Medical leadership in health care systems: from professional authority to organizational leadership

Innovation and sustainability in a large-scale healthcare improvement collaborative - seven propositions for achieving system-wide innovation and sustainability

“…Our initial analysis was to assess suitability of the four items from the leadership and strategy themes in high-performing healthcare systems (Baker and Denis, 2011a). As suggested in the literature, we used uni-dimensionality, validity and reliability as the main methods of assessment (Steenkamp and Van Trijp, 1991;Black, 1999;Gerbing and Anderson, 1988;Nunnally, 1978).…”

“…Three overarching levels are at the heart of such high-performing healthcare systems: leadership and strategy; organisational design, and improvement capabilities (Baker and Denis, 2011a). Whilst we recognise all three levels, in this present study we are specifically interested in Leadership and Strategy.…”

“…For both stages of data collection, the quantitative data was implemented by looking at the five critical themes of Leadership and Strategy in high-performing systems (adapted from Baker and Denis, 2011a) and using a quantitative scale from 1 to 10, with interviewees being asked to score current performance against the four Leadership and Strategy sub-sections. These four items used in the quantitative survey are derived from our five adapted critical themes on leadership and strategy, as noted in the theoretical framework in Section 3 of this paper.…”

“…This requires taking a long-term perspective which sustains a calculated focus on both quality and services (Baker, 2011a(Baker, , 2011b. However, impact is increasingly being realised as a result of sustained efforts into improved care (Baker, 2011a;Baker and Denis, 2011a). Studies have shown that the most successful types of inter-organisational collaborations are those where grounded and stable multidisciplinary teams have been long established and maintained over time (Axelsson and Axelsson, 2006), for example, as noted through success of integrated healthcare in Sweden (Ahgren and Axelsson, 2011).…”

“…Furthermore, the previous scoping literature review, which was undertaken for the LIQH (Mervyn and Amoo, 2014) allowed us to adapt the themes to create five critical themes, which have leadership and strategy as their focus. Source: Baker and Denis (2011a) These are as follows:…”