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 Signals That Culture Is Failing
Culture failure doesn't announce itself. It builds through small, repeated behaviors that are easy to dismiss — until the damage is already done. Four signals that appear long before results are affected.