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Effective Medical Leaders Achieving Transformational Change

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Why Hospitals Fail
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Abstract

Healthcare is a dynamic and fast moving business, where never before has leadership been so important to effectively transform healthcare systems. Healthcare costs continue to be driven up with increased demand, an aging population with complex and multiple conditions and advances in technology. Disruptive innovation affects many aspects of healthcare, whether it’s new technology such as the robot in surgery, the electronic health record, or the PACS systems, not to mention external influences such as payment systems (government). This results in a changing landscape of priorities, from one based mostly on a production system, to the current concept of one based on value (Value (V) = quality (Q)/cost ($)). Medical school does not prepare its doctors to become leaders. However many individual’s demonstrate leadership against these odds. For example, Toby Cosgrove M.D. [1] the world renowned cardiac surgeon turned CEO of the multi-billion dollar enterprise, the Cleveland Clinic, in his preface to his book The Cleveland Clinic Way, admits “I wasn’t born to be a CEO.” He reflects that because he grew up as an undiagnosed dyslexic that perhaps that was a blessing in disguise, as he never “fell prey to the herd mentality.”

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References

  1. Cosgrove T. The Cleveland Clinic Way: lessons in excellence from one of the World’s Leading Healthcare Organizations. New York: McGraw-Hill; 2014.

    Google Scholar 

  2. Kotter JP. What leaders really do. HBR. 2001;25–34.

    Google Scholar 

  3. Northouse PG. Leadership theory and practice. Thousand Oaks: Sage Publications; 2007.

    Google Scholar 

  4. Goleman D. Leadership that gets results. Harv Bus Rev. 2000;78(2):78–90.

    Google Scholar 

  5. Maslow AH. A theory of human motivation. Psychol Rev. 2014;50(4):370–96.

    Article  Google Scholar 

  6. Heifitz RA, Laurie DL. The work of leadership. Harv Bus Rev. 2001;79(11):37–47.

    Google Scholar 

  7. Kanigel R. The one best way: Frederick Winslow Taylor and the enigma of efficiency. New York: Penguin-Viking; 1997.

    Google Scholar 

  8. Fortes-Mayer T. The freemind experience: the three pillars of absolute happiness. London: Watkins Publishing Ltd; 2015.

    Google Scholar 

  9. Leape LL. Errors in medicine. Clin Chim Acta. 2009;404(1):2–5.

    Article  CAS  PubMed  Google Scholar 

  10. Kohn LT, Corrigan JM, Donaldson MS. To err is human building a safer health system. Washington: Institute of Medicine National Academy Press; 1999.

    Google Scholar 

  11. Reason J. The contribution of latent human failures to the breakdown of complex systems. Philos Trans R Soc Lond B Biol Sci. 1990;327:475–84.

    Article  CAS  PubMed  Google Scholar 

  12. Kachalia A. Improving patient safety through transparency. N Engl J Med. 2013;369:1677–9.

    Article  CAS  PubMed  Google Scholar 

  13. Deming WE. Out of the crisis. Cambridge: MIT Press; 2000.

    Google Scholar 

  14. Rogers EM. Diffusion of innovations. 5th ed. New York: Simon and Schuster; 2003.

    Google Scholar 

  15. Kotter JP. Leading change. Cambridge: HBR Press; 2010.

    Google Scholar 

  16. Ambrose D. Managing complex change. Pittsburgh: The Enterprise Group, Ltd; 1987.

    Google Scholar 

  17. Golden B. Transforming healthcare organizations. Healthc Q. 2006;10(sp):10–9.

    Article  PubMed  Google Scholar 

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Correspondence to Martin A. Koyle .

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Koyle, M.A. (2017). Effective Medical Leaders Achieving Transformational Change. In: Godbole, P., Burke, D., Aylott, J. (eds) Why Hospitals Fail. Springer, Cham. https://doi.org/10.1007/978-3-319-56224-7_4

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  • DOI: https://doi.org/10.1007/978-3-319-56224-7_4

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  • Publisher Name: Springer, Cham

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