Clinical Leadership - Today & Tomorrow - Prof. Dr. Rainer Riedel (MD, Degree in Economics)

1. Clinical Leadership - Today & Tomorrow - Prof. Dr. Rainer Riedel (MD, Degree in Economics) Co-workers in our team: Lisa Kurylowicz,MPH, Dr. HP Dauben, MD

2. What is clinical leadership today? “The concept of clinical healthcare staff undertaking the roles of leadership: setting, inspiring and promoting values and vision, and using their clinical experience and skills to ensure the needs of the patient are the central focus in the organisation’s aims and business benchmarks. Clinical leadership is key to both promoting high-quality clinical care and transforming services to achieve higher levels of excellence. There is a also a role for clinical leadership at every level in healthcare organisations and systems.” Adopted to: The importance of clinical leadership Jonas S, McCay L, Keogh B (2011)

3. Clinical leadership ..... it is Your general sucess-story • Effective leadership in healthcare occurs at distinct levels: • Strategic level • High performer as a clinician • Personal qualities as a ” frontman / frontwoman” • Digital innovation integration • Leadership skills • Clinical leadership is vital to join up efforts at the different levels.

4. Quality of healthcare services(medical domain)  this is Your original „personal goal“ • Patient relatedoutcome(e.g.) • Involvement in patient care (acceptabilityandrequest) ofservcies, patientsatisfactionandexperienceswiththeservice • complicationrates, risk-adjustedmortalityandmorbiditiyrates • Staffand Clinical processmanagement (ClincalPatheways) • Safetyofhealthcareprocess • Clinical processmanagementconsideringtheclinicalguidelines • EvidencebasedMedicine • HealthCare System requirementsregarded

5. Financial and Operational Resources(economic domain)....not your main focus? ... • Havingtheknowledge (not in detail) toincorporatetopicstoarrangeeconomicquestionswithin a group e.g.: • Profitability/ Success • Operating margin • Yourdepartment • Operational efficiency • Reachingthenumberofsurgeries • Market competence in thecaseofcompetition • Competitiveness • Costeffectiveclinicalguidelines

6. Organisational staff management(Team leadership / organisational domain) not your main focus domain.... • Integrating ideas and wishes of different professional groups with different backgrounds and different way of thinking • Moderating discussions and leading decisions of a team across all professional groups • Integration of the digital transformation into the daily routine in your clinic with professionlas of differentt age-groups being able to handle Change Management

7. Personal Qualities, Ethical, Legal andSocialperformance(PELS domain) • Handling ethicalissues (e.g. moralimplicationsbased on theowner) in connectionwith • Character, technicalskills etc. • General socialexpectations • Compliancetosocietyrules/ healthcaresystem • Regardingthedipoleofeconomicalframes & linkedtotherescourcemanagement • This includes • Clinician professional norms & ethicalbeliefs • Expenditure on communitybenefits

8. The leadership skills your domain today is required to integtate the different perspectives Organisational /digital domain economic domain medical domain by using Hospital based HTA PELS domain Hospital decision area

9. Tomorrow CL includes also....an involvement in Health Technology Assessment (HTA): The systematic evaluation of the properties and effects of a “health technology”, addressing the direct and intended effects of this technology, as well as its indirect and unintended consequences, and aimed mainly at informing decision making regarding health technologies. HTA is conducted by interdisciplinary groups that use explicit analytical frameworks drawing on a variety of methods. http://htaglossary.net/Homepage-de including Medical domain Economic domain Organisational/ digital domain PELS domain

10. HB-HTA Hospital-BasedHealth Technology Assessment • Even though Technology Assessment developed to meet central policies’ needs, the advancements in health care systems have raised worldwide the necessity of an HTA’s progressive decentralization. • Hospital based HTA is the use of HTA logic to support managerial decisions in health care structures. Americo Cicchetti, Rome 2019

11. HB-HTA – tools and services Americo Cicchetti, Rome 2019

12. Decision and technology management Decisions have to be under constant re-evaluation. By this the life-cycle of procedures, processes, devices and other technologies has to be taken into consideration & we can improve... euroscan.org Gutiérrez-Ibarluzea, Iñaki et al. “The Life Cycle of Health Technologies. Challenges and Ways Forward.”Frontiers in pharmacology vol. 8 14. 24 Jan. 2017, doi:10.3389/fphar.2017.00014

13. Developing to new horizons - KAIZENTM Being ready to change tomorrow? Being ready for the future? "KAIZEN™ means improvement. Moreover, it means continuing improvement in personal life, home life, social life, and working life. When applied to the workplace KAIZEN™ means continuing improvement involving everyone – managers and workers alike.”* * Masaaki Imai, Founder of Kaizen Institute

14. Summary • Clinical LeadershipforYoursuccessfulfutureis.... • Inspiringyourpeople • Being an empathicclinicianpersonality • Regardingthefollowingmanagementchallenges • Strategic management talent • High performer as a clinician • Economic domain • Organisational domain incl. digital transformation • Personal Qualities, ethical, legal, Social domain • HealthTechnology Assessment (HTA)

15. Thank you for attention Questions ? rainer.riedel@rfh-koeln.de Schaevenstraße 1a–b D-50676 Köln Tel. +49-221-20 30 20