TCN Talks

Chris Comeaux

Welcome to TCNtalks / Anatomy of Leadership. 

  1. Is Your Ladder Leaning Against The Wrong Wall? Richard Mobley on Leadership and Calling | Part Two

    1D AGO

    Is Your Ladder Leaning Against The Wrong Wall? Richard Mobley on Leadership and Calling | Part Two

    Part Two – Is Your Ladder Leaning Against the Wrong Wall? | Richard Mobley on Leadership and Calling In Part Two of this powerful conversation, Richard Mobley dives deeper into what happens when success no longer satisfies — and how leaders can unknowingly climb the wrong ladder. After decades of corporate advancement, Richard reached a season of fatigue and uncertainty.  What followed wasn’t a dramatic “eureka” moment, but a squiggly journey of rediscovery.  Through consulting, real estate ventures, and personal reflection, he uncovered a deeper truth: fulfillment isn’t found in constant upward motion — it’s found in alignment. This episode explores: Why the line of success is rarely straightHow leaders develop a false fear of failureThe difference between healthcare and healthcare financeWhy “follow your passion” can be misleading adviceThe Hebrew concept of Avodah — work as worshipHow calling happens at the intersection of gifting and needThe power of evaluated experience over experience alone Richard challenges leaders to stop measuring success by Wall Street metrics or cultural expectations.  Instead, he invites us to ask: Is my ladder leaning against the right wall? During the conversation, Richard references Dr. Martin Luther King Jr.’s words spoken in Birmingham: “You don’t have to see the entire staircase in order to take the first step.”   It’s a fitting reminder that calling rarely unfolds in a straight line. Leadership growth is often a squiggle — forward momentum mixed with setbacks, recalibration, and courage.  Sometimes the most strategic move a leader can make isn’t climbing faster, but pausing long enough to realign. If you’ve ever felt successful but unfulfilled, busy but misaligned, or driven but unclear on your deeper why — this conversation will both ground and inspire you. There is immeasurable joy in making the right difference. The question is: Are you climbing the right wall? Host: Chris Comeaux, President / CEO of TELEIOS Guest:  Richard Mobley, Founder and Principal of the Seven Four Group, Inc. and the Be Far More! System Teleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast

    24 min
  2. Is Your Ladder Leaning Against The Wrong Wall? Richard Mobley on Leadership and Calling | Part One

    3D AGO

    Is Your Ladder Leaning Against The Wrong Wall? Richard Mobley on Leadership and Calling | Part One

    What if you spend decades building a successful career—only to realize you were climbing the wrong ladder? In this episode of TCNtalks / Anatomy of Leadership, executive leadership coach Richard Mobley, Founder and Principal of the Seven Four Group, Inc. and the Be Far More! System, joins Chris Comeaux to explore one of the most important questions leaders face: What comes after success? For CEOs, healthcare executives, and hospice leaders approaching retirement or transition, this conversation centers on the critical shift from achievement to lasting significance—and what it truly means to finish well. Drawing from his corporate executive background and work with the John Maxwell Team, Richard shares hard-earned lessons about servant leadership, purpose, and finishing well.  He unpacks the three stages of life—survival, success, and significance—and explains why many high-achieving leaders struggle when identity is too closely tied to their title. In Part One, you’ll learn: Why success without clarity of calling can leave leaders unfulfilledThe difference between experience and “evaluated experience”How perspective shapes wisdom and better decision-makingWhat it really means to move from success to significance This episode is especially meaningful for healthcare and hospice leaders whose work is deeply tied to purpose.  If you’re asking “What’s next?” or rethinking your leadership legacy, this conversation will challenge you to realign your ladder with the right wall. Part Two releases Friday. Teleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast

    27 min
  3. Unlocking Leadership Potential: Through Self-Awareness with Coach Sherry Winn | Part Two

    FEB 13

    Unlocking Leadership Potential: Through Self-Awareness with Coach Sherry Winn | Part Two

    In Part Two of Unlocking Leadership Potential Through Self-Awareness, Coach Sherry Winn challenges leaders to look beyond strategies and performance metrics to examine the internal patterns, beliefs, and identity that ultimately shape their impact.  This powerful continuation moves from awareness to transformation—showing how lasting leadership growth begins within. Coach Winn unpacks how mindfulness helps leaders recognize excuses before they become entrenched beliefs, and why self-judgment only slows progress.  She reframes accountability as a deep act of care—not control—and explains how great leaders hold others responsible because they believe in their potential.  Through stories from coaching elite athletes and high-level executives, she illustrates how vision must be more than words on a wall; it must be vivid, emotional, and consistently reinforced. The conversation also explores authenticity and energy in leadership—why people don’t buy into what you do, they buy into who you are.  When your words align with your internal growth, people feel it.  And when pressure rises, leaders have a choice: view it as stress, or reframe it as purpose and privilege. You’ll learn: How to interrupt limiting thought patterns before they become beliefsWhy accountability builds trust instead of fearHow to create a winning vision people can feel and ownHow to reframe pressure in mission-driven workWhy identity—not achievement—is the foundation of lasting success Powerful closing reminder: “You don’t get what you want, you get who you are. To get what you want, you must change who you are.” If you’re leading in hospice, healthcare, business, or any mission-driven field, this episode will challenge you to grow into the leader your calling requires. Guest: Coach Sherry Winn, CEO of The Winning Leadership Company Host: Chris Comeaux, President / CEO of TELEIOS Teleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast

