the middle space
A Blog on Innovation, Care, and the Real Work Behind It All
-
I've spent my career at the intersection of clinical care, health plans, startups, and system transformation.
Across 50,000+ patient encounters and years in executive, advisory, and board roles, one thing has stayed constant:
Healthcare is deeply personal—and rarely straightforward.
The Middle Space is where I share grounded reflections, leadership lessons, field-tested insights from the space between vision and reality. Where founders, innovators, and leaders navigate what’s next.
This is a space to pause, process, and move forward with purpose.
Venus Williams | Leadership: Grace & Growth:
Tech 1, me: 0. Let’s just say I forgot how to use my iPhone, and a grand slam champion came in for the win.
Lessons from Mr. Wonderful: What Makes A Pitch Work
I had the chance to hear Kevin O’Leary speak at the Becker’s Healthcare 2025 Annual Review conference recently. Known to many as Mr. Wonderful on Shark Tank, he shared a framework for evaluating pitches that can be applicable to anyone building in healthcare.
Health Plan Strategy
When I moved from exam rooms to boardrooms, I didn’t leave the clinical mindset behind — I brought it with me.
In a recent discussion on health plan strategy, I found myself reflecting on what’s changing behind the scenes — and how that change connects back to what patients and clinicians actually feel.
Here’s what’s top of mind for health plans right now:
What Coach Saban Taught Me About Teams, Culture, and the Work That Lasts
When I heard Coach Nick Saban speak recently, I wasn’t expecting anything flashy. What I didn’t anticipate was how much of what he shared applied far beyond football — into healthcare, startups, innovation, and anywhere teams are trying to build something that lasts.
He spoke about success, but not in the way we often hear it. Not in outcomes. Not in wins. He talked about process. Fit. Discipline. And a culture of clarity.
The Digital Health Solutions That Actually Gain Traction
Not every shiny object in healthcare tech gets adopted. And that’s not a bad thing.
The digital tools that truly gain traction in care delivery aren't always the most advanced or flashy. They're the ones that understand this: success in healthcare isn't just about what's possible
Perspectives on Healthcare Transformation
Innovation in healthcare doesn’t thrive on disruption alone. It takes connection—between clinical reality, strategy, and people. These are a few reflections from the space in between.
Observations in the Field
A few reflections from behind the scenes of digital health. The most successful digital health tools don’t disrupt care—they enhance what’s already working. Here are a few observations from the field on what separates promising solutions from those that miss the mark.
Welcome to The Middle Space
Healthcare innovation doesn’t happen in a vacuum. It happens in the messy, brilliant middle — between strategy and implementation, between intention and outcomes, between what’s promised and what’s actually delivered.
I created this space to reflect on that middle.