Why Should Leaders Be Concerned About It?

Value-Based Purchasing which is part of the Centers for Medicare & Medicaid Services; the program allows healthcare providers to get incentive payments for quality of care they provide to Medicare beneficiaries; for doctors it could mean doing less mean decrease in revenue and lower salary for the doctors. Therefore, value-based care has its pros and cons based who you talk to.

5. How might a servant leader’s gender or ethnicity influence how he or she is perceived by followers?

A servant leader for me is an individual who simply puts others ahead of themselves, with the main purpose of achieving results for their organization, by keeping in mind the needs of everyone else around them. A servant leader is one with personality traits like; empathy, compassion good listening skills, stewardship, and an honest commitment to the growth of others. Servant leaders are individuals who have a natural inclination to serve, and such a conscious choice makes them desire to lead. This is in sharp contrast to the traditional leaders who aim to gain power or to acquire material belongings.

The change to value based purchasing has bought many challenges to the healthcare industry. With the change to value-based purchasing for payments, it has changed how healthcare organization receive payment and delivery care. The advantage of have value based purchasing is that it improves the quality of care while reducing cost in an effort of aligning patient’s with the right provider and treatment plan (Minemyer, Jun 29, 2016). However, there are many disadvantages, such as it increases the patient volume as counteracting the reduction of procedure volume (Brown, B. & Crapo, 2016). Also it makes providers more responsible for care that is beyond the expected treatment of care needed (Minemyer, Jun 29, 2016). With quality measures tied

Servant Leadership is “an approach to leadership with strong altruistic and ethical overtones that asks and requires leader to be attentive to the needs of their followers and empathize with them; they should take care of them by making sure they become healthier, wiser, freer and more autonomous, so that they too can become servant leaders” (Valeri, 2007). Although there is not many servant leaders in this world but the concept of servant is one of the most leadership approach leaders today struggles with. Servant leadership is mainly about the leader helping to grow their followers or members personally and professionally through empathy, listening skills and compassion. The concept of servant leadership which was proposed by Robert K. Greenleaf in his 1970 writing indicated that servant leadership is a theoretical framework that advocated a leader’s primary motivation and role as service to others.

Value-based purchasing (VBP) outlined by Roussel et al. (2016) is a payment methodology that rewards quality of care through payment incentives and transparency. Some of the key elements comprise of:

Servant leadership isn’t applied or adequate to only one type of culture or even one type of culture. Servant leadership can actually be applied to all walks of life and all parts of the world. For example, the culture of the Japanese and the religion of the Hindu people both embrace a sense of what we call servant leadership. All religions and cultures have their own unique way in which they apply servant leadership, either based on their beliefs, history, or lifestyles. The significance of servant leadership is demonstrated in different ways within each culture and religion even when some cultures are not aware that what they are implying is servant leadership. As religions and cultures change and expand through time the concept of servant leadership is adapted and applied in different ways.

One major trend in the healthcare environment is the shift from volume based reimbursement towards value based reimbursement. Many provider practices remain on a volume based or fee for service reimbursement plan. This system tends to reward high quantity of services with less regard for the quality or performance of the service. However, with a renewed focus on value, reimbursement plans

In the Komives article on leadership, servant leadership is defined as “viewing the leader first as a servant - a person who first wants to serve others,” (Komives 2013, p. 69). Empathy for others plays a huge part in this leadership theory. In order to serve others, you have to understand their struggles and what they need. Komives continues on the say that a leader leads “with the sole goal of serving others to make a difference,” (Komives 2013, p. 69). My identity as a woman has informed my understanding of leadership by opening my eyes to the reality of dealing with stereotypes while in a leadership position. I gravitate to the servant-leadership style because I am a woman.

Servant leadership is a theory based on Robert K Greenleaf’s belief that all men have a primary motivation to serve others and through this service they aspire to lead (Parris & Peachey, 2012). Although this leadership model has very little in common with charismatic and situational does however compare to transformational leadership in several areas. The main area of commonality between the two can be found as transformational leaders serve as stewards to change enable the followers to accept the change and move forward with the organization (Tichy & Devanna, 1990, p. 75). In essence, servant leadership becomes the long-term transformational approach to life and work.

Hospital Value-Based Purchasing (VBP) is part of the Centers for Medicare & Medicaid Services’ (CMS’) long-standing effort to link Medicare’s payment system to a value-based system to improve healthcare quality, including the quality of care provided in the inpatient setting. The program attaches value-based purchasing to the payment system that accounts for the largest share of Medicare spending, affecting payment for inpatient stays in over 3,500 hospitals across the country.

Servant leadership is a type of leadership whereby the leader serves the needs of the people, empathizes with them, and involves them in solving their needs. Servant leadership is all about involving the people you are leading in your decision making, being ethical and caring for the people to enhance their personal growth at the same time improve their life. A servant leader does not simply delegate roles; he starts the work and energizes the others to join him and get the work done. According to Spears (2004), the servant leader as defined by Greenleaf is one who gets the natural feeling of wanting to serve first and then a conscious choice brings him/her to lead. This leader makes sure that other people’s highest-priority needs are take

I think is very important for the leader to have been a servant first. The leader that have experience on her field will do a better job than someone that has no idea how that is made and is trying to lead people. I knew about this leadership, I just didn’t know there was a name for it.

In the book The Servant, the author James C. Hunter discusses Servant Leadership, and the impact it has on every aspect of life. The book begins with a middle-aged man, John, who has it all, a supportive wife and kids and an authoritative job as a manager at a glass factory. John however, feels his life is falling apart, his employees aren’t respecting him and his relationships with his wife and kids are becoming distant and negative. In an attempt to make a change, John attended a week long religious retreat that’s main focus is Servant Leadership. The attendees at this retreat were all very different, their careers varied greatly, and their views on how to be a leader were not alike either. In the end though, they all agreed on one thing, making a change to become a Servant Leader was going to reshape their lives, through both their careers and relationships.

The positive outcomes that have resulted due to value base programs have caused the model to gain traction and ignite one of the largest changes in history in the health care marketplace. By linking reimbursements to service quality, insurers such as the Centers for Medicare and Medicaid Services have facilitated a massive leap forward in the performance of United States health care providers. This achievement is a considerable accomplishment in the face of an institution that has received reimbursement from insurers via a fee-for-service model during the last 75 years. Soon, valued based payment models will represent the norm as more insurers support initiatives such as shared savings program, integrated clinical care, and accountable care payment models.