Notes
1. Roy Romanow is a former Premier of Saskatchewan who was commissioned in 2002 to
conduct a Royal Commission on the state of the health care system in Canada. See Government of Canada (2002).
2. Sweden has implemented system-wide changes in service delivery through contracting out, challenge, and coherent policies for innovation across the state, county, and municipal governance systems (see Dickson, 2009). Similarly, the IHI National Forum in the USA (2008) has numerous programs on leadership that have shaped national activities such as the 100,000 Lives campaign; and the UK has established the Institute for Innovation and Improvement, that is stimulating leadership development within the National Health System (Clark, 2008).
3. The Roman God Janus is the God of beginnings and endings; of openings and exits. His visage on Roman coins shows two conjoined faces, one facing forward and one facing backwards. The month of January is named after Janus (Lindemans, 2008).
4. Indeed, such models are antithetical to effective leadership development, as they provide environments for learning that are predictable, organized, and finite.
5. Programs such as pilot programs developed for the BC Leaders for Life program; the Royal Roads Master of Arts in Leadership program, the Dorothy Wylie Leadership program in Ontario, and the Canadian Medical Association’s Physician Management Institute program might be looked at in this regard.