Evidence map›Paper›PMID 34522150›Full record

ArticleJournal of healthcare leadership2021

Healthcare Leadership in the COVID-19 Pandemic: From Innovative Preparation to Evolutionary Transformation.

Matthew A Crain, Amy L Bush, Heather Hayanga, Annelee Boyle, Merv Unger, Matthew Ellison, Pavithra Ellison

Open access · goldAbstract read
In one paragraph

Article in Journal of healthcare leadership, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. The Reality of Healthcare Professionals in Leadership Positions at the Onset of the COVID-19 Pandemic.International journal of environmental research and public health · 2024
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  8. Post-COVID-19 functional limitations in hospitalized patients and associated risk factors: A 3-month follow-up study.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2022
    Article
  9. Article
  10. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Matthew A CrainWest Virginia University School of Medicine, Morgantown, WV, USA.ORCID 0000-0003-1872-1706
Amy L BushWest Virginia University Medicine Children's Hospital, Morgantown, WV, USA.
Heather HayangaDepartment of Anesthesiology, West Virginia University Medicine, Morgantown, WV, USA.
Annelee BoyleDepartment of Obstetrics & Gynecology, West Virginia University Medicine, Morgantown, WV, USA.
Merv UngerDepartment of Anesthesiology, West Virginia University Medicine, Morgantown, WV, USA.
Matthew EllisonDepartment of Anesthesiology, West Virginia University Medicine, Morgantown, WV, USA.
Pavithra EllisonDepartment of Anesthesiology, West Virginia University Medicine, Morgantown, WV, USA.
West Virginia University · USWest Virginia University Hospitals · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn pandemics, centralized healthcare leadership is a critical requirement. The objective of this study was to analyze the early development, operation, and effectiveness of a COVID-19 organizational leadership team and transformation of healthcare services at West Virginia University Hospitals and Health System (WVUHS). The analysis focused on how Kotter's Leading Change eight-stage paradigm could contribute to an understanding of the determinants of successful organizational change in response to the COVID-19 pandemic.

methodsThe fifteen core leaders of WVUHS COVID-19 strategic system were interviewed. A qualitative thematic analysis of the interviews was used to evaluate key aspects of leadership dynamics and system-wide changes in healthcare policies and protocols to contain the pandemic. Outcome measures included the degree to which WVUHS could handle and contain COVID-19 cases as well as COVID-19 death and vaccination rates in West Virginia compared with other states.

resultsThe leadership team radically and rapidly revamped nearly all healthcare policies, procedures, and protocols for WVUHS hospitals and clinics, and launched a Hospital Incident Command System. As a result of this effective leadership team and strategic plan, WVUHS surge capacity was adequate for COVID-19 cases. In addition, West Virginia was an early frontrunner in COVID-19 vaccination rates as well as lower death rates.

conclusionWVUHS's leadership response to the COVID-19 pandemic followed Kotter's eight-stage paradigm for Leading Change in organizations, including the establishment of a sense of urgency, formation of a powerful guiding coalition, creation of a vision, communication of the vision, empowerment of others to act on the vision, plan for and creation of short-term wins, consolidation of improvements and production of more changes, and institutionalization of new approaches. This approach was effective in limiting the spread and impact of COVID-19 within the hospital network and across the state, with many lessons learned along the way.

Indexed as

COVID-19hospital incident command systemhospital managementleading changeorganizational change

Identifiers

PMID34522150
PMCPMC8434849
OpenAlexW3197645283

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.