Bred To Lead

Afleveringen

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  Ep. 036: The Healthcare Parallel: Why Optimizing the OR Alone Never Works 20.01.2026 34min

  YOU CAN'T OPTIMIZE DOWNSTREAM WHILE THE CONSTRAINT SITS UPSTREAMEvery week the same meeting happens: the CFO sees rising costs, the COO hears surgeon complaints, the CNO watches quality metrics stall, and SPD says the numbers look fine. Dr. Jake Tayler Jacobs explains why everyone is right, and gives the condition a name.IN THIS EPISODE• Why OR improvement efforts stall at a ceiling when SPD, the upstream constraint, goes unaddressed• The definition of operational blindness: leaders can't see dysfunction because measurement and feedback systems don't surface it• The NASCAR picture: the surgeon is the driver, the OR is the pit crew, SPD is the garage• What operational blindness looks like from the CFO, COO, CNO, SPD director and C suite seatsKEY TAKEAWAYFix the people and send them back to the same system, you get the same problem. Fix the system, you fix the problem.━━━━━━━━━━━━Bred To Lead is powered by SIPS Healthcare Solutions.BredToLead.comSterileByDesign.comSIPSHealthcare.com
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  Ep. 033: Built to Survive, Not Scale: Rebuild Healthcare While Running 15.12.2025 1u 6min

  ONLY BROKEN SYSTEMS SHAKE AT 80 PERCENT CAPACITYTwo hospitals in the same city, same patient acuity. One falls apart at 75% capacity, the other runs smooth at 95%. Dr. Jake Tayler Jacobs explains the difference: one was built to survive, the other was built to scale.IN THIS EPISODE• Six signs of survival infrastructure, including daily heroes and knowledge that walks out the door every night• Why "slow is smooth, smooth is fast" and the five step playbook for rebuilding while you keep running• Piloting in parallel: running a new SPD workflow on first shift until second shift begged to switch• A case study: 47 unnecessary steps removed, 20% more volume with fewer staff, SPD turnover from 67% to 8%YOUR CHALLENGEStart this week. Pull six weeks of data and find the capacity where overtime, errors and complaints spike. That is your shaking point.━━━━━━━━━━━━Bred To Lead is powered by SIPS Healthcare Solutions.BredToLead.comSterileByDesign.comSIPSHealthcare.com
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  Ep. 031: Stop Funding Chaos: How Organizations Pay for Emergencies and Ignore Prevention 11.11.2025 21min

  WE FUND CHAOS, STARVE PREVENTION, AND CALL IT DISCIPLINEA periop director brought her executive team a $300,000 two year plan to fix workflows, training, and staffing. They said no budget. Six months later, eight people quit in three weeks and the hospital spent over a million dollars on agency staff, overtime, and recruiting. Dr. Jake Tayler Jacobs calls it the trauma budget, and the prevention tax every organization pays for it.IN THIS EPISODE• Why budgets that were too tight for raises suddenly open up when things are on fire• The hardware and software check: financial systems built for widgets, leaders trained in crisis mode• Everything has an ROI: retention, efficiency, innovation, reputation, and outcomes• Five ways to build a prevention focused budget, starting with "can we afford not to?"YOUR CHALLENGEPull your last three years of financials, total your crisis spending, and ask what 10% of it could have prevented.━━━━━━━━━━━━Bred To Lead is powered by SIPS Healthcare Solutions.BredToLead.comSterileByDesign.comSIPSHealthcare.com
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  Ep. 029: Decision Paralysis: Why Smart Leaders Make Bad Calls 17.02.2025 42min

  INDECISION IS A DECISION, USUALLY THE WORST ONEAt Johns Hopkins All Children's Hospital, the pediatric heart surgery program saw mortality rates three times the national average while frontline staff raised alarms and leadership delayed. Dr. Jake Tayler Jacobs unpacks what he calls prestige paralysis, the trap where protecting a reputation matters more than solving the problem, and the nearly $43 million in settlements that followed.IN THIS EPISODE• The four causes of decision paralysis: the reputation shield, the data paradox, the expertise trap, and the hierarchical filter• The Love Tour at SIPS and what frontline workers said that administration never reported• The 70% rule, the reversibility test, and setting decision triggers before a crisis• Four kinds of decision debt: operational, cultural, strategic, and trustKEY TAKEAWAYStop asking whether you should act. Ask what it will cost you not to act, because problems do not age well.━━━━━━━━━━━━Bred To Lead is powered by SIPS Healthcare Solutions.BredToLead.comSterileByDesign.comSIPSHealthcare.com
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  Ep. 028: 90 Days to Make or Break: A $60M Leadership Collapse 27.01.2025 50min

