Leadership in healthcare

Healthcare Leader & Management Consultant à University of Nairobi , School of Public Health
20 Nov 2014

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Leadership in healthcare

  1. Marooned on a Desert Island Each person on each table write down three things they would need to survive
  2. Leadership Challenges in healthcare
  3. Kenyans Celebrating Obama’s Victory Why was he so popular among so many people around the world?
  4. Leadership in Healthcare Many people today are seeking to understand -- and many people are writing about -- the concepts and practices of leadership. There are a great many reasons for the strong popularity of the topic, including that people, groups and organizations are faced with changes like never before. Effective leadership is required to understand and navigate through the many changes
  5. Leadership in Healthcare is…. Unique in that there are multiple stakeholders: – Clinicians – Medicine, Nursing & Allied Health – Managers – Bureaucrats – Politicians – Advocacy groups – The Media
  6. International IIssssuueess aanndd CChhaalllleennggeess ffoorr HHeeaalltthhccaarree LLeeaaddeerrss • Sustainability • Community/patient expectations • Clinical governance and accountability • The way health services are delivered • Workforce capacity and sustainability • Political influence and intervention • Performance improvement & patient safety
  7. Tensions between Different Key Groups • Politicians – political leaders with a short term focus and usually politically biased • Bureaucrats – Responsible for policy development and its implementation but do they lead? • Clinicians – Access clinical resources and accountable for delivering quality patient outcomes. Lead clinical innovation and service delivery • Managers – Can lead an organisation / service but are accountable for the “bottom line” and organisational performance • Patients – leading “advocacy” & self-care
  8. Wangari Maathai 1940-2011 Nobel Peace Laureate The need to develop leaders in healthcare
  9. • Very simply put, a leader is interpreted as someone who sets direction in an effort and influences people to follow that direction -- the people can be oneself, another individual, a group, an organization or a community
  11. Is Leading Different than Managing? Management • Traditional views of management associate it with four major functions: planning, organizing, leading and controlling/coordinating Leadership • Yes, leading is different than planning, organizing and coordinating because leading is focused on influencing people, while the other functions are focused on "resources" in addition to people.
  12. CONTEXT OF LEADERSHIP The particular competencies (knowledge, skills and abilities) or qualities that a person needs in order to lead at a particular time in an organization depend on a variety of factors, including: 1) Whether that person is leading one other individual, a group or a large organization; 2) The extent of leadership skills that person already has; 3) That person's basic nature and values 4) Whether the group or organization is for-profit or nonprofit, new or long-established, and large or small; 5) The particular culture (or values and associated behaviors) of whomever is being led.
  13. The boss drives people; the leader coaches them. The boss depends on authority; the leader on good will. The boss inspires fear; the leader inspires enthusiasm. The boss says 'I'; the leader says 'we.' The boss fixes the blame for the breakdown; the leader fixes the breakdown. The boss knows how it is done; the leader shows how. The boss says 'go'; the leader says 'let's go!' H. Gordon Selfridge 1864-1947, American-British retail magnate
  14. Skills of a leader • Decision making • Planning • Problem solving • Ethics and social responsibility • Creativity and innovation • Systems thinking Whether you're leading yourself, others, teams, organizations or communities, there are certain skills that you need to have
  15. Evolution of leadership
  16. Successful leadership in Healthcare • A focus on mission vision and values • A culture of teamwork and change • Communication and transparency • Rewards and recognition • Leadership development
  17. Transformational leadership in healthcare • Empowering workers • Negotiating workplace goals rather than issuing orders • Making managers accountable to their subordinates
  18. A list of things a leader must do • Communicate effectively • Get out of the corner office • Be out there representing the organization • Praise employees • Share your vision • Make it happen • Motivate others • Invest in your employees • Visit clients • Don’t micromanage • Develop a true team environment • Surround yourself with people who complement each other and your own skills • Don’t forget yourself!