting of the program or learner frustration that “they are not doing this too and they need it.”
Lack of sustainable change. Even the best among us go to programs and learn about things we need to do more effectively, only to return to a hectic work environment and fall into old patterns. A need for a more prolonged process where learning is applied to actual work experience is necessary and an expectation that “someone is watching progress and actually cares” needs to be maintained.
Little demonstration of return on investment for the expense and time away from the job. Most training departments at some point have pursued the need to conduct training measurement studies to prove the value of their programs. Most often they try to go to Kirkpatrick’s level 5 and eventually get frustrated at the complexity of measuring such a process, particularly in the soft skill areas. With leadership development, it is often not necessary to go to such complex analytical lengths, but it is critical that learning and applicability to improvement back on the job are tracked and documented.

Leaders Teaching Leaders Core Components

We designed the LTL program to be a nine-month learning experience—enough time to make something happen in terms of allowing participants time to make meaningful application of the program learnings. The nine-month process consisted of the following components (see Table 8.1 for a time line of events):
1. Nomination process and management expectation-setting Webcasts.
2. Attend Linkage’s Global Institute for Leadership Development (GILD). This Institute includes the completion of a 360-degree assessment (to include direct reports, peers, and managers) and three coaching sessions with an executive coach.
3. Identify and execute a project goal (a project that can be applied to the person’s business unit that will demonstrate his or her leadership skills and apply course learnings from the program) and two personal targets (areas of improvement) based on 360-degree assessment results.
TABLE 8.1. LTL PROGRAM TIME LINE OF EVENTS, 2007-2008
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4. Attend two intensive two- to three-day in-house customized learning events, referred to as LTL II and III.
5. Utilize support tools to supplement learning outside the formal classroom environment.

Nomination Process and Management Expectation-Setting Webcasts

The process begins by soliciting business unit presidents to nominate up to twenty-eight high-potential midlevel managers to participate in the program. Great care is taken to ensure that the business unit presidents and executive managers of participants have an understanding of their role in supporting the participants through the process.
To accomplish this, the executive vice president of human resources, Paul Kirincic, and the project team held a mandatory Webcast with the business unit presidents, executives who manage participants, and the most senior HR leader in each business unit to discuss program expectations and roles:
• Coach participants in selection of 360-degree assessors; complete supervisor assessment
• Track participants’ progress in the performance management tool
• Track objectives, competencies, and progress along the participant’s Individual Development Plan (IDP)
• Provide opportunities to demonstrate skills (on projects or various work situations)
• Ensure protection of learning time
• Be an active guide to participants’ personal development plan and project goal, and communicate with and provide feedback throughout the project:
• Use periodic check-ins to gauge progress (learnings) and make adjustments as necessary
• Provide feedback using the online tracking tool
Participants’ managers and business unit presidents are expected to play an active role in the process by discussing their progress on their project, ensuring protection of learning time, and providing feedback on progress periodically using an external online tool, DevelopmentEngine by Fort Hill Company.
This process step is critical because it helps participants get the most out of their experience at GILD, clarifies expectations for the entire process, and sets the stage for helping determine ROI by engaging both the participant’s supervisor and the business unit president in the learning and development process. These elements have provided program participants with a much greater degree of executive access and helped build more lasting personal relationships.
Next, we conducted a Webcast with the participants and their supervisors outlining the process and expectations for the participation:
• Full participation (no meetings or conference calls) during the GILD program
• Complete 360-degree assessment prior to attending GILD
• Commitment to a project goal
• Commitment to developing a personal development target (based on 360-degree results)
• Commitment to fully attending two learning events (LTL II and LTL III)
During this session, the HR executive vice president reiterates the intensive time demands of the program to participants in addition to their current workload. (Program commitment is approximately eleven days, with five days at GILD and an additional six days throughout the course of the program, plus any additional time needed to complete project work.) He then extends an invitation for anyone to opt out of the program—no questions asked (with the potential to join next year’s LTL program). This offer is extended once more after the first week of the program. Generally there are only one or two participants who recognize that the demands are too great given either work or personal commitments or circumstances and choose not to continue.

