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Practice paper

Leading with upper brain: The mindset transformations of highly effective leaders

Marzena Buzanowska and Michael Frisina
Management in Healthcare: A Peer-Reviewed Journal, 9 (3), 282-289 (2025)
https://doi.org/10.69554/TITG5512

Abstract

Today’s healthcare organisations face serious challenges both within themselves and in the outside environment, from labour shortages, increased regulatory pressures and financial headwinds to the austerity from Centers for Medicare & Medicaid Services (CMS) and insurance companies as well as heightened competition in an increasingly monopolised market. While the issues are enormous, the solutions are within reach, and we have immensely capable and technically skilled leaders to do this work. What is becoming obviously missing, however, is not the technical and intellectual knowledge but the emotional and mindset skills for highly effective and transformative leadership. What is crucial to success is building strong and engaged organisational cultures as well as effectively negotiating with stakeholders, both of which require specific leadership behaviours and mindsets. This set of optimal behaviours are termed ‘upper brain behaviours’, which are geared towards collaboration and characterised by high emotional intelligence (EI), emotional maturity, collaborative mindset, commitment to inner and organisational purpose and mission and a strong ability to value people and interpersonal connections. While these behaviours are the ultimate pursuit of most people who seek self-improvement and growth, and this journey is never truly completed, we would like to describe the mindset transformations that we believe all leaders need to undertake in order to become highly effective in their work and consistently exhibit behaviours that lead to transformational leadership outcomes. This process is not only within reach and completely attainable but urgently needed in healthcare today.

Keywords: effective leadership; collaboration; abundance mindset; psychological safety; leadership growth

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Author's Biography

Marzena Buzanowska , MD, MHA, is an assistant professor of medicine, associate medical director at River City Sports & Spine and interventional spine fellowship director. She is the founder of Leadership Breakthroughs Academy, where she coaches leaders and organisations on a neuroscience-informed leadership framework. Dr Buzanowska has been a speaker at national meetings on implicit bias, effective teamwork, developing cultures of inclusion and belonging and transformative conflict resolution.

Michael Frisina , PhD, is founder/CEO of The Frisina Group LLC, Elgin, S.C., and The Center for Influential Leadership. He is an author, educator and consultant specialising in healthcare leadership and performance improvement. He is also an internationally known speaker and the author of Influential Leadership: Change Your Behavior, Change Your Organization, Change Health Care. Dr Frisina was previously an assistant professor at the U.S. Military Academy at West Point and an assistant professor at the Uniformed Services University of the Health Sciences in Bethesda, MD. He has held administrative positions in both military and civilian healthcare systems at various levels of increasing responsibility.

Citation

Buzanowska, Marzena and Frisina, Michael (2025, February 13). Leading with upper brain: The mindset transformations of highly effective leaders. In the Management in Healthcare: A Peer-Reviewed Journal, Volume 9, Issue 3. https://doi.org/10.69554/TITG5512.

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cover image, Management in Healthcare: A Peer-Reviewed Journal
Management in Healthcare: A Peer-Reviewed Journal
Volume 9 / Issue 3
© Henry Stewart
Publications LLP

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