The Trust Tax: How Operational Blind Spots Undermine Clinical Partnerships
By Keith Bresciani, for SCM Professionals In healthcare supply chain, we spend a lot of time measuring efficiency. We track fill rates, backorders, delivery times, and utilization. But one of the most expensive dynamics I’ve encountered doesn’t appear on any dashboard. It’s the trust tax. Every unexplained short, every delivery that blocks a med room, […]
Bridging the Gap: Why Clinical Buy-In Is the Missing Link in Supply Chain Reform
By Keith Bresciani, For SCM Professionals Introduction I’ve seen this scenario play out time and time again. A supply chain team launches a well-intentioned reform, product standardization, inventory optimization, redesigned delivery schedules. On paper, the strategy is sound. The data…
Beyond the Pie Slice: Why Front-Line Curiosity Might Be the Leadership Crisis No One’s Talking About
I’ve spent most of my career in operations, starting in the military and continuing in healthcare working alongside the people who actually keep organizations moving. Forklift operators. Distribution techs. Unit clerks. Supervisors who walk ten miles a day without blinking.…
Rethinking Healthcare Supply Chains—From Operational Excellence to Strategic Resilience
The healthcare supply chain is at a crossroads—balancing cost, efficiency, and patient care in an increasingly complex landscape. Traditional models focused on operational logistics must evolve into strategic frameworks that prioritize adaptability, technology integration, and value-based decision-making. As healthcare organizations…
The Promotion Echo: How Good Workers Become Unprepared Leaders
One of the most common patterns I’ve observed in healthcare operations, and frankly,across most industries, is what I call the Promotion Echo.It goes like this: Not because they aren’t capable.But because the only leadership model they’ve ever known… is the…



