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The editors are proud to present our readers with a significantly
expanded book, featuring 14 chapters by a distinguished group of 40
academic authors with decades of collective leadership experience.
Based on the success of Volume 1, the current book in our series
seeks to expand into important new areas. This includes diverse
topics such as resilient leadership; electronic medical record
implementations; interviewing for leadership positions; effective
management in the low-resource setting; academic affiliations;
crisis leadership; care quality and patient safety; the importance
of diversity in health-care; complexity theory and ethics; change
management; exploration of the executive function-dysfunction
spectrum; and many other related concepts. The current tome begins
with an introductory chapter that provides an in-depth overview of
various theoretical aspects of leadership, including the most
commonly encountered leadership styles. Throughout the book the
authors focus on practical relevance of the topics being discussed,
presenting 'lessons learned' and stressing the importance of
flexible, authentic, servant leadership. The editors hope that
Volume 2 of the Fundamentals of Leadership for Healthcare
Professionals will be equally, or perhaps even more successful than
Volume 1, and that it will provide an excellent springboard for
Volume 3 in this important and unique book series!
There are few contemporary industries that are as complex and
challenging to navigate as healthcare. The realities of constantly
changing regulatory, financial, and legal environments, combined
with increasing societal expectations for excellence and safe and
quality care, have resulted in a unique combination of constraints
and opportunities that require the best and the brightest of
managers and leaders to successfully tackle. Yet despite a growing
cadre of highly trained healthcare management professionals, there
continues to be a paucity of high quality leaders across the
industry. Moreover, even among those individuals, there is a
significant amount of variability and heterogeneity of leadership
styles and approaches. In an era of accountability to multiple
stakeholders from patients, to insurance companies, to local and
national governments the complex environment of healthcare requires
visionary leadership, flexibility, adaptability, short-term
tactical approaches, as well as long-term strategic thinking.
Beyond the traditionally defined scope of services, the mission of
institutions providing healthcare services has become much broader
and far-reaching than just the provision of medical services within
a specific geographic area. With hospitals and health networks
progressively growing to become some of the largest aggregators of
employment in the United States, it is not uncommon for healthcare
institutions to function as guarantors of economic stability to
entire towns, cities, and regions. Yet this must be carefully
balanced with the challenges of maintaining sustainable growth and
acceptable profit margins that help ensure that this safety matrix
continues to function as intended. To be an effective leader in the
modern healthcare environment, one must possess more than the
knowledge and skills similar to other corporate environments such
as having a fundamental understanding of relevant business models
and their implementations, a high degree of emotional intelligence,
conflict resolution, and a well-established repertoire of
leadership behaviors expected of an executive. It takes someone
truly special to translate the presence of diverse threats and
opportunities often in a climate rich with multiple types of
diversely structured and organized competitors, multi-layered
complex agendas that incorporate both personal and organizational
goals, and an institutional history and culture that can be
difficult to navigate, let alone change. Contemporary healthcare
leaders must also possess a broad understanding of the nuances and
intricacies involved in working with a multitude of care providers,
inter-disciplinary teams, complex delivery platforms, and diverse
patient populations. These efforts must translate into well-run
healthcare systems that, although difficult to clearly and
concisely define, are able to deliver excellent patient care, at
the highest possible intersection of customer quality and value.
For some other healthcare institutions, teaching and research
missions can also be variables that must be considered and managed
effectively in order for a hospital or healthcare system to be
successful. Many of such organizations are the primary generators
and providers of new provider talent to their communities and
patients. Achieving all of the above goals is far from easy. As the
editors of Fundamentals of Leadership for Healthcare Professionals,
we were motivated by personal experiences, passion for the arts and
sciences leadership roles, and the overarching goal to improve one
of our most precious resources the healthcare system. Each chapter
in this text explores different aspects of healthcare leadership,
provides valuable insights into how effective leadership functions,
and offers practical perspectives on implementations of theory into
practice. We hope that the reader will gain a better understanding
of the full spectrum of challenges and opportunities that face
healthcare leaders at all organizational levels.
Extra-corporeal membrane oxygenation (ECMO) is an innovative
therapy that is used to support the physiologic needs of a patient
during illnesses associated with acute severe respiratory and/or
cardiac failure. ECMO is used in those life-threatening situations
in which the oxygenation, ventilation, and circulatory support
needs of the patient cannot be adequately maintained with a maximal
conventional ventilator or pharmaceutical support. Essentially,
ECMO is a simple pump circuit that can be used to support the role
of failing lungs or hearts while therapies are aimed at organ
recovery. While simple in concept and theory, this text illustrates
the complexities associated with clinical use. The use of ECMO has
evolved substantially overall the years-in part due to broader and
growing applications, a better understanding of the technologies
and how they can be used (especially in the context of long-term
human-ECMO circuit interactions), objective tools for patient
selection, management protocols, and, most importantly, a growing
body of evidence-based science and literature that demonstrates the
effectiveness of this highly invasive, resource-intensive, and
complex tool. The goal of this text is to draw from established
thought leaders and experts around the world and present a
comprehensive review of the rapidly-evolving and expanding
literature regarding the spectrum of applications for ECMO. While
by no means is this implied to be the final and exhaustive text on
this topic, it does aim to be as comprehensive and up-to-date as
possible which is, in itself, a challenge given how quickly this
field is evolving. This text is aimed at students and providers, at
all levels, who might have interest or be involved in the care of
these critically ill patients. Chapters focus on how programs can
be structured, the specific details of patient selection,
management, and expanding roles of ECMO. Both basic and
sophisticated concepts are presented with the goal that all may
learn. We also present an objective assessment of some of the
evolving challenges and limitations to ECMO in the context of the
increased utilization and expansion of this therapy, combined with
"sicker" patients, and the ongoing journey towards improved
outcomes while offering a salvage therapy to patients who might
otherwise die.
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