KELeadership Evidence LabExecutive research dashboard

From biography to evidence

Governance and executive selection

Verify outcomes, test contextual variation and adaptation, price transition risk, and select for evidence-based fit.

Five-step board leadership test
Verify, vary, test, balance, decide. Years and titles remain context, not the conclusion.
1

Verify

Baselines, trends, duration, counterfactuals, sources

2

Vary

Governance, market, mission, workforce, condition

3

Test

Adaptation, trust, learning, evidence changed

4

Balance

Continuity benefits and disruption burden

5

Decide

Context fit and portable performance

Replace the standard resume discussion

Ask questions that expose evidence

Weak questionStronger question
How long were you there?Which outcomes required time to mature, and what persisted later?
Why did you leave?What did you complete, what remained unfinished, and which consequences did you own?
Have you worked in a system like ours?Which prior assumptions would be dangerous to import here?
What was your greatest success?What was the baseline, intervention, counterfactual, result, and independent source?
Are you loyal?How have you demonstrated stewardship, succession, and durable capacity?

For a 20-year institutional leader

Test renewal

  • When were your original assumptions wrong?
  • Which outcomes reflect your decisions?
  • Which entrenched practice did you end?
  • Who can disagree with you safely?
  • What would deteriorate if you left?
  • Which result persisted without you?

For a multi-institution leader

Test portability

  • Which results repeated across settings?
  • Where did a prior strategy fail?
  • Did adverse effects have time to emerge?
  • What did your successor inherit?
  • What explains each departure?
  • How did you rebuild local trust?
The Tenure Fallacy in Healthcare LeadershipSource-bound dashboard by Kelly Emrick, DHSc, PhD, MBA, BSRT(ARRT)R
Evidence and references →