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Surgical Leadership Competencies for Navigating Hospital Network Expansion

Published:November 11, 2022DOI:https://doi.org/10.1016/j.jss.2022.10.014

      Abstract

      Introduction

      Today, many hospitals are part of a multihospital network, which changes the context in which surgeons are asked to lead. This study explores key leadership competencies that surgical leaders use to navigate this hospital network expansion.

      Methods

      In this qualitative study, 30 surgical leaders were interviewed. Interviews were coded and analyzed via thematic analysis.

      Results

      We identified three key competencies that leaders felt were important leadership skills to successfully navigate expanding hospital networks. First, leaders must steer the departmental vision within the evolving hospital network landscape. Second, leaders must align the visions of the department and of the hospital network. Third, leaders must build a network-oriented culture within their department.

      Conclusions

      As networks expand, leaders are tasked with unifying vision in their department. Leaders identified a unique opportunity to leverage their growing influence across the hospital network and invested in the people and culture of their department.

      Keywords

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      References

        • Fulton B.D.
        Health care market concentration trends in the United States: evidence and policy responses.
        Health Aff. 2017; 36: 1530-1538
        • Karaca Z.
        • Fingar K.R.
        Health system Affiliation and characteristics of inpatient stays at rural and metropolitan hospitals, 2016: statistical brief #265. In: Healthcare Cost and Utilization Project (HCUP) Statistical Briefs. Agency for Healthcare Research and Quality (US).
        (Available at:)
        http://www.ncbi.nlm.nih.gov/books/NBK563792/
        Date: 2006
        Date accessed: March 26, 2021
        • Dafny L.S.
        • Lee T.H.
        The good merger.
        N Engl J Med. 2015; 372: 2077-2079
        • Ibrahim A.M.
        • Dimick J.B.
        Redesigning the delivery of specialty care within newly formed hospital networks.
        (Available at:)
        • Chhabra K.R.
        • Dimick J.B.
        Hospital networks and value-based payment: fertile ground for regionalizing high-risk surgery.
        JAMA. 2015; 314: 1335
        • Chhabra K.R.
        • Diaz A.
        • Byrnes M.A.
        • et al.
        Challenges and opportunities for the academic mission within expanding health systems: a qualitative study.
        Ann Surg. 2020; 275: 1221-1228
        • Sidorov J.
        Case study of a failed merger of hospital systems.
        Manag Care. 2003; 12: 56-60
      1. AHA Annual Survey.
        (Available at:)
        https://www.ahadata.com/aha-data-resources
        Date accessed: April 25, 2021
        • Malterud K.
        • Siersma V.D.
        • Guassora A.D.
        Sample size in qualitative interview studies: guided by information power.
        Qual Health Res. 2016; 26: 1753-1760
        • Braun V.
        • Clarke V.
        • Hayfield N.
        • Terry G.
        Thematic analysis.
        in: Liamputtong P. Handbook of Research Methods in Health Social Sciences. Springer Singapore, 2018: 1-18
        • O’Brien B.C.
        • Harris I.B.
        • Beckman T.J.
        • Reed D.A.
        • Cook D.A.
        Standards for reporting qualitative research: a synthesis of recommendations.
        Acad Med. 2014; 89: 1245-1251
      2. Kibbe M.R. Chen H. Leadership in Surgery. Springer International Publishing, 2019
        • Patel V.M.
        • Warren O.
        • Humphris P.
        • et al.
        What does leadership in surgery entail?: leadership in surgery.
        ANZ J Surg. 2010; 80: 876-883
        • Rosengart T.K.
        • Kent K.C.
        • Bland K.I.
        • et al.
        Key tenets of effective surgery leadership: perspectives from the society of surgical chairs mentorship sessions.
        JAMA Surg. 2016; 151: 768
        • Jaffe G.A.
        • Pradarelli J.C.
        • Lemak C.H.
        • Mulholland M.W.
        • Dimick J.B.
        Designing a leadership development program for surgeons.
        J Surg Res. 2016; 200: 53-58
        • Vu J.V.
        • Harbaugh C.M.
        • Dimick J.B.
        The need for leadership training in surgical residency.
        JAMA Surg. 2019; 154: 575-576
        • Stahl G.K.
        • Voigt A.
        Do cultural differences matter in mergers and acquisitions? A tentative model and examination.
        Organ Sci. 2008; 19: 160-176
        • Gelfand M.
        • Gordon S.
        • Li C.
        • Choi V.
        • Prokopowicz P.
        One reason mergers fail: the two cultures aren’t compatible.
        (Available at:)
        • Li C.
        • Gelfand M.J.
        Culture’s price tag in cross-border acquisitions: how tightness- looseness affects performance.
        Acad Manag Proc. 2019; 2019: 10027
        • Fondrevay J.J.
        After a merger, don’t let “Us vs. Them” thinking ruin the company.
        (Available at:)
        • Salenger R.
        • Morton-Bailey V.
        • Grant M.
        • Gregory A.
        • Williams J.B.
        • Engelman D.T.
        Cardiac enhanced recovery after surgery: a guide to team building and successful implementation.
        Semin Thorac Cardiovasc Surg. 2020; 32: 187-196