  YOUR FIRST 90 DAYS DECIDE YOUR WHOLE TENUREIn March 2014, North Adams Regional Hospital in Massachusetts closed with three days' notice, leaving 37,000 residents without their local hospital. Dr. Jake Tayler Jacobs walks through how new leadership misjudged its reality, cut costs before diagnosing the problem, and lost the trust of staff and community in the critical first 90 days.IN THIS EPISODE• Three levels of reality assessment: paper reality, perceived reality, and ground reality• The trust triangle: transparency, engagement with team, peers and upline, and early wins that matter to them• The impact matrix and balanced urgency: fast enough for momentum, slow enough to bring people with you• Why cutting costs does not always mean cutting people, and how to find the real power centersYOUR CHALLENGEMake five commitments for any season of change: truth, people, future, learning, and legacy.━━━━━━━━━━━━Bred To Lead is powered by SIPS Healthcare Solutions.BredToLead.comSterileByDesign.comSIPSHealthcare.com
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  Ep. 027: Lessons from the $8 Billion Healthcare System's Collapse 15.01.2025 40min

  STEWARD HAD PLENTY OF PLANS. WHAT IT LACKED WAS FUTURE FOCUSIn May 2024, Steward Health Care, one of the largest private hospital systems in the country, filed for bankruptcy. Dr. Jake Tayler Jacobs breaks down how a model built on turning around struggling hospitals failed at the very operational excellence it promised, and what every leader can learn from the difference between planning for the future and leading from it.IN THIS EPISODE• Three failures: confusing expansion with evolution, financial engineering over operations, and no sustainable organization• The now game, the next game, and the after next game, and why you must play them together• Four pillars of future focused leadership and a five point future ready assessment• The phantom tax: why leaders you develop stay loyal and leaders you buy keep movingKEY TAKEAWAYCulture eats strategy, and leadership is about legacy, not a paycheck. Ask what condition your organization will be in when you leave it.━━━━━━━━━━━━Bred To Lead is powered by SIPS Healthcare Solutions.BredToLead.comSterileByDesign.comSIPSHealthcare.com
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  Ep. 023: Beyond Quick Fixes: The Truth About Transforming Organizations 12.11.2024 48min

  IF YOUR PEOPLE DON'T BELIEVE IN CHANGE, NO PROCESS WILL STICKWatching Coach Prime rebuild Colorado football, Dr. Jake Tayler Jacobs saw what he has taught leaders for years: real transformation starts with belief and culture, not metrics and process maps. He walks through why "we've tried that before" is a symptom, not an excuse, and why new systems fail when the culture underneath them never changed.IN THIS EPISODE• The three phases of transformation: cultural reset, technical evolution, and sustainable excellence• Why resistance during technical change usually means your cultural reset isn't finished• How one organization that had failed three system rollouts rebuilt belief through small, visible wins• Why your company should run like an internal university where learning never endsYOUR CHALLENGEBefore you touch a process or a metric, find out what your people truly believe is possible or impossible in your organization.━━━━━━━━━━━━Bred To Lead is powered by SIPS Healthcare Solutions.BredToLead.comSterileByDesign.comSIPSHealthcare.com
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  Ep. 021: Cracking the Leadership Code: Your Blueprint for Mastery 01.11.2024 45min

  THE HIGHEST PAID POSITION IN THE WORLD IS NOT A TITLEClosing a conference in Delaware, Dr. Jake Tayler Jacobs told the room that too many people want leadership roles before they have mastered where they are. Using the story of King David, who was the best at every role he held long before he became king, he lays out why playing the promotion game instead of the mastery game gets leaders exposed.IN THIS EPISODE• The four phases to master in order: skills, people, the business, then scale• Why he would have a new director of periop spend three months in SPD before taking the role• How one department head got full funding once he stopped pitching passion and started speaking ROI• Self-check questions to tell which phase you are actually inYOUR CHALLENGEBe honest about which phase you are in right now, then pick one area to strengthen this week before you ask for the next promotion.━━━━━━━━━━━━Bred To Lead is powered by SIPS Healthcare Solutions.BredToLead.comSterileByDesign.comSIPSHealthcare.com
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  Ep. 020: The Leadership Paradox in Healthcare: Why Your Experts Might Be Holding You Back 02.10.2024 56min

