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Ep. 30 Reflection: Why Healthcare Change Evaporates Before It Reaches the Frontline

Rain can begin falling from a cloud and evaporate before it ever reaches the ground. Meteorologists call it virga. In healthcare organizations, something remarkably similar can happen to change.

In this reflection on Episode 30 of Viral Healthcare, Dr. Bruce Spurlock returns to the overlooked role of middle managers and asks why strategies that seem clear at the executive level sometimes disappear before they ever become part of frontline practice.

The problem usually isn't sabotage or resistance. Middle managers are balancing demands from both directions: senior leaders asking for greater…

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