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The Puck Stops Here: Taking Organizational Accountability Seriously.
1Chief of Foot and Ankle, San Francisco Orthopaedic Residency Program, St. Mary's Medical Center, San Francisco, CA, USA, is a Canadian-trained orthopaedic surgeon with academic interests in patient education and health policy as it pertains to quality and value. His research presently focuses on the third bucket of healthcare-exploring strategies to deliver healthcare more effectively.
Healthcare Quarterly (Toronto, Ont.)
|March 25, 2016
Summary
Health leaders must ensure quality improvement by organizing care delivery and staff performance. Accountability strategies include front-line familiarity, service-line approaches, outcome metrics, and incentives.
Area of Science:
- Healthcare Management
- Organizational Ethics
- Quality Improvement
Background:
- Effective healthcare administration requires a focus on quality improvement and accountability.
- Ethical considerations in healthcare leadership necessitate robust performance management systems.
- Organizational ethics literature provides frameworks for evaluating leadership accountability.
Purpose of the Study:
- To present an ethical argument for holding health administrators accountable for quality improvement.
- To offer practical strategies for enhancing accountability in healthcare leadership.
- To draw parallels with successful system transformations in the UK.
Main Methods:
- Ethical argumentation supported by evidence from studies and literature.
- Analysis of organizational ethics and healthcare system performance.
- Proposal of practical strategies for leadership accountability.
Main Results:
- Health leaders are ethically bound to promote system performance.
- A well-organized delivery system and acceptable personnel performance are crucial.
- Four strategies are proposed to enhance leader accountability.
Conclusions:
- Accountability in healthcare leadership is essential for quality improvement.
- Practical strategies can be implemented to ensure leaders are accountable for outcomes.
- Adopting outcome-based approaches can drive better healthcare results.