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  • Leadership Lessons from Alaska

    I am writing this blog on the red-eye flight from Anchorage to Dallas. My wife and I are returning from our annual fishing trip to Alaska. This year’s experience merited comment in this forum. As a way of brief background, we have visited the same lodge in the Bristol Bay area of western Alaska for the past several years. The lodge provides an interesting dichotomy of experiences. On one ...
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  • Is It Worth It?

    As we work with our clients or interact with an audience after our large audience presentations, we – the three partners in Royer-Maddox-Herron Advisors –are often asked the question:…."Is it worth it being a leader in the healthcare industry today?" Fortunately based on our own nearly 120 years of collective experience, we are able to answer the question with a strong ...
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  • Could Segmented Health Care Be Part of the Solution?

    It is clear to all associated with healthcare that the redesign of the industry is high on the national strategic agenda. We all know that many parts of the health delivery system in the US are broken: overall consistent quality is mediocre; service metrics reported through HCAHPS are poor; business literacy is in jeopardy as evidenced by predictions that over 1000 hospitals will be bankrupt by ...
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  • Boards Need to Share the Seed Corn

    Take a good look at the list of governance roles and responsibilities in my previous blog. Think about boards on which you may have served. Is it possible that boards today spend an inordinate amount of time thinking only about themselves and the specific mission of their organization? Boards like to think that they shape the organization and, indeed, they do. However, what is often overlooked, ...
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  • Can Today's Healthcare Boards Become More Like a Rancher?

    Health care organizations are on the edge of major change. Recent legislation, changes in insurance and government payment policies and advances in technology ensure that change is here now. For health care organizations, especially those which have been around a long time and which are culturally ingrained with image, processes and a proud history, the major change going forward is the new ...
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