Marooned on a Desert Island

Each person on each table write down three things they would need to survive

Leadership Challenges in healthcare

Kenyans Celebrating Obama’s Victory

Why was he so popular among so many people around the world?

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

Leadership in Healthcare is….Unique in that there are multiple

stakeholders:– Clinicians – Medicine, Nursing & Allied

Health– Managers– Bureaucrats– Politicians– Advocacy groups– The Media

International Issues and Challenges for International Issues and Challenges for Healthcare LeadersHealthcare Leaders

• 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

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

The need to develop leaders in healthcare

Wangari Maathai 1940-2011Nobel Peace Laureate

• 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

WHAT IS LEADERSHIP?

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.

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.

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

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

Evolution of leadership

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

Transformational leadership in healthcare

• Empowering workers• Negotiating workplace goals rather than

issuing orders• Making managers accountable to their

subordinates

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!