Research & Publications
Erika Linnander directs Yale's Global Health Leadership Initiative, where she develops and leads education and research in health management across country settings. A lecturer at the Yale School of Public Health, Ms. Linnander teaches management, quality improvement, and strategic problem solving across Yale’s certificate and master’s-level education programs. Over the past decade, she has designed, led, and evaluated health management programming in China, Egypt, Ethiopia, Liberia, Rwanda, and South Africa, the United Kingdom, and the United States.
In the US, her research and practice has focused on the creation of effective organizational culture in healthcare (she recently led the design and development the successful “Leadership Saves Lives” intervention to promote organizational culture change in US hospitals). Globally, she has focused on the development of national management and governance systems as leverage points for improving health system performance and population health outcomes. She has supported a number of novel, large-scale mentorship and education programs in health and hospital management, the development of hospital and district-level governing boards, the creation of national quality improvement collaboratives in resource limited settings, and the establishment of national tools and systems to measure and improve hospital and primary care system performance. She currently serves as the principal investigator for Primary Healthcare Transformation Initiative, a multi-year effort to create a culture of performance management and accountability in Ethiopia's district health offices, supported by the Bill & Melinda Gates Foundation. She also serves as the principal investigator of the Expanded Program on Immunization Leadership and Management Programme (EPI LAMP), a Gavi-funded effort to build leadership and management capacity among teams of senior managers and Ministry officials with responsibility for immunization program performance from across Africa and Asia.
Ms. Linnander also uses innovative implementation science research methods to evaluate prospective interventions to improve health and health equity in and across complex systems within and across country settings. She currently serves as the principal investigator for the USAID-funded mixed-methods evaluation of Project Last Mile (PLM), a multi-country effort to translate the supply chain and logistics expertise of the Coca-Cola system to public sector medical supply chain organizations across Africa.
In addition to her academic expertise and practical experience in global health management, she possesses significant operational experience in hospital settings. Prior to joining the Yale team, she worked in hospital administration at the Johns Hopkins Health System. Ms. Linnander received her MPH from the Johns Hopkins Bloomberg School of Public Health and her MBA from the Johns Hopkins Carey School of Business.
Education & Training
- Postgraduate Administrative FellowJohns Hopkins Medicine (2009)
- MPHJohns Hopkins Bloomberg School of Public Health (2007)
- MBAJohns Hopkins Carey School of Business (2007)
- Expanded Program on Immunizations Leadership and Management Program (EPI LAMP)Monrovia, Liberia; Kigali, Rwanda; Delhi, India; Banjul, Gambia; Lusaka, Zambia 2018GHLI has teamed up with the University of Global Health Equity (UGHE) and PATH to deliver a practical and comprehensive professional development program for small teams of senior managers and Ministry officials with responsibility for immunization program performance. . The EPI Leadership and Management Program (EPI LAMP) represents a flagship investment by Gavi, the Vaccine Alliance in the systems and capacities needed to achieve immunization program targets at scale.
- Primary Healthcare Transformation InitiativeAddis Ababa, Ethiopia (2015-2019)The Primary Healthcare Transformation Initiative (PTI) aims to build a culture of performance management and accountability, preparing the Woreda (district) health office to lead the ambitious set of primary healthcare reforms envisioned by Ethiopia's Federal Ministry of Health (FMOH). Grounded in Yale’s formative research into the factors differentiating higher-and lower-performing woredas, PTI is designed to strengthen woreda capacity (including the woreda health offices, health centers and health posts, primary hospitals, and the health development army) to enable achievement of target health outcomes comparable to those of a lower-middle-income country by 2025, the vision set forth by the Government of Ethiopia.
- Rwanda Human Resources for Health ProgramKigali, Rwanda 2012GHLI joined universities across the U.S. to support the Rwandan Ministry of Health's Human Resources for Health Program to develop skilled workers to meet the country's health care delivery needs. The program aims to build the capacity of Rwandan universities and teaching hospitals to develop a sustainable pipeline of health care professionals. This work brings together experts from various specialties in an interdisciplinary effort to strengthen the pipeline of health care professionals - with a focus on developing more effective clinical residency and health management programs at the National University of Rwanda and associated teaching hospitals.
- Ethiopia Health Extension ProgramAddis Ababa, Ethiopia 2011The cornerstone of Ethiopia's primary care system is the Health Extension Program. GHLI works with the Ethiopian Ministry of Health, Harvard School of Public Health and The Bill and Melinda Gates Foundation to facilitate the development of a long-term strategic plan for primary care in Ethiopia. Our goal is to identify, test and refine strategies to ensure long-term sustainability and quality of Ethiopia's primary care system.
- Evaluation of Project Last MileAccra, Ghana; Maputo, Mozambique; Dar es Salaam, Tanzania; Mbabane, Swaziland; Lagos, Nigeria; Monrovia, Liberia; Freetown, Sierra Leone; Johannesburg, South Africa 2011Through Project Last Mile, GHLI examines how private and public sectors can work together for the benefit of the local population. We have teamed with supply chain experts in the Coca-Cola system and the country's Medical Stores Department (MSD) to improve access to critical medicines in more than 5000 locations. Lessons learned will help expand the partnership in other countries and provide training tools to prepare global health professionals to both harness the power of private sector partnerships and build technical skills in supply chain management.
- Egypt, Hospital Strengthening InitiativeCairo, Egypt (2009-2011)From 2009 to 2011, GHLI and the National Bank of Egypt (NBE) partnered to establish the Hospital Strengthening Initiative to improve hospital care for patients with cardiovascular disease. GHLI, the Center for Outcomes Research and Evaluation at Yale, and the NBE collaborated to create Egypt's first data registry for patients with Acute Coronary Syndrome to help measure quality of care, identify gaps and evaluate efforts to improve hospital performance. Through training and mentoring, teams reduced waiting time for procedures and crowding in the Cardiac Catheterization lab designed and implemented an inventory management system for that lab and developed a more effective work plan to improve patient flow in the outpatient clinics.
- United Kingdom, Health and Social Care Leadership Development ProgramUnited Kingdom 2007Like many countries dealing with rising health care costs, aging populations and public calls for reform, the U.K. is making substantial changes to its National Health Service (NHS). To prepare NHS staff in leadership roles to navigate this reform, GHLI and the South Essex Partnership Foundation Trust created the Health and Social Care Leadership Development Program. Using expert speakers, case studies and site visits in both the U.K. and the U.S., the program focuses participant involvement on management and leadership topics in order to provide comparative analyses and perspectives that help generate creative solutions to health care problems common to both countries.
- Ethiopian Hospital Management InitiativeAddis Ababa, Ethiopia 2006The Ethiopian Hospital Management Initiative (EHMI) launched in 2006 in partnership with the Ethiopian Ministry of Health and the Clinton Health Access Initiative. Through EHMI efforts, great strides have been made to improve hospital-based and primary care in Ethiopia with the design and implementation of the first Master's of Hospital Administration degree program in Africa and the launch of the Ethiopian Hospital Alliance for Quality to improve hospital services and patient satisfaction. EHMI work is also helping to strengthen adherence to clinical guidelines for labor and delivery and the adaption of WHO Safe Surgery checklist.