• A Surgeon’s Five-Star Perspective Regarding Gracious Leadership

    14 October 2019

    A book review from Randy Cook, M.D.

    Uncommonly insightful observations on common human behavior 
    Janet Meeks never even considered a career in healthcare until a profound and emotionally wrenching life event suddenly placed her inside a healthcare facility as a patient. That experience left her with a deep respect for nurses, physicians, technicians and the many other humans that work together to deliver healthcare in our nation. Later, when she was offered a position within a large healthcare system in her native Mississippi, she sought and received counsel, both pro and con. Eventually, she made the decision to leave the banking world, which she knew and fully understood, to enter the world of healthcare, which was totally uncharted territory for her.

    Gracious Leadership is the beautifully written story of her journey over more than three decades, finally finishing her career as the leader of a hospital which was transformed under her guidance into a model of both patient and employee satisfaction. It should be required reading, not only for hospital executives, but for anyone who aspires to be a business leader in any field. Her advice and personal observations are at the core of any attempt to build and maintain productive relationships.

    Meeks bases her leadership style on what she calls the “head-heart connection.” To quote her own words: “Leading with both your head and your heart does not mean you’re soft or fail to hold your team accountable to achieve the right results. Much to the contrary, when you lead with your head and your heart, you consistently act in the best interest of your key stakeholders and are purposeful in helping employees understand they are doing meaningful work.”

    The book presents an in-depth discussion of thirteen key principles of gracious leadership. The ideas presented in these discussions are informed by real life experiences which Meeks relates in detail. Each of these discussions is then followed by a list of reflective “conversation starters” to facilitate the cultivation of gracious leadership.

    As a physician with more than four decades in private practice, I regret that I never encountered a hospital executive who possessed an understanding of how to motivate and cultivate human resources in the way that Janet Meeks so clearly does. I hope this book will find a place within arm’s reach of every healthcare executive in America. In fact, executives in virtually any field will benefit as well. The principles put forth in Gracious Leadership transcend any identity of product or service. It’s a book about people and how to help them become the best possible version of themselves

  • Gracious Leadership Excited Me About Our Work!

    12 June 2018

    A Book Review from Anna Pannier, MBA, FACHE, President-Elect of the American College of Healthcare Executives of Middle Tennessee

    It has been several years since I read a healthcare leadership book that has excited me about our work as much as Janet Smith Meeks’ Gracious Leadership: Lead Like You’ve Never Led Before (Smart Business Books, 214 pages, $24.95).

    Out of the gate, Janet shares her personal, compelling story that motivated her career pivot from finance to healthcare. She advises leaders taking on new roles to slow down to speed up. She recognizes the trap many smart leaders fall into of jumping into rapid problem solving, believing they show the most competence by making a big difference fast. However, relationships matter and spending time to develop trust-based relationships through listening are the foundation for effectiveness.

    While the title Gracious Leadership may sound soft, Janet shares stories and tools that are quite the opposite. Instead it truly represents the intersection of ultimate respect and optimal outcomes.

    This leadership model is founded in the concept of respect for all, with an emphasis on listening with purpose and responding with care. She quotes SAS CEO James Goodnight who said,” Treat people like they make a difference and they will.” There is an emphasis on developing others, encouraging others, seeking feedback and remaining committed to continuous improvement of self.

    Gracious Leadership asks leaders to perceive every problem as an opportunity for asking the right, empowering questions that will help their team develop solutions and harness the passions of individuals to purpose. Chapters conclude with Conversation Starters for Your Team, lending itself as a leadership team’s tool for creating a shared vision and accountability plan. In this way, this good work may represent the next step in a healthcare organization’s journey toward excellence.

    Due to the great alignment with our executive member interests, ACHEMT is working to bring Janet Smith Meeks to Middle Tennessee for an upcoming program, so stay tuned.

  • News post

    Perspectives from a CFO – Gracious Leadership: A Critical Need for Society Today!

    1 June 2018

    A Book Review from Bruce W. Miller, CPA, CFO of Transportation Research Center, Inc.

    I recently read Gracious Leadership – Lead Like You’ve Never Led Before, by Janet Smith Meeks. I have read many books on leadership as growing and supporting good leadership is a personal passion. The two things that struck me most about this book were Ms. Meeks honesty and the simplicity in her writing style, which was very refreshing. I find so many books on professional development to be written for PhD’s and in such depth that they tend to miss the mark of simple and actionable steps.

