Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

The Affordable Care Act: The Ethical Call for Value-Based Leadership to Transform Quality

Piper, Llewellyn E. PhD, FACHE

doi: 10.1097/HCM.0b013e31829d7355

Hospitals in America face a daunting and historical challenge starting in 2013 as leadership navigates their organizations toward a new port of call—the Patient Protection and Affordable Care Act. Known as the Affordable Care Act (ACA) was signed into law in March 2010 and held in abeyance waiting on 2 pivotal points—the Supreme Court’s June 2012 ruling upholding the constitutionality of the ACA and the 2012 presidential election of Barack Obama bringing to reality to health care organizations that leadership now must implement the mandates of health care delivery under the ACA. This article addresses the need for value-based leadership to transform the culture of health care organizations in order to be successful in navigating uncharted waters under the unprecedented challenges for change in the delivery of quality health care.

Author Affiliation: Onslow Memorial Hospital, Jacksonville, North Carolina.

The author has no conflicts of interest.

Correspondence: Llewellyn E. Piper, PhD, FACHE, PO Box 1358, Jacksonville, NC 28541-1358 (

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins