Leadership in Health Care

CPHHA Workshop
March 2010
AGI Consulting, LLC
USA

If you run after two rabbits, you

wont catch either one.
--- Armenian Proverb

Leadership in Health Care

Leadershipis a reciprocal relationship
between those who choose to lead and
those who decide to follow.

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Leadership in Health Care

The Customer supplier relationship is the
same as the relationship between
followers and leaders.

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Leadership in Health Care

Effective Leaders.Who? Why?

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Focus on Followers

Effective Followers are.

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Leadership in Health Care

Lets Learn form the Geese
Fact: People sharing common direction
can g
get to their g
goals more efficiently
y
and more effectively.
Fact: Falling out of formation and
accepting guidance.
Fact: It pays to take turns leading.

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Leadership in Health Care

Geese in Flightcontinues:
Fact: Leaders honk
Fact: When a team member get sick,
sick ,
others will help.

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Leaders
Visionary
Change Agents
Coach and Empowerer

So, Why leaders fail?

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Leadership frames..

Structural

Human Resources

Goals, job roles, downsizing

Teambuilding, morale

Political
United, realignments, factions

Symbolic
Ritual, images, symbols
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Leadership and power

Power is the capacity to influence others
Sources of Power:
Position
1.
2.
3.
4.
5.

Formal authority
Control over resources
Flexibility
Visibility
Relevance
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Leadership and power2

Personal
1. Expertise
2. Effort
3. Personal Attraction

Internal Powers
1. Charisma
2. Credibility

Can you develop these leadership powers?

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Leadership patterns..
Ineffective--Unproductive Patterns
Ineffective

1.
2.
3.
4.
5.

Domineering
PseudoPseudo-Democratic
Accommodative
Paternalistic
Bureaucratic

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Leadership patterns..2
Effective--Productive Patterns
Effective

1.
2.
3.
4.
5.

Directive
Collaborative
Collegial
Transactional
Transformational

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Important skills..

Interpersonal Communication

Human..followers focused
Intellectual..facts, knowledge, discussion
Environmental..media
P
Psychological..verbal
h l i l
b l and
d nonverbal..body
b l b d
language
Listening

Questioning
Empowering and delegating
Motivating and inspiring
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Leadership in Health Care

Managers vs. Leaders

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Leadership in Health Care

A Leader compared to a Manager
A leader creates, a manager copies
A leader gives credit, a manager find
blame
A leader incites desire, a manager
incites fear
A leader values people, a manager
values procedures
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Leadership in Health Care

A leader expects innovation, a manager
expects conformity
A leader prefers jjudgment,
g
a manager
g
prefers rules
A leader expands liberty, a manager
expands power
A leader employs people, a manager
employs objects

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Leadership in Health Care

A leader welcomes criticism, a manager
welcomes praise
A leader promotes others, a manager
g
promotes themselves
A leader makes mistakes, a manager
makes excuses
A leader sees opportunities, a manager
sees problems

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Leadership in Health Care

A leader corrects themselves, a
manager corrects others
A Leader acquires wisdom, a manager
g
accumulates knowledge
A leader develops pride, a manager
develops ego
A leader seeks responsibility, a
manager wants rights

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Leadership in Health Care

A leader develops a vision, a manager
develops a position
A leader sees through
g mirrors, a
manager sees their own image
A leader has their faults, a manager
thinks they are perfect
A leader loves to lead, a manager loves
to manipulate

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Leadership in Health Care

Managers typically obtain influence
based on status and power, leaders.
Managers
g
set g
goals that accomplish a
practical purpose and are generally
quantifiable, leaders..
Managers rely on rules and procedures,
leaders..

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Leadership in Health Care

Managers hold others accountable,
leaders.
Managers
g
focus on short
short--term results,
leaders..
Managers create order and stability,
leaders..
Managers work within organizational
boundaries, leaders.

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Leadership in Health Care

Three people (living or deceased) whom you
consider as leaders:
One; wellwell-known for his leadership skills
Second; a leader to you professionally
Third; a leader to you personally
WHAT SKILLS DO THEY HAVE?

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Leadership in Health Care

Therefore, the difference between leaders and
managers is fundamental. The manager
administers, the leader innovates. The
manager maintains
maintains, the leader develops
develops.
The manager relies on systems, the leader
relies on people. The manager counts on
control, the leader counts on trust. The
manager does things right, the leader does
- Warren Bennis
the right thing.
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Leaders
An effective leader is not someone who is
loved or admired. He or she is someone
whose followers do the right things.
Popularity is not Leadership. Results are.
Leaders
L d
are hi
highly
hl visible.
i ibl Th
They th
therefore
f
sett
examples.
Leadership is not rank, privileges, titles or
money. It is responsibility.
effective leaders are not preachers; they are
doers. (Drucker, 1996)

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Dimensions of Leadership
Focus on Character..conscience
Character..conscience
Focus on Analysis.Ideas
Analysis.Ideas
Focus on
AccomplishmentProblems
Accomplishment
Problems
Focus on Interaction..People
Interaction..People

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Focus on Character

List criteria needed to decide to change an

existing tradition in your organization.
What kind of changes are suggested?
Wh t are some off th
What
the reasons th
thatt change
h
has not been implemented yet?
To implement needed changes, where to
start? What are the obstacles?
How to overcome the obstacles?
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Focus on Analysis
You are an outside observer of your org.:

What do you see and hear?

What experiences, events, etc., remind

you of your org.?
According to the above, what problems
does your org. face?

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Focus on Accomplishment
In your organization;
In the spirit of improvements, list main
things
g yyou would be willing
g to sacrifice.
Select one from the above.
Where do you start?
What kind of support you need? and
from whom?
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Focus on Interaction
What would inspire others?
Here is a list of workwork-related rewards, rate
each 1
1--5 ((least to most important):
)
-Personal Achievement
-Achieving Goals through others
-Approval of others
-Challenge
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Focus on Interaction (cont.)

-Camaraderie
-Creativity
-Exercising Competence
-Meaningful Contribution
-Personal Growth
-Recognition
-Respect of Others
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Focus on Interaction(cont.)
-Exercising Responsibility
-Self
Self--Esteem
-Sense of Involvement
-Social Service
Discuss your results!!

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Leadership Question
In what ways are a buffalo herd
and a school of fish or a flock
of birds different?

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So in summary
What kind of leaders are most effective
in healthcare quality?
What skills are needed the most?
Can we build these skills?
How?

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Leadership is not about making

yourself more powerful. Its about
making people around you more
powerful. --- Betty Linton

Any ???
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