What if we’re measuring the wrong things?
I thought I’d try a different medium (audio) this edition…
I recently sat down with Dr. Rhiannon Winsor, host of VBCare’s podcast The Exam Room . Our conversation explored a number of topics that I thought you’d be interested in.
Rhiannon describes our conversation like this:
What if healthcare organizations are measuring the wrong things?
In a two-part episode of The Exam Room Podcast, we explore a challenge many leaders are facing—but few are naming directly.
➡️ Part 1 focuses on transformation:
Why real change doesn’t come from quick fixes, and why sustained, intentional improvement is harder—but far more effective.
➡️ Part 2 focuses on measurement:
The critical difference between outputs (what we count) and outcomes (what actually matters), and how getting this wrong can lead to clinician burnout, misalignment, and stalled progress.
A few takeaways that stood out from our conversation:
- Transformation takes time—and leadership patience is non-negotiable
- Measuring activity is not the same as measuring impact
- Productivity-driven metrics can unintentionally undermine teamwork
- The most meaningful improvements happen at the system level—not the individual level
For anyone working in value-based care, community health centers (FQHCs), or healthcare leadership, the conversation is worth a listen. It challenges some deeply ingrained habits—and offers a clearer path forward.
I share both episodes here for you to have a listen. (16 min and 23 min)
Also available on Apple Podcasts: Listen to Episode 1 and Episode 2.
Questions for Creating Your Excellence Advantage
✳️ Where is your leadership patience needed to ensure changes are lasting and well-integrated…before moving on to the next thing?
✳️ Have you experienced the unintended consequences of measuring individuals (e.g., individual productivity)? What if you measured the system they work within instead?
✳️ What if you could find a more meaningful measure of outcome (or impact)? Would you keep measuring both: activity and impact?
If you’d like to receive these Inspirations in your inbox every other week, you can subscribe to Kathy’s Excellence Advantage Inspirations Newsletter.
Kathy Letendre, President and Founder of Letendre & Associates, advises organizations and leaders to create their excellence advantage.
Contact Kathy by phone or text at 802-779-4315 or via email.

