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Jun 10, 2026
In October 2003, Michigan walked into Autzen Stadium as
third-ranked team college football team in the country.
They left with a loss.
Not because Oregon was more...
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Jun 02, 2026
I have spent forty years watching health systems defer the
decisions that matter most. Not because their leaders lacked
intelligence or commitment. Because their...
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May 27, 2026
Most health systems have decisions that have been "under review"
for two years. Everyone on the leadership team knows what the
review will conclude. The CFO has run...
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May 26, 2026
Two weeks ago I wrote about the difference between deliberating
and being deliberate.
Most health systems are structurally disposed to deliberate — to
discuss,...
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May 19, 2026
Most health systems don’t have a strategy problem. They have a
timing problem. The decisions get made — eventually. The programs
get evaluated — eventually. The...
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May 12, 2026
After forty-plus years advising health systems and their boards,
one pattern shows up more consistently than any other: the
organizations that most need to act quickly...
