Berrett says many of his peers, at least when he first started speaking on the topic, would dismiss his focus on having fun in the workplace, team-building, and the big picture. They told him his leadership philosophies were "soft," and that they couldn't make much difference.
"Just the soft stuff?" Spiegelman retorts. "No, this is the hard stuff. There's nothing about productivity, financials, or performance in here."
Anyone can make decisions based on business fundamentals, they say. What's harder is building the culture that will sustain such initiatives.
Yet getting culture right can have a huge impact on those important areas.
"The fact is, we wouldn't be having this conversation if the economics of healthcare weren't changing," says Berrett. "Up to 7% of Medicare reimbursement will be at risk, and that puts most hospitals and health systems at risk for survival."