  YOUR BEST EXPERT MAY BE YOUR WORST CHOICE TO LEADPicture a hospital that promotes its top surgeon to run perioperative services and its most experienced technician to run sterile processing. Six months later, OR efficiency is down, costs are up, and both new leaders are drowning. Dr. Jake Tayler Jacobs calls this the leadership paradox, and explains why deep expertise and transformational leadership are rarely found in the same person.IN THIS EPISODE• Subject matter thought leaders own the what and how. Transformational leaders own the why and who• Why he estimates only about 1 in 10 professionals truly have both skill sets• A case study where pairing experts with operational leaders cut OR turnover 20% and instrument delays 50%• His answers to "we can't afford it" and "outsiders won't understand our challenges"YOUR CHALLENGETake a hard look at your leadership team. Are you building both technical expertise and transformational leadership, and giving them room to work together?━━━━━━━━━━━━Bred To Lead is powered by SIPS Healthcare Solutions.BredToLead.comSterileByDesign.comSIPSHealthcare.com
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  Ep. 019: Reimagining Healthcare Staffing - Beyond the Quick Fix 26.09.2024 1u 16min

  TEMP STAFFING SHOULD BE A TOOL, NOT YOUR WHOLE STRATEGYPicture flu season: the ER is overflowing, periop is surging, and two of your most experienced sterile processing techs just retired. Dr. Jake Tayler Jacobs explains why calling in temps feels like a lifesaver in that moment, and why a pressure bandage left on without real treatment never fixes the wound.IN THIS EPISODE• The pros and cons of temp staffing in the ER, periop and central sterile processing• Why a new hire needs about three months to get comfortable and 24 months to master a system• Four scenarios for choosing temp staffing, integrated management, or a hybrid of both• How a community hospital cut sterile processing errors 40% in six months using just two experienced temp techsYOUR CHALLENGELook hard at your staffing and ask: are we just filling gaps, or are we building for the future?━━━━━━━━━━━━Bred To Lead is powered by SIPS Healthcare Solutions.BredToLead.comSterileByDesign.comSIPSHealthcare.com
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  Ep. 017: The Gritty Reality of Corporate Turnarounds: Lessons from a Corporate Fixer 03.09.2024 50min

  EVERYONE CAN NAME THE PROBLEM. FEW FIX IT FOR GOOD.Dr. Jake Tayler Jacobs pulls back the curtain on life as a corporate fixer, including why SIPS brought in someone from outside healthcare to see things differently. He shares a company that had gone through three CEOs in two years and was six months from bankruptcy, and how a town hall with frontline staff started a comeback that had it profitable 18 months later.IN THIS EPISODE• Six signs a turnaround is needed, from falling revenue and lost market share to a strategy that drifts• His five steps: diagnose, stop the bleeding, build the strategy, implement and monitor, build for the future• Why huddles are for adjustments, not celebrations, and why accountability only happens through transparency• Why fixing SPD without fixing the OR is only half a turnaroundKEY TAKEAWAYBe honest about the reality, make tough decisions quickly but not recklessly, and bring your people into the turnaround.━━━━━━━━━━━━Bred To Lead is powered by SIPS Healthcare Solutions.BredToLead.comSterileByDesign.comSIPSHealthcare.com
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  Ep. 016: Patience Pays: Why Slow and Steady Wins the Leadership Race 21.08.2024 48min

  YOUR PREPARATION BEFORE THE PROMOTION DECIDES WHETHER YOU SHINE OR BURNDr. Jake Tayler Jacobs tells the story of Alex and Jamie, who start in hospital administration together. Alex jumps at every promotion, reaches senior management first, then struggles with imposter syndrome. Jamie spends three to five years mastering each role and walks into the executive seat ready on day one.IN THIS EPISODE• The four levels of skill development: confidence, efficiency, proficiency and mastery• Five reasons patience pays: skills, relationships, organizational understanding, credibility and less burnout• What King David's road from shepherd to king teaches about being number one at every role• Why you should already be able to do 70% of the next job before you take itYOUR CHALLENGEBefore you chase the next title, ask yourself honestly: am I the best at the job I have right now?━━━━━━━━━━━━Bred To Lead is powered by SIPS Healthcare Solutions.BredToLead.comSterileByDesign.comSIPSHealthcare.com
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  Ep. 015: Next Up Leadership: Building a Pipeline of Leaders 14.08.2024 42min

