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The practices and processes of strategic leadership
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Woolley, Sarah and Currie, Graeme (2023) The practices and processes of strategic leadership. In: Burgess, Nicola and Currie, Graeme, (eds.) Shaping High Quality, Affordable and Equitable Healthcare. Meaningful Innovation and System Transformation. Organizational Behaviour in Healthcare . Cham: Palgrave Macmillan , pp. 131-156. ISBN 9783031242113
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Official URL: https://doi.org/10.1007/978-3-031-24212-0_7
Abstract
Achieving strategic change in healthcare is challenging because leaders need to accommodate complex stakeholder demands and reconcile high quality individualised care with population level cost control. Change efforts are stymied further by bureaucracy and powerful professionals. Increasing demand for health care and its costs mean that overcoming these challenges is critical to delivering sustainable healthcare. Given this context, attention to strategic visioning and planning is not sufficient and leaders need to give equal attention to strategy process and implementation to effect change. By drawing on evidence from public healthcare and commercial managerial settings, as well as an illustrative case study, we outline how leaders can overcome these challenges by adopting participative managerial practices that leverage healthcare’s distributed leadership arrangements. Specifically, leaders can effect change by: 1) clearly setting contexts for organizational action across top and middle management through role expectations and performance monitoring and; 2) actively managing boundary relations and tensions between different professional and managerial groups to support collaboration. Leaders need to recognize that substantial time needs to be built into implementation for this, including consistent opportunities for meetings between different professional and managerial actors to support shared understandings about situations, roles and activities as they change over time.
Item Type: | Book Item | ||||
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Subjects: | H Social Sciences > HD Industries. Land use. Labor > HD28 Management. Industrial Management | ||||
Divisions: | Faculty of Social Sciences > Warwick Business School | ||||
Series Name: | Organizational Behaviour in Healthcare | ||||
Publisher: | Palgrave Macmillan | ||||
Place of Publication: | Cham | ||||
ISBN: | 9783031242113 | ||||
Book Title: | Shaping High Quality, Affordable and Equitable Healthcare. Meaningful Innovation and System Transformation | ||||
Editor: | Burgess, Nicola and Currie, Graeme | ||||
Official Date: | 6 October 2023 | ||||
Dates: |
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Page Range: | pp. 131-156 | ||||
DOI: | 10.1007/978-3-031-24212-0 | ||||
Status: | Not Peer Reviewed | ||||
Publication Status: | Published | ||||
Copyright Holders: | © 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG |
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