In the Middle. But Not Alone. Middle managers are the key to execution.

If you lead a team — any team — there is a truth you need to hear:

Breakthroughs don’t come from the top.
 They come from the middle.

In this episode, Jim shares a powerful true story from a major hospital system where performance problems were putting patients at risk — and no amount of policies, incentives, or executive focus could fix it.

Until someone finally asked the people closest to the work.

What happened next changed everything — not because of a senior leader’s strategy, but because of a middle manager with the courage to speak truth… and save lives.

You’ll discover:

• Why middle managers are the most valuable leaders in your organization
 • What they see that others don’t — and why it matters
 • How to protect and empower them so insights rise instead of disappear
 • Three practical actions you can take today to unlock better execution

Whether you’re leading from the top or from the middle, this episode will remind you of something essential:

You are not alone. Your leadership matters more than you know.

Welcome to Execution Insights™ — where we lead with courage, humility, and heart.