The LEADS in a Caring Environment Framework: Achieve Results
No leader—certainly not you—goes into the health system to make the results worse! You, I and all health leaders envision a better future. We are always trying to improve results. That goal guides us through all the decisions and actions we take. In practical terms, much of our leadership energy goes to improving both efficiency and effectiveness ,Chris Hodgkinson terms values as efficiency and effectiveness as “meta-values” of public service enterprises such as health, i.e., moral commitments that underpin the enterprise. Two other meta-values of health care in a universal health system such as Canada’s are equity and caring. where “Efficiency is doing things right. Effectiveness is doing the right things” . This is where good leadership (doing the right things) meets good management (doing things right) to achieve results.
KeywordsIncome Expense OECD Metaphor
- 1.Hodgkinson C. The philosophy of leadership. Oxford: Blackwell; 1983.Google Scholar
- 2.Drucker P. The effective executive-The definitive guide to getting the right things done. New York: HarperCollins; 1963.Google Scholar
- 3.Farson R. Management of the absurd: paradoxes in leadership. New York: Touchstone; 1996.Google Scholar
- 5.Kaplan R, Norton D. The execution premium. Boston: Harvard Business School Publishing; 2008.Google Scholar
- 6.Lipton M. Demystifying the development of an organizational vision [internet]. Sloan Manage Rev. 1996. Available from: http://sloanreview.mit.edu/article/demystifying-the-development-of-an-organizational-vision/. Cited Aug 2013.
- 8.Senge P. The dance of change. New York: Doubleday; 1999.Google Scholar
- 9.Barnard C. The functions of the executive. Cambridge: Harvard University Press; 1938.Google Scholar
- 10.MacLeod H. A complex system. Discussion paper. Edmonton: Alborta; 2011 Aug 24.Google Scholar
- 11.Heifitz R, Grashow A, Linsky M. Practice of adaptive leadership: tools and tactics for changing your organization and the world: a fieldbook for practitioners. Cambridge: Harvard Business Press; 2009.Google Scholar
- 12.Patterson K, Grenny J. Influencer: the power to change anything. New York: McGraw-Hill; 2008.Google Scholar
- 13.Selye H. Stress without distress. Philadelphia: J. B. Lippincott Co; 1974.Google Scholar
- 14.HealthCare Benchmarks and Quality Improvement. Toyota situation is no reason to abandon Lean, say experts [internet]. HighBeam Research. 2010. Available from: http://www.highbeam.com. Cited 2 July 2012.
- 15.Cliffe S, and Cialdini R. The uses (and abuses) of influence. Harv Bus Rev. 2013;91(7-8):76–81.Google Scholar
- 16.Kaplan R, Norton D. The execution premium: linking strategy to operations for competitive advantage. Boston: Harvard Business School Publishing; 2008.Google Scholar
- 17.McDonald B. A review of the use of the balanced scorecard in healthcare [internet]. BMcD Consulting. 2012. Available from: http://www.bmcdconsulting.com/index_htm_files/Review%20of%20the%20Use%20of%20the%20Balanced%20Scorecard%20in%20Healthcare%20BMcD.pdf. Cited Aug 2013.
- 18.Bisognano M, Kenney C. Leadership for the triple aim. Health Exec. 2012;27(2):80.Google Scholar
- 19.Schultz S, Abercrombie S, Crownover D, Hockzema G, Krug N, Maxwell L, Mazzone M, Mitchell K, Shaffer T, Tuggy M. Accountable care organizations: an opportunity for synergy. AnnFamMed. 2013;11(3):283–284.Google Scholar
- 20.Romilly L, Tholl W. Achieve results. Third of five papers on the LEADS in a caring environment capabilities framework. Ottawa: Canadian College of Health Leaders and Canadian Health Leadership Network; 2010.Google Scholar
- 21.Balanced Scorecard Basics [internet]. North Carolina: Balanced Scorecard Institute. Available from: https://www.balancedscorecard.org/BSCResources/AbouttheBalancedScorecard/tabid/55/Default.aspx. Cited 19 July 2013.
- 22.Canadian Blood Services honoured for excellence in strategy management [internet]. Canadian Blood Services. 2007. Available from: http://www.blood.ca/centreapps/internet/uw_v502_mainengine.nsf/9749ca80b75a038585256aa20060d703/42ff1ff6045db49d85257375004f451a?OpenDocument. Cited 19 July 2013.
- 23.Abecassis M, Benjamin D, Tessier L. Clear blood. Stanford Innov Rev. 2009;7(2):67–71.Google Scholar
- 24.HR metrics: doing the math, finding the path [internet]. Peopletalk. 2008;11(3):11–6. Available from: http://www.heatherconn.com/pdfs/1035HRC_People_Talk.pdf. Cited 19 July 2013.
- 25.Petch J, Palmer R, Tierney M. Can “bottom up” measurement improve the quality of canadian health care? [internet]. Healthydebate. 2013. Available from: http://healthydebate.ca/2013/05/topic/quality/health-system-measurement. Cited 19 July 2013.
- 26.Frances R. Independent inquiry into care provided by mid Staffordshire. England: the Mid Staffordshire NHS Foundation Trust Public Inquiry 2010. 2013. Available from: http://www.midstaffsinquiry.com/assets/docs/Inquiry_Report-Vol1.pdf.
- 27.Kelman S, Friedman J. Performance improvement and performance dysfunction: an empirical examination of impacts of the emergency room wait-time target in the english national health service; Harvard University – Harvard Kennedy School (HKS); National Bureau of Economic Research (NBER) August 2007 KSG working paper no. RWP07-034.Google Scholar