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Jun 10, 2026
In October 2003, Michigan walked into Autzen Stadium as
third-ranked team college football team in the country.
They left with a loss.
Not because Oregon was more...
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Jun 02, 2026
I have spent forty years watching health systems defer the
decisions that matter most. Not because their leaders lacked
intelligence or commitment. Because their...
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May 27, 2026
Most health systems have decisions that have been "under review"
for two years. Everyone on the leadership team knows what the
review will conclude. The CFO has run...
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May 26, 2026
Two weeks ago I wrote about the difference between deliberating
and being deliberate.
Most health systems are structurally disposed to deliberate — to
discuss,...
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May 19, 2026
Most health systems don’t have a strategy problem. They have a
timing problem. The decisions get made — eventually. The programs
get evaluated — eventually. The...
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May 12, 2026
After forty-plus years advising health systems and their boards,
one pattern shows up more consistently than any other: the
organizations that most need to act quickly...
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Mar 28, 2026
There is a quiet shift underway.
Experience, once seen as an asset, is increasingly treated as a
source of bias. In data-saturated environments, judgment built...
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Mar 13, 2026
Most leadership
discussions focus on a familiar question: What decision
should be made? Far fewer begin with the question that
actually defines...
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Mar 06, 2026
AI will improve
decision-making. But it may also make one leadership failure easier
to hide: responsibility.
In analytically
sophisticated organizations,...
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Feb 27, 2026
The conversation around AI is dominated by one
word: scale.
Models and analytical capability scale as AI
proliferates. Capabilities that once required teams of...
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Feb 20, 2026
Boards
are increasingly expected to provide oversight in environments
shaped by advanced analytics and AI. At the same time, they are
often further removed from the...
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Feb 13, 2026
Most leadership failures are not
dramatic.
They are
procedural.
They occur not through bold misjudgment, but
through a series of small deferrals: to process, to...
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Feb 06, 2026
Optimization is a powerful tool. It is also frequently
misunderstood.
Most optimization problems assume the objective function is known,
stable, and agreed upon....
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Jan 30, 2026
Artificial intelligence is often described as transformational. In
practice, its most significant effect may be
clarifying.
AI exposes weak foundations in how...
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Jan 23, 2026
There is a growing belief
that advanced systems have reduced the need for human
judgment.
In reality, judgment has
not been removed. It has been obscured.
Every...
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Jan 16, 2026
For years, leaders were told that better data would lead to better
decisions.
In practice, many have experienced the opposite.
More data has not eliminated...
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Jan 09, 2026
Leadership has always required judgment.
What has changed is the cost of getting it
wrong.
Artificial intelligence has dramatically increased the speed,
scale,...