    By using the KISS principle, Ms. Meeks’ approach makes each of her thirteen “Key Ingredients” of how to be a Gracious Leader very practical. Providing not only a thorough description, but also ways to implement the ingredients as demonstrated through her years of leading organizations. No complicated steps, no complex formulas, just straightforward and honest.

    Ms. Meeks benefited from Gracious Leaders throughout her life, starting with her father. And while she encountered poor leaders along her career, she used those experiences to strengthen her own foundation in order to promote better leadership styles. What’s even more important is how she used those negative experiences to solidify her character and graciously coach, mentor, and if need be, stand up to bad leaders – even bullies.

    One of the most important issues that Ms. Meeks identifies, which is something I too have noticed for years… “the tone of the organization is clearly set at the top, and how leaders behave will cast long shadows, not only throughout their businesses, but also into our homes.” Few people can leave their professional troubles at the office. Instead, they wear those problems like a millstone around their neck to their homes, their places of worship, their civic clubs – literally everywhere they go. Toxic work environments impact a person’s marriage, their children, their friends, even strangers they meet on the street. It is also a significant cause of both physical and mental health issues. The tentacles of toxic leadership reach far beyond the confines of the office.

    Ms. Meeks ends each chapter with a series of insightful questions to discuss with your team and/or colleagues. I would suggest you first sit down in front of a mirror to ask yourself these questions and be brutally honest with yourself. Truth may hurt, but it is the only way to ensure your leadership style is fostering positive outcomes. If you suffer from the greatest weakness of bad leaders, ego and pride, then doing these steps may be extra painful, but also liberating as you move towards a Gracious Leadership foundation.

    I highly recommend this book to all C-Level leaders, managers, aspiring managers and every MBA student. Our workplaces, houses of worship, homes, society, and especially the halls and chambers of our local, state, and national governments need to read, learn, follow, and execute all thirteen “Key Ingredients”. The need for Gracious Leadership is critical!

    As Ms. Meeks quotes from SAS CEO James Goodknight, “Treat people like they make a difference and they will.”

  • Becoming a Fully Respectful Leader: The Recipe for Gracious Leadership

    20 April 2018

    A Book Review from a Vanderbilt University Medical Center Administrative Fellow Heather Hubbs

    “The positive ripple effect of your gracious leadership carries great potential for many generations to come.” – Janet Smith Meeks

    What is your favorite recipe? Maybe it’s a tried and true recipe that has been passed down for generations within your family or maybe it’s a newly found creation from Pinterest. Regardless of the dish, I always find a recipe helpful and I tend to gravitate towards ones that incorporate basic, yet wholesome, ingredients that are readily available.

    In the high-stakes, ever-changing, and multidimensional healthcare industry we work in, wouldn’t it be nice if leadership had a recipe? What if the path to becoming the most effective, results-driven, and impactful leader was a formula of skill ingredients that were readily available for us to tap into? How would we lead differently with this knowledge? Fortunately, Janet Smith Meeks has prescribed just the recipe to allow leaders from every industry to attain peak performance while leading in a different, yet better, way. The recipe, however, is not for the faint of heart and allows absolutely no short cuts to be made.

    Before revealing the key ingredients, Janet discusses the Head-Heart Connection. Simply put, decisions should be made utilizing both data and hard facts coupled with the broader impact on stakeholders. Contrary to popular belief, leaders can, and should, use both their head and their heart to make decisions; this is a critical factor in becoming an enlightened decision-maker who minimizes adverse results. “When you lead with your head and your heart, you consistently act in the best interest of your key stakeholders and are purposeful in helping employees understand they are doing meaningful work.” This further creates a win-win situation because, “…employees need to experience a connection between what they are motivated to do through their job descriptions and what they are inspired to do from within their hearts.”

    After understanding the Head-Heart Connection, it’s now time for the key ingredients, which include the following thirteen strategic components: respect, valuing relationships, listening with purpose and responding with care, seeing problems as opportunities, asking the right questions, matching passion with purpose, developing people, requiring accountability, courage, seeking feedback, providing feedback, compassion, and gratefulness. The ingredients may appear ‘soft’ or too simple, however, they are proven business essentials.

