ArticleHealth Care Globalization A Need for Virtual LeadershipHolland, J. Brian MHSA; Malvey, Donna PhD, MHSA; Fottler, Myron D. PhD, MBAAuthor Information Author Affiliations: Florida Hospital, Maitland (Mr Holland); and Health Services Administration, University of Central Florida, Orlando (Drs Malvey and Fottler). Corresponding author: J. Brian Holland, MHSA, 1051 Winderley Place, Suite 400, Maitland, FL 32751 ([email protected]). The Health Care Manager: April 2009 - Volume 28 - Issue 2 - p 117-123 doi: 10.1097/HCM.0b013e3181a2cb63 Buy Metrics Abstract As health care organizations expand and move into global markets, they face many leadership challenges, including the difficulty of leading individuals who are geographically dispersed. This article provides global managers with guidelines for leading and motivating individuals or teams from a distance while overcoming the typical challenges that "virtual leaders" and "virtual teams" face: employee isolation, confusion, language barriers, cultural differences, and technological breakdowns. Fortunately, technological advances in communications have provided various methods to accommodate geographically dispersed or "global virtual teams." Health care leaders now have the ability to lead global teams from afar by becoming "virtual leaders" with a responsibility to lead a "virtual team." Three models of globalization presented and discussed are outsourcing of health care services, medical tourism, and telerobotics. These models require global managers to lead virtually, and a positive relationship between the virtual leader and the virtual team member is vital in the success of global health care organizations. Copyright © 2009 Wolters Kluwer Health, Inc. All rights reserved.