TCN Talks

Chris Comeaux
  • 5.0 (14)
  • Non-Profit
  • Updated Weekly

Welcome to TCNtalks / Anatomy of Leadership. 

  1. 1d ago

    Embracing the Four M's—A Path to Person-Centered, Reliable Hospice and Palliative Care | Part One

    How can hospice and palliative care become more person-centered while also becoming more reliable? In Part One of this Anatomy of Leadership conversation, host Chris Comeaux sits down with Kelly McCutcheon Adams, Senior Director at the Institute for Healthcare Improvement (IHI), and Margherita Labson, President and CEO of McLabson Consultation & Education Services, to explore the groundbreaking 4 M's Framework and its growing impact on hospice and palliative care.  Originally developed through the Age-Friendly Health Systems Initiative, the 4 M's—What Matters, Medication, Mentation, and Mobility—provide a practical, evidence-based framework for helping healthcare teams consistently deliver individualized care that aligns with each patient's goals while improving reliability across the care continuum.  During this conversation, you'll discover: Why the 4 M's are a framework—not another quality measureHow "What Matters" transforms goal-concordant hospice careWhy reliability and individualized care are not mutually exclusiveHow medication decisions should be guided by patient goals—not habitsWhat hospice leaders can learn from the science of quality improvement Whether you're a hospice executive, palliative care clinician, healthcare leader, or quality improvement professional, this episode offers practical insights for building care systems that are both compassionate and consistently excellent.  Don't miss Part Two, where we continue the discussion by exploring the remaining 4Ms and practical strategies for implementing this framework within hospice organizations. Chapters 00:00 Introduction 00:22 Meet Kelly McCutcheon Adams & Margherita Labson 04:14 What is the 4Ms Framework? 06:58 How IHI is Bringing the 4Ms to Hospice Care 09:43 The Mission of the Institute for Healthcare Improvement (IHI) 11:46 Why the 4Ms Work Across Every Care Setting 15:17 Framework vs. Traditional Quality Measures 17:24 What "What Matters" Really Means in Hospice 21:08 Reliable Systems for Individualized Care 26:57 Medication Decisions Guided by Patient Goals 32:12 Hospice, Opioids, and Changing the Conversation 34:37 Coming Up in Part Two 🎙️ Learn more about TCNtalks /Anatomy of Leadership and by subscribing and following Teleios Collaborative Network (www.teleioscn.org) for more conversations on leadership, hospice, healthcare innovation, and purpose-driven organizations. Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

    Embracing the Four M's—A Path to Person-Centered, Reliable Hospice and Palliative Care | Part One

  2. 6d ago

    Part 2 - Why Traditional Primary Care Fails Frail Elders and the Future Need for Specialized Models

    Can hospice organizations remain relevant if they only engage patients during the final months of life? In Part Two of this thought-provoking conversation, host Chris Comeaux continues his discussion with Dr. Bethany Snider, exploring why traditional primary care often falls short for frail elders and why nonprofit healthcare organizations must rethink the future of serious illness care. Dr. Snider explains how frail elder practices, value-based care, advanced primary care, palliative care, and hospice can work together as one seamless continuum to improve patient outcomes, reduce unnecessary hospitalizations, and help older adults age safely in place. She also shares practical insights on reimbursement strategies, accountable care, leadership, emotional intelligence, organizational innovation, and building sustainable care models that preserve the hospice mission for decades to come. Whether you lead a hospice organization, health system, nonprofit, accountable care organization, or healthcare practice, this episode provides actionable leadership insights on preparing for the next generation of healthcare delivery. Episode Highlights - Why traditional primary care often fails frail elders - The business case for upstream serious illness care - Building sustainable value-based care models - Measuring outcomes beyond traditional healthcare metrics - The future of integrated primary care, palliative care, and hospice - Leadership lessons on innovation, emotional intelligence, and failing fast - Why partnerships will shape the future of nonprofit healthcare Guest: Dr. Bethany Snider, CMO of Everent Health Host: Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of Leadership Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

    Part 2 - Why Traditional Primary Care Fails Frail Elders and the Future Need for Specialized Models

  3. Jul 29

    Why Traditional Primary Care Fails Frail Elders and the Future Need for Specialized Models | Part One

