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What is leadership in healthcare
How can transformational leadership be used to influence healthcare policy change
Leadership in the everchanging healthcare environment
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Leadership in Change Management
Centuries ago, a famous Greek philosopher, Heraclitus disputed conventional wisdom that things will always stay the same. He used the flow of the river as a metaphor to describe the changes that was going on. He challenged the Greek leadership to acknowledge these changes or risk their global dominance. Two thousand years later, modern civilization is facing the same challenges as their predecessors. A rapid improvement in technology compounded with an increase in competition due to globalization has led to the emergence of change in most major industries around the world. One industry were change has become inevitable is the health care industry. Like Heraclitus, today’s experts are calling for change to a health care system that was once seen as permanently structured. Roussel & Swansburg (2009) posited that in order for the health care system to be competitive in the 21st century, health care has to adopt a model that is “flat, innovative, nimble, and responsive to change” (p.3). He noted Some of the factors for change in the health care system are; patients demand for improve quality care and safety, the demand to remain competitive through innovation, cost-cutting, and the adaptation to diversity in the health care industry (p. 3). While change could be seen as a way of improving or adjusting a process or procedures that can lead to better outcomes, when mismanaged, the impact of change could lead to serious issues for both the employees and patients. According to Wright (2010), lack of leadership in change management leads to adverse outcomes such as resentment, rebellious attitudes, and could end up damaging the same people it intended to make better (p.20). Therefore, it is very importa...
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... be hard to understand (p. 82). Through these steps, a leader would be able to reach his or her intended target without fear of the message being distorted.
The second domain is knowledge of the healthcare environment. This domain is just as important as the communication domain. A competent leader must have knowledge of what is going on in key areas such as clinical practice, delivery models, healthcare economics, policies and procedures, and patient safety. Knowledge gained in these areas could help the leader through the critical think process which is vital in change management. Furthermore, nothing makes a leader influential than knowledge. When the employee trust that their leader knows what he or she is talking about, they would tend to pay more attention to the message. Thereby reducing the risk of misinformation that can block a very thoughtful plan.
In this paper, I will inform you about issues in globalization, power, followership and cultural change in the perspective of a health leader. I will identify three major health issues that are global but has the potential to affect the United States health care system. I will describe these global health issues influence health leaders. I will relate global leadership with transformational leadership. I will illuminate three elements of cultural and diversity within health care organizations. You will find a table of cultural attributes to be made aware of. I will categorize the differences in global leadership according to power, technology, and knowledge management and will explain two leadership approaches for implementing change.
The NHS change model was selected due to the well-defined stages and clear guidance the model offers, with the added benefit of it being NHS focused. Consisting of the values of the NHS strives to adhere to and developed to aid with the understanding of leadership within healthcare. The NHS change model states leaders who are implementing change are required to utilise all dimensions of the change model to successfully
Organizations are complex systems with high expectations of adaptive techniques that are set to improve the quality of care. Each organization delivers care with a comprehensive approach for continuous improvement, which goes beyond the small changes. They promote quality Improvement, aggressively through a systematic approach. The look of primary care has changed over the years. What was once a solo doctor’s office is now a small specialty group and growing into even larger practices. With this evolution there’s a need to create and manage plans, foster technology changes in medicine, attitudes in the work force, and heightened consumer and purchaser expectations (Sollecito, Johnson, 2011).
Every organization will experience a change of leadership at some point or another. CEO’s of organizations will move on to take on different challenges in their lives or many of them will retire. There are few changes that can occur in an organization that could have a larger impact than a change at the top of the management chain. According to Firoozmand (2014) resistance from employees is an occurrence that is a part of the natural process of change. This is no different in the event of a change of leadership. New leaders will bring in a new vision, culture, and expectations that employees may not be ready or willing to accept.
Change is when a person does not follow their everyday routine. They may want to try something different, or be forced to. Change can be for the good and the bad. Places can deal with change ranging from the weather, to the animals present, or the seasons changing. Also, objects can deal with change too. Objects like an iceberg can start to melt, or a forest fire can kill many trees in an area. As a human, we are the ones deciding on change. We are in a position to make big decisions and possibly even become a leader in order for change to happen. If one person starts to change, others will follow and hopefully, the change benefits all.
As I began watching Reinventing Healthcare-A Fred Friendly Seminar (2008), I thought to myself, “man, things have changed since 2008.” And as the discussion progressed, I started to become irritated by how little had changed. The issues discussed were far-reaching, and the necessity for urgent change was a repeated theme. And yet, eight years later, health care has made changes, but many of its crucial problems still exist.