    23 min
  4. Unlocking Leadership Potential: Through Self-Awareness with Coach Sherry Winn | Part One

    FEB 11

    Unlocking Leadership Potential: Through Self-Awareness with Coach Sherry Winn | Part One

    In Part One of this conversation, Chris Comeaux is joined by leadership coach, former Olympic athlete, and longtime collegiate coach Sherry Winn for a deeply personal and practical exploration of leadership that begins from the inside out. Sherry challenges traditional, performance-driven leadership models by naming self-awareness as a true leadership superpower, sharing how it transformed her own life—from depression and despair to purpose, clarity, and impact. Drawing from her Olympic experience and decades of coaching leaders in sports, healthcare, and corporate environments, Sherry explains why leaders cannot give what they do not have. She emphasizes that personal growth, emotional awareness, and intentional self-reflection are foundational to effective leadership—not optional extras. Through vivid stories and real-world examples, she illustrates how unexamined habits, emotional addictions, and limiting beliefs quietly shape how leaders show up, often keeping them stuck in stress, frustration, and overwhelm. A central theme of Part One is Sherry’s reframing of fear as the absence of love. Rather than dismissing fear, she invites leaders—especially those in high-stakes fields like healthcare and caregiving—to examine what they are feeding their minds, how they relate to pressure, and whether they are leading from compassion, empathy, and responsibility instead of blame or control. The conversation also explores accountability as a source of power, not punishment, and highlights the long-term, often invisible victories of leadership that show up years later in the lives of others. Part One sets the foundation for a two-part conversation by establishing a core truth: leadership transformation doesn’t start with changing circumstances—it starts with changing how leaders see themselves. Guest:  Sherry Winn, CEO of The Winning Leadership Company Host:  Chris Comeaux, President / CEO of TELEIOS Teleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast

    29 min
  5. Measures That Matter: How Better Metrics Can Transform End-of-Life Care | Part Two

    FEB 6

    Measures That Matter: How Better Metrics Can Transform End-of-Life Care | Part Two

    What gets measured shapes how patients experience the final chapter of life.  In Part Two of Measures That Matter: How Better Metrics Can Transform End-Of-Life Care, hospice and healthcare leaders explore how focused, meaningful metrics—not check-the-box measures—can improve quality, reduce unnecessary hospitalizations, and strengthen value-based end-of-life care. Hosted by Chris Comeaux, President & CEO of Teleios, and Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today and CEO & Founder of Hospice Analytics, this episode brings together national experts to examine which hospice measures truly differentiate quality. Featured guests Bob Tavares, VP & General Manager, HealthPivotsRobin Heffernan, PhD, Co-Founder & CEO, EmpassionMindy Stewart-Coffee, National Vice President, Palliative Care, Optum Home & CommunityThe conversation highlights a small, high-impact set of indicators that better reflect real-world hospice performance—such as visits in the last days of life, live discharges and burdensome transitions, gaps in nursing visits, access to higher levels of care (GIP and Continuous Home Care), and patient experience, including the simple but powerful question: “Would you recommend this hospice?” A central takeaway is nuance: more is not always better. High-quality hospice care lives within healthy ranges and must be interpreted in clinical, geographic, and population context—not through rigid or one-size-fits-all targets. The episode also highlights the critical role of palliative care upstream from hospice.  Earlier, multidisciplinary engagement helps align goals, manage symptoms proactively, and reduce crises and late referrals—ultimately redefining value at the end of life as goal-concordant care delivered at the right time, in the right setting, at a sustainable cost.  Hospice and palliative care are not peripheral to value-based healthcare—they are foundational to it. Great end-of-life care isn’t accidental—it’s designed, supported, and measured well. Teleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast

    48 min
  6. Measures That Matter:  How Better Metrics Can Transform End-of-Life Care / Part One

    FEB 4

    Measures That Matter: How Better Metrics Can Transform End-of-Life Care / Part One

