Why Do Practices Struggle?

Most problems in healthcare aren’t caused by people — they’re caused by systems that make good work hard to do.

My advisory work starts by understanding how work actually happens, not how it looks on paper. When workflows are unclear, inconsistent, or overly complex, even the best teams struggle.

I focus on designing systems that:

• Reduce unnecessary variation

• Make the right work the easy work

• Support consistent, high-quality care

When the system improves, performance follows.

Healthcare does not need more theory.
It needs solutions that fit real constraints — time, staffing, data, and culture.

My approach favors:

• Simple, testable changes over large, disruptive initiatives

• Progress over perfection

• Tools and processes staff can actually use

If an improvement cannot be understood, maintained, or explained by the people doing the work, it will not last. Practical beats perfect every time.

Lasting improvement only happens when people are part of the solution.

I work alongside leaders and staff to ensure changes are:

• Clearly communicated

• Properly supported

• Anchored in accountability and purpose

Change should reduce frustration, not create more of it. When teams understand the why and see the impact of their work, improvement becomes part of daily operations — not another temporary initiative.