Ronald Lavater, Sylvia Basterrechea, Andrew N Garman
{"title":"International Healthcare Leadership: The Global Pursuit of a Healthier Future.","authors":"Ronald Lavater, Sylvia Basterrechea, Andrew N Garman","doi":"10.1097/HAP.0000000000000218","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000218","url":null,"abstract":"<p><p>Healthcare leaders worldwide focus on patient and community health, facing intertwined challenges like staffing shortages, geopolitical changes, and environmental sustainability. The International Hospital Federation (IHF), established more than 90 years ago, unites healthcare leaders to create healthy communities served by well-managed hospitals through knowledge exchange and leadership development. Based in Geneva, Switzerland, the IHF collaborates closely with US healthcare leaders, particularly through organizations such as the American College of Healthcare Executives (ACHE) and the American Hospital Association (AHA), a founding member of the IHF. This article presents insights from four global healthcare leaders, who discuss their backgrounds, leadership approaches, and the influence of international learning on their own journeys, especially in regard to environmental sustainability. We also recommend three practical ways to connect with international learning communities to expand their access to innovative solutions.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"41 4","pages":"4-9"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Case for Global Perspectives in US Healthcare Leadership.","authors":"Carla Jackie Sampson","doi":"10.1097/HAP.0000000000000220","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000220","url":null,"abstract":"","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"41 4","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Essential Innovation: Thriving amid Significant Change.","authors":"David E Entwistle","doi":"10.1097/HAP.0000000000000217","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000217","url":null,"abstract":"<p><p>Healthcare systems worldwide are grappling with significant challenges, including rising costs, aging populations, and growing demands for care. The global pursuit of innovation has never been more critical to answering these challenges and ensuring that the mission of healthcare remains vital and strong. Prioritizing three areas for innovation, in particular, will be essential for systems navigating a rapidly changing industry: (1) ensuring access to timely care amid resource constraints, (2) fostering local innovation and knowledge sharing, and (3) strengthening support for healthcare workers globally. This article explores several approaches to driving progress in these domains. Artificial intelligence (AI) offers a unique opportunity to extend access to diagnostics and specialized care in low-resources settings. Effective collaborations can bridge persistent gaps in education, training, and infrastructure necessary for improving care quality and health outcomes for patients globally. And, amid a professional burnout crisis, the development of targeted \"copilots\" to support healthcare workers can help alleviate burdens that distract from what they do best. Ultimately, an ongoing commitment to innovation is vital for healthcare systems to not only sustain their missions but to meet the evolving needs of patients and clinicians everywhere.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"41 4","pages":"26-33"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Global Healthcare Enters a Transformative Era of Accelerating Technology.","authors":"Harold F Wolf","doi":"10.1097/HAP.0000000000000219","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000219","url":null,"abstract":"<p><p>Healthcare systems around the world are undergoing a rapid digital transformation in response to mounting challenges, such as aging populations, chronic disease prevalence, workforce shortages, funding limitations, and rising consumer expectations. Significant change management is needed to overcome these challenges. Simply adding more of the same resources, in terms of manpower and facilities, is neither feasible nor achievable. Digital health transformation, powered by artificial intelligence (AI), remote monitoring, and data-driven tools, offers a path forward by improving efficiency, expanding access, and enabling proactive care. Success depends on integrating technology with workforce retraining and updated processes. Embracing these innovations is essential for building a more sustainable, equitable, and patient-centered healthcare system.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"41 4","pages":"34-39"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hearing the Voice of the Patient in Value-Based Care Initiatives: Lessons from International Experiences.","authors":"Richard L Gundling","doi":"10.1097/HAP.0000000000000216","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000216","url":null,"abstract":"<p><p>Health outcomes that matter most to patients-those that affect their quality of life-are considered an integral yet underutilized element of value-based care and payment. These metrics, which are captured by reports that come directly from patients without clinician intervention, are known as patient-reported outcomes (PROs). Public and private payers in the US are increasingly calling for the use of PRO measures (PROMs), which will require hospitals, health systems, and physician practices to invest in developing new organizational capabilities. The first steps in adopting PROMs are determining what to measure and choosing the right instruments. Beyond that, common challenges of PROMs implementation-such as engaging patients and clinicians, mitigating barriers to data collection and analysis, and identifying and following best practices-transcend geographic boundaries. This article shares lessons learned about overcoming these challenges from hospitals that have implemented PROMs in clinical care in the Netherlands and Sweden, which are among the countries that have a long history with PROMs. Selected resources for healthcare organizations beginning their PROMs journey are also included in the article, which is intended as a brief introduction to the topic.