Leadership and Change: Martin McShane at the Moss Valley Practice

This case examines how Martin McShane, a general practitioner and physician manager at the Moss Valley Medical Centre, changes the mindset of all the key players involved in caring for the elderly and implements a proactive, prevention-oriented care model. McShane is up against all the different elements of the NHS - primary care, social services and acute care. Through skilful management of the various players, he succeeds in smoothly integrating new systems throughout the region. A nurse-led service for tracking hospital admission and discharge of elderly patients is introduced, with systems implemented to improve continuing care of patients and communication between services that ultimately reduce hospital stays and admission rates.

The learning objectives of this case are to: - Understand the process of change and effective leader actions - Become familiar with organizational arrangements to promote service-level integration - Understand mechanisms of power and politics associated with engaging powerful constituents in the organizational change process - Develop strategies to implement externally mandated regulations and service innovation