NUR/492: Leadership and Management
July 16, 2012
Instructor Janet Bailie
Health Care Leadership Interview
In 2007, Americans spent 2.2 trillion dollars equaling 16% of national gross domestic product on health care; that is a 14% increase since 2003 (Centers for Disease Control and Prevention.gov, 2001). As the cost of health care continues to increase, efforts to contain costs has transformed health care to include business strategies such as scrutinizing costs, marketing, and improving patient satisfaction. For a health care organization to withstand the evolving health care market effective leaders are crucial. Leaders who obtain a competitive advantage and recognize opportunities within the dynamic health care market while focusing on the organizational goals contribute to the success of the organization. Home health care has seen a significant increase in growth as a result of shorter hospital stays and Medicare reimbursement changes. Leaders in home health care have an unique opportunity to develop the direction of Home Care. To gain a better understanding of the leadership role and vision of Home Health Care I interviewed the Director of Bayhealth Home Care. Background of a Health Care Leader
Mrs. B, the Director of Home care plays a vital role in the leadership and management of Home Health Care at Bayhealth. Mrs. B started her health care career as a secretary in a medical office. It was not until she became a medical office assistant that she decide to pursue a nursing career. In the nursing Associate Degree Program at Delaware Technical Community College she learned to use the nursing process and critical thinking to manage patient care and integrate professional standards into nursing practice. After graduating from Del Tech, she worked as a medical-surgical nurse managing patient care of six patients, acting as a patient advocate, and putting patient safety first. Mrs. B continued her education and completed the RN to MSN program at Wesley College. Obtaining a MSN degree opened the door in her nursing profession to become nurse manager of Bayhealth Inpatient Rehabilitation Center. Her strong commitment to delivering the highest level of quality nursing care and patient satisfaction earned her the position of nurse manager. In 2008, she accepted the position of director of Home Care. As director of Home Care, she supports her staff by offering suggestions for improving work, executes departmental changes, encourages positive change, implements innovative cost saving measures, and finds creative ways to improve Home Care within the approved budget. Description of Health Care Leader
A leader is important to creating connections among organizational members to promote the high levels of performance and quality outcomes (Sullivan & Decker, 2009). Mrs. B describes a leader as an individual with expertise and knowledge providing vision for the future and insight into achieving greatness. She further explains that a leader provides vision, sets goals, and demonstrates commitment to achieving the goal. Leaders develop a sense of direction and purpose because of their ability recognize potential greatness. Committed to achieving the vision, leaders focus attention on problem-solving. A leader determined to overcome challenges successfully gains the support of others. The fundamental nature of leadership is the capability to mobilize people to move in the same direction, toward the same destination, at the same speed, not because they have been forced to, but because they want to (Whitehead, Weiss, & Tappen, 2007). Demonstrating her commitment to excellence, she has begun to develop a strategic plan for Home Care outlining areas of improvement within Home Care. Her focus remains on developing Bayhealth Home Care into a superior Home Care agency.
Qualities of Health Care Leader
According to Mrs. B, the most important quality of a leader is...