Changing Health Organizations with the LEADS Leadership Framework

Health systems face constant change, including responding to new technologies, shifting standards of care, and increasing demands for more sophisticated care. In addition, complex public health issues must be addressed, such as mental health, the well-being of Indigenous peoples, substance use challenges, and aging populations (Naylor et al., 2003; Romanow, 2002; Truth and Reconciliation Commission of Canada, 2015). The interaction of public policy with health administration creates another area of complexity. These challenges are occurring in the context of an aging workforce and continued challenges in staff recruitment and retention, especially in rural and northern regions. These complex problems cannot be resolved with simple solutions; they demand sophisticated, responsive health systems.