Working together with the staff to implement change: leadership and responsibilities

Top-down process optimisation, i.e. the adjustment of hospital treatment and care processes in terms of a best possible resource utilisation straight from the desk of the managing director, is doomed to fail. Instead, the employees' "creative potential" should be used in order to implement change not over the heads of, but hand in hand with staff members, which sets high demands on managing directors and requires a new understanding and concept of leadership. In order to promote more staff independence, management by objectives plays an essential role.