The care model looks right on paper.
It falls apart on the floor.
A 45-minute working call with a nurse leader who's actually run value-based care — not benchmarked it. Bring the problem underneath your turnover numbers. Leave with a first read on where the model is breaking.
REGISTER FOR YOUR CALLYou've been carrying a model that was designed to break.
I ran the model.
I didn't study it.
Eight years running Iora Health clinics: hiring, training, workflows, real patient panels. I watched value-based care produce real results, and I watched exactly where it breaks. Most consultants in this space have a slide deck. I have scar tissue.
I'm a nurse who still coaches nurses. I know your workforce from the inside — what they're carrying, why they leave, and what retention efforts miss. A management consultant can redesign your care model. They can't tell you why your best nurse just gave notice.
Care model design and workforce sustainability aren't separate workstreams. A model that burns out the people running it isn't a working model — it's a countdown.
One call. Three questions worth answering.
Where the model is actually breaking
Care team design, embedded coaching, care management workflows — pressure-tested against a real panel, not a pilot.
The story under the turnover
Why experienced nurses leave, what resilience training gets wrong, and what actually keeps good people in the building.
One next move
You leave the call with a first read on where to intervene — whether or not we work together after.
"Kathleen sees what most consultants miss — the gap between the care model on paper and what's actually happening on the floor. She's operated inside a working version. That changes the conversation."
Bring the problem.
Leave with a first read.
45 minutes with Kat Meleedy, BCHN. No pitch. No pressure. A working conversation for nurse leaders serious about making the model actually work.