The Waiting is Almost Over
Finally! The recent US Supreme Court deliberations about the constitutionality of some components of the Affordable Care Act (the Act) have focused the American public’s attention on what is the single most significant healthcare policy innovation in our country since Medicare was put in place in 1963. Thankfully, hype doesn’t cut it in this venue. While political viewpoints were insinuated into some of the briefs, in the end, all parties must present a coherent argument—for or against. From their questions to the lawyers arguing their case, it’s clear our Supreme Court Justices grasp the importance of issues before them. The American Society of Healthcare Risk Management (ASHRM) has provided an objective, succinct summary of the issues and questions raised, with more detailed information embedded in various links in the article.
Now we wait for their ruling—due out sometime this summer. The underlying assumption most people are making is that a judiciary decision will determine whether or not our healthcare system gets a much-needed overhaul. No question about it, broad policy and subsequent regulations play an important role in shaping the parameters of change, but that is but one factor in play.
Innovations Are Already Operational At The Local Level
In February 2012, PBS aired a new 2-hour special by respected journalist and documentary filmmaker T.R. Reid, who happens have deep knowledge about the US healthcare system. The film, US Healthcare: The Good News, presents several new models of local care delivery that are already operational. ( A short 2-minute video previews the film’s content.)
Turns out that, rather than waiting for final answers to come about the future of the Act, several US communities have embraced the challenge of designing and implementing new models of care. In response to local conditions these pioneers are rewriting how healthcare providers, employers, community advocates are coming together to create local solutions that are resulting in improved access, improved quality performance on objective quality measures while also lowering costs. These local innovations have much to teach us…if we only take the time to become informed and let go of preset conditions.
Implications for Local Leaders
While each new model of care is born out of local conditions and players, a common ingredient across all examples is the the vital role of local leadership plays not only in planning but implementation. Members of the local medical community, employers, and community members have demonstrated sustained leadership.
It’s not just any leadership, but a particular kind of leadership; transformational leadership to be specific. A few key attributes of whose characteristics include: Systems Thinking Applied to Strategic Management; Superior Communication Skills; and the Ability to Align Incentives Across Diverse Constituencies.
Accelerating Local Delivery System Transformations
I’m convinced we have a once-in-a-lifetime- chance to improve the care people receive throughout the United States. But the transformation of healthcare delivery has always been a local service; and true transformation will only happen at the local level. I’ve dedicated much of my professional career to this process, and remain strongly optimistic that we are creating better answers. To help make the most of this opportunity, my company, the Callaway Leadership Institute, has joined forces with the Thunderbird School of Global Management to offer a series of executive education opportunities for leaders committed to local transformation of their delivery system. Our first offerings are Transformational Healthcare Leadership Certificate Course, followed by an International Conference for Healthcare Leaders. These two related programs will be offered on Thunderbird’s Glendale, Arizona campus the last week of February, 2013. I hope you’ll consider attending.
Until next time…Keep the faith, you can be sure I am!
Marguerite Callaway




