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Accountability for Health Care: A White Paper on Leadership and Management for the U.S. Health Care System

Schneller, Eugene S.

Health Care Management Review: January 1997 - Volume 22 - Issue 1 - p 38-48
Hcmr Dialogue

Advancing and managing individual organizational priorities and favorably positioning the organization within the wider system, while remaining within the system's vision, values, mission and strategic plan, constitutes the great the paradox of modern health care management. A new cohort of managers, skilled as change agents for linking-pin organizations, will be necessary to assure accountable management in an environment where no one unit, department, organization, and perhaps no system possesses all of the competencies necessary for provision of care.

Eugene S. Schneller, Ph.D., is Director and Professor, School of Health Administration and Policy, College of Business, Arizona State University, Tempe, Arizona.

A number of colleagues and graduate students have made thoughtful comments on this article including Ronald Merrill (Bureau of Health Professions), Deborah Hershman and Laura Rush at (Arizona State University), John Kress and Henry Fernandez (Association of University Programs in Health Administration), and Fred Graham (MGMA). Commentaries on the paper were presented at the 1995 AUPHA Leadership Conference by Thomas Dolan (American College of Healthcare Executives), Kyle Grazier (Cornell University), Michael Trujillo (Indian Health Service) and Richard Ragsdale (Community Health Systems Inc.). The distribution of a draft of the paper to all attendees at the AUPHA Leadership Conference led to responses from colleagues throughout the health administration education community. Robert Sigmond (Temple University) and Montague Brown (Strategic Management Services and Editor, Health Care Management Review) provided an extensive critique and commentary on the draft that followed the AUPHA Leadership Conference.

Copyright © 1997 by Aspen Publishers, Inc.