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Leadership for health system transformation: what's needed in Canada? Brief for the Canadian Nurses Association's National Expert Commission on the health of our nation--the future of our health system.

We offer the following recommendations to strengthen the role of executive leadership in transforming the Canadian healthcare system: 1. Balance national vision and strategy with local flexibility 2. Develop avant-garde executive leadership competencies 3. Tap into expertise to develop executive leadership capacity and accelerate change 4. Foster executive leadership continuity and succession planning