Return on investment in healthcare leadership development programs
ISSN: 1751-1879
Article publication date: 15 November 2017
Issue publication date: 7 February 2018
Abstract
Purpose
Strong leadership has been shown to foster change, including loyalty, improved performance and decreased error rates, but there is a dearth of evidence on effectiveness of leadership development programs. To ensure a return on the huge investments made, evidence-based approaches are needed to assess the impact of leadership on health-care establishments. As a part of a pan-Canadian initiative to design an effective evaluative instrument, the purpose of this paper was to identify and summarize evidence on health-care outcomes/return on investment (ROI) indicators and metrics associated with leadership quality, leadership development programs and existing evaluative instruments.
Design/methodology/approach
The authors performed a scoping review using the Arksey and O’Malley framework, searching eight databases from 2006 through June 2016.
Findings
Of 11,868 citations screened, the authors included 223 studies reporting on health-care outcomes/ROI indicators and metrics associated with leadership quality (73 studies), leadership development programs (138 studies) and existing evaluative instruments (12 studies). The extracted ROI indicators and metrics have been summarized in detail.
Originality/value
This review provides a snapshot in time of the current evidence on ROI indicators and metrics associated with leadership. Summarized ROI indicators and metrics can be used to design an effective evaluative instrument to assess the impact of leadership on health-care organizations.
Keywords
Acknowledgements
The authors thank Dr Charmaine Roye (Canadian Medical Protective Association, Canada) and Dr John Parker (Hamilton Health Sciences, Canada) for their feedback while conducting the scoping review. All authors have completed the ICMJE uniform disclosure form at www.icmje.org/coi_disclosure.pdf and declare the following: Frank Krupka is a member of the Canadian Health Leadership Network’s (CHLNet) Secretariat and its Research and Evaluation Working Group. His organization conducted the scoping review in kind for CHLNet”; Dr Dickson reports personal fees from Canadian Health Leadership Network, outside the submitted work; other authors report no competing interests. No funding was specifically obtained for this study. Dr Zarychanski is the recipient of a New Investigator Award from the Canadian Institutes of Health Research (CIHR). This entity had no role in the design, conduct or reporting of the study.
Citation
Jeyaraman, M.M., Qadar, S.M.Z., Wierzbowski, A., Farshidfar, F., Lys, J., Dickson, G., Grimes, K., Phillips, L.A., Mitchell, J.I., Van Aerde, J., Johnson, D., Krupka, F., Zarychanski, R. and Abou-Setta, A.M. (2018), "Return on investment in healthcare leadership development programs", Leadership in Health Services, Vol. 31 No. 1, pp. 77-97. https://doi.org/10.1108/LHS-02-2017-0005
Publisher
:Emerald Publishing Limited
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