    Is traditional primary care failing America's frail elders? As our aging population grows, healthcare leaders face an urgent challenge: today's healthcare system was never designed to meet the complex, long-term needs of frail older adults. In Part One of this compelling conversation, Chris Comeaux welcomes Dr. Bethany Snider, Chief Medical Officer of Everent Health, to explore why the future of healthcare requires a new model of care.  Together, they examine the emerging concept of the frail elder practice—an interdisciplinary, relationship-centered approach that goes far beyond traditional primary care by integrating home-based care, caregiver support, palliative care principles, and longitudinal care management. Dr. Snider explains why traditional primary care, built around brief office visits and volume-driven reimbursement, is increasingly inadequate for patients living with serious illness, multiple chronic conditions, functional decline, and caregiver challenges.  She also discusses why hospice organizations must begin moving upstream as value-based healthcare, accountable care organizations (ACOs), and population health models reshape access to patients and redefine the future of serious illness care. Whether you lead a health system, hospice, physician practice, nonprofit, or healthcare organization, this episode offers strategic insights into where healthcare is headed—and why organizations that adapt early will be best positioned to improve patient outcomes while advancing their mission. In this episode, you'll learn: •Why traditional primary care often falls short for frail elders •What defines a successful frail elder practice model •How interdisciplinary, home-based care improves quality of life •Why hospice leaders must rethink their role in value-based healthcare •How palliative care should be integrated throughout the patient journey •What healthcare leaders should be doing today to prepare for tomorrow 🎧 Don't miss Part Two, where Dr. Snider shares how healthcare organizations can successfully build, scale, and sustain frail elder practice models. About TCNtalks / Anatomy of Leadership TCNtalks and Anatomy of Leadership feature conversations with today's most respected healthcare executives, physicians, researchers, and business leaders exploring leadership, innovation, hospice, palliative care, serious illness care, nonprofit management, and the future of healthcare. 🔔 Subscribe for weekly conversations designed to help you lead with greater purpose, compassion, and impact. Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

    Why Traditional Primary Care Fails Frail Elders and the Future Need for Specialized Models | Part One

  4. Jul 24

    Part Two | This Global Healthcare Lesson Could Change America

    What can America learn from healthcare systems around the world?  In Part Two of this thought-provoking conversation, host Chris Comeaux continues his discussion with Dr. Mark Stoltenberg, a global palliative care physician and educator, exploring how lessons from countries across Africa, Latin America, Asia, and Europe could reshape the future of American healthcare, hospice, and serious illness care. From community-based palliative care models in India, Uruguay, and Costa Rica to powerful stories from Rwanda, Kenya, Colombia, Brazil, and Jamaica, Dr. Stoltenberg reveals why the greatest healthcare innovations aren't always technological—they're deeply human. Together, Chris and Mark discuss trust in healthcare, integrated serious illness care, hospice reform, healthcare leadership, population health strategies, and compassionate care, offering practical lessons every healthcare leader can apply. The conversation also tackles some of the biggest questions facing the future of American healthcare: Should hospice evolve beyond the traditional carve-out model?Why is trust one of healthcare's most overlooked leadership challenges?What can global partnerships teach us about serving patients with dignity?How can nonprofit organizations and healthcare systems better collaborate to meet the needs of an aging population? Whether you're a healthcare executive, hospice leader, physician, nurse, nonprofit executive, policymaker, or business leader, this episode offers a compelling vision for creating more compassionate, equitable, and patient-centered care. Episode Highlights Why global healthcare offers valuable lessons for the U.S.Community-based palliative care models improving access and qualityThe critical role of trust in patient care and leadershipLeadership lessons from international healthcare partnershipsThe future of hospice, concurrent care, and serious illness careWhy responding to suffering is the true purpose of palliative care If you enjoyed this conversation, subscribe for more interviews with healthcare innovators and leadership experts.  Like, comment, and share this episode with colleagues who are passionate about improving hospice, palliative care, healthcare leadership, and the future of serious illness care. Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

