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.
The Executive Escalation Problem No One Talks About
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.
The Four Levels of Accountability in Healthcare Leadership
Accountability in healthcare isn’t one thing. Myrtle Roy on the four interdependent levels — individual, team, organizational, and system — and why all four must function together for a healthcare organization to perform safely and well.
The Quiet Collapse of Accountability in Healthcare
Healthcare's accountability problem didn't arrive with the pandemic. It was already there — and the conditions that produced it are still in place. Four warning signs, what they mean, and what rebuilding actually requires.