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Mullica Hill Today
By the People, for the People
Healthcare Shifts Focus from Scale to 'Systemness'
Industry leaders emphasize alignment and coordinated operations over pure growth
Published on Feb. 25, 2026
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The healthcare industry has traditionally focused on scale, with larger hospital networks, broader service offerings, and increased integration. However, a shift is underway, with industry leaders emphasizing the importance of 'systemness' - a focus on alignment and coordinated operation rather than just size. This represents a fundamental rethinking of how healthcare organizations function, with the goal of improving patient access, workforce efficiency, and financial performance.
Why it matters
The pursuit of scale in healthcare has often resulted in complex, sprawling organizations that lack cohesion. This new focus on 'systemness' aims to ensure healthcare organizations operate as a unified whole, with common priorities, decision-making processes, and operating procedures across all care settings. This shift is driven by the need for greater efficiency and adaptability in the face of industry headwinds like an aging population and the rise of artificial intelligence.
The details
The implementation of 'systemness' varies by market, with some organizations choosing tight alignment across all areas and others focusing on deliberate alignment in only a few critical areas. The key is agreement on priorities, decision-making processes, and how operations are executed. Inspira Health, based in Mullica Hill, New Jersey, has revamped its leadership structure to drive 'systemness', aligning all employees around a clear mission and allowing for faster, more aligned action.
- In 2026, Vizient's state of the industry report highlighted structural pressures and financial risks in healthcare, suggesting the need for a reset in operations.
The players
Byron Jobe
President and CEO of Vizient, a healthcare performance improvement company.
Warren Moore
CEO and President of Inspira Health, a healthcare organization based in Mullica Hill, New Jersey.
What they’re saying
“The future of healthcare hinges on 'systemness,' a focus on alignment and coordinated operation rather than sheer size.”
— Byron Jobe, President and CEO of Vizient (newsy-today.com)
“True systemness means aligning every employee around a clear mission, guiding all strategies and decisions.”
— Warren Moore, CEO and President of Inspira Health (newsy-today.com)
What’s next
Vizient's 2026 state of the industry report will likely provide further insights and recommendations on the shift towards 'systemness' in healthcare.
The takeaway
The focus on 'systemness' in healthcare represents a fundamental rethinking of how organizations operate, moving away from pure scale and towards greater alignment and coordination. This shift is driven by the need for improved patient access, workforce efficiency, and financial performance in the face of industry challenges.
