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Case study

The hospital leadership model of the future: How an organisation is using the triad/dyad model to drive performance excellence and culture transformation

Dennis Delisle, Naeem Ali, Deana Sievert and J. J. Kuczynski
Management in Healthcare: A Peer-Reviewed Journal, 9 (1), 6-20 (2024)
https://doi.org/10.69554/LNQH6594

Abstract

Healthcare organisations have been facing increasing complexity since the pandemic, demanding improved outcomes with fewer resources. Collaboration and alignment are crucial amidst evolving market dynamics and changing patient expectations. Innovative leadership models like the triad/dyad approach offer a solution, fostering interprofessional teamwork to enhance patient care and drive cultural transformation. The model promotes collaboration, innovation and continuous improvement, fostering a culture of shared accountability. Results demonstrate improvements in quality, culture and operational metrics, showcasing the model’s effectiveness in driving transformative change. While challenges exist, embracing triad/dyad leadership offers significant benefits for healthcare organisations. Prioritising collaboration and investing in leadership development are essential for sustained success and cultural transformation.

Keywords: change leadership; performance excellence; talent development; teamwork; triad/dyad model; triad leadership

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Author's Biography

Dennis Delisle , ScD, FACHE, is a transformational healthcare professional and nationally recognised lean and change leadership expert. Dr Delisle is the Executive Director of University Hospital, Brain & Spine Hospital and Ross Heart Hospital at The Ohio State University Wexner Medical Center. Dr Delisle also serves as an operational executive for the construction of a new US$2bn, 820-bed hospital tower construction project. He currently serves as adjunct faculty for The Ohio State University Fisher College of Business, Master of Business in Operational Excellence and Jefferson University College of Population Health Healthcare Quality & Safety/Operational Excellence programmes. Dr Delisle has authored three books: Lean Healthcare, 2nd edition, Executing Lean Improvements and Transformation and Your New EHR. Through the Thomas Jefferson University College of Population Health, he founded the master of science degree programme in operational excellence, one of the first of its kind in the nation. Dr Delisle holds certifications as an executive coach, Lean Master, Six Sigma Black Belt, change agent and project management professional. He is a trained Baldrige Examiner and a Fellow of the American College of Healthcare Executives. Dr Delisle completed his bachelor of science degree in biology at Syracuse University, master of health services administration degree at The George Washington University and doctor of science degree in health systems management at Tulane University.

Naeem Ali , MD, is a graduate of The Ohio State University College of Medicine (1996) and a product of the Hospital’s graduate training programmes. He has been a practising intensivist and pulmonologist since he joined the faculty in 2003. Dr Ali’s clinical interests began with a search for better ways to deliver life support in the intensive care unit while minimising the negative effects of bed rest. This interest directly led to him organising and executing a multicentre trial in the role of weakness in ICU patient recovery. His early interests in this area led him to leadership positions as the Assistant (2005) and then Medical Director (2007) of the Medical Intensive Care Unit. Recognising a need for early intervention, he moved into the oversight of the hospital’s emergency response teams that identify patients before they arrive in the ICU. In 2014, Dr Ali joined the Medical Staff Administration as the Medical Director of University Hospital and the Director of Critical Care Clinical Operations. With this perspective, Dr Ali has sought to bring the interdisciplinary collaboration exemplified in critical care units to the entire healthcare system. To achieve this, he has focused recently on academic physician advancement through competency-based leadership development.

Deana Sievert , DNP, RN, has over 30 years of experience in nursing, 20 of which she has served in various leadership roles. Ms Sievert received her bachelor of science in nursing degree from the University of Toledo/ Medical College of Ohio Consortium and then obtained her master of science in nursing from the Medical University of Ohio, Toledo, as an adult clinical nurse specialist. She received her doctor of nursing practice as a nurse executive from The Ohio State University. Ms Sievert is currently enrolled at Walden University in pursuit of her PhD in nursing leadership. Over her tenure as an accomplished nursing leader, she has helped organisations advance clinical quality, Just Culture, Safety Culture, driving Evidence-Based Practice culture and nursing staff well-being. Her passion is making the front-line nurses work as best as possible. She serves on several community boards and participates in many professional organisations.

J. J. Kuczynski , PT, DPT, LSSGB, serves as the first Senior Consultant for Team Performance & Execution in the history of The Ohio State University Wexner Medical Center. A physical therapist by training, J. J. Kuczynski transitioned from leading high-performing clinical teams to overseeing a team performance framework across multiple teams and business units. Formally trained in Lean Six Sigma Green Belt and certified executive coaching, he partners with clinical and operational leaders to drive the one-year operating plan of the hospital; implement clinical and leadership evidence-based practices; strengthen the triad-dyad model of healthcare leadership; and foster partnerships across the University and Medical Center to promote our team-based culture and tripartite mission. Throughout his career, J. J. Kuczynski has demonstrated a passion for leader and employee development to enhance not only patient experience and outcomes but also team engagement. Under his leadership, teams have collectively accomplished increased employee engagement, increased patient satisfaction and significant care expansions or innovations. Along the way, J. J. Kuczynski has been recognised for his mentorship, teaching abilities and leadership, as evidenced by formal awards from The Ohio State University and several professional associations.

Citation

Delisle, Dennis, Ali, Naeem, Sievert, Deana and Kuczynski, J. J. (2024, September 1). The hospital leadership model of the future: How an organisation is using the triad/dyad model to drive performance excellence and culture transformation. In the Management in Healthcare: A Peer-Reviewed Journal, Volume 9, Issue 1. https://doi.org/10.69554/LNQH6594.

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cover image, Management in Healthcare: A Peer-Reviewed Journal
Management in Healthcare: A Peer-Reviewed Journal
Volume 9 / Issue 1
© Henry Stewart
Publications LLP

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