    Take recognition, for instance. A 10 year study of 200,000 managers and employees was conducted and disclosed in The Carrot Principle by Adrian Gostick and Chester Elton. “According to the data, companies in the highest quartile of recognition of excellence report an operating margin of 6.6 percent, while those in the lowest quartile report 1 percent.” As Janet says, “…employee engagement has been proven time and time again to be a driving force in optimizing and sustaining organizational performance.” Greater results come as common decency and respect are restored back into the workplace and gracious leaders set the stage for the opportune time to achieve “the right results in the right manner”.

    As you can see, leadership and recipes are a lot alike. To be successful, all key ingredients must be added. However, both can involve wrong decisions that enable a situation to go awry quickly. Maybe you added baking powder instead of baking soda or maybe you were quick to criticize and slow to listen.

    Regardless of the situation, becoming a fully respectful and gracious leader, is a journey and not simply an end result. We as leaders must demonstrate patience and persistence in our quest to effectively lead ours teams and organizations. Burnt dishes are inevitable and failures will happen. However, with practice and perseverance, we can instill respect and positivity in our day to day routine and ultimately create thriving teams and organizations that are bursting at the seams with gracious leaders.

    In case I have not made you hungry enough with all of the recipe talk, take a look at one of my personal favorite dessert recipes from Ellie Krieger on the Cooking Channel. It’s a crowd-pleasing, healthier recipe that is sure to impress.

    Balsamic Strawberries with Ricotta Cream

    Course Dessert
    Prep Time 15 minutes
    Cook Time 2 minutes
    Inactive Time 2 hours
    Total Time 2 hours 17 minutes
    Servings 4
    Calories 180 kcal
    Author Ellie Krieger


    • 1 cup part-skim ricotta cheese
    • 2 tbsp honey
    • 1/2 tsp vanilla extract
    • 3 tbsp balsamic vinegar
    • 2 tbsp sugar
    • 16 oz strawberries hulled and quartered
    • 2 tbsp fresh basil leaves cut into ribbons


    1. Put the ricotta cheese, honey and vanilla extract into the small bowl of a food processor and process until smooth, about 1 minute. Transfer to a small bowl and refrigerate for at least 2 hours.

    2. In a small saucepan combine the vinegar and sugar and bring to a boil. Simmer over medium heat for 2 minutes, stirring occasionally. Allow to cool completely.

    3. In a medium bowl, toss the berries with the basil and the balsamic syrup.

    4. Divide the cream among 4 cocktail glasses, top with the berry mixture and serve.

  • Book Review from The Studer Group

    1 March 2018

    Gracious Leadership is a practical book written by an experienced healthcare executive who has led organizational change. The book is “heavy” in content but a quick read. It would be an excellent preassignment for an executive or leadership retreat or a Leadership Development Institute. The Conversation Starters at the end of each chapter will help the reader ascertain how best to apply the learning. I found the emphasis on accountability and ownership were much more practical and focused than many publications I’ve read on servant leadership.” Read the full review…

    Lynne Cunningham, Studer Group

  • Book Review from Leading Fully Present Consulting

    5 January 2018

    “Look up the word ‘gracious’ and you will find synonyms such as courteous, civil, merciful, compassionate and kind. While those words might not be the first that come to mind when we think of our leaders today, don’t they describe what we all really want in a leader? In her new book, Gracious Leadership, Janet Smith Meeks helps readers understand thirteen key ingredients necessary to lead graciously and to have a positive and lifelong impact on their people and organizations.”

    “First, readers get to know the author as Janet not only shares the routine facts of her upbringing, education and early career but also a very personal and powerful story that illustrates the impact of another leader’s gracious leadership on her life. This event helped Janet form her overall philosophy of the head-heart connection in leader behaviors. Employing terrific story-telling skills to illustrate her leadership principles, readers are all in by chapter four, when the thirteen ingredients instruction begins in earnest.”

    “What better way for leaders to start the new year than by investing in their own development? Reading and reflecting on the thirteen key ingredients of gracious leadership will help you lead your team more effectively and be a positive impact on your organization as a whole. Read and study Gracious Leadership and you will ‘lead like you’ve never led before!'”

    Eleanor E. Biddulph, Leading Fully Present Consulting