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Bringing Leadership to Life in Health: LEADS in a Caring Environment pp 101–118Cite as

The LEADS in a Caring Environment Framework: Achieve Results

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Abstract

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 [1],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” [2]. This is where good leadership (doing the right things) meets good management (doing things right) to achieve results.

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Notes

  1. 1.

    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.

  2. 2.

    One might also argue that the other domains of the framework are devoted to maintaining the spirit, energy and motivation to pursue an impossible dream–and not be distracted by the inevitable disappointments along the way; the desirable ‘short cuts’ when one is tired; or sometimes the willingness to ‘settle down’ when a short destination is achieved.

  3. 3.

    Learning moment inspired by Peter Senge [8].

  4. 4.

    Qualities of an effective vision are drawn from Kantabura and Avery [7].

  5. 5.

    Bob McDonald profiles the extensive use of the Balanced Scorecard in numerous health jurisdictions in Australia and other developed nations.

  6. 6.

    The Accountable Care Organization (ACO) is an approach being championed in the United States as a key element of effective health reform. This excerpt was downloaded from http://tdi.dartmouth.edu/initiatives/accountable-care-organizations#sthash.SyqClj4h.dpuf; more information about ACO’s is available on this site.

References

  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 

  4. O’Connell D, Hickerson K, Pillutla A. Organizational visioning: an integrative review. Group Organ Manage. 2011;36(1):103–25. doi:10.1177/1059601110390999.

    Article  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.

  7. Kantabutra S, Avery G. The power of vision: statements that resonate. J Bus Strategy. 2010;31(1):37–45. doi:10.1108/02756661011012769.

    Article  Google Scholar 

  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 

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Authors and Affiliations

  1. Royal Roads University, Victoria, British Columbia, Canada

    Graham Dickson PhD

  2. Canadian Health Leadership Network, Ottawa, Ontario, Canada

    Bill Tholl MA, ICDD

Authors
  1. Graham Dickson PhD
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  2. Bill Tholl MA, ICDD
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Dickson, G., Tholl, B. (2014). The LEADS in a Caring Environment Framework: Achieve Results. In: Bringing Leadership to Life in Health: LEADS in a Caring Environment. Springer, London. https://doi.org/10.1007/978-1-4471-4875-3_7

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  • DOI: https://doi.org/10.1007/978-1-4471-4875-3_7

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4874-6

  • Online ISBN: 978-1-4471-4875-3

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