Register      Login
Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association
RESEARCH ARTICLE

Leadership collaboration during health reform: an action learning approach with an interagency group of executives in Tasmania

Siobhan Harpur
+ Author Affiliations
- Author Affiliations

Department of Health and Human Services, PO Box 125, Hobart, TAS 7001, Australia. Email: siobhan.harpur@dhhs.tas.gov.au

Australian Health Review 36(2) 136-139 https://doi.org/10.1071/AH11022
Submitted: 20 March 2011  Accepted: 20 June 2011   Published: 25 May 2012

Abstract

Objective. To use an action learning approach to encourage a group of executive leaders, responsible for the implementation of a state health reform agenda, to consider the leadership required to drive improvement in healthcare services.

Methods. Based on an assertion that knowledge is co-produced and that deliberative and structured conversation can be a mechanism to drive change, an action learning approach was used to facilitate an interagency group of executive leaders, responsible for the implementation of a state health reform agenda, who were encouraged to consider the leadership required to drive improvement in healthcare services.

Results. It was difficult to assert how the group contributed specifically to the implementation of the health reform agenda but individuals gained insights and there was informal resolution of institutional tensions and differences. The method may provide new knowledge to the reform process over time.

Conclusions. Getting the participants together was challenging, which may reflect the reality of time-poor executives, or a low commitment to giving time to structured and deliberative informal dialogue. Further work is required to test this thesis and the action learning approach with other parts of healthcare workforce.


References

[1]  Kooiman J. Modern governance. London: Sage; 1993.

[2]  Dickinson H, Ham C. Engaging doctors in leadership: review of the literature. Burmingham: Academy of Medical Royal Colleges, University of Birmingham and the NHS Institute for Innovation and Improvement; 2008.

[3]  Denis JL, Lamonthe L, Langley A, The dynamics of collective leadership and strategic change in pluralistic organisations. Academy of Management Journal 2001; 44: 809–937.

[4]  Department of Health and Human Services. Tasmania’s Health Plan. Available at http://www.dhhs.tas.gov.au/thp2007 [verified 21 March 2009].

[5]  Department of Health and Human Services. Connecting Care. Available at http://www.dhhs.tas.gov.au/about_the_department/our_plans_and_strategies/chronic_disease_strategy [verified 14 August 2010].

[6]  Harpur S. Leadership for health. [School of Management, University of Tasmania. Preliminary Research Proposal for PhD 2009.]

[7]  Bridgman P, Davis G. The Australian public policy handbook. 2nd ed. St. Leonards: Allen and Unwin; 2000.

[8]  Hyde J. How to make the rhetoric of joined-up government really work. Aust New Zealand Health Policy 2008; 5 22 Available at http://www.anzhealthpolicy.com/contents/5/1/22 [verified 14 August 2010].
How to make the rhetoric of joined-up government really work.Crossref | GoogleScholarGoogle Scholar |

[9]  Bell S. Appropriate policy knowledge, and institutional and governance implication. Australian Journal of Public Administration 2004; 63 22–8.
Appropriate policy knowledge, and institutional and governance implication.Crossref | GoogleScholarGoogle Scholar |

[10]  Mintzberg H. The structuring of organisations. Englewood Cliffs: Prentice-Hall; 1979.

[11]  Dowton BS. Leadership in medicine: where are the leaders? Med J Aust 2004; 181 652–4.

[12]  Braithwaite J. L(H) #Σ (m1, m2…mn). Leadership in Health Services 2008; 21(1): 8–15. 10.1108/17511870810845860

[13]  Braithwaite J, Westbrook JI, et al The development, design, testing, refinement, stimulation and application of an evaluation framework for communities of practice and social professional networks. BMC Health Serv Res 2009; 9 162 Available at http://www.biomedcentral.com/1472-6963/9/162
The development, design, testing, refinement, stimulation and application of an evaluation framework for communities of practice and social professional networks.Crossref | GoogleScholarGoogle Scholar |

[14]  Degeling P, Maxwell S, Kennedy J, Coyle B. Medicine management and modernisation “a danse macabre”? BMJ 2003; 326 649–52.
Medicine management and modernisation “a danse macabre”?Crossref | GoogleScholarGoogle Scholar |

[15]  The David McDaid LSE Health and Social Care, Department of Health. England. Tackling health inequalities: 10 years on – a review of the developments in tackling health inequalities in England over the last 10 years. London: Department of Health; 2009.

[16]  Arnstein SR. A ladder of citizen participation. Journal of the American Institute of Planners 1969; 35 216–24.
A ladder of citizen participation.Crossref | GoogleScholarGoogle Scholar |

[17]  Keating M. Reshaping service delivery. In: Davis G, Weller P, editors. Are you being served: state citizens and governance. St Leonards: Allen and Unwin; 2001. pp. 112–6.

[18]  Stone D. Policy paradox. Revised ed. New York: WW Norton & Company Inc.; 2002.

[19]  Reason P, Bradbury H. Handbook of action research. London: Sage; 2007.

[20]  Bevan H, Plsek P, Winstanley L. Leading large scale change: a practical guide part 1. London: NHS Institute for Innovation and Improvement.

[21]  Fischer F. Reframing public policy: discursive politics and deliberative practices. New York: Oxford University Press; 2003.

[22]  Owen H. Open space technology, a user’s guide. San Francisco: Berrett-Joehler Publishers Inc.; 1997.

[23]  Owen H. The practice of peace. Melbourne: Open Space Institutes; 2003.