When the last of Michigan’s autumn leaves fall, the trees become sticks in the sky. This year, I’m seeing something different in their bare branches: structure, growth, and a reminder that knowledge means little until we put it into practice.
Two appointments. Three years ago. Apparently, we’re exclusive. A patient’s account of healthcare bureaucracy, invisible paperwork, and a care team that actually picks up a paddle.
Most organizations don’t have a talent shortage. They have a visibility problem. When leaders stop seeing the people closest to the work, ideas stop moving, trust erodes, and improvement stalls.