{"product_id":"strategic-leadership-when-time-is-the-constraint-decision-pace-fiduciary-responsibility-and-the-hidden-cost-of-delay-in-healthcare","title":"Strategic Leadership When Time Is the Constraint: Decision Pace, Fiduciary Responsibility, and the Hidden Cost of Delay in Healthcare","description":"\u003ch2\u003eAbout This Audiobook\u003c\/h2\u003e\u003cp\u003eMost healthcare organizations aren't failing. They're underperforming — held back by governance structures that were never designed to force decisions to resolution before time makes them instead.\n\nStrategic Leadership When Time Is the Constraint follows Horizon Valley Health System as it confronts steadily declining margins, workforce pressures, and the compounding cost of decisions that are understood but never made. Into this environment comes Bill Ellis, a retired strategist called back by the inimitable Sister Margaret Albrecht to chair a board that is capable of oversight but structurally incapable of enforcement.\n\nWorking alongside CEO Hannah Wells and her leadership team, Bill introduces a governance framework built around four practical tools: Decision Windows that make time visible and urgent, the Mission-Margin Map that forces tradeoffs into the open, explicit decision rights that replace consensus with accountability, and a Red Flag mechanism that protects early, incomplete signals before they arrive too late to matter.\n\nThe book's central argument is both structural and urgent: decision pace is capacity. The accumulation of unresolved decisions consumes management bandwidth, analytical resources, and leadership attention that could be going somewhere else. At one-fifth of U.S. GDP — with health insurance becoming unaffordable for the families these systems exist to serve — slow governance is no longer just an internal management problem. It is a structural contributor to a cost trajectory that society can no longer sustain.\n\nStrategic Leadership When Time Is the Constraint is the third book in the Strategic Leadership Series and the most operationally specific. It was written for health system executives, board members, governance professionals, and the advisors who serve them — anyone who recognizes the pattern and wants a practical framework to change it.\u003c\/p\u003e\n\u003ch2\u003eDetails\u003c\/h2\u003e\u003cp\u003e\u003cstrong\u003eAuthor:\u003c\/strong\u003e Mark Van Sumeren\u003cbr\u003e\u003cstrong\u003eNarrator:\u003c\/strong\u003e Bruce Conner, Andy Garcia\u003cbr\u003e\u003cstrong\u003eRuntime:\u003c\/strong\u003e 05:09:25\u003cbr\u003e\u003cstrong\u003eISBN:\u003c\/strong\u003e 9780997740387\u003c\/p\u003e\n\u003ch2\u003eAbout the Author\u003c\/h2\u003e\u003cp\u003eMark A. Van Sumeren is the founder of Health Industry Advisor LLC, a governance and strategy advisory firm serving health systems, private equity, family offices, and venture capital-backed healthcare companies. He has spent four decades advising health system leaders and boards on governance, strategy, and institutional decision-making across academic medical centers, integrated delivery networks, community hospitals, and rural facilities.\n\nEarlier in his career, Van Sumeren spent twenty years at Ernst \u0026amp; Young including ten years as a Partner. He subsequently spent eleven years as chief strategist at a Fortune 300 medical distributor before transitioning to advisory work with PE, VC, and family office-sponsored healthcare companies.\n\nHe is a Fellow of the American College of Health Data Management and a 2021 inductee in the Bellwether League Hal of Fame for exemplary career contributions to healthcare supply chain leadership.\n\nStrategic Leadership When Time Is the Constraint is the third book in his Strategic Leadership Series. The first two — A Trip to Strategic Leadership and A Return to Strategic Leadership: Judgment in the Age of AI — are available on Amazon.\u003c\/p\u003e\n\u003ch2\u003eReviews\u003c\/h2\u003e\u003cblockquote\u003e\n\u003cp\u003eA book with a governing idea that bites, a structure that changes the argument, and tools that feel genuinely usable. Time is not the neutral space through which organizations move while deciding what to do. Time is spent like capital, though no one books it cleanly.\u003c\/p\u003e\n\u003cfooter\u003e— NetGalley Reviewer — Four Stars\u003c\/footer\u003e\n\u003c\/blockquote\u003e","brand":"LINDIE","offers":[{"title":"Default Title","offer_id":48084498841751,"sku":"9780997740387","price":14.99,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0721\/9540\/8023\/files\/9780997740387.jpg?v=1785251085","url":"https:\/\/lindie.net\/products\/strategic-leadership-when-time-is-the-constraint-decision-pace-fiduciary-responsibility-and-the-hidden-cost-of-delay-in-healthcare","provider":"Lantern Indie","version":"1.0","type":"link"}