    Part Two | This Global Healthcare Lesson Could Change America

  5. Jul 22

    This Global Healthcare Lesson Could Change America | Part One

    What can American healthcare learn from global healthcare?  In our latest episode, Dr. Mark Stoltenberg, Harvard Medical School professor and Massachusetts General Hospital physician, joins Chris Comeaux to explore global healthcare, palliative care, hospice leadership, healthcare innovation, and the future of serious illness care in America. Healthcare leaders often assume innovation requires more money, more technology, or more specialists.  Dr. Stoltenberg argues the opposite, drawing from his work leading global palliative care programs throughout Latin America, the Caribbean, Africa, and other underserved regions.  He shares how resource-limited healthcare systems are pioneering solutions that can improve American healthcare, strengthen the healthcare workforce, and restore compassionate, person-centered care. Together, Chris and Dr. Stoltenberg discuss workforce shortages, Project ECHO, community-based care, volunteerism, family-centered decision-making, healthcare leadership, and why hospice and palliative care must preserve their founding values while continuing to innovate. Through moving patient stories—including a remarkable experience in Belize—they reveal why dignity, compassion, community, and purpose remain healthcare's greatest innovations. If you're a healthcare executive, hospice leader, physician, nonprofit executive, nurse, or business leader, this episode offers practical strategies for improving leadership, building stronger organizations, and delivering more compassionate care. In this episode you'll learn: ✔ What America can learn from global healthcare systems ✔ Why palliative care is rooted in social justice ✔ How healthcare workforce shortages can be addressed creatively ✔ Why Project ECHO is transforming healthcare education ✔ How community-based care improves patient outcomes ✔ Why family and spirituality remain essential to serious illness care ✔ How great organizations preserve their mission while scaling innovation 👍 If you enjoy conversations about healthcare leadership, hospice, palliative care, leadership development, healthcare innovation, and serious illness care, subscribe to TCNtalks / Anatomy of Leadership for weekly conversations with today's leading healthcare experts. Guest: Dr. Mark Stoltenberg Attending Physician in the Division of Palliative Care and Geriatric Medicine at Massachusetts General Hospital and Assistant Professor at Harvard Medical School Host: Chris Comeaux President / CEO of TELEIOS, author of The Anatomy of Leadership Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

    This Global Healthcare Lesson Could Change America | Part One

  6. Jul 17

    Part 2 - Leadership Starts With Presence—The Art of Showing Up with David Sachsenmaier

    What separates great leaders from those who simply manage people? It starts with presence. In Part Two of Leadership Starts With Presence | The Art of Showing Up, host Chris Comeaux continues his conversation with executive leadership coach David Sachsenmaier to explore how leadership presence, emotional intelligence, psychological safety, and authentic leadership shape thriving organizations. Leaders don't just influence strategy—they shape culture. David explains how unresolved personal patterns affect trust, communication, decision-making, and team performance, and offers practical insights for building healthier, high-performing organizations. Learn why vulnerability is a leadership strength, how to create a culture where people feel both safe and challenged, and why the most effective leaders lead from a place of self-awareness rather than reactivity. Whether you lead a healthcare organization, hospice, nonprofit, or business, this conversation delivers practical leadership wisdom you can apply immediately to build stronger teams, healthier cultures, and more resilient organizations. In this episode, you'll learn: Why leaders transfer their inner world into organizational cultureHow psychological safety improves performance without sacrificing accountabilityWhy vulnerability increases—not decreases—leadership credibilityThe difference between executive coaching and therapyHow self-awareness creates calmer, more effective leadershipWhy authentic leadership builds trust and engagementHow presence transforms organizational culture and team performance If you enjoyed this conversation, subscribe to TCNtalks / Anatomy of Leadership for more conversations with today's leading thinkers in healthcare, leadership, and organizational excellence. 💬 Share your biggest leadership takeaway in the comments. 🔔 Subscribe so you never miss a new episode. Highlights ✔ How your inner life becomes your organizational culture ✔ The hidden cost of reactive leadership ✔ Why vulnerability is one of a leader's greatest strengths ✔ Creating psychological safety without lowering expectations ✔ Coaching high performers versus therapy ✔ Leading from identity instead of performance ✔ David's powerful leadership blessing for work Blog: https://www.teleioscn.org/tcntalkspodcast/part-2-leadership-starts-with-presence-the-art-of-showing-up-with-david-sachsenmaier Guest: David Sachsenmaier, Corporate Executive Coach Host: Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of Leadership Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

    Part 2 - Leadership Starts With Presence—The Art of Showing Up with David Sachsenmaier

  7. Jul 15

    Leadership Starts With Presence—The Art of Showing Up with David Sachsenmaier | Part One

