Leadership challenge: lateral systems integration for healthcare
ISSN: 1476-9018
Article publication date: 30 April 2021
Issue publication date: 8 February 2022
Abstract
Purpose
Government imperatives that drive integrated care are challenging corporate executive leadership. Conspicuous by its absence in both government's imperatives and the literature, is any reference to corporate executive leadership in transitioning a hierarchically oriented health system to a laterally integrated health system referred to, in this paper, as an integrated health system. This lack of reference to executive leadership involvement conveys either significant consequences or opportunities for corporate healthcare executives. The purpose of this qualitative, multi-case study is to explore corporate executive leadership in transitioning a hierarchically oriented health system to an integrated health system.
Design/methodology/approach
Between December 2017 and February 2018, a qualitative methodology and multi-case study design facilitated one hour telephone interviews with 11 presidents and four senior vice presidents. Critical case sampling was used to select the study sample from a target population of 246 corporate healthcare executives representing Ontario's major acute healthcare organizations/systems.
Findings
Corporate healthcare executives possess the requisite skills and knowledge to transition a hierarchically oriented to a laterally integrated the health system but are constrained by an undefined partnership role with government and fear of government changes.
Originality/value
This paper provides corporate executive leaders with a systematic leadership approach to organizational readiness, in transitioning to an integrated health system. Features and outcomes of the approach are illustrated.
Keywords
Citation
Martin, L. (2022), "Leadership challenge: lateral systems integration for healthcare", Journal of Integrated Care, Vol. 30 No. 1, pp. 77-86. https://doi.org/10.1108/JICA-12-2020-0074
Publisher
:Emerald Publishing Limited
Copyright © 2021, Emerald Publishing Limited