Abstract
As we have read, leadership is not management or administration. It is energy, influence, perseverance, dedication, strategy, and execution, applied in the world of people to create change. As Colin Powell stated, “leadership accomplishes more than the science of management says is possible to achieve [1].” The challenges facing modern health systems demand leadership.
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Notes
- 1.
A similar distinction is implicit in the terms transformational versus transactional leadership, where the former focuses on the psychological dynamics of interdependence between leader and follower, and the latter on the contractual, technical relations between them.
- 2.
Henry Mintzberg, a Canadian guru in leadership and management, advocates moving away from traditional managerial language, going beyond functions, or competencies to leadership mindsets, or capabilities [7].
- 3.
Traditionally, Participatory Action Research is conducted by a team of both academic researchers and decision makers, who are trying, together, to use inquiry-based methods to generate change in the context of the real world and study it at the same time.
- 4.
It is called the action research phase because most of the activities were formally undertaken using a ‘Participatory Action Research’ approach. Consequently, the research was conducted in cycles, each consisting of ongoing steps of research; sharing those findings with decision makers, refining the research, and bringing it back to researchers, until the product (ultimately LEADS) was consistent with the ‘construct’ of the research process.
- 5.
Vancouver Island Health Authority (VIHA) (now known as Island Health); Provincial Health Services Authority (PHSA); Interior Health Authority (IHA); Northern Health Authority (NHA); Vancouver Coastal Health Authority (VCHA); and Fraser Health Authority (FHA) are the six regions in British Columbia, (Note: Providence Health care—a catholic service entity—operates in collaboration with the other HAs) that offer full programs of health services to British Columbians. Note: the PHSA is a quaternary service delivery entity that offers provincial programs in cancer, transplants, etc. in partnership with the other five regional health authorities.
- 6.
The Canadian Health Leadership Network (CHLNet) is a not-for-profit, Value Network comprised of health organizations across the country. The network facilitates or brokers joint work among and between its Network Partners; using the LEADS framework as a foundation for much of that work. This joint work cuts across the health disciplines and across the lifecycle of leaders. CHLNet believes that leadership is a life-long pursuit and is Canada-wide. It is through this joint work that CHLNet produces a unique value, adding to the growing number of individual leadership initiatives across Canada.
- 7.
The Physician Management Institute (PMI) is the arm of the CMA that provides leadership programming for its physician members. It offers both open enrolment and in-house programs to physicians and health organizations across Canada.
- 8.
Royal Roads University, based in Victoria, British Columbia is a national and international university that provides high quality, innovative, competitively priced, and applied post-secondary education to working professionals and career-focused students in Canada and around the globe.
- 9.
David Armano is Managing Director of Edelman Digital Chicago. This is his personal digital property where he shares insights, ideas and opinions on doing business in a connected age. His website is http://darmano.typepad.com/logic_emotion/2006/06/creativity_2e.html.
- 10.
In fact, that was one of our challenges; to be valid LEADS had to encompass as much meaningful research that we were aware of that had been done on the effective practice of leadership. We had to make sure we included key constructs and ideas such as those of Goleman, Kotter, and many other leadership authors.
- 11.
A framework within the US that comes closest to claiming to be a representation of leadership shared throughout the health system is the Healthcare Leadership Alliance Competency Directory, an interactive tool to ensure that future healthcare leaders have the training and expertise they need to continue meeting the challenges of managing the nation’s healthcare organizations. The Healthcare Leadership Alliance is comprised of the nation’s premier professional societies representing over 100,000 members across the healthcare management disciplines. In this framework, leadership is one set of competencies—and does not appear to represent a similar belief—as found in the Canadian, UK, and Australian situation—that leadership is the overarching skill set needed by all professionals in all health organizations for successful reform to take place.
- 12.
Regardless of this contention in this quote that the framework so profiled is common to all professions, it should be noted that the UK has also created a separate ‘Medical Leadership’ competency framework for physicians, but is very similar in its overall framing to the NHS framework.
- 13.
For a fulsome summary of the HWA approach, read the report entitled, “HWA (2012) Leadership for the Sustainability of the Health System: Part 1 A Literature Review.” Available at: http://www.hwa.gov.au/publications
Other strategies include:
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Working together to embed the leadership framework in all education, training and continuing professional development programs.
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Building national health leadership training and development opportunities to drive innovation and reform and improve productivity.
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Strengthening and supporting leadership capacity within the Aboriginal and Torres Strait Islander workforce to accelerate progress in achieving the goals of Closing the Gap.
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Promoting and sustaining collaborative inter-professional clinical practice, workforce learning and expanded roles to ensure outstanding care and service in the Australian health system.
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- 14.
(It is to be noted that HWA did not just “take up” LEADS). Independent research and extensive consultation was done prior to adopting the LEADS acronym and the contents reflect the unique culture and situation of health reform in Australia.
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Dickson, G., Tholl, B. (2014). The LEADS in a Caring Environment Capabilities Framework: The Source Code for Health Leadership. In: Bringing Leadership to Life in Health: LEADS in a Caring Environment. Springer, London. https://doi.org/10.1007/978-1-4471-4875-3_3
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