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Culture is not what you post on the wall. It is what leadership does when no one is watching, and everything changes when they start walking the floor.

In this episode of TouchPoints: Moments that Matter, host Melissa Gilkes-Smith explores one of the most powerful and most underutilized tools in healthcare leadership: Management by Walking Around. Not as a management trend from a business textbook, but as a daily leadership practice that builds trust, surfaces operational reality, and makes the Culture of Care visible to every staff member and patient in the building.

Melissa’s guest today has led healthcare organizations across three of the most demanding environments imaginable: the United States Navy, for-profit healthcare systems, and nonprofit community-based organizations. Dr. Edward M. Daniel is a retired Navy veteran, healthcare executive, Lean Six Sigma practitioner, and the Founder and CEO of Patient Centered Services, an organization built around exactly what its name says.

With more than 25 years of experience leading at every level of healthcare operations, Dr. Daniel brings a perspective forged in military discipline and refined through decades of frontline healthcare leadership. His conviction is clear: you cannot lead what you cannot see. And what you cannot see is almost always what the patient is feeling.

You cannot lead what you cannot see. And in healthcare, what you cannot see is almost always what the patient is feeling.

Together, Melissa and Dr. Daniel explore what it actually means to be a present leader, the difference between purposeful presence and performative presence, what the gemba walk reveals that no dashboard ever will, and why thirty minutes in your own waiting room as an observer might be the most valuable investment a healthcare leader can make this week.

IN THIS EPISODE:

• What leadership presence meant in the United States Navy, and what Dr. Daniel found when he brought that standard into healthcare
• The real definition of Management by Walking Around: purposeful presence vs. performative presence, and why staff know the difference immediately
• The gemba walk, what it is, where it comes from, and why going to where the work actually happens changes everything a leader sees and knows
• What a leader observes on the floor that never appears in a report, a dashboard, or a satisfaction survey
• How leadership visibility changes the psychological safety, accountability, and morale of the team doing the work
• The difference between accountability that builds and accountability that breaks, and how presence enables the former
• What patients experience differently in organizations where leadership is genuinely visible and engaged
• Why the waiting room is a data source, and what thirty minutes of observation there reveals about the patient experience
• How MBWA translates across military, for-profit, and nonprofit healthcare settings
• Where to start if you’ve been mostly behind a desk, and how to rebuild trust in a culture that has learned to fear leadership presence

The waiting room is a data source. The patient sitting in that chair is telling you everything about your organization, if anyone in leadership is willing to go listen.

ABOUT DR. EDWARD M. DANIEL, PHD

Dr. Edward M. Daniel is a retired United States Navy Veteran and healthcare executive with more than 25 years of leadership experience across military, for-profit, and nonprofit healthcare organizations. He is the Founder & CEO of Patient Centered Services (PCS), PCS Homecare, and PCS-HOPE, leading initiatives focused on healthcare staffing, in-home senior care, workforce development, and community impact. Dr. Daniel specializes in healthcare operations, strategic planning, performance improvement, accreditation readiness, and organizational development using evidence-based and Lean Six Sigma methodologies. He currently serves as an Executive Board Member for the American College of Healthcare Executives (ACHE) National Capital Region.

CONNECT WITH DR. DANIEL

Patient Centered Services: https://pcs17.com/

LinkedIn: https://www.linkedin.com/in/edward-m-daniel-phd-fache/

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The patient is in the room. The provider walks in. And what happens next will define more of the patient’s felt experience than almost anything else in the entire care journey.

In this episode of TouchPoints: Moments that Matter, host Melissa Gilkes-Smith arrives at Pillar Five of the Nine Pillars of Patient Experience Framework: the Clinical Encounter. Everything that came before, how a patient found you, scheduled with you, was communicated with before their visit, and experienced their arrival, has been building toward this single moment. And what a patient takes away from it depends far less on clinical technique than most providers realize.