    Great leaders don't just show up—they create the kind of presence that changes people. What separates truly exceptional leaders from those who simply manage? In Part One of this thought-provoking conversation, Chris Comeaux sits down with executive coach David Sachsenmaier, whose 30 years of leadership experience and more than 4,000 hours of executive coaching have helped leaders uncover one of leadership's most overlooked truths: the quality of your leadership is shaped by the quality of your inner life.  Together, they explore why presence, self-awareness, and emotional grounding are essential to building healthy teams, resilient organizations, and cultures where people thrive.  David shares powerful insights on why many high-performing leaders unknowingly operate from a place of constant reactivity, how unresolved pain influences decision-making, and why treating people like machines ultimately destroys engagement and innovation.  Through memorable illustrations—including his "mason jar" metaphor—he explains why slowing down, becoming more self-aware, and leading from a place of wholeness creates organizations marked by trust, creativity, and lasting impact.  The conversation also explores the unique challenges facing healthcare and hospice leaders who spend their lives caring for others while often neglecting themselves. Transcript- Leadership Starts W… Whether you lead a healthcare organization, hospice, nonprofit, or business, this episode will challenge you to look beyond leadership techniques and consider the deeper work of becoming the kind of leader people genuinely want to follow. Key Takeaways Leadership begins with presence. The healthiest leaders create calm, clarity, and trust instead of spreading chaos and reactivity.Self-awareness fuels better leadership. Understanding your own "limps," triggers, and unresolved pain enables you to lead others with greater empathy and wisdom.People are not machines. Organizations thrive when leaders recognize the humanity of their teams and create psychologically safe cultures.Wholeness precedes performance. Sustainable leadership comes from finding your identity and worth beyond titles, achievements, and external success.Healthy leaders multiply healthy cultures. Grounded, emotionally present leadership is contagious, improving engagement, creativity, collaboration, and organizational resilience.Guest: David Sachsenmaier, Corporate Executive Coach Host: Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of Leadership Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

    Leadership Starts With Presence—The Art of Showing Up with David Sachsenmaier | Part One

  8. Jul 10

    Part Two | What’s Broken in American Healthcare—and How to Fix It with Dr. Don Berwick

    Why does the United States spend more on healthcare than any other nation—yet often achieve worse outcomes?  In Part Two of this thought-provoking conversation, Dr. Don Berwick—former Administrator of the Centers for Medicare & Medicaid Services (CMS), internationally recognized healthcare quality expert, and founder of the Institute for Healthcare Improvement (IHI)—joins Chris Comeaux to explore the systemic challenges facing American healthcare and the leadership required to create meaningful reform.   From the evolution of Medicare Advantage to the financial incentives shaping healthcare delivery, Dr. Berwick explains why administrative complexity, payment models, and profit-driven incentives continue to drive costs higher while often failing to improve patient outcomes. Together, they examine the future of healthcare policy, value-based care, healthcare leadership, healthcare reform, Medicare, health insurance, and the role employers may play in demanding a more sustainable healthcare system.   The conversation also turns to one of healthcare’s greatest success stories—hospice and palliative care.  Dr. Berwick argues that compassionate, person-centered care isn’t simply a better way to care for people nearing the end of life; it provides a blueprint for improving healthcare across every stage of life.  The episode concludes with an inspiring challenge to healthcare leaders: speak up for what is right, lead with courage, and never lose sight of healthcare’s true mission—to heal, serve, and care for people.   Whether you’re a healthcare executive, hospice leader, physician, nonprofit executive, health system administrator, board member, or business leader, this conversation offers strategic insights into the future of healthcare—and practical leadership lessons that extend far beyond medicine. ⸻ Episode Highlights ✔ Why Medicare Advantage has drifted from its original mission ✔ The hidden cost of healthcare bureaucracy and administrative waste ✔ The $80 billion debate surrounding Medicare Advantage payments ✔ Why employer-sponsored healthcare may be approaching a breaking point ✔ Lessons the U.S. can learn from healthcare systems around the world ✔ Why hospice and palliative care represent a model for all of healthcare ✔ The moral responsibility of healthcare leaders to speak with courage ⸻ If you enjoyed this conversation, please Like, Subscribe, and Share this episode with your leadership team, colleagues, board members, and friends.  Every conversation helps us build stronger leaders and healthier organizations. 🔔 Subscribe for weekly conversations on leadership, hospice, palliative care, healthcare innovation, nonprofit strategy, and the future of healthcare. Guest: Dr. Don Berwick, Former Administrator of CMS Host: Chris Comeaux, President / CEO of Teleios, author of The Anatomy of Leadership Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

    Part Two | What’s Broken in American Healthcare—and How to Fix It with Dr. Don Berwick
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5
out of 5
14 Ratings

About

Welcome to TCNtalks / Anatomy of Leadership. 

Information

  • Creator
    Chris Comeaux
  • Years Active
    2021 - 2026
  • Episodes
    195
  • Rating
    Explicit
  • Copyright
    © 2026 Teleios Collaborative Network
  • Show Website
    TCN Talks

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