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May 15, 2025

Investing in leaders to drive long-term success for healthcare organizations

Clinician Leadership

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Investing in Leadership for Healthcare in St. Louis

In healthcare, leaders understand that meaningful outcomes emerge from purposeful action. We meticulously evaluate equipment purchases, facility expansions, and staffing decisions, considering both immediate needs and long-term vision. Yet when it comes to leadership development, this same strategic intentionality often falters. We hesitate, we question, we defer.

Here’s the truth: Your investment in the growth of your leaders might be the most impactful strategic decision your organization will ever make.

The high cost of leadership on autopilot

Leadership deficiencies tend to ripple through systems like slow-moving tsunamis. Researchers say the average person spends nearly half (46.9%) of their time on autopilot, engaging in automated behaviors and making decisions based on ingrained patterns rather than intentional thought.

Let that sink in.

The physicians, administrators, and executives steering your multi-million dollar organization are navigating largely on habit—habits formed during clinical training, habits absorbed from mentors, habits developed in entirely different contexts than the complex leadership challenges they now face.

While some are “natural born” leaders with innate charisma and good instincts, most leadership skills must be learned or refined. And the cost of not developing those skills? Roberta Sonnino, a physician leader and researcher, explains it like this:

“Leaders who believe they can do it without any formal training often succeed for some time, but eventually will encounter critical situations they are not prepared to handle alone. Then they urgently seek the resources to help them succeed, often too late to salvage a career.”

We would add that often it’s also too late to salvage the organization’s finances, reputation, or patient outcomes.

Are you coaching the wrong people?

One curious misconception persists in healthcare: that leadership coaching is reserved for those in trouble rather than high performers with growth potential. This mentality is unique to healthcare.

“There is not a single top athlete who does not have a coach,” says Lee Angus, president of MEDI Leadership. “CEOs should not be insecure about this issue, but instead see coaching as a tool for improving their already high performance,” he adds.

The best physicians would never tell patients to wait until they’re critically ill before seeking care. Why, then, do we wait until leaders are in trouble before investing in their development?

The reality is that every role change requires the leader to shift the way they lead. “Whether you’re a nurse, patient care coordinator, an administrator or middle manager, when you get promoted, almost instantly you will be expected to have new skills you didn’t have before,” reasons Louise Weed, co-director of the executive leadership program at the Harvard T.H. Chan School of Public Health.

Far from punitive, leadership coaching is a powerful skills enhancer that top performers have leveraged for ages in other industries, and for good reason: When organizations invest in the growth of their leaders, the effects cascade throughout their organizations.

Beyond training: Why traditional development falls short

It’s a common predicament: You attend a conference, receive powerful training, meet with mentors, make notes about the changes you’ll make in how you lead yourself and others, and then… nothing. It just doesn’t stick. That’s because conventional leadership training treats leadership like a knowledge problem rather than a behavioral one.

Despite your best intentions and the value of the information you’ve received, it’s human nature to regress into our habitual ways, and the information remains just a theory. One of our fellow MEDI coaches calls this “acute seminar psychosis,” where great information sits in a binder that eventually migrates from desk to bookshelf, rarely consulted again.

Effective executive coaching, by contrast, focuses on behavioral change—the only way to sustain meaningful transformation. A healthcare professional coach helps you build “muscle memory” for leadership skills.

This transformation doesn’t happen through occasional training sessions. It requires personalized coaching frameworks built on the ways humans are wired to learn and change.

The path forward: Investing in the transformation you want to see

As healthcare continues its tumultuous transformation, old leadership models are breaking down. The physician leader with no formal leadership training, the administrator focused solely on metrics, the executive approaching new problems with outdated solutions—these approaches no longer suffice.

To thrive in the months and years ahead, your organization must view leadership development as its most critical investment. 

Your leaders don’t need to be sick to get better. Your organization’s leadership may be functioning adequately today. But functioning adequately is like treading water in an increasingly turbulent sea: Eventually, even the stronger swimmer tires.

Healthcare organizations that intentionally cultivate their leadership talent won’t just weather the storms of industry transformation. They’ll harness those winds of change to sail further and faster than their peers. In a landscape where talent shortages, financial pressures, and care delivery innovations continue to reshape what’s possible, your investment in your leaders isn’t just another line item—it’s the foundation upon which your future will be built.

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About the author

Deena Fischer, MA, ACC

A certified executive coach, Deena Fischer, MA, ACC leads business development and operations for MEDI Leadership.

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