
Show Notes
YOUR FIRST 90 DAYS DECIDE YOUR WHOLE TENURE
In 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 centers
YOUR CHALLENGE Make five commitments for any season of change: truth, people, future, learning, and legacy.
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