Measurement is Not Progress: The Discipline of the Six A's in Healthcare Leadership
In my Healthcare Management (HCM 1000) course, I often introduce students to “The Six A’s of Evidence-Based Leadership in Healthcare: Why Good Intentions are Not Enough”. Healthcare leaders frequently describe themselves as “data-driven,” Yet evidence-based leadership is far more than reviewing dashboards or citing benchmarks. It is a disciplined process. The Six A’s: Asking, Acquiring, Appraising, Aggregating, Applying, and Assessing provide that structure. Hospitals track metrics obsessively. Leaders sit in meetings reviewing dashboards. Yet workforce burnout persists. Patient experience remains uneven. Inclusion initiatives fail to translate into outcomes. If we are truly data-driven, why are outcomes not improving at the same pace as our measurement sophistication? Asking: Are we Framing the Right Problem? Leaders often ask, “ How do we improve engagement scores?” After conducting research on this topic, I’ve come to believe that the better questions ...