Patients are rarely equipped to evaluate the technical quality of their care. What they evaluate is the communication. Whether they felt heard. Whether they understood what was happening and why. Whether the provider in front of them made them feel like a person or a problem.

Melissa’s guest today has spent 15 years at one of the most unusual intersections in healthcare: practicing medicine, building companies, and training some of the world’s top doctors and executives on the one skill that determines every outcome — trust. Shawn Gibbs is a serial entrepreneur, medical provider, Co-Founder and CEO of GIV Gowns, and the creator of the Irreplaceable Provider Method — a system built on one foundational belief: trust in healthcare has been underdesigned. And it can be fixed.

Together, Melissa and Shawn unpack what the clinical encounter actually is when it’s working, why it so often isn’t, and what it takes, practically, behaviorally, and culturally, to become the provider patients choose, return to, and recommend.

IN THIS EPISODE:

• Why trust in healthcare has been “underdesigned," and what that costs in patient adherence, loyalty, and outcomes
• What the Irreplaceable Provider Method is and the specific communication behaviors it builds
• Why listening is a clinical skill, and how it is fundamentally different from information gathering
• The highest-stakes Moments that Matter inside the clinical encounter: the opening, the delivery of information, and the close
• How to design a well-structured clinical opening when the provider is behind schedule and the patient is already anxious
• How the close of an encounter determines whether a patient leaves with clarity or confusion, and what happens when it’s left to chance
• Why communication quality is a leadership responsibility, not a provider personality trait
• How Accountability and Collaboration, two of the four values of the Culture of Care, live inside the exam room

ABOUT SHAWN GIBBS

Shawn Gibbs is a serial entrepreneur, medical provider, and Co-Founder and CEO of GIV Gowns — a company redesigning the most overlooked moment in healthcare: the one before the provider ever enters the room. After 15 years on the front lines of clinical medicine, Shawn identified a problem no one was naming: that trust in healthcare has been underdesigned. GIV Gowns serves as a physical trust signal, elevating patient dignity through premium, clinically intelligent attire. The Irreplaceable Provider Method trains providers to become the ones patients choose, return to, and recommend. Together, they form what Shawn calls the Patient and Clinical Experience Architecture, a new standard for how trust is designed in care.

CONNECT WITH SHAWN GIBBS

GIV Gowns: www.givgowns.com

Irreplaceable Provider Method: www.shawngibbs.com

LinkedIn: www.linkedin.com/in/shawn-gibbs-8ba39a43

LISTENER CHALLENGE

In your next clinical encounter, or your next conversation about clinical quality in your organization, ask one question: Does this patient feel heard? Not informed. Not treated. Heard. That’s the starting point for everything discussed in this episode.

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Everyone in healthcare has heard it: “Culture eats strategy for breakfast.” It gets nodded at in boardrooms, printed on culture decks, and repeated until it stops meaning anything. But what if that framing is not just incomplete, it’s actually misleading?

In this episode of TouchPoints: Moments that Matter, host Melissa Gilkes-Smith sits down with patient experience expert and coach Andy Clark for an honest, grounded conversation about the relationship between culture, strategy, and the employee experience that makes patient care possible.

The real question, as Melissa frames it, is not whether your culture is strong. It’s whether your culture is aligned with what your strategy actually demands. A great culture running the wrong strategy still loses. A strong strategy running through a misaligned culture gets quietly dismantled at every level. What every healthcare leader needs to understand is this: culture doesn’t replace strategy. It compounds it or corrupts it.

And underneath all of it is a truth that gets overlooked in almost every patient experience initiative: you cannot build a great patient experience on a broken employee experience. How your team feels as they walk through the door every day is exactly how your patients will feel as they walk through yours.

