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Stabilize. Optimize. Anchor.: The Definitive Guide to Hospital Operations
Your hospital does not have a people problem. It has an operating system problem.
Staffing changes by shift. Beds sit unavailable while patients wait. Leaders spend the day reacting to problems they solved last month. Margin erodes despite constant effort.
Capable people are compensating for systems nobody ever finished building. No amount of heroics makes that sustainable.
Stabilize. Optimize. Anchor. gives hospital executives, nursing leaders, and operational teams a sequence for replacing reactive management with an operating model that holds. Stabilize before you optimize. Optimize before you anchor. Skipping a phase is what turns an operational rebuild into one more initiative nobody remembers in two years.
Inside you will learn how
Replace negotiation-based staffing with the TrueLevel Staffing Method™ and clear decision thresholdsBuild escalation pathways so routine decisions stop reaching senior leadersControl bed capacity with defined decision rules instead of pressure, personality, or convenienceImprove patient flow by finding bottlenecks before they become afternoon crisesRun a Daily Ops Report that makes census, discharges, beds, transfers, and demand visibleBuild Business Reviews that surface drift early and hold accountability in placeAddress turnover, contract labor, and leadership gaps with a real workforce strategyDevelop leaders who protect the system rather than carry itUse After-Action Reviews to turn operational events into structural improvementsFollow an implementation plan that says what to build first and what comes nextThe framework was built inside hospitals, under staffing pressure and financial strain.
Cory Geffre led three consecutive hospital turnarounds in systems ranging from $200 million to more than $750 million in revenue. He moved operating margin from 0.8 percent to 4.5 percent in a single fiscal year and brought another organization from negative 12.9 percent to break-even in three years without cutting a service line. He reduced labor expense by 9 percent, cut locum utilization by 70 percent, and reversed 50 percent registered nurse turnover. At one critical access hospital, census grew tenfold with no added labor. Organizations he led earned Magnet designation, the Malcolm Baldrige National Quality Award, and Healthgrades Top 250 recognition in 2024, 2025, and 2026.
Four proof cases are included, each an organization the author led.
This is the system behind those results, written for the executive who owns the whole operation.
The same problems keep returning because the structure never changed. This book is how you change it.
Staffing changes by shift. Beds sit unavailable while patients wait. Leaders spend the day reacting to problems they solved last month. Margin erodes despite constant effort.
Capable people are compensating for systems nobody ever finished building. No amount of heroics makes that sustainable.
Stabilize. Optimize. Anchor. gives hospital executives, nursing leaders, and operational teams a sequence for replacing reactive management with an operating model that holds. Stabilize before you optimize. Optimize before you anchor. Skipping a phase is what turns an operational rebuild into one more initiative nobody remembers in two years.
Inside you will learn how
Replace negotiation-based staffing with the TrueLevel Staffing Method™ and clear decision thresholdsBuild escalation pathways so routine decisions stop reaching senior leadersControl bed capacity with defined decision rules instead of pressure, personality, or convenienceImprove patient flow by finding bottlenecks before they become afternoon crisesRun a Daily Ops Report that makes census, discharges, beds, transfers, and demand visibleBuild Business Reviews that surface drift early and hold accountability in placeAddress turnover, contract labor, and leadership gaps with a real workforce strategyDevelop leaders who protect the system rather than carry itUse After-Action Reviews to turn operational events into structural improvementsFollow an implementation plan that says what to build first and what comes nextThe framework was built inside hospitals, under staffing pressure and financial strain.
Cory Geffre led three consecutive hospital turnarounds in systems ranging from $200 million to more than $750 million in revenue. He moved operating margin from 0.8 percent to 4.5 percent in a single fiscal year and brought another organization from negative 12.9 percent to break-even in three years without cutting a service line. He reduced labor expense by 9 percent, cut locum utilization by 70 percent, and reversed 50 percent registered nurse turnover. At one critical access hospital, census grew tenfold with no added labor. Organizations he led earned Magnet designation, the Malcolm Baldrige National Quality Award, and Healthgrades Top 250 recognition in 2024, 2025, and 2026.
Four proof cases are included, each an organization the author led.
This is the system behind those results, written for the executive who owns the whole operation.
The same problems keep returning because the structure never changed. This book is how you change it.
230 pages, Paperback
Published September 28, 2026
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