Clinical Leadership

Albert W. Wu, MD, MPH

Johns Hopkins Bloomberg School of Public
Health Cartagena, Colombia, 30 May 2019
 Tasks for Clinical Leaders

• Inspire a shared vision

• Model the way
• Challenge the process
• Encourage the heart
• Enable others to act
 Inspire a Shared Vision
• Co-develop
• Communicate
• Set goals
• Develop strategies
 Core Behaviors
• I am humble and curious.
• I respect, appreciate and help others.
• I am accountable to continuously improve
myself, my organization and my community.
 Model the Way
• Humility
• Respect
• Just Culture (non punitive)
• Interdisciplinary teams
• Evidence based practice
 Challenge the Process
• Communicate
• Improve quality
• Encourage and facilitate collective learning
• Provide feedback
• Partner with patients
 Encourage the Heart
• Understand and support staff needs
• Build mutual trust and cooperation
• Build interpersonal relationships
• Engage emotions
• Recognize effort and achievement
 Enable others to act
• Mentor
• Training
• Advocate
• Support
• Get necessary resources
 Implementation

Engagement Education Execution Evaluation

Awareness Knowledge Direction Generation of evidence
Emotional engagement Know how Guidelines/Standard
Individual commitment Technical skills procedures
Training Local knowledge
Design
 Acknowledge Humanness
• Workers are human
– Need to be engaged emotionally
– US National Academy of Medicine setting clinician healthcare wellness as a
national priority
– Worker safety
– Stress and loss of meaning lead to burnout

• Humans resist change / conservatism

– What will I lose by doing this?

• Blame is a natural instinct

• Cognitive biases are hard-wired

A Fourth Aim of Health Care?
• Enhance patient
experience of care
• Improve the health of
populations
• Reducing the per capita
cost of health care
• Maintain well being of
the health care team

• Bodenheimer,
Ann Fam Med
2014
 Health care depends on
healthy doctors and nurses

Care of the patient requires

care of the provider
 Education and Training

https://www.jhsph.edu/academics/online-learning-and-courses/online-
programs/online-programs-for-applied-learning/master-of-applied-science-patient-
13 safety-and-healthcare-quality/index.html
 Journal of Patient Safety and
Risk Management

Please submit your papers!

Peer-reviewed journal print+online that provides
international forum for new knowledge+ideas in patient
safety, risk management and medico-legal. Prioritizes
evidence-based research, reviews, commentary, cases on
patient safety issues with implications for patient care,
clinical and professional practice, health care governance
and policy
https://mc.manuscriptcentral.com/jpsrm

Albert W. Wu, MD, MPH, Editor-in-Chief

@withyouDrWu

http://journals.sagepub.com/home/cri
www.josieking.org
awu@jhu.edu @withyouDrWu