Leaders in healthcare face many continuing and emerging challenges. When brainstorming solutions and making decisions regarding those challenges, it’s essential for healthcare leaders to prioritize the well-being and best interests of the patients, as well as the need for organizational effectiveness and profitability. Making these decisions is not always easy, but leadership in healthcare can be guided by evidence-based research and by the principles of ethical servant leadership.
Telemedicine (the use of digital technology to virtually connect patients with healthcare providers) is not an entirely new concept. However, it was widely used during the COVID-19 pandemic. Once lockdowns were initiated, both patients and providers recognized that telemedicine was a potential solution to the question of how to meet the needs of patients while reducing their in-office visits as much as possible.
On the surface, telemedicine seems like an ideal solution. Yet, it’s not without its problems. For instance, not all healthcare organizations can afford to purchase the necessary information technology (IT) infrastructure for their offices.
Similarly, not all patients have access to the digital technology that is necessary to connect with providers. The need to address healthcare inequities is a pressing one for leadership in healthcare. Other challenges associated with the rise of telemedicine include the following:
- The question of whether expanded reimbursement from Medicaid and Medicare will continue
- Confusion regarding changing telemedicine regulations
- Problems with IT scalability
- The need for HIPAA-compliant security measures
The COVID-19 pandemic has been one of the most significant healthcare challenges in modern times, and it has led to a wide range of dilemmas for leadership in healthcare. Healthcare providers have been on the front lines of the crisis since 2020.
These providers are under significant stress, and they are burned out (almost 60% report negative mental health due to work stress). The 2021 Washington Post-Kaiser Family Foundation survey found that almost 30% of healthcare workers are thinking about exiting the field because of pandemic-related stress and professional burnout. In other words, the pandemic has been exacerbating the already-dire shortage of healthcare professionals — a shortage estimated to reach 3.2 million by 2026.3
These staffing shortages affect both physician and nurse roles. It’s a significant problem that can lead to unsafe caseloads for healthcare providers, which in turn increases the likelihood of poor patient outcomes. Healthcare leaders will need to develop creative solutions to meet their staffing needs in the years to come.
Personalized or precision medicine offers great promise for patients. In oncology, for instance, it allows providers to develop care plans that are designed specifically for the patient’s unique genes or the genes of their specific cancer cells. Precision medicine allows for more accurate diagnoses and more effective, safer treatments — especially for cancer, rare diseases and other difficult-to-treat conditions.
Unfortunately, precision medicine is prohibitively expensive. With few exceptions, health insurance companies are not in the habit of offering coverage for these gene-based services, so patients are often faced with the prospect of paying out of pocket for potentially life-saving care. It will fall to the healthcare leaders of today and tomorrow to determine how best to increase access to precision medicine in fair and equitable ways, while keeping costs for all parties manageable.
Doctors and nurses have long worked to manage the epidemic of drug abuse in the U.S. and around the world. In recent years, drug overdoses have increased substantially. The number of drug overdose deaths has continuously been rising since 1999 — those who died from a drug overdose in 2021 was more than six times the amount in 1999.4
There is a pressing need for stronger and closer partnerships among healthcare providers and community law enforcement officials, as police officers are often the first to arrive at the scene of a drug overdose. With strong law enforcement and healthcare partnerships, more lives could potentially be saved.