MANAGERIAL COMPETENCE SENIOR LEVELS OF INTEGRATED DELIVERY SYSTEMS

The advent of integrated delivery systems (IDSs) in the healthcare ind ustry has changed much about the work involved in running many healthc are organizations. As a result of these changes, senior healthcare man agers in IDSs need different skills and knowledge (competencies) than managers of other healthcare systems. The work of managers is changed by the shift to more organizational integration in the healthcare indu stry because they become responsible for coordinated continuation of s ervices, accountable for the overall health status of the populations they serve, and involved in more complex organizational structures. Th e article identifies six distinct managerial competencies-conceptual, technical managerial/clinical, interpersonal/collaborative, political, commercial, and governance-and describes how they relate to an IDS se nior manager's successful work performance, The implications of these competencies are considered for practicing senior managers in IDSs, as well as those who aspire to such positions, and those who help educat e them.