  CAPABLE BEATS WILLING WHEN YOU PICK YOUR NEXT LEADERDr. Jake Tayler Jacobs introduces Next Up Leadership: building leaders from within before the seat is empty, not after. Drawing on Jethro's advice to Moses, he gives three tests for who deserves your investment: are they capable, are they accountable, and are they in it to be the best or just for the check?IN THIS EPISODE• The five principles of Next Up Leadership, from early identification to alignment with organizational goals• Battlefield promotions versus prepared successors, and the four risks of promoting out of necessity• Why everyone starts at foundational, then strategic, then executive, no matter how long they have led• Why accountability means never repeating the same offense to the same person twiceYOUR CHALLENGEAsk yourself who is next up behind you, and how well you are developing them to succeed you in the seat you hold today.━━━━━━━━━━━━Bred To Lead is powered by SIPS Healthcare Solutions.BredToLead.comSterileByDesign.comSIPSHealthcare.com
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  Ep. 014: The True Cost of Neglecting Team Development in Healthcare 07.08.2024 48min

  TEMP STAFF STOP THE BLEEDING. THEY DO NOT HEAL THE WOUND.Dr. Jake Tayler Jacobs runs a staffing and workforce company, and he still calls temporary staffing what it is: a band-aid. He compares it to a temporary parent who leaves when the 13, 26 or 52 week contract ends, and lays out the cycle that sends the same hospitals back to agencies every six to eighteen months.IN THIS EPISODE• Why travel nurses can cost $5,000 to $10,000 a week against $1,500 to $2,000 for a staff nurse• The real cost of turnover: $40,000 to $64,000 per hospital employee, and over $100,000 for specialty roles• The Leadership Improvement Plan (LIP) and why every person needs their own development pathway• The research on soft skill, empathy and leadership training across pharmacy, PT, radiology and nursingKEY TAKEAWAYIf what worked actually worked, we would still be working it. Invest in the people already inside your walls before you pay a premium for people who will leave.━━━━━━━━━━━━Bred To Lead is powered by SIPS Healthcare Solutions.BredToLead.comSterileByDesign.comSIPSHealthcare.com
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  Ep. 013: The Power of Storytelling in Leadership 01.08.2024 32min

  CONTENT WITHOUT CONTEXT GIVES PEOPLE NO REASON TO CAREDr. Jake Tayler Jacobs learned this from his mentor Tony Stevens Sr., who kept answering his questions with stories. Tell someone to sprint home from the office and they won't. Tell them their house is on fire with their family inside, and they are already running. In part three of the influence series, he shows why leaders who just "get straight to the point" end up with no connection.IN THIS EPISODE• Six reasons stories work, from making ideas memorable to building shared meaning across a team• Reaching a sterile processing tech named John: would you trust this tray with your grandmother's surgery?• A simple three-act structure: set up the challenge, walk through the struggle, share the resolution• Why Jesus taught in parables (Matthew 13), and why "just talk to me straight" is the exception, not the ruleKEY TAKEAWAYStart collecting stories from your own work and your organization. When people finally get it, they remember who gave it to them.━━━━━━━━━━━━Bred To Lead is powered by SIPS Healthcare Solutions.BredToLead.comSterileByDesign.comSIPSHealthcare.com
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  Ep. 012: Part 2 - The Role of Emotional Intelligence in Leadership 15.07.2024 38min

  IF YOU DON'T GRIP YOUR EMOTIONS, THEY WILL GRIP YOUR LIFEOn a new golf course, Dr. Jake Tayler Jacobs sliced a ball into a homeowner's yard, went in to grab it, and had the owner sprinting out of the house cussing him out. Instead of assuming the worst, he centered himself, validated the man's frustration, and they parted with a handshake. Part two of the influence series breaks down emotional intelligence and ten ways to use it ethically.IN THIS EPISODE• The five parts of EQ: self-awareness, self-regulation, empathy, social skills, and motivation• Active listening with all your senses, and what picking up your phone mid-meeting tells your team• Emotional mirroring at home: popcorn on the floor so his daughter feels seen• Why "I can't control my face" signals low emotional intelligence, and building a richer emotional vocabularyKEY TAKEAWAYYou are not striving for perfection. Be proud of how fast you catch yourself and fix it.━━━━━━━━━━━━Bred To Lead is powered by SIPS Healthcare Solutions.BredToLead.comSterileByDesign.comSIPSHealthcare.com
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  Ep. 037: The Hidden Beliefs That Keep Healthcare Stuck 02.02.2026 39min

