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Building and Sustaining Leadership in the US Public Health System. PHLS Annual Program Sunday, Nov. 3, 2007 Consumer/Benefactor Panel Rex Archer, MD, MPH Director of Health Kansas City, Missouri.

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Building and sustaining leadership in the us public health system

Building and Sustaining Leadership in the US Public Health System

PHLS Annual Program

Sunday, Nov. 3, 2007

Consumer/Benefactor Panel

Rex Archer, MD, MPH

Director of Health

Kansas City, Missouri

“Leaders are visionaries with a poorly developed sense of fear and no concept of the odds against them” -Robert Jarvik


Leadership competencies
Leadership Competencies System

  • Envision a better future

  • Accurately assess present reality

  • Not just tolerating, but actually drawing energy from the difference in order to drive change (without compromising the long term vision or denying present reality)


Envision a better future vision
Envision a better future: Vision? System

Where there is no vision, people perish. -Proverbs 29: 18


A health system health protection for life
A Health System: Health Protection for Life! System

Affected

People

without

Complications

(undiagnosed,

asymptomatic)

Affected

People

with

Complications

Safer

Healthier

People

Vulnerable

People

Healthcare Delivery System

Public Health Network

Disease Care

Health Protection: Health Promotion,

Prevention, and Preparedness


Addressing the System

social determinants of health

Primary prevention

Safety net programs and secondary prevention

Camara Phyllis Jones, MD, MPH, PhD

Research Director on Social Determinants of Health and Equity

Medical care and tertiary prevention


Differences in exposures and opportunities System

Differences in access to care

Differences in quality of care

(ambulance slow or goes the wrong way)


Accurately assess present reality
Accurately assess present reality System

  • Fisherman story

  • Takers not just Givers (Pat Libbey)

  • Take Credit, invisible?

  • Take Responsibility, accreditation, and ask for $$

  • Take Charge, PH as Incident Commander


Use the difference to drive change
Use the difference to drive change System

Negotiation skills

  • Collaboration, win/win (.75 + .75 = 1.5)

  • Isolation, win?/lose (.80 - .10 = .70)

  • Subjugation, win/lose (.60 + .10 = .70)

  • Mutual destruction, lose/lose, militant nonviolent resistance (.0 - .25 = -.25)


Use the difference to drive change1
Use the difference to drive change System

Leadership development, the usual suspects?

  • Mentoring, apprenticeship,

  • Risk taking - Willingness to lose/relocate (live within your means, be able to survive 6-9 months unemployment)

  • Communication - Storytelling


A vision without a task is but a dream; System

a task without a vision is drudgery;

a vision and a task is the hope of the world.

- from a church wall in England


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