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Healthcare relies on measurement. We track quality, safety, financial performance, access, and patient experience with increasing precision. Yet trust, one of the most influential drivers of those outcomes, is rarely measured directly. Throughout my career, I have seen that when trust exists between physician leaders and health systems, alignment follows. When it does not, even well-designed strategies lose momentum. Where Trust Begins to Fracture Most physicians and health s

The themes that emerged from the ACHE Congress this year reflect the genuine complexity of the moment healthcare leaders are navigating. Financial sustainability. Workforce transformation. AI adoption. Equity and access. These are not abstract priorities. They represent real pressure that real leaders are carrying every day, often with limited resources, competing demands, and little margin for error. What struck me most, listening across those conversations, was not the weig

From March 2–4, 2026, I’ll be in Houston attending the American College of Healthcare Executives Congress on Healthcare Leadership. Each year, this conference brings together healthcare leaders who are committed to learning from one another and improving outcomes across their organizations.

Healthcare leadership is demanding by nature. Decisions are constant, the margin for error is narrow, and the responsibility to patients, teams, and organizations never lets up. In that setting, how a leader shows up matters. I was honored to have Christin Collins, and Dr. Robert ("Navy Bob") Roncska join me for Reflection in Practice | A Fireside Chat on Leadership Presence, Trust, and Purpose for an honest conversation about leadership under pressure. This conversation