In a previous post I mentioned Leading Change in Healthcare: Transforming Organizations Using Complexity, Positive Psychology, and Relationship-centered Care, as an interesting take on creating positive organizations. I had an opportunity to speak with one of the book’s editors, Anthony L. Suchman, MD, MA. In this post I share a condensed version of our conversation. Many thanks to Dr. Suchman for his time.
Q: How did you become interested in organizational transformation?
A: During my training, I was attracted to general internal medicine in part because it involves developing ongoing relationships with patients. After residency at University of Rochester, which is especially strong in patient interviewing, I completed a fellowship in Behavioral and Psychosocial Medicine. I continued at the University as a faculty member and became interested in the impact of organizational environments and culture on the quality of care and health professions education. Later I helped to launch a physician hospital organization and began applying the principles of relationship-centered care to administrative processes.
Q: I’ve heard of relationship-centered care. How does this approach fit with leadership?
A: Rather than approaching an organization a like machine, as traditional management theory does, relationship-centered administration approaches the health care organization like a conversation. It’s a gigantic conversation between patients, clinicians, staff, payers, regulators, and others. Thinking of organizations like conversations changes how we approach transforming organizations.
Relationship-centered care focuses on the relationship between clinician and patient, with the idea that the relationship is an entity worth considering in addition to considering the individuals involved—the whole is greater than the sum of its parts. We apply this same idea to leadership. Relationship-centered administration is a way of leading that focuses on relationships and partnering. Its goal is creating a workplace that enables the full engagement of staff and supports creativity in their work.