the basic principle of healthcare leadership

1. Integrity, the basic principle of healthcare leadership.

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Mateo Alba posted May 12, 2021 10:04 PM


Integrity of any organization regardless whether it is in healthcare or business or government is paramount. Because of integrity comes trust. Having trust in a healthcare organization is  nonnegotiable. It is the foundation of a world-class organization. Executives who ignore ethics run the risk of personal and corporate liability in today’s increasingly tough legal environment (Lynn S. Paine, 1994, Managing for Organizational Integrity, pp. 2-21)

First, the healthcare organization. The healthcare organization is the head or the governing body. It is charged of day-to-day functions, establish policies, guidance, business process, safety, security and all the administrative duties. Integrity is and must be the cornerstone of any healthcare organization. Without it, no clinicians or workers that would knowingly work for an organization that they cannot trust or feel safe. And most importantly, if the patients do not have trust in the organization, they will avoid that facility at all cost.

medical community

Second, the clinicians. The clinicians are what makes the organization or facility function. Whether they are the providers, nurses or staff it is important that they have the integrity to always do what is right not only for the healthcare team or the organization, but most specially for the patient. It starts with the clinical leaders building trust to their subordinate staff by having the integrity and values of what a leader should be. Once that is established, then it permeates throughout the entire team. Thereby improving the healthcare delivery.

Lastly, and the most important is the patient. At the center of the entire system needs to be the patient. Once the patient recognizes the integrity or values of the healthcare organization and the clinicians delivering healthcare, patient trust is established. The patient satisfaction also increases. According to Cowing, Davino-Ramaya, Ramaya, Szmerekovsky, 2009, pp.72, “if patients are satisfied with clinician-patient interactions, they are likely to be more compliant with their treatment plan, to understand their role in the recovery process, and to follow through with the recommended treatment”. Having integrity or values in the healthcare delivery is the basic principle of healthcare leadership.

Cowing, M., Davino-Ramaya, C. M., Ramaya, K., & Szmerekovsky, J. (2009). Health care delivery performance: service, outcomes, and resource stewardship. The Permanente Journal, 13(4), 72–78. Retrieved from

Lynn S. Paine, 1994, Managing for Organizational Integrity. Harvard business review, 2-21. Retrieved from  Managing for Organizational Integrity (


2. Medical Delivery Influences 

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Robert Breeden posted May 12, 2021 9:44 AM



medical community

The influence within the medical community is so important and the three key players will never truly be understood because of an outside perspective, but let’s break them down.

The Health Care organization’s influence with the delivery system can be summed up in creating an affordable and reliable health care programs that the patients can return to and be comfortable to have their families get their medical issues resolved. (Cowing, Davio, C.M, Szmerekovsky, 2009, pg. 73) If the entire Health Care organization were to fail, the entire infrastructure would crumble because we would have mass panic through the United States

The clinician are the backbone of the system of all medical organizations and the influence is based on their hard work and dedication in their work centers. If we had lazy clinicians then that would impact the patients and the organizations. If we don’t pay them accordingly then they could find a more reliable location to help with their life. Also, if they don’t have the right tools and equipment to accomplish their skill, we would lose the trust in the patient. If we had more organization bringing their clinicians into the leadership fold and decision making, I think there would be a drastic change health care cost. (NEJM Catalyst, 2021)

patients influence impacts

The patients influence impacts each level of an organization and how our clinician work through certain situations. The patient is really the person on the ground that could suggest a change in procedures because they’ve been a loyal customer to the Health Care. The delivery portion of any one of these to make sure that we have active communication with both parties so there isn’t anything lost in translation. The patient needs that health care that can be accessed on an everyday situation.

I lived in Denver for four years and found that on every street corner there was an urgent care facility and on top of that, there was a hospital. This concept is great when we pursue that right clinicians, insurance and method to help the patient.



Cowing, M., Davino-Ramaya, C. M., Ramaya, K., & Szmerekovsky, J. (2009). Health care delivery performance: service, outcomes, and resource stewardshipThe Permanente Journal, 13(4), 72–78. Retrieved from


NEJM Catalyst. (2021). The Clinician Role in Health Care Delivery and Innovation. Retrieved from


3. Initial Post 

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Tray Jackson posted May 12, 2021 3:18 PM


The organization, clinician, and patient are all vital variables a part of the health care delivery system.  Each variable has its own set of specific aspects that are used to measure the performance level of the health care delivery system.  Therefore, resulting in each variable having a substantial amount of influence on the health care delivery system.

With today’s elevated level of competition in the health care field, the organization must ensure that it is offering high quality health care that is efficient, effective, and readily accessible for the patient.  With patient and workplace safety in mind, the organization must deliver such health care all while keeping expenses low (Cowing, Davino-Ramaya, Ramaya, Szmerekovsky, 2009, pp. 72-78).  The integrity of the organization is important because a health care organization that lacks integrity also lacks having ethical values, which are mandatory ingredients for success in the field.

patients influence impacts

The clinicians are the cornerstone of the health care delivery system.  Their influence is directly linked to the organization and the patient.  The organization provides the clinicians with the necessary resources needed to perform high quality health care on the patients.  In change, the clinicians must put forth their best efforts to ensure organizational success and achieve overall patient satisfaction (Cowing, Davino-Ramaya, Ramaya, Szmerekovsky, 2009, pp. 72-78).  The clinician’s integrity is important because the patient’s health, safety, and a portion of the organization’s reputation lies in their hands.  Patients who lack trust in their physicians do not receive satisfactory health care (Roseman University, 2016).

Lastly, the patient has a huge influence on the health care system.  Overall patient satisfaction is the goal for every health care organization because their feedbacks directly affect the organization’s reputation.  Patient integrity is important because negative feedbacks from patients can cause an organization to make drastic changes to their infrastructure.

Cowing, M., Davino-Ramaya, C., Ramaya, K., and Szmerekovsky, J. (2009). Health Care Delivery Performance: Service, Outcomes, and Resource Stewardship. The Permanente Journal, 13(4), 72-78.Retrieved from

Roseman University. (2016). The Value of Integrity in Medicine.