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A Theory of Leadership for the Transformation for Health ...

1A Theory of Leadership for the Transformation for Health care OrganizationsJanuary 13, 2004 James L. Reinertsen, history of Health care quality improvement is replete with examples of projects in which a team aimsfor and achieves improvement in one or more dimensions of quality, in a particular ward, unit, or office, fora particular disease or condition. There are fewer examples of such projects in which the improvement isdramatic breaking through the current levels of performance to achieve something close to the theoreticalideal. Rarer still are examples of dramatic improvements that have been scaled and spread across entireorganizations. And there are simply no examples of the Transformation of the system of care for entireorganizations and communities, in which care approaches the theoretical ideal for every condition, acrossthe whole system, for all dimensions of of entire organizations and systems is a Leadership task requiring an extraordinary depthand breadth of change.

1 A Theory of Leadership for the Transformation for Health Care Organizations January 13, 2004 James L. Reinertsen, M.D. The history of health care quality improvement is replete with examples of projects in which a team aims

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