Leadership is the vital ingredient to achieving organizational excellence and outstanding healthcare systems. There is so much to be celebrated when reflecting on the evolution of healthcare leadership over the past 50 years. However, in 50 years, we have created silos of care, of funding and of social policy that have undermined our progress in improving the care process, shifting away from health and toward healthcare, and we have lost the opportunity to promote streamlined care through the continuum of health needs. Exemplary healthcare leaders of tomorrow will need sophisticated business skills, balanced with the capacity to inspire innovation, in order to manage an ever-growing complex environment.

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