The Reframe

Renter with an Owner's Mindset | Vitality Leadership Institute

Renter with an Owner's Mindset | Vitality Leadership Institute

Published on: 05/26/2026

Why high-performing healthcare leaders over-invest in roles that price them as replaceable, and the question that opens the way out.

You Cannot Heal in the Environment That Made You Sick

You Cannot Heal in the Environment That Made You Sick

Published on: 05/12/2026

Moral injury in healthcare leaders is not a resilience failure— it's a systems diagnosis. Learn why burnout in executives often starts with institutional betrayal.

Why Healthcare Leaders Make Bad Decisions Under Chronic Pressure

Why Healthcare Leaders Make Bad Decisions Under Chronic Pressure

Published on: 04/28/2026

Decision fatigue doesn't feel like fatigue– it feels like clarity. Here's what chronic pressure does to healthcare executive judgment, and what to do about it.

Glass Balls, Rubber Balls

Glass Balls, Rubber Balls

Published on: 04/15/2026

Most healthcare leaders know Dyson's framework. Few have answered the harder question: once you've put a rubber ball down, how do you know when it's been on the ground long enough to start changing?

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