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
Frontline Staff, Workforce, Organizational Culture, Healthcare Leadership, Accountability, Change Management, Patient Safety Myrtle Roy Frontline Staff, Workforce, Organizational Culture, Healthcare Leadership, Accountability, Change Management, Patient Safety Myrtle Roy

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.

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