Healthcare leadership

Leadership is central to health care system

Based on a recent research, the American healthcare is gradually falling in the provision of healthcare services. Based on these researches, there is an estimated 750 billion US dollars that have gone into waste and inefficient uses. This has called for an urgent need aimed at responding to the urgent need of changing the healthcare delivery system in U.S.A.  There is compromised quality, reduced equity, reduced outcomes, and increased costs of service provision.  Based on the article, it is clear that the healthcare overall management is lacking in one way or the other.

As above stated, there has been no equity in the provision of health care services implying that there is a wide gap that can be created  by the economic wellbeing of both the rich and the poor. Quality provision has also been compromised. Privatization of health care services has given rise to this continued imbalance in accessing health care services. Because of the increased number of patients, and lack of enough facilities, the quality of health services has largely been negatively been affected. It implies that outcome will thus be compromised when quality is reduced. Practically, private healthcare service providers are relatively expensive compared to the public hospitals. As such, there is a dire need to focus on the healthcare system in order to address these problems (Bentkover, 2012).

Some modalities have been suggested as the modalities to address these issues. The leaders in the healthcare systems need to come up with a new culture. They need to come up with a set of values in order to make sure that all the workers live operate under the umbrella of such values. In order to foster learning, continuity, and improvement there should be usage of empirical data.  There should be concrete cooperation between the senior and junior staffs through the top-down approaches. There should be engagement of the patients through patient-education programs as this has been found to enhance healthcare outcomes as well as cost reduction. Finally, there should be increased accountability and it is the role of the leaders to ensure that there is transparency in the healthcare systems (Bentkover, 2012).

Nursing role in healthcare reform

There has been a new healthcare reform Act that has provided nurses with an opportunity in the provision of improved healthcare services while at the same time playing a crucial role in in leading change (McDonough, 2011). There has been a dire need create a healthcare system that is more equitable and that provides high quality services at a reasonably low cost. Despite the fact that leadership rests on a particular individual, it relies on all the stakeholders of that particular facility. It implies that nurses have a critical role to play in the hospital. However, based on the article there are several challenges that have acted as drawbacks to such efforts and that needs to be addressed through the following strategies. Employing nurse-led innovations as nurses know how to provide high quality services at relatively reduced prices. It is important to engage in research while generating evidence.

Nurses have been critical in carrying out research and leading in innovations. There is a need to redesign the nurses’ education in order to ensure that they are moving alongside the ever changing society. The scope of the nursing practice should be expanded. It is important to enlarge on diversification of the workforce considering that the population is made up of many different people coming from diverse backgrounds. Health care systems should embrace the use of new technologies in order to improve on quality. Interpersonal cooperation is also very critical and as such should be upheld. Leadership should be developed at every level and nurses should be engaged in these leaderships. Finally, nurses should be equipped with good leadership skills in order to facilitate leadership in the healthcare facilities (Hassmiller, 2010). As such there is a dire need to embrace nursing reforms.

Leadership models in health care-A case for servant leadership

The current health care system in the United States of America has been described as having failed and being unsustainable. This is because it can be able to respond to the patients’ current needs. Patients’ needs health care services that are of high quality but at relatively low prices. This has called for an improvement in the healthcare sector whereby different leadership methods have been applied by the management in order to ensure that high quality services are offered at relatively reduced costs. Different leadership methods have been employed while trying to ensure that such objectives are achieved and such methods include the servant leadership model. Leadership has been pointed out as one the major negative challenges that has been facing healthcare organizations. In order to achieve such objectives, then it is important that some issues are put in place. Leadership is not an undertaking of a single individual but rather cooperation between many interconnected persons.

Leadership in healthcare system relies much on the network of all the peers. They require inter relational support in order to facilitate quality improvement. In order to implement change it is important for the leaders to embrace education and development. It has also been noted that leadership is not a single day’s affair but rather a lifelong experience that is achievable throughout one’s lifetime career experience. It is important for healthcare providers to consider many leadership roles as their principal responsibilities. It is important to embrace teamwork spirit in the provision of health care services as this improves reliability and improvement. Transformational leadership has largely been proposed as a mechanism to ensure that leaders engage their employees through motivation and stimulation. Healthcare providers have also been urged to employ the servant leadership model while providing services to their customers as this will appropriately and effectively align with the healthcare environment and will help the health care providers in achieving positive patients’ outcome (Trastek, Hamilton & Niles, 2014).

Complexity, leadership, and management in the healthcare organizations

Based on this article, leadership is like a machine whose quality performance largely depends on the interrelationship among the many parts that cannot be operated in isolation. It is believed that the complex adaptive sections of a machine are critical and very essential than any individual part for the better functioning of a machine. In other words it is to say that teamwork spirit is very vital in ensuring that solid developments are realized within the healthcare organizations. Besides the healthcare professionals working together, it is also important to incorporate patients. Any other stakeholders besides the healthcare workers and the patients should be consulted/ involved in the management in order to achieve robust results by provoking more creative ideas.

