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Leading Academic Integration Through a Foundational Communication Strategy
1Poonam Sharma, MD, FCAP, FACHE,is professor, chair, and medical director of the Department of Pathology at CHI Health Creighton University School of Medicine in Omaha, Nebraska.
Frontiers of Health Services Management
|March 4, 2026
Summary
Navigating healthcare mergers requires intentional communication. Trust and transparency are key leadership strategies to overcome cultural and operational challenges, reduce uncertainty, and foster alignment during complex affiliations.
Area of Science:
- Healthcare Management
- Organizational Behavior
- Academic Medicine Integration
Background:
- Merger between Alegent Health (community system) and Creighton University (academic institution) in 2012.
- Significant cultural, operational, and mission-related challenges arose post-affiliation.
- Differing expectations, professional identities, and norms created uncertainty and resistance.
Purpose of the Study:
- Examine the role of communication in navigating complex healthcare affiliations.
- Identify leadership strategies for managing uncertainty and fostering alignment during mergers.
- Provide practical insights for healthcare leaders undergoing large-scale transformation.
Main Methods:
- Case study analysis of the Alegent Health and Creighton University affiliation.
- Focus on communication as a foundational leadership strategy.
- Examination of how leaders used multidirectional communication to address challenges.
Main Results:
- Intentional, multidirectional communication reduced uncertainty and emotional resistance.
- Trust and transparency were crucial for rebuilding alignment and trust.
- Leadership fatigue was mitigated through effective communication strategies.
Conclusions:
- Communication grounded in trust and transparency is essential for successful healthcare mergers.
- Leaders should prioritize intentional communication over solely structural reorganization.
- Lessons learned offer practical guidance for managing complex healthcare transformations.
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