  THE BELIEFS YOU DON'T KNOW YOU HAVE ARE CONTROLLING YOUHow do you know the sky is blue? You just know. Dr. Jake Tayler Jacobs argues that some of what leaders "just know" about their organizations isn't fact at all. It's assumption, and it feels just as certain.IN THIS EPISODE• Why activity metrics like turnaround time and volume can look fine while the OR goes without what it needs• Five belief markers to listen for, including "that's just how it is" and "it's always been this way"• How an invisible belief becomes a self-fulfilling prophecy, and why lean can make a workaround more efficient instead of removing it• Four techniques to surface hidden beliefs, from outside perspective to looking at what you're not measuringKEY TAKEAWAYThe discomfort of questioning is nothing compared to the cost of not questioning. Courage to question is the price of transformation.━━━━━━━━━━━━Bred To Lead is powered by SIPS Healthcare Solutions.BredToLead.comSterileByDesign.comSIPSHealthcare.com
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  Ep. 034: From Conformity to Innovation: Rebuild Leadership and Systems 09.01.2026 51min

  TRADITION WITHOUT EVOLUTION IS SLOW DEATH WITH BETTER BRANDINGWhen Dr. Jake Tayler Jacobs walked into a 30 year old organization and suggested change, leadership told him "that's not how we do things here." His answer: then how is that working for you, and why am I here? The room went silent.IN THIS EPISODE• The four stages of a slowly eroding industry, starting with losing young talent and ending in irrelevance• Why stagnant and stable look alike but are not, and why stagnant things rot• Five principles of innovative leadership, including building a coalition of the willing before you ask for the yes• Why gumption without systems is chaos, and why you lead with evidence, not just visionYOUR CHALLENGEIdentify one tradition in your organization that everyone accepts but nobody questions, and ask why. If you can't get a good answer, start redesigning it.━━━━━━━━━━━━Bred To Lead is powered by SIPS Healthcare Solutions.BredToLead.comSterileByDesign.comSIPSHealthcare.com
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  Ep. 032: Why The Wrong Leaders Get Promoted 25.11.2025 46min

  WE HIRE FOR CREDENTIALS AND HOPE FOR CAPABILITYThe best nurse becomes charge nurse, the best tech becomes director, and nobody asks if they can actually lead. Dr. Jake Tayler Jacobs calls it the clinical excellence trap and explains why healthcare's leadership famine is a design problem, not a talent problem.IN THIS EPISODE• Why the skills that get you promoted (reliable, liked, busy) are not the skills that make you effective• The five capabilities leaders need: systems thinking, emotional intelligence, change management, development mindset, strategic foresight• His "three layers down" model for building bench strength, and Xerox's measure of what top people did after leaving• Five fixes, from parallel clinical and leadership tracks to making succession planning a performance metricYOUR CHALLENGELook at your last five promotions. Did you assess for leadership capacity, or just reward past performance?━━━━━━━━━━━━Bred To Lead is powered by SIPS Healthcare Solutions.BredToLead.comSterileByDesign.comSIPSHealthcare.com
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  Ep. 030: From Dependency to Design: Hospitals Shouldn't Have to Rent Stability 04.11.2025 24min

  YOU CAN'T BUILD PERMANENT CHANGE ON TEMPORARY HELPSeason three opens with a hard look at the traveler dependency crisis. Dr. Jake Tayler Jacobs shares the story of Sarah, an eight year critical care nurse who quit after watching her hospital pay travelers $100 an hour while she made $38: "They can find money for strangers, but not for people who stayed."IN THIS EPISODE• Leadership is the software, systems are the hardware, and hospitals keep crashing when neither gets upgraded• The hidden costs of renting stability: knowledge drain, culture erosion, and broken patient continuity• Four design principles: build your own pipeline, compensation transparency, scheduling as strategy, and leadership that listens• Why leaders who only plan for one term rarely leave lasting change, and why SIPS built Sterile By DesignYOUR CHALLENGEAsk yourself: am I managing crises or preventing them? Am I renting stability or building it?━━━━━━━━━━━━Bred To Lead is powered by SIPS Healthcare Solutions.BredToLead.comSterileByDesign.comSIPSHealthcare.com