For example a
monitoring surveillance strategy could tell a nation that they need more
heart specialists and possibly an entire medical clinic dedicated to heart
disease to treat both their aging population and the emergencies more
elderly visitors to their nation experience.
Conversely an evaluation strategy of surveillance would look at the
processes in use throughout the emergency room and see which are performing
well, which aren't and what can be done to make the processes physicians
and nurses use to treat patients more efficient. The underlying difference
then of an evaluation versus a monitoring strategy is the focus on
improvement to a specific goal or objective. Evaluation strategies of
surveillance focus on progress to a specific goal or objective first, while
monitoring strategies seek often to quantify the behavior of any process,
procedure or approach to treatment from a healthcare perspective.
Question 3 Response
In the nation you serve there is a serious problem with tens of thousands
of children not receiving the necessary immunizations for Hepatitis A and
B, Diphtheria, Tetanus, accellular Pertussis (DTaP), Influenza type B,
Measles, chickenpox vaccine and Pneumococcal conjugate vaccines on the
correct schedules, if at all during the first three years of their lives.
This is leading to chickenpox epidemics in the rural parts of the nation,
spreading to adolescents and adults. Simply put, an entire generation of
your nation is at risk of having major health problems if these vaccines
cannot be delivered, on schedule, to the literally thousands of children
born every day. What is needed is a diverse cross-functional team that
will handle the procurement, distribution, delivery, and immunizations to
every child in the nation, regardless of economic status or location. The
vision of the program is to have these vaccinations available through local
clinics on a daily basis to treat the children and keep them healthy.
As the leader of this massive effort, the three attributes you realize you
must show is a strong sense of personal vision and ability to lead such a
diverse effort. This strategy must be communicated with much passion, as
members of your organization are going to be called upon to make personal
sacrifices to the benefit of the nations children. In fact the strategy of
a personal vision, passionately communicated, will be the impetus that
brings those government agencies initially not directly affected by the
problem to your team. Take for example the Department of Transportation.
Only through your compelling vision of every child immunized will it
The second strategy is one of interdependence, and appealing to the fact
that all government agencies are first citizens of the nation, and that the
children need their assistance which can only be delivered through a
concerted effort to eradicate the childhood diseases through the delivery
of vaccines and the construction of clinics, if necessary, in rural and
often impoverished areas to ensure the children have the necessary medical
treatment to stay healthy. Interdependence as a second strategy also would
also be very effective in giving each division or ministry which is part of
this national effort a sense of ownership in the results. This is a
critical aspect of leadership, and especially critical when creating,
managing, and guiding a large cross-functional team. Each member, to the
individual level, must see how their contributions are making a difference.
This concept of ownership of the objective is what must be accomplished in
the context of the interdependence leadership strategy.
Finally and most significantly, the strategy of creative cooperation must
also be present, as you as the leader of this initiative must show the
win/win in every governmental division or ministry choosing your specific
objectives and efforts amongst the many they are requested to participate
in every day. This concept of creative cooperation is also critical from
the standpoint of giving every person involved a sense of accomplishment in
eradicating disease from the nations' children by focusing on their role in
developing, delivering, and vaccinating the nation's children.
Through the strategies of personal vision, which would underscore the
importance of protecting the next generation of your nations' children from
disease, the strategy of interdependence showing how each division or
ministry contributes to the common goal and finally with the strategy of
creative cooperation where there is an abundance of win/win, the strategic
objective of delivering vaccines in clinics across the nation on a daily
basis could be achieved.