1. Clinical Leadership - Today & Tomorrow -
Prof. Dr. Rainer Riedel (MD, Degree in Economics)
Co-workers in our team:
Lisa Kurylowicz,MPH, Dr. HP Dauben, MD

2. What is clinical leadership today?
“The concept of clinical healthcare staff undertaking the roles of leadership:
setting, inspiring and promoting values and vision, and using their clinical experience and skills to ensure the needs of the patient are the central focus in the organisation’s aims and business benchmarks.
Clinical leadership is key to both
promoting high-quality clinical care and transforming services
to achieve higher levels of excellence.
There is a also a role for clinical leadership at every level in healthcare organisations and systems.”
Adopted to: The importance of clinical leadership Jonas S, McCay L, Keogh B (2011)

3. ..... it is Your general sucess-story
Clinical leadership
..... it is Your general sucess-story
Effective leadership in healthcare occurs at distinct levels:
Strategic level
High performer as a clinician
Personal qualities as a ” frontman / frontwoman”
Digital innovation integration
Leadership skills
Clinical leadership is vital to join up efforts at the different levels.

4. Quality of healthcare services (medical domain)  this is Your original „personal goal“
Patient related outcome (e.g.)
Involvement in patient care (acceptability and request) of servcies, patient satisfaction and experiences with the service
complication rates, risk-adjusted mortality and morbiditiy rates
Staff and Clinical process management (Clincal Patheways)
Safety of healthcare process
Clinical process management considering the clinical guidelines
Evidence based Medicine
Health Care System requirements regarded

5. Financial and Operational Resources (economic domain)
Financial and Operational Resources (economic domain)....not your main focus? ...
Having the knowledge (not in detail) to incorporate topics to arrange economic questions within a group e.g.:
Profitability / Success
Operating margin
Your department
Operational efficiency
Reaching the number of surgeries
Market competence in the case of competition
Competitiveness
Cost effective clinical guidelines

6. being able to handle Change Management
Organisational staff management (Team leadership / organisational domain) not your main focus domain....
Integrating ideas and wishes of different professional groups with different backgrounds and different way of thinking
Moderating discussions and leading decisions of a team across all professional groups
Integration of the digital transformation into the daily routine in your clinic with professionlas of differentt age-groups
being able to handle Change Management

7. Personal Qualities, Ethical, Legal and Social performance (PELS domain)
Handling ethical issues (e.g. moral implications based on the owner) in connection with
Character, technical skills etc.
General social expectations
Compliance to society rules / health care system
Regarding the dipole of economical frames & linked to the rescource management
This includes
Clinician professional norms & ethical beliefs
Expenditure on community benefits

8. Organisational /digital domain
The leadership skills your domain today
is required to integtate the different perspectives
Organisational /digital domain
economic domain
medical domain
PELS domain
by using
Hospital based HTA
Hospital decision area

9. Organisational/ digital
Tomorrow CL includes also....an involvement in
Health Technology Assessment (HTA):
The systematic evaluation of the properties and effects of a “health technology”, addressing the direct and intended effects of this technology, as well as its indirect and unintended consequences, and aimed mainly at informing decision making regarding health technologies.
HTA is conducted by interdisciplinary groups that use explicit analytical frameworks drawing on a variety of methods.
including
Medical domain
Economic domain
Organisational/ digital
domain
PELS domain

10. Hospital-Based Health Technology Assessment
HB-HTA
Hospital-Based Health Technology Assessment
Even though Technology Assessment developed to meet central policies’ needs, the advancements in health care systems have raised worldwide the necessity of an HTA’s progressive decentralization.
Hospital based HTA is the use of HTA logic to support managerial decisions in health care structures.
Americo Cicchetti, Rome 2019

11. HB-HTA – tools and services
Americo Cicchetti, Rome 2019

12. Decision and technology management
Decisions have to be under constant re- evaluation. By this the life-cycle of procedures, processes, devices and other technologies has to be taken into consideration
& we can improve...
Gutiérrez-Ibarluzea, Iñaki et al. “The Life Cycle of Health Technologies. Challenges and Ways Forward.” Frontiers in pharmacology vol Jan. 2017, doi: /fphar
euroscan.org

13. Developing to new horizons - KAIZENTM
Being ready to change tomorrow? Being ready for the future?
"KAIZEN™ means improvement. Moreover, it means continuing improvement in personal life, home life, social life, and working life. When applied to the workplace KAIZEN™ means continuing improvement involving everyone – managers and workers alike.”*
* Masaaki Imai, Founder of Kaizen Institute

14. Clinical Leadership for Your successful future is....
Summary
Clinical Leadership for Your successful future is....
Inspiring your people
Being an empathic clinician personality
Regarding the following management challenges
Strategic management talent
High performer as a clinician
Economic domain
Organisational domain incl. digital transformation
Personal Qualities, ethical, legal, Social domain
Health Technology Assessment (HTA)

15. Thank you for attention Questions ?
Schaevenstraße 1a–b
D Köln
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