Insights on Healthcare Operations & Leadership
Essays on healthcare operations and leadership, written from inside the work. Myrtle Roy examines access, accountability, workforce performance, and the operational realities that determine whether a health system holds under pressure — drawing on more than two decades from the emergency department floor to multi-site regional leadership.
When Culture Problems Are Governance Problems
Leadership replacement rarely fixes culture. Myrtle Roy on the four governance dimensions — oversight clarity, performance visibility, executive accountability, and leadership autonomy — that determine whether a healthy culture is even possible.
The Executive Escalation Problem
Healthcare organizations have escalation processes on paper. Serious problems still routinely stall before reaching leadership. Myrtle Roy on why the gap persists — and what it actually takes to close it.