Developing Military Health Care Leaders: Insights from the Military, Civilian, and Government Sectors

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More About This Textbook


Lessons learned in the civilian and government sectors hold importance for transforming the way in which the Military Health System identifies and develops health care officers with high leadership potential for senior executive positions.

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Product Details

  • ISBN-13: 9780833050076
  • Publisher: Rand Publishing
  • Publication date: 3/16/2011
  • Pages: 280
  • Product dimensions: 6.90 (w) x 9.90 (h) x 0.80 (d)

Table of Contents

Preface iii

Figures ix

Tables xi

Summary xiii

Acknowledgments xxiii

Abbreviations xxv

Chapter 1 Introduction 1

Purpose of This Study 3

Research Questions 4

Overview of the Military Health System 5

U.S. Army Medical Department 5

U.S. Navy Bureau of Medicine and Surgery 6

U.S. Air Force Medical Service 6

Profile of Health Professions Officers in the Military Health System 7

Organization of This Monograph 10

Chapter 2 Conceptual Framework, Data, and Methods 13

Conceptual Framework 13

Context and Organizational Environment 14

Organizational Expectations for Leaders 15

Approach to Leader Development 21

Outcome 23

Data and Methods 23

Review of Service Documents on Current Leader Development, 23

Interviews 23

Analytic Methods 29

A Note on Terminology 31

Chapter 3 How Military Health Care Leaders Are Currently Developed in the Services 33

Life-Cycle Model for Health Professions Officers 34

Entering 34

Developing 35

Joint Education and Experience 36

Incentivizing 41

Transitioning 42

Grade and Year-of-Service Outcomes 42

Chapter 4 Findings from Interviews with Military Health Care Leaders: A Cross-Case Analysis 47

Context, Organizational Environment, and Organizational Leader Expectations 47

Context and Organizational Environment 47

Organizational Expectations for Leaders 51

Approach to Leader Development 57

How to Select 58

How to Develop 63

How to Incentivize 75

Outcome 76

Other Comments on Improving Leader Development 77

Summary of Findings from Interviews 79

Chapter 5 Key Findings from Interviews with Leaders of Civilian Health Care Organizations 81

Context, Organizational Environment, and Organizational Leader Expectations 81

Context and Organizational Environment 81

Organizational Leader Expectations 84

Approach to Leader Development 89

How to Select 89

How to Develop 93

How to Incentivize 102

Outcome 103

Other Comments on Improving Leader Development 105

Summary of Findings from Interviews 106

Chapter 6 Case Study: The Veterans Health Administration's Approach to Leader Development 109

Context, Organizational Environment, and Organizational Leader Expectations 110

Context and Organizational Environment 110

Organizational Leader Expectations 115

Approach to Leader Development 118

How to Select 120

How to Develop 121

How to Incentivize 129

Outcome 131

Other Comments on Improving Leader Development 133

Summary of Findings from Interviews 135

Chapter 7 Conclusions and Recommendations 137

Desired Attributes of Health Care Leaders 137

Military Officers' Perceptions of the Current System of Leader Development 139

How to Select 140

How to Develop 141

How to Incentivize 142

Lessons Learned from the Civilian Health Care Organizations and Veterans Health Administration Regarding Leader Development 142

How to Select 143

How to Develop 143

How to Incentivize 145

Discussion and Recommendations 145

Leader Competencies 146

Approach to Leader Development 146


A Methodology Underlying the Sets of Rankings Used to Select the Sample of Nonprofit Hospitals in Phase 1 151

B Development of Line and Medical Officers 155

C Findings from Interviews with Army Health Professions Officers 161

D Findings from Interviews with Navy Health Professions Officers 193

E Findings from Interviews with Air Force Health Professions Officers 219

F Selected Examples of Leader Development Programs Implemented by Civilian Health Care Organizations 239

G Selected Senior Leader Development Programs Offered by the VA/VHA 245

References 247

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