Like Klinger, Hitchcock agreed that in a managerial role is essential and performs a vital function, leadership must come first to make managing more effective. If management is efficiency in climbing the ladder, then it is leadership that determines whether the ladder is leaning against the right wall. To help individuals, teams and organizations to navigate the permanent white-water environment safely, Hitchcock (2013) suggested that there are three constants that provide stability in times of great uncertainty such as a change, a choice, and principles. This work considers each of these three constants, focusing mainly on the principles that underpin transformational and effective leadership in healthcare settings. (Hitchcock, Klinger, 2012)
Allowing change to occur in the workplace will allow for the introduction of new Communication techniques and motivational theories. By building the relationships between employees and allowing a smooth flow of information related to their job and position at the company employees will be better able to create a premium experience for their customers. As discussed by Esther Cameron and Mike Green in Making sense of change management, “resistance comes from a fear of the unknown or a need for things to remain stable” however as the company 's research has shown their position in the industry is not stable, resulting in their decrease of clients and revenue. If unchecked this will result in HealthCo’s demise as competitors adopts new methods which appeal to their customers slowly taking marketshare away from
According to Yoder-Wise (2015), a leader can be defined as, “an individual who works with others to develop a clear vision of the preferred future and to make that vision happen” (p 35). As employees, we often have our own ideal of a good leader, which may be influenced by experiences and perception of workplace norms. While one’s opinion of an effective leader may vary, there are several recognized leadership theories. The following will focus on the transformational leadership approach.
Human resources are the present focus of attention in health systems strengthening and public health policies.[1-3] Strategic planning is essential to assess efficiency of human resources and health services, being an effective tool to address innovative solutions within health systems.[4-6] Although the organizational environment is recognised as an important factor in health services functioning and development, external environment continuous modifications challenge decision makers and practitioners. For health professionals, this environment could be described by a constant technological evolution, a growing search for patient-focused care and empowerment of citizens, particularly in terms of health knowledge.[7]
Changing situations throughout the world affect all organizations in business today. Therefore, most organizations acknowledge the need to experience change and transformation in order to survive. The key challenges companies face are due to the advancements in technology, the social environment caused by globalization, the pace of competition, and the demands regarding customer expectations. It is difficult to overcome the obstacles involved with change despite all the articles, books, and publications devoted to the topic. People are naturally resistant to fundamental changes and often intimidated by the process; the old traditional patterns and methods are no longer effective.
Managing Change: Who Moved my Cheese? Darrin Ruble National University Managing Change: Who Moved my Cheese? Rashid-Al-Abri (2007) claims that change in the healthcare industry has been a dramatic phenomenon that requires the personnel to accept changes or they will be surpassed by them. Therefore, there is the need to follow the steps of change: evaluation, planning, implementation, and management. The characters are different, but the individual control that these characters display plays a fundamental role in the acceptance and the administration of change.
Why now? Why are we focusing on transformational leadership? Healthcare costs are continuing to rise. Some of the critical problems and active debates prevalent in many hospital organizations include the rapidly intensifying healthcare costs, funding and reimbursement cutbacks, and concern regarding the overall quality and safety of health care. “Healthcare systems have come under pressure to improve performance and manage productivity” (Botting, 2011). To be successful in the 21st century, there is a demand on healthcare systems to have a vision and executive and clinical leadership to inspire the change process and make the difference between success and failure in change.
According to McConell (2012), the difference in a leader and a follower determines the success of a person regarding leadership. This chapter helps explain the content of qualities and proficiency for healthcare managers to be effective. Once again, effective management skills or certain qualifications enhance a healthcare organization environment. Healthcare managers and supervisors must have the capacity to handle challenges while the organization objectives and regulations may change over a period of time. Effective healthcare management governs the success of a healthcare organization. There are many different skill sets and leadership styles to be effective as a manager. People are interested in knowing what strategies are effective in healthcare management.
Change management is an approach to evolution, or dealings with a change both from point of view of individual and organization. Change management is an important tool of project management. change management is the process which is sequence of different steps that a change management team or team leader follows to apply change management to a plan or project. Change management comprises of three following steps, i-e preparatory phase ( preparation, assessment and strategy development) managing change (planning and change management implementation) reinforcing change (Data gathering, corrective action and recognition) etc. ( Prosci's research). Effective communication is a simple activity involving words, body language, topic under discussion,