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.

Documentation Systems That Quietly Create Liability

Documentation Systems That Quietly Create Liability

The systems designed to protect healthcare organizations can just as easily expose them. Myrtle Roy on documentation failures — from EHR gaps to chart audit culture — and what leadership accountability for documentation actually requires.

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