Healthcare spent thirty years preparing its systems. It now faces the challenge of preparing its leaders. As Artificial Intelligence, interoperability, and information blocking reshape the healthcare landscape, executive alignment will increasingly determine organizational outcomes.

In a previous Insight, we introduced the idea of siloed truths — not silos of work, but silos of understanding. Different leaders, all working hard, yet each operating from their own interpretation of “what’s really happening,” “what matters most,” and “where responsibility lives.” Individually, those truths may each feel reasonable. Collectively, they quietly fracture leadership alignment. For years, healthcare organizations have been able to function — sometimes even succee