HPSG Pulse

The Future of Emergency Care Starts With Rewiring (We Can’t “Treat and Street” Our Way Out of This)

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Emergency department volumes are up. Patient complexity is rising. And care teams are often newer, stretched, and carrying more emotional load than ever before. Yet many EDs are still trying to solve today’s problems with yesterday’s solutions. That’s why I wrote Rewiring the Emergency Department: Innovative Solutions for Modern Emergency Care. This book is not about incremental fixes or quick wins. It’s about rewiring how the ED is designed, led, staffed, and supported so it…
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Karma Doesn’t Need My Help

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For most of my career, I believed that being a good leader meant fixing things: fixing problems, fixing people, and fixing situations that felt unfair, inefficient, or out of my control. If something went wrong, my instinct was to step in, straighten it out, and make sure it didn’t happen again. That approach served me well in some moments, but over time, I learned a hard truth: Not everything needs to be solved, and not…
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Why Great Leaders Think Like Editors

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January is in full force, and some of us are still in resolution mode. I’m going to join a gym. I’m going to start cooking a healthy meal three days a week. I’m going to get that new certification. I’m going to introduce a new process for my department. Healthcare people are doers by nature, and that’s great. Doers make things happen. But the reality is, we all have limited hours and limited energy. We…
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Start by Being Kind to Yourself

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Be kind. This is how I respond when asked, “If you had one tip for a person, what would it be?” Kindness also feels like the right word to focus on as we kick off a new year. When reading the definition for kindness, words like generous, helpful, and thinking of others’ feelings are listed. Being kind to others is a great thing. My suggestion is that you include yourself as someone to be kind to. In my experience, most people are extremely…
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One Resolution That Will Make You a Better Leader (and Human) in 2026

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As we wrap up 2025, the question on everyone’s mind is: What can we expect in the year ahead? What skills should we build? What actions should we take? What trends should we watch? Technology and AI will no doubt stay front and center. But if you’re serious about self- development, I believe your real competitive advantage will lie in relationships. My prediction for 2026: The ability to build and maintain strong relationships will be…
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My Word of the Year (drumroll please…): Genfluencer

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With 2026 bearing down on us, everyone is coming up with their Word of the Year. Merriam-Webster chose “slop.” Oxford University Press chose “rage bait.” Dictionary.com chose “67”—and yes, I am one of those who is “too old” (by design) to get it! Speaking of generation gaps…I’d like to propose a Word of the Year that connects to that theme. It’s one that captures both the reality leaders are facing and the shift that leadership now demands. My word of…
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Become a World-Class Noticer

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We can get so caught up in just doing our job that we stop noticing opportunities to make things better for our patients, our coworkers—even ourselves. Maybe there is something right under our nose that could be improved. Maybe it’s been that way for a long time, so it doesn’t really register. Or if it does, we might think, It’s just how we do things here. Or we assume it’s somebody else’s job. Sometimes it…
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Reach Out: Why Brave Connections Matter for the Human-Centered Leader

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A quiet truth runs beneath every meaningful career moment in healthcare: Relationships—not transactions—move us forward. I was reminded of this recently when a physician leader reached out to me on LinkedIn in response to uLeadership’s “BIG announcement” about joining Healthcare Plus Solutions Group®. Turns out, we connected on a Zoom call, no agenda at all, just an engaging and inspiring conversation. Later, I mentioned our call to a colleague who knows this physician, Dr. Stephen Williams,…
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Do You Have the Right Tools in Your Backpack?

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As a leader, you are probably carrying around lots of tools. Some you picked up long ago. Others you’ve kept accumulating with the years and the relentless march of technology. The question is, do you have the RIGHT tools to do your job? If you’ve ever met a novice backpacker, you might notice they’re weighed down with all kinds of stuff. On the other hand, it’s amazing how little an expert backpacker takes with them into…
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