The LEADS framework: An important
resource for improving leadership
culture and performance
Presentation to CHIMA
Conference
October 16, 2014
2
Health Policy
Commonwealth Fund Report:
Not Looking Good
Latest report places Canada 10th out of
11 countries in 2014 update
Quality care: 9th
Effective care – 7th
Safe care – 10th
Coordinated care – 8th
Patient-centred care – 8th
Access: 9th
Cost-related problem – 5th
Timeliness of care – 11th
Efficiency: 10th Equity: 9th Healthy
lives: 8th
Source: Davis K et al. Mirror, Mirror on the Wall – How the Performance of the US Health Care System Compares Internationally. The Commonwealth
The challenges of leadership in health
When the wind changes
direction, there are those
who build walls and those
who build windmills.
Chinese Proverb
LEADS in a Caring Environment
Together…!
The leaders role
To help others stay focused
on a common purpose.
Leadership Defined
•“Leadership is the
capacity to influence
others to work
together to achieve
a constructive
purpose”.
Now Needed:
Stronger Leadership Capacity
•
•
•
•
Widespread (Quantity)
More people at all levels
provide leadership
(distributed leadership)
Leadership impetus
comes from all directions
Leadership
Accountability is
widespread and specific
Assumes extensive
leadership development
infrastructure to build
extensive capacity
Upgraded (Quality)
• Transformational
• Powerful
• Strategic
• Long Term
• Capable of Systems Thinking
and Action
• Focused on influence rather
than authority
• Linked to organizational
vision, priorities and
implementation strategy
Evolution of LEADS
• Leadership Gap identified by College in early 2000’s
• Concern over ability to attract and retain leaders
• 2004 - 2006
BC funded research project: extensive literature
review; interviews; College expert working group;
focus groups → LEADS framework
• 2007 National research project…
CHSRF…validated framework behaviours and
capabilities
• 2009 LEADS…in a Caring Environment
…common “capabilities” framework
• 2009 Adoption by the College, HCLABC and CHLNet
as national leadership framework
• 2013 LEADS Collaborative partnership formed
College assumes governance and operating authority
for LEADS business unit
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Building blocks for
LEADS in a Caring
Environment
+
+
Being
Knowing who you
are
Doing
Caring
Understanding your
commitment to others
How you lead through
your actions
Overview of LEADS
• Five domains
• 4 capabilities per
domain
• Total 20 capabilities
• Behavioural descriptors
at four levels
Systems
Transformation
Develop
Coalitions
Achieve
Results
Lead
Self
Engage
Others
Lead Self
• Self Aware
• Manage Self
• Develops Self
• Demonstrates Character
LEADS in a Caring Environment
The essential question:
Will anyone want to follow you?
Engage Others
• Fosters Development of
Others
• Contributes to Creation of a
Healthy Organization
• Communicates Effectively
• Builds Effective Teams
Achieve Results
• Sets Direction
• Aligns Decisions with
Vision, Values and
Evidence
• Takes Action to
Implement Decisions
• Assesses and Evaluates
Results
Develop Coalitions
• Builds Partnerships and
Networks to Create Results
• Demonstrates a
Commitment to Customers
and Service
• Mobilizes Knowledge
• Navigates Socio-Political
Environments
LEADS in a Caring Environment
System Transformation
• Demonstrates Systems/Critical
Thinking
• Encourages and Supports Innovation
• Strategically Oriented to the Future
• Champions and Orchestrates Change
LEADS in a Caring Environment
LEADS model
Outcomes
Achieve
Results
Engage
Others
Relationships
Develop
Coalitions
Future
Vision
Lead
Self
Change Dynamics
Systems
Transformation
LEADS Framework Emphasis
The five LEADS domains are used by leaders at all levels.
There is more weight on the L, E, & A domains in early career
S
D
A
E
L
Lead Self
Engage Others
Achieve Results
Develop Coalitions
Systems Transformation
Why LEADS works
Strengths:






Simple
Complete
Portable
Applicable to all levels
Coherent & Cohesive
Strong internal logic
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21
IHI High Impact Leadership Behaviours
Gandhi
“We must be the change we wish to see.”
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More Information on LEADS
in a Caring Environment
leadscollaborative.ca
Thank you