Linkage’s Global Institute for Leadership Development

Participants begin the process by attending Linkage’s Global Institute for Leadership Development (GILD), an intensive week-long learning program where participants are exposed to world-class thought leaders from academic, business, and government circles. Also during the Institute, participants receive 360-degree feedback and two on-site coaching sessions and one additional session thirty to forty-five days after the program. At several points during GILD, learners participate in a McKesson learning team where they:
• Learn more about one another’s roles and challenges in the business
• Process key learnings from the GILD sessions
• Develop personal action plans based on their 360-degree feedback and personal project
• Identify leadership challenges they are facing right now
• Set the stage for the learning agenda for the next two LTL learning sessions
There is often a debate about whether participants should mix with other corporations or have their own designated learning teams during GILD week. We tried it both ways and believe that it works better to have intact learning teams since there is a greater need to have managers understand other parts of the business and establish networks to facilitate cross-boundary partnering. For a corporation that has a need to expand mind-sets by exposing managers to those of other corporations, the mixed learning team concepts can be quite effective.
The McKesson learning team environment is led by Chris Cappy, president of Pilot Consulting, who facilitates the learning process and ensures program continuity and customization of each program to ensure that participants’ learning needs are met. Cappy brings a broad range of experiences from other landmark leadership development initiatives and also teaches participants the GE Change Acceleration Process (CAP). He also pioneered something we call the oral tradition, where participants are urged to share information. This has elicited some interesting personal leadership stories and related dialogue among participants.
Shortly after attending GILD, program manager Sandy Allred ensures that all participants have an executive coach assigned to them and have scheduled a follow-up appointment to review the progress on their 360-degree assessment within forty-five to sixty days after the GILD session. Allred also ensures they have scheduled a meeting with their manager to discuss their project goal, updated their performance objectives to include the LTL program and their selected project goals during the program, updated their individual development plan to include any personal plans based on their 360-degree assessment results, ensured their talent review process employee profile is current, and have the appropriate information to begin drafting and tracking their project goal and personal targets over the course of the program.

Project Goal and Personal Targets

Prior to attending the first learning activity (LTL II), participants and their supervisors are required to identify a project where participants have an opportunity to lead a change effort within their area of responsibility. This is not a make-more-work project; rather, it is usually something they are already doing or contemplating doing during the performance period. Projects have these characteristics:
• They are an actual project.
• Results are expected within the nine-month program time frame.
• Participants are required to show leadership and change management skills.
• The project represents a genuine challenge to the leader-learner.
• The project helps drive process improvement, innovation, or double-digit growth.
The project works in conjunction with what we call the 3 P’s of the program: the project to work on, the personal action that results from both the 360-degree feedback and coaching process plus other learning from the program, and the playbook, that is, the best practice tools taught for driving growth and innovation and change execution management.

In-House Customized Learning Events: LTL II and LTL III

Three months after participants take part in GILD, they attend LTL II, a two-and-a-half-day session at company headquarters in San Francisco. During this event, participants tour company headquarters and hear from senior company executives on topics such as strategy and financial position. Board members participate as well. They come to the program and discuss what it means to be a board member and share insights from their personal leadership journeys.
This event has three main focus areas. First, participants provide an update on their project goal and personal targets. Second, they participate in a four-hour customized workshop facilitated by Linkage on the topic of growth and innovation, a topic we had identified as critical in our leadership strategy. Focusing on innovation gives us the opportunity to help business leaders understand the disciplines necessary to sustain double-digit growth and assess the growth and innovation potential of participants’ action learning projects. The third focus for participants is to learn GE’s Change Acceleration Process (CAP), facilitated by Chris Cappy, which gives them over thirty tools to become more adept at change execution management. These tools can be used to help them throughout their nine-month project and beyond.
Leaders Teaching Leaders means three things: (1) external leaders are educating program participants on contemporary leadership topics, internal senior leaders are educating them on the business and their own leadership insights, and participants themselves are teaching one another about the business unit they belong to. This recipe has worked beautifully for us in its diversity of perspectives and simplicity in execution, not to mention the cost savings it yields.
Six months after GILD, participants complete the LTL program by attending the final learning event: LTL III. During this two-day session, participants:
• Deliver their final project update and key lessons learned during the nine-month process (a five- to seven-minute presentation followed by a brief question-and-answer period)
• Have dinner with the executive committee and business unit presidents
• Interact with the CEO, who discusses the business, his leadership insights, and expectations of McKesson leaders
• Hear from other senior executives or board members, or both, regarding their leadership journey and personal leadership insights over the course of their career
• Observe the investor’s day event where McKesson officers discuss the business with the investment community (this is an optional half-day)
The final project presentations are videotaped to share with participants after the program and use highlights or clips in presentations that we create for our executives at events such as the senior managers’ conference and other events.

