Newsletter
The Operating Model Problem No One Name
Every hospital I've worked with had a different problem.
After 30 years, I've learned they were almost all the same problem — wearing a different mask.
What an Inflection Point Actually Reveals
Most hospitals don't fail during a crisis. They fail because a crisis finally makes visible what was already broken.
Why Physician Alignment Programs Don't Work
Hospital systems have spent decades trying to solve a relationship problem that was never a relationship problem. Here's what it actually is — and what fixing it actually requires.
The Length-of-Stay Problem You're Solving Wrong
Every hospital is watching this number. Most are pulling the wrong lever. Here's what the operating model actually controls — and what it doesn't.
Why the Money Isn't Working
The hospital industry has spent billions on nurse retention incentives. The turnover numbers haven't moved. The answer isn't more compensation — it's in the operating model underneath.
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