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"41 4","pages":"10-17"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Achieving a Sea Change in World-Class Care, from Safety to Sustainability.","authors":"Jonathan Perlin, Neelam Dhingra, Kevin Zacharyasz","doi":"10.1097/HAP.0000000000000221","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000221","url":null,"abstract":"<p><p>Global healthcare has become exceedingly complex-clinically, financially, administratively, and even politically. While the international patient safety movement has yielded significant benefits worldwide, there remains a concerning prevalence of unsafe and substandard care. In this article, leaders of The Joint Commission and Joint Commission International (JCI), the world's largest accreditor and performance-improvement enterprise, highlight key areas of focus-from capacity strengthening to healthcare equity and sustainability-and share insights on achieving zero patient harm.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"41 4","pages":"18-25"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pursuing Enterprise Risk Management Excellence in Emergency Preparedness.","authors":"Maxine dellaBadia Simon","doi":"10.1097/HAP.0000000000000211","DOIUrl":"10.1097/HAP.0000000000000211","url":null,"abstract":"<p><strong>Summary: </strong>Enterprise risk management (ERM) is a proactive strategy that, when effectively implemented, can support an organization in reducing risk, improving alignment, and building staff trust. An effective program includes leadership transparency and a range of initiatives focusing on regulatory and financial compliance, patient safety, overall risk reduction, information management, and the use of data in the decision-making process. An effective ERM program must include a highly functioning emergency preparedness program if it is to truly support risk reduction. Emergency preparedness is an integral component of ERM, and it is also a clear example of how proactive management within a high-reliability culture catalyzes an organization's pursuit of excellence. Today's healthcare challenges have shifted disaster planning from an operational requirement to a foundational imperative. Regardless of an organization's mission, structure, or size, operational continuity depends on a culture that supports sustained readiness. An organizational planning process that includes potential disruptions to daily activities is an important factor when preparing for and responding to the unexpected. Although operational leaders cannot predict every type of event, all efforts should be made to implement a fiscally sound readiness program that achieves the desired outcomes while minimizing workflow disruptions. Leaders need to ensure that their emergency preparedness program is adaptive enough to support mission-critical components of the organization when faced with unanticipated and potentially unfavorable events. In order for the program to be effective, it is important to holistically assess its necessary elements for excellence and determine how the program should be dynamically aligned with organizational culture.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"41 3","pages":"19-29"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Risk Management and Good Governance Support Organizational Value.","authors":"Sara U Gattie","doi":"10.1097/HAP.0000000000000212","DOIUrl":"10.1097/HAP.0000000000000212","url":null,"abstract":"<p><strong>Summary: </strong>As healthcare faces mounting financial challenges and an uncertain flow of resources, proactive risk officers are working to implement effective operating policies to handle those challenges and uncertainties. Clear governance structures that are fully integrated into the organization's strategic planning process can provide the framework for effective risk management. At Providence, a large not-for-profit health system, enterprise risk management practices serve to identify, assess, and manage the risks that can affect the entire organization. Armed with a complete view of risks (both taken and those avoided), system executives, core leaders, and board members work together to protect value and advance the corporate mission.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"41 3","pages":"14-18"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cedars-Sinai: Addressing Workforce Risks Through a New School.","authors":"Nicole Anderson","doi":"10.1097/HAP.0000000000000213","DOIUrl":"10.1097/HAP.0000000000000213","url":null,"abstract":"<p><strong>Summary: </strong>Located in Los Angeles, a diverse and expensive city of 3.8 million residents, Cedars-Sinai Health System seeks to hire and retain a qualified workforce that reflects its patient population. Research shows that concordance of a person's ethnicity with their clinical care team improves outcomes and reduces health disparities. Across the nation and at Cedars-Sinai, the pandemic exacerbated already existing workforce shortages and challenges to hiring, training, and retaining allied health workers. In September 2021, leaders at Cedars-Sinai began exploring ways to address these potential workforce risks to its operations. Through interviews with stakeholders and thorough analysis of Cedars-Sinai and local workforce and educational data, the decision was made to launch an allied health school. The goal of the program is to help fill the pipeline to meet the highest areas of need and provide opportunities for community members and existing Cedars staff to upgrade their skills and earning power.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"41 3","pages":"30-37"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Holistic Approach to Enterprise Risk Management, from Catastrophes to Resilience.","authors":"Carla Jackie Sampson","doi":"10.1097/HAP.0000000000000215","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000215","url":null,"abstract":"","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"41 3","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}