Support Tools

To support the learning process, we used five additional tools:
1. Linkage resources. Participants had access to eight to ten leadership Web-broadcast sessions showcasing various leadership topics by expert presenters. In addition, the team receives a monthly online follow-up, “The Monthly Leader,” which contains tools, articles, and video clips to help them develop in specific competency areas.
2. Personal learning journals. Each participant receives a leather-bound personal learning journal to track key learning points during the sessions and back on the job. Most participants found these to be very useful to track their progress and use during their leadership journey.
3. Abstract executive book summaries. Each participant receives a year’s subscription to an online executive book summary Web site that allows them to pursue summaries on a variety of leadership topics. We also gave each participant an iPod Nano to use in conjunction with many of the summaries that are available to download in audio format in addition to printed media and other formats. getAbstract customized a site specifically geared to McKesson LTL participants in which the executive summary offerings were arranged relative to our nine core leadership competencies, making it easier for participants to search for summaries by specific McKesson competencies. We tracked the use of this resource and found that participants downloaded an average of ninety-five summaries per month and used them to gather data relative to their projects or initiate discussions with their teams.
4. Internal share point site. We created an internal site to share all program presentations, resources, and participant-offered resources.
5. DevelopmentEngine project tracking tool. This was our first experience using Fort Hill Company’s DevelopmentEngine tool. After our first successful wave of using this tool for our LTL program, we integrated it into other leadership development programs.

Tracking Progress and Reporting Results

A key to any successful leadership development program is its ability to follow up and track participants’ progress toward their final goals and outcomes and the ability to show the results of the program.
FIGURE 8.2. ANSWERS TO QUESTIONS ON PROJECT GOAL AND
PERSONAL TARGETS
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To do this for the LTL program, we turned to Fort Hill Company’s DevelopmentEngine tool, which (1) ensures that the participants’ learning plans are executed, (2) supports participants’ growth by offering them the ability to request feedback from the supervisors or coach, (3) minimizes overhead for both participants and administrators (it is a turnkey process), and (4) can be customized to specific program needs and schedules.
We asked participants to answer three questions regarding their project goal and up to two personal targets based on the results of their 360-degree assessment results (see Figure 8.2). Once those had been entered into the tool, we began tracking monthly progress. On the first Friday of each month, the system automatically sent the participants an e-mail reminding them to update their progress. At any time, participants could send an e-mail to their manager requesting their thoughts and comments. At the end of the LTL program, we used the data in the tool to track their goal execution and progress on their goals.
After completing the initial pilot program in 2006 and 2007, we asked participants to complete a survey and provide us with feedback regarding their LTL experience. Here is what they had to say:
 
 
“It was awakening, reminding, reinforcing of what I knew, and discovered new things I didn’t know.”
“The value of protecting some reasonable amount of time to actually think about what I am trying to achieve and the importance of having useful tools to assist in focusing and driving that thinking process.”
“My most valuable take away . . . it’s all about other people . . . it isn’t just one thing . . . but mostly how I leverage my strengths and look for the strengths of my team.”
 
 
And here are some of the comments in answer to the question of what they would do differently:
 
 
“Build better relationships with my peers.”
“Do it with more passion and leverage all of my people rather than the privileged few.”
“Share more information, improve meeting management, and accelerate change using the CAP tools.”
Managers and business unit presidents have also provided feedback to the participants through the DevelopmentEngine tool. This written feedback includes some excellent examples of coaching:
 
 
“I have witnessed a dramatic improvement in your second [personal] goal and as a result, I believe your peer relationships have improved and you have further developed the trust/respect of the team. I am also learning by your example and believe it has made you a more effective leader.”
“The effort you are making to improve your leadership skills is evident in how you participate in our [leadership] meetings. Since you completed the LTL course, you have increased your communication and input on strategic and operational issues and most recently, in the budget process.”
 
 
During the initial rollout of the pilot program, of the twenty-six participants, only about one-third of them had individual development plans entered in their performance document. When we began the second year of the program with a new group of high potentials, this number increased to almost three-quarters of the participants having individual development plans in place before attending the program. This is an indicator to us that more and more managers are having these development discussions and are being more effective with planning and tracking of the development of their employees.
In additional, just over 55 percent of the participants in the pilot program had been placed in new roles with greater responsibility within six months of completing the program. One participant reported a savings of $1.8 million on his project by focusing on three leadership behaviors (which were identified based on his 360-degree assessment results, then tracked and developed throughout the program): leading people, leading change using CAP tools, and leading innovation. This participant was promoted to chief financial officer of one of our businesses shortly after this program.