IN THIS EPISODE, YOU’LL LEARN:

• Why “culture eats strategy” has been misapplied in healthcare, and the more useful diagnostic question every leader should be asking
• The research-backed connection between employee engagement and patient experience outcomes, and what disengagement actually looks like from a patient’s perspective
• What culture-strategy misalignment looks like in practice, including the workaround culture, the initiative graveyard, and the cynicism that builds when change efforts don’t land
• How to build a culture of accountability without fear, psychological safety, and genuine recognition that actually moves people
• Why leadership behavior is the culture, and the real cost of toxic tolerance when leaders fail to act
• What it takes to make culture change stick after the launch energy fades

ABOUT ANDY CLARK

Andy Clark is a patient experience expert and coach who focuses on helping healthcare leaders shape healthy cultures and get measurable results. His work sits at the intersection of organizational culture, team development, and the practical realities of leading in a healthcare environment where the stakes are high and the margin for cultural dysfunction is low.

CONNECT WITH ANDY CLARK

Website: https://www.clarkcoachingconsulting.com/

LinkedIn: http://www.linkedin.com/in/andy-c-6441967

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TouchPoints — Episode 1: Why I Started Paying Attention to the Touchpoints

What if "great clinical care" and "a great patient experience" aren't the same thing, and almost nobody is running the second one on purpose?

In this opening episode of TouchPoints, healthcare operations consultant Melissa Gilkes-Smith introduces the worldview behind the show and walks listeners through her proprietary Nine Pillars of Patient Experience framework — the same map she's used for almost 20 years in healthcare operations to diagnose why good practices quietly lose patients they should have kept.

This isn't a podcast about being nicer to patients. It's a podcast about systems.

What you'll learn in this episode:

→ Why "we provide great care, but patients still leave" is never a care problem, it's a pillar failure, and what that actually means

→ The single belief that changed how Melissa thinks about every practice she's ever worked with: a remarkable patient experience doesn't happen by accident, it happens by design

→ The full Nine Pillars framework, walked in three movements:

Before They Arrive — Pillars 1, 2, and 3: how patients form an opinion of you before they ever call (Initial Exposure), what determines whether they can actually say yes to you (Inquiry & Scheduling), and how the communication between scheduling and arrival quietly creates or prevents no-shows (Pre-Visit Communication).

Inside the Visit — Pillars 4, 5, and 6: why the first thirty seconds of a check-in either reinforce a patient's decision or damage it (Arrival & Check-In), why "I felt rushed" is almost never about the doctor (Clinical Encounter), and the most overlooked moment in healthcare, how a visit is closed, and remembered (Checkout & Exit).

After They Leave — Pillars 7, 8, and 9: why most practices disappear after the visit ends and lose patients without ever knowing why (Post-Visit Follow-Up), how perfect clinical care can be undone by a single confusing statement (Billing & Financial Experience), and the most important diagnostic principle in the entire framework, why the long-term patient relationship isn't a touchpoint at all, but the output of everything upstream.

→ The unifying move: the same lens that diagnoses a practice also diagnoses a leader. Every place a manager touches their team is a touchpoint, too, and broken touchpoints upstream cause failures downstream, both in practice and in a person.

The core argument:

Most practices measure patient experience globally and fix problems reactively. They invest everything in clinical teams, technology, and facilities — and then wonder why patients quietly drift away. This episode argues that experience is not a feeling. It's a system. And once you can name the system, you can fix it.

For:

Practice owners, healthcare administrators, executives, practice managers, and anyone who has ever said "we give great care — why are patients still leaving?" If you've felt the gap between the care your practice delivers and the experience patients actually have, this episode names what's happening and gives you a map.

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Welcome to TouchPoints: Moments That Matter in Healthcare, the podcast for leaders, clinicians, and early careerists who believe that how we deliver care matters as much as the care itself.

Each episode, we'll explore the people, practices, and principles that shape exceptional patient experiences. You'll hear conversations grounded in the Nine Pillars of Patient Experience Framework, practical insights on practice management, and leadership wisdom drawn from the Focused Leader Program for those building their careers in healthcare.

Whether you're at the bedside, in the boardroom, or just starting your journey, this is your invitation to lead with intention and serve with heart. Subscribe now — the first episode drops soon.