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Defining key qualities for transformational leadership: LLIFE leadership competencies approach
Karen Mellum1, Charanjit S Rihal2, Claire Reeve2
1Mayo Clinic, Rochester, Minnesota, USA mellum.karen@mayo.edu.
BMJ Leader
|February 18, 2026
Summary
A new leadership competency model, Leads Self, Leads Others, Inspires Others, Forward Thinking and Engages Others (LLIFE), was developed to equip healthcare leaders for transformation. This validated framework enhances patient-centered care and organizational strategy.
Area of Science:
- Healthcare Leadership
- Organizational Transformation
- Competency Framework Development
Background:
- Effective leadership is crucial for complex healthcare organizations, especially post-pandemic.
- Mayo Clinic needed to shift from a linear to a platform-based care model.
- A new leadership model was required to drive patient-centered transformation.
Purpose of the Study:
- To develop and validate a novel leadership competency framework.
- To support and equip leaders with skills for future-ready healthcare.
Main Methods:
- Multiphase, evidence-based approach including interviews, literature review, and focus groups.
- Iterative development of the competency framework.
- Validation through physician leader surveys and stakeholder verification.
Main Results:
- Identified five core competencies and 23 specific behaviors.
- Validation confirmed all behaviors are crucial for differentiating leadership.
- Stakeholders confirmed the framework's applicability across all leadership levels.
Conclusions:
- The LLIFE competency model advances leadership excellence in evolving healthcare.
- It aligns with strategic goals, embeds values, and supports continuous development.
- This model offers a transferable framework for other healthcare institutions.
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