The rise of the ‘triad’ in physician leadership

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A recent survey commissioned by Jackson Physician Search and Kirby Bates Associates found growing adoption of “triad” leadership models across healthcare organizations, according to a news release shared with Becker’s

The results were based on responses from 179 healthcare C-suite leaders. The survey found that 90% of respondents have experience with dyad or triad leadership models, and 7 in 10 view these structures as essential or strong when implemented intentionally.

Respondents rated triad leadership as most effective in clinical areas. Clinical outcomes and patient safety and quality were rated 8+ out of 10 in effectiveness, while achievement of defined performance goals was rated nearly 8 out of 10.

However, respondents said the model was less effective in addressing workforce and financial challenges, which were identified as the most significant organizational issues.

“This paradox is one of the most important findings in the research,” Melissa Fitzpatrick, MSN, RN, president of Kirby Bates Associates, said in the release. “When nurse leaders are fully integrated into executive decision-making, care delivery and quality improve. This data underscores that structure alone isn’t enough. Triads must be intentionally designed, supported, and empowered if they’re going to influence workforce sustainability and financial resilience.”

The report also identified barriers to success, including hierarchical decision-making, power dynamics, lack of psychological safety, role confusion and competing priorities.

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