Lessons Learned

We are in our second wave of this program and, based on our experience and the feedback from the learners, have made some modifications to it. The first realization for us was that the degree of McKesson-specific business literacy among the group was lower than we had anticipated. So for wave one, we mixed the team into learning teams at GILD with leaders from other companies. Once we identified the critical need for them to understand the McKesson companies and our products, services, strategies, and other topics, we opted for a McKesson-specific learning team. Results indicate that this was the correct move: participants not only bonded faster but began sharing cross-boundary information and best practices both inside and external to the formal program earlier in the process. Moreover, few business relationships within and between businesses had existed among this group of middle managers prior to the program, so taking greater time for team building yielded great dividends.
Another area of learning for us was that while the business unit presidents and participant supervisors actively supported and engaged in the learning process, the HR community was virtually absent from the process despite being invited to participate. While participants were receiving what was for many of them their first 360-degree feedback from their direct reports and others, questions came up, and many asked, “Where are our HR generalists to help us through these issues?”
A common problem for HR in most organizations tends to be the issue of not having a seat at the table. This is one of many possible strategic entry points to begin that HR business partner relationship and it was missed. For wave II, we have continued to impress on the HR community the importance of their involvement and have seen greater participation, although it has not yet reached ideal levels.
Third, we made some modifications around the individual coaching process. Coaching was incorporated into the overall process through GILD, during which participants received three one-hour sessions. By monitoring their experiences, we were able to identify specific ways that we could get involved to help them prepare for and get the most out of their coaching experience. These lessons are not McKesson specific and apply to any coaching initiative:
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Setting realistic expectations about the purpose and expected outcome of the coaching session. Participants thought the coach was more of a “life coach” versus providing them with insights for personal development around their 360-degree feedback. To address this, we created a coaching and development guide that speaks to the purpose of the sessions and what to do before, during, and after each one. We then introduced the coaching process using this guide so that participants knew specifically what was expected of them and what process their coaches would be using. This took out some of mystery of what the coach was “going to do to them.” We found that made for a more productive experience because participants had to take an active role by providing more rigor to the preparation process before engaging with their coaches.
Real-time monitoring of the quality of the coaching experience. Many participants did not know what to expect from a coaching session. Others were unable to establish rapport with their coaches or felt that their coaches were not particularly helpful at providing insight to assist them in their development planning. To address this, we set a process in place to monitor feedback along the way and selected a smaller group of coaches (based on participant satisfaction) who were able to become more familiar with McKesson and what we expect in the process. From this monitoring process, we learned that the more successful coaches were using a variety of job aids and processes. Based on participant responses about their success with the tools, we began using them consistently across coaches.
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Finally, in our design we anticipated the three P’s as the core framework for the learning process: project, personal action plan, and playbook. We discovered a fourth “P,” which we call positive peer performance pressure. Once participants began observing one another, whether in presenting before the group on their individual businesses or in projects they were working on, this contact immediately began to have the effect of raising the bar on the entire group. Participants saw in their peers skills they did not possess and pushed themselves to learn and emulate them throughout the program. They also saw the level and impact of some of the projects and made adjustments to their own accordingly.
In summary, the impact of the LTL initiative has far exceeded our expectations across the board. We have built a highly flexible platform for subsequent action learning work, and there is a high degree of receptivity among leaders to participate and learn more. The quality and value of relationships formed among the future leadership bench of the businesses cannot be overestimated. In terms of cost-benefit, we have kept the learning highly relevant and specific to the needs and realities of our leaders and businesses. By following the design principles of cost-effectiveness, adaptability, and sustainability and using this recipe as a guide, organizations can prepare their own leadership development system that produces the desired results within their budgetary limitations.

About the Contributors

J. Scott Boston is senior vice president of human resources for McKesson Corporation with responsibility for executive development, talent acquisition, organizational capability, diversity and inclusion, and the McKesson Center for Learning. He has over twenty years of experience with Fortune 50 companies leading talent management, HR transformation, and large-scale cultural change initiatives in domestic and international contexts. Prior to McKesson, he worked for seventeen years at BellSouth Corporation in a variety of positions, including chief learning officer, division head HR generalist, and director of executive development. He has an Executive M.B.A. and a B.B.A. from Emory University’s Goizueta Business School.
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Sandy Allred is the manager of executive development and talent management systems at McKesson. She has managed several cross-functional teams to design, develop, and implement initiatives across the organization. During her ten years with McKesson, she has led several corporatewide initiatives to include performance management, talent review process, and succession planning initiatives. Most recently, she has led two leadership development initiatives: the LTL program and the Rising Leaders Program, both designed to develop high-potential leaders within McKesson. She has traveled internationally to facilitate sessions with McKesson executives, managers, and individual contributors on topics ranging from performance management to ICARE Shared Principles. She is completing her Executive M.B.A. at Georgia State University’s J. Mack Robinson School of Business.
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Christopher Cappy works in the areas of large-scale change management, leadership development, and innovative executive education and coaching. He is founder of Pilot Consulting Corporation, which led IBM’s worldwide Accelerate Change Together (ACT) initiative between 1995 and 2000, and he served for eleven years on the faculty of General Electric’s Crotonville Leadership Center, which included leading the external consulting team for GE Appliances Workout. Cappy is a founding member of the Learning Network, holds a degree in production management from Rochester Institute of Technology, and is a graduate of Columbia University’s Advanced Organization Development Program.
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