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Building and Sustaining Leadership in the US Public Health System
PHLS Annual ProgramSunday, Nov. 3, 2007
Consumer/Benefactor PanelRex Archer, MD, MPH
Director of HealthKansas City, Missouri
“Leaders are visionaries with a poorly developed sense of fear and no concept of the odds against them”
-Robert Jarvik
Leadership Competencies
1. Envision a better future
2. Accurately assess present reality
3. Not just tolerating, but actually drawing energy from the difference in order to drive change (without compromising the long term vision or denying present reality)
A Health System: Health Protection for Life!
Public Health Network
Health Protection: Health Promotion, Prevention, and Preparedness
Healthcare Delivery System
Disease Care
Medical care and tertiary prevention
Safety net programs and secondary prevention
Primary preventionAddressing thesocial determinants of health
Camara Phyllis Jones, MD, MPH, PhDResearch Director on Social Determinants of Health and Equity
Dif
fere
nces
in a
cces
s to
car
eDifferences in exposures and opportunities
Differences in quality of care(ambulance slow or goes the wrong way)
Accurately assess present reality
• Fisherman story• Takers not just Givers (Pat Libbey)
1. Take Credit, invisible?
2. Take Responsibility, accreditation, and ask for $$
3. Take Charge, PH as Incident Commander
Use the difference to drive change
Negotiation skills
• Collaboration, win/win (.75 + .75 = 1.5)
• Isolation, win?/lose (.80 - .10 = .70)
• Subjugation, win/lose (.60 + .10 = .70)
• Mutual destruction, lose/lose, militant nonviolent resistance (.0 - .25 = -.25)
Use the difference to drive change
Leadership development, the usual suspects?
1. Mentoring, apprenticeship,
2. Risk taking - Willingness to lose/relocate (live within your means, be able to survive 6-9 months unemployment)
3. Communication - Storytelling
A vision without a task A vision without a task is but a dream;is but a dream;
a task without a vision a task without a vision is drudgery;is drudgery;
a vision and a task is a vision and a task is the hope of the world.the hope of the world.
- from a church wall in England- from a church wall in England