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Perspectives: Why Most Leaders Get People Wrong

Perspectives: Why Most Leaders Get People Wrong

Rick RawsonBy Rick Rawson, HC2 Co-Founder and Chief Strategist

We say people are our greatest asset.

But if you look at how many organizations actually operate, you’d think people are the problem to manage—or the cost to control.  Leaders feel pressure from the system and constrained by expectations of others, which leads them down this path.

I learned this lesson years ago while working in struggling healthcare organizations. Like many systems under pressure, the instinct was to pull back:

  • reduce services
  • cut costs
  • tighten control
  • protect margin

Based on conventional wisdom,  those approaches looked responsible, but something seemed wrong. The usual measures didn’t reflect the values we espoused about our people.

We realized the more we focused on shrinking our way to sustainability, the more disconnected we became from the very communities we served and whose future depended on us. Staff engagement dropped. Innovation slowed. Trust eroded.

Then something shifted. We decided to ask different questions

Instead of asking:

“What do we need to cut?”

We started asking:

“What does our community actually need from us? How do we unleash the capacity of the people in our organization to create value for our communities?”

As a leader, I needed to face my own fears. I realized that, to change the organization, I needed to start with myself. While this was at first difficult, I found it incredibly liberating and found myself much more connected to my core values and free of stress-inducing constraints. I realized that, despite the pressure I felt from others’ expectations, I could deliver the results they needed in a much more effective and sustainable way.

We began expanding services that mattered locally. We invested in people closer to the community. We empowered staff to think differently instead of simply following tighter controls. We spent less time looking over people’s shoulders and focused more on aligning and energizing our teams.

Then something surprising happened.

As people felt trusted and connected to purpose again, capacity grew. Not just emotionally—organizationally.

New ideas emerged. Partnerships formed. Services expanded. Financial performance improved alongside mission impact.

What I learned from that experience is this:

People are rarely the constraint. Systems are.

When leaders see people primarily through the lens of productivity, compliance, or cost, they build systems that limit human potential.

But when leaders see people as a source of capacity, creativity, and value, organizations begin to change.

As leaders we have a responsibility to those we lead and serve to create systems that optimize value and unleash human potential.

The best leadership I’ve seen doesn’t start with control. It starts with perspective.

  • Seeing value where others see limitation
  • Seeing possibility where others see risk
  • Seeing people not as resources,  but as human beings capable of exponential innovation and growth

This matters especially in healthcare.

Burnout, disengagement, and turnover are often described as people problems. But many times, they are actually signals of systems that have lost connection to purpose, community, and human dignity.

Leadership is not just about getting results.

It’s about creating the conditions where people can become more than they imagined and achieve results that wouldn’t have seemed possible before.

A question I continue to ask myself is:

Who around me is capable of more than I currently see?  What can I do to nurture that capacity and unleash the human potential around me.

Those questions changed the way I led—and the kinds of organizations I believe are possible.

#Leadership #Healthcare #SystemsThinking #Coaching #CommunityHealth #ServantLeadership #RuralHealth #PersonCenteredCare #CapacityBuilding

Post By Dora Barilla

President and Co-Founder of HC² Strategies, Dora Barilla is a Doctor of Public Health and a national thought leader in community health transformation. She is a passionate advocate for meaningful system and policy change that leads to better health outcomes for the most vulnerable populations through innovation, partnership, and strategies.

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