    Top News Stories of the Month, January 2026 At the end of life, quality matters—but too often, the metrics used in hospice and palliative care fail to reflect the care patients and families actually experience.  In Episode One of Measures That Matter: How Better Metrics Can Transform End-of-Life Care, TCNtalks / Anatomy of Leadership explores why fewer, clearer quality measures are essential for reducing variability, improving patient outcomes, and supporting value-based care at the end of life. This episode introduces the Measures That Matter initiative through the lens of experience, data, and leadership responsibility.  Bob Tavares explains how decades of healthcare analytics revealed a fundamental problem in hospice quality measurement: an abundance of metrics that fail to differentiate performance. Many current measures cluster nearly all providers at the top, making it difficult for patients, payers, and value-based organizations to identify true centers of excellence or address variability that puts patients at risk. From the provider and network perspective, Robin Heffernan and Mindy Stewart-Coffee highlight the real-world consequences of that variability. Across thousands of hospice and palliative care providers nationwide, quality is inconsistent—even within the same organization across different markets. Staffing changes, lack of collaboration with risk-bearing entities, and late referrals all contribute to uneven patient and family experiences, reinforcing the need for fewer, clearer, and more actionable measures. Episode One ultimately reframes measurement as a leadership issue—not a compliance exercise.  Great hospice and palliative care, the panel argues, doesn’t happen by accident.  It is intentionally designed, supported by the right systems and processes, and continuously measured to reduce variability and honor patient goals.  This opening episode sets the stage for a deeper exploration of the specific metrics that matter most—and how leaders can use them responsibly to improve care where it matters most. Host: Chris Comeaux, President / CEO of TELEIOS Co-Host: Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice Analytics Guest: Bob Tavares, VP & General Manager, HealthPivots  Robin Heffernan, PhD, Co-Founder and CEO, Empassion  Mindy Stewart-Coffee, National Vice President, Palliative Care  Teleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast

    27 min
  7. Protecting Patients at the End of Life: Why CON Still Matters | Part Two

    JAN 30

    Protecting Patients at the End of Life: Why CON Still Matters | Part Two

    In Part Two of Protecting Patients at the End of Life: Why CON Still Matters, host Chris Comeaux continues the conversation with two of the nation’s most respected hospice policy leaders—Paul A. Ledford, President & CEO of the Florida Hospice & Palliative Care Association, and Tim Rogers, President & CEO of the Association for Home & Hospice Care of North Carolina. This episode moves beyond regulatory theory and into the real-world patient and family experience—especially in states without hospice Certificate of Need (CON) laws. Drawing on decades of leadership, personal stories of loved ones in hospice, and data-informed insights, Paul and Tim explore what families actually face when hospice markets are oversaturated, fragmented, or poorly regulated. The conversation examines how too many choices can overwhelm families, how small, unsustainable hospice programs can dilute quality, and how fraud and inappropriate enrollments disproportionately affect vulnerable populations—often stripping patients of access to Medicare benefits when they need them most. Listeners also gain a deeper understanding of how Florida and North Carolina use CON to balance: Access to hospice careProgram sustainability and scaleRural and underserved community coverageInpatient hospice availabilityProtection against bad actorsThe episode concludes with a forward-looking discussion on what principles—not politics—should guide states that are reconsidering or redesigning hospice CON laws today. This is an essential conversation for healthcare leaders, policymakers, hospice executives, board members, and anyone committed to protecting quality end-of-life care. Guest: Paul A. Ledford, President & CEO of the Florida Hospice & Palliative Care Association Tim Rogers, President & CEO of the Association for Home & Hospice Care of North Carolina Host: Chris Comeaux, President / CEO of TELEIOS Teleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast

    25 min
  8. Protecting Patients at the End of Life: Why CON Still Matters / Part ONE

    JAN 28

    Protecting Patients at the End of Life: Why CON Still Matters / Part ONE

    Protecting Patients at the End of Life: Why CON Still Matters / Part ONE Certificate of Need (CON) laws are among the most debated—and misunderstood—regulatory frameworks in healthcare. In this timely Part One conversation, host Chris Comeaux is joined by two of the most respected voices in hospice policy and advocacy: Paul A. Ledford, President & CEO of the Florida Hospice & Palliative Care Association, and Tim Rogers, President & CEO of the Association for Home & Hospice Care of North Carolina. Together, they unpack why CON laws were originally created, what problems they were designed to solve, and why hospice continues to raise unique concerns that set it apart from other healthcare services. Drawing on decades of leadership and real-world experience, Paul and Tim explain why hospice does not function like a traditional free market—highlighting fixed reimbursement rates, demographic-driven demand, and the responsibility to serve entire communities, including rural and complex patient populations. This episode explores what actually happens in states without hospice CON: oversaturation in urban markets, reduced access in rural areas, fragmented care, and increased vulnerability to fraud and abuse. The discussion challenges common assumptions about competition and access, using data, policy insight, and firsthand examples to illustrate the unintended consequences of deregulation. Part One lays the foundation for a deeper conversation about quality, equity, and patient protection at the end of life—and why thoughtful oversight still matters in preserving the integrity of the hospice benefit. 👉 Don’t miss Part Two, where the conversation continues with a closer look at quality outcomes, bad actors, and what states can learn from one another moving forward. Guest: Paul A. Ledford, President & CEO of the Florida Hospice & Palliative Care Association Tim Rogers, President & CEO of the Association for Home & Hospice Care of North Carolina Host: Chris Comeaux, President / CEO of TELEIOS Teleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast

    25 min
5
out of 5
13 Ratings

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