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.

When Culture Problems Are Actually Governance Problems
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

When Culture Problems Are Actually 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.

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