Author: brendan.stutz

  • The Capacity Lie: Why Healthcare Keeps Pretending People Have Room for More

    The Capacity Lie: Why Healthcare Keeps Pretending People Have Room for More

    By SCM Professionals Healthcare organizations rarely struggle with ideas. There is no shortage of improvement initiatives, strategic priorities, operational projects, or performance goals. Every initiative is designed to improve patient care, strengthen financial performance, increase efficiency, or prepare organizations for the future. Yet one assumption quietly undermines many of these efforts. Someone can always take…

  • Initiative Fatigue Is Usually an Execution Problem

    Initiative Fatigue Is Usually an Execution Problem

    By SCM Professionals Healthcare organizations are constantly evolving. New technologies, operational improvements, financial pressures, workforce challenges, and regulatory changes all demand continuous adaptation. Yet one phrase continues to surface across health systems whenever a new initiative is announced: “Here we go again.” That reaction is often labeled as initiative fatigue. The common assumption is that…

  • The Translation Layer: Why Middle Managers Determine Whether Healthcare Strategy Succeeds

    The Translation Layer: Why Middle Managers Determine Whether Healthcare Strategy Succeeds

    By SCM Professionals In healthcare, successful transformation depends on far more than executive vision or well-crafted strategic plans. While leadership defines direction, it is often middle managers who determine whether those ideas become meaningful operational improvements or stall before reaching the front lines. Too often, organizations describe middle managers as the people responsible for “cascading…

  • The Operational Middle: Where Healthcare Strategy Becomes Reality

    The Operational Middle: Where Healthcare Strategy Becomes Reality

    By SCM Professionals Healthcare organizations invest significant time and effort developing strategies designed to improve performance, enhance patient care, strengthen financial sustainability, and drive operational excellence. In executive meetings and strategic planning sessions, these initiatives often appear clear, logical, and well aligned. Yet many organizations discover that even the most thoughtfully designed strategies struggle to…

  • Culture by Design: How to Build a System Where Clinical-Supply Chain Partnership Is the Default

    Culture by Design: How to Build a System Where Clinical-Supply Chain Partnership Is the Default

    By Keith Bresciani, for SCM Professionals Healthcare organizations often focus heavily on innovation, operational reform, and performance improvement. Yet one of the most influential drivers of sustainable success is frequently overlooked: organizational culture. Every healthcare system already has one. The real question is whether that culture was intentionally designed or simply inherited over time. In…

  • It’s Not Resistance, It’s a Signal: Rethinking Pushback in Supply Chain Reform

    It’s Not Resistance, It’s a Signal: Rethinking Pushback in Supply Chain Reform

    By Keith Bresciani, for SCM Professionals In healthcare operations, one phrase gets used far too often when a project hits friction: “They’re just resistant to change.” It usually comes up when staff push back, workflows stall, compliance becomes inconsistent, or adoption falls short of expectations. In the moment, that explanation may feel convenient. But it…

  • The Cost of Working Alone: How Collaboration Debt Slows Down Healthcare Reform

    The Cost of Working Alone: How Collaboration Debt Slows Down Healthcare Reform

    By Keith Bresciani, for SCM Professionals Healthcare does not function in silos. It depends on coordination. Supply chain teams support clinicians with the right products at the right time. Clinical teams rely on dependable logistics to care for patients effectively. Finance monitors the cost impact across operations. IT keeps the infrastructure running behind it all.…

  • The Dashboard Isn’t the Destination: Why Supply Chain Metrics Need Context to Drive Change

    The Dashboard Isn’t the Destination: Why Supply Chain Metrics Need Context to Drive Change

    By Keith Bresciani, for SCM Professionals In healthcare supply chain, metrics are everywhere. Fill rates. PAR utilization. Delivery times. Backorder counts. Inventory turns. Cost savings. These numbers matter. They help organizations track performance, identify trends, and guide decision-making. But there is a problem that many teams encounter: the assumption that the dashboard tells the full…

  • Built to Fit, Not to Fight: Aligning Supply Chain Workflows with Clinical Realities

    Built to Fit, Not to Fight: Aligning Supply Chain Workflows with Clinical Realities

    By Keith Bresciani, for SCM Professionals One of the quickest ways to lose trust with a clinical team is to “improve” a supply chain process without understanding what it does to their day. A workflow can look airtight on a spreadsheet, leaner par levels, cleaner routes, faster replenishment, and still fail the moment it hits…

  • From Wrenches to Strategy: Why Technical Experts Need a Different Kind of Leadership Path

    From Wrenches to Strategy: Why Technical Experts Need a Different Kind of Leadership Path

    By Keith Bresciani, for SCM Professionals In healthcare supply chain, leadership promotions often follow a familiar script. A technician, coordinator, or lead becomes the “go-to” person. They know the systems, solve problems quickly, show up every day, and keep things moving. When a supervisor role opens, they’re the obvious choice, so we promote them. But…