skinny.

Latest / The Lead Up Podcast

Episode 481 The Silent Killer of Transformation: Why Good Intentions Aren’t Enough

In this episode of the Lead Up Podcast, Mike Harbour takes on a quieter, more dangerous breakdown in leadership—what happens when teams believe they’re aligned, but that alignment never reaches execution.

He walks through a pattern seen repeatedly in healthcare organizations: strong strategy, clear intent, and apparent agreement at the top—followed by slow, fragmented execution across the system. Not because leaders don’t care, but because alignment stopped at words and never translated into behavior.

Mike breaks this down in stages, showing how misalignment stays hidden early on, then…

The skinny

The skinny isn't ready yet — notes appear once the transcript is processed.