What does this research mean for the field?

Communication, shared responsibility in leadership teams, and strategic agility are the key competencies required for emerging health care leaders to successfully navigate rapid health system transformation. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To identify new leadership competencies, tactics, and strategies necessary for health system leaders to navigate rapid innovation, workforce diversity, and dynamic institutional change.

August 22, 2026NEJM Catalyst

New Leadership Approaches for Health System Transformation in a Time of Rapid Change

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Authors

RBRachel BonesteelPublic Policy Institute of California PRPurva RawalDuke Institute for Health Innovation KTKevin TabbLahey Medical Center

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Implication

Mixed-methods analysis identifies key leadership competencies across international health systems, highlighting strategic agility and shared responsibility for rapid transformation.

Key Points

To identify new leadership competencies, tactics, and strategies necessary for health system leaders to navigate rapid innovation, workforce diversity, and dynamic institutional change.
Conducted a landscape analysis of leadership challenges alongside a survey of more than 100 hospital Chief Executive Officers (CEOs) across seven countries.
Analyzed curriculum vitae from CEOs at 250 hospitals and held semistructured interviews and work group meetings with Future of Health members to develop case studies.
Identified communication, shared responsibility in leadership teams, and strategic agility as the vital competencies for emerging healthcare leaders.
Developed a leadership toolkit and documented international curricula and programs that leverage these core competencies to address implementation challenges.

Cite This Study

Bonesteel et al. (2026) studied this question.

synapsesocial.com/papers/6a895ec3ca7ade938187ce46 https://doi.org/10.1056/cat.26.0175

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Implication

Mixed-methods analysis identifies key leadership competencies across international health systems, highlighting strategic agility and shared responsibility for rapid transformation.

New Leadership Approaches for Health System Transformation in a Time of Rapid Change

Discussion

Member takes

Implication

Key Points

Cite This Study

New Leadership Approaches for Health System Transformation in a Time of Rapid Change

Discussion

Member takes

Implication

Key Points

Cite This Study

Also Consider

Also Consider