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, and on the Anchor/Flounder framework that runs through all of it.
Your Documentation Problem Isn't a Documentation Problem
Late charting, copy-forward, contradictory notes. Myrtle Roy on why documentation failures are an operational signal, not a compliance problem — and what the chart is actually telling you.
The Failures That Were Visible All Along
Serious events are rarely single mistakes. Myrtle Roy on the four operational conditions that are visible long before something goes wrong — and what leadership owns.