Invention and innovation have also to be highly embraced in order to guarantee increased result orientations. Shared strategy actions should be encouraged in order to ensure that quality is upheld within the healthcare organizations and that the objectives are realized based on the set standards of that particular healthcare facility. Leaders should also realize the importance of embracing change and fighting against resistance. Despite conducting leadership as a machine, it is also important for healthcare leaders to embrace variation within their leadership models. They need to have a clear understanding that different people within the leadership model may have differences in their opinions. It is the work of the leaders to table such ‘grievances’ and call for their discussion in order to arrive at the best appropriate result. Understanding such variations will help leaders to better serve their roles while improving on the overall performance output. It will be important for them to lead other group members to focus on any conflicting issue in order to come up with the most effective solution. It is thus clear that the interactive nature between different parts in any system is very important than the independent parts themselves (Plsek & Wilson, 2001).

Profiles in Leadership

In most cases, there has been an imbalance ratio between population and the available medical facilities. It is within the mandate of leaders and all stake holders to ensure that patients access the best services. Considering the case of Coral Gables Hospital, it is important to have a leadership profiling and allocate duties and responsibilities to different parties based on their areas of specification. It is important to work as a team but clear job obligations should be well outlined. Different professionals within the healthcare organization will serve different capacities. Senior leaders should engage in helping their junior staffs and the reverse should also be upheld. All the health facility workers should be contributive and collaborative in order to ensure optimal outcome.

Based on skills and qualifications, the team members should always focus on developmental strategic plans while improving on the already existing programs. These workers should also ensure that they provide their services in the most professional and acceptable manner (South Florida Hospital News, 2013). When top ranking staffs carryout their duties appropriately, then there are high chances of their juniors conducting themselves better too. The human resource department should ensure that attractive remuneration is available for the workers to reduce on employee burn out.  In the case of Coral Gables Hospital, team work has ensured the realization of optimal results through increased output levels. It is a case example where different professionals having different educational trainings have specialized in different areas within the hospital facility thereby giving increased levels of output.

Identified issues

From the above discussion it can be deduced that there are both positive as well as negative effects associated with the healthcare organizations. Leadership in such healthcare facilities is much dependent on many factors that need to be addressed before optimal goals and objectives are attained. From the five reviewed articles, it is clear that leadership including in the one practiced in the healthcare is a complex undertaking and as such requires critical considerations to ensure growth and development in the healthcare sector. From the discussion it is clear that modern health care organizations are failing thus requiring much support to enable them achieve increased results.

There have been reduced service provision, increased costs and wide inequality gap and accessing such facilities have become relatively expensive. Because of the increased challenging issues there has been a dire need to put in place mechanisms that better address such health care associated drawbacks. Workers and stakeholders have been encouraged to engage in invention and innovation in an attempt to come up with more modernized services.  New acts have also been put in place in order to ensure that nurses and other stakeholders take part in the overall management of a healthcare organization. Some motivational programs have been adopted to see to it that workers and any relevant stakeholder give positive contribution to the overall performance of those healthcare facilities. According to the articles, it is also clear that team work is very critical in the overall service delivery by the healthcare organizations. Nurses should be engaged in leadership and should be fully equipped with the necessary tools to ensure optimal service provision.

Different and appropriate models should be used in the leadership of healthcare systems. It is appropriate to uphold servant leadership model to ensure that service providers optimally serve their patients. Transformational leadership is also very important in this kind of a setting at it will help leaders to engage every stakeholder in the decision making process thereby giving optimal results. Leadership has been described as a complex machine that whereby all the parts have to interact in order to achieve the best outcome.  In the healthcare setting it implies that all the stakeholders are important and as such have to work as peers in order to achieve the most optimal outcome. However, there has to be a clear understanding of any existing variation as such an understanding will help better achieve effective results.


Bentkover, J. D. (2012). Leadership is central to healthcare system reform.  Hospital Review, Retrieved 26 June, 2014, from

Hassmiller, S. (2010). Nursing’s role in healthcare reform. American Nurse Reform, 5 (9), 1-4. Retrieved 26 June, 2014, from

McDonough, J. E. (2011). Inside National Health Reform. Berkeley: University of California Press.

Plsek, P. E & Wilson, T. (2001). Complexity, leadership, and management healthcare organizations. British Medical Journal, 323(7315), 746-749. Retrieved 27 June, 2014, from

South Florida Hospital News. (2013). Profiles in Leadership, Retrieved 27 June, 2014, from

Trastek, V. F., Hamilton, N. W & Niles, E. E. (2014). Leadership models in healthcare –A case for servant leadership. Mayo Clinic Proceedings, 89(3), 374-381. Retrieved 27 June, 2014, from