In this episode, Fairview Health Services CEO James Hereford joins Blake Madden to unpack what a real health system turnaround looks like when you inherit “zero trust” and six years of organizational drift.
James walks through his unconventional path into healthcare, why lean management systems (not “lean tools”) became Fairview’s operating backbone, and how labor control, throughput, and supply discipline powered a $350M recovery without sacrificing quality, service, or engagement.
James and Blake also dig into the economics of specialty pharmacy/340B, and where Fairview Health has been able to win with AI. You won’t want to miss James’ conversation about his biggest AI implementation failures, the need to give employees agency, and the mistake most orgs make when they fall in love with technology.
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Fairview Health Services: https://www.fairview.org/
Follow James on LinkedIn: https://www.linkedin.com/in/james-hereford/
Follow Blake on LinkedIn: https://www.linkedin.com/in/blakecmadden/
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