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PubMed1993

Challenges of leadership in an era of health care reform.

Health care leadership has never been more difficult than in the past decade--and the next ten years promise to be even more demanding. As a new era for health care emerges, organizational leaders will be required to manage increased levels of risk, uncertainty, and rapid change. Successful chief executives will be those who recognize and nurture intangible leadership qualities including knowledge of self, commitment to service, and depth and breadth of vision. With the continued shift away from hospital inpatient care, health care leaders will be called on to develop multipurpose delivery systems that move from a market-based to a community-based focus and deliver high quality services in a cost-effective manner. Several leadership themes will unfold in the midst of health care reform, including: exploiting change for the good of the organization and community; serving as educator, communicator, and comforter to divergent constituencies; and reestablishing a balance between short-term goals and long-term vision.

Chief Executive Officers, Hospital↗
PubMedDate not supplied

What's going on in the real world.

The health care marketplace has worked its magic, inspiring health care providers to transform strategies and operations from often inefficient and costly care and services to streamlined, often cooperative, integrated delivery systems. Transformation--a far better word than reform. The need to "reform" implies past failures, as in "reform school" for the unruly, even wicked child. A "transformation," however, implies re-invention, possibly of something that worked well already. Well, but not well enough. In the case of health care in the United States, even the most jaded observer will agree that our medical care system--including medical and pharmaceutical research and development--is the greatest gift this country has given to itself. Its quality is the benchmark for every society on earth. And yet--Happy New Year! Time moves on, and what worked well can work better, can be perfected, exquisite. It can also be exquisite while affordable.

Economic Competition↗
PubMed1994

Involvement of a pharmacy department in a hospital's transition to patient-centered care.

This article will describe our hospital's transition to a patient-centered care environment as a response to rising costs within the hospitals and a desire to improve the quality of patient care through systems improvement. The involvement of pharmacy managers in the new organizational structure will be detailed, as well as their new roles and responsibilities as care center leaders. The traditional pharmacy management structure has been replaced by a team approach to decision making and problem solving. Challenges exist to the pharmacy managers as they reorganize to accommodate new responsibilities within the care centers. Opportunities exist within this setting to support pharmaceutical care.

Chicago↗