Change with Meaning
Dethra Giles, a human resources strategist and chief human resources officer at ExecuPrep, will present her keynote at AMGA’s 2026 Annual Conference (AC26) in Las Vegas this April. Giles’ work advising executives and training teams allows her to share real-world insights on strategic communication and intentional leadership. In a recent interview with AMGA Accelerator, Giles discussed how healthcare executives can lead with purpose in a time of disruption.
Accelerator: Your keynote centers on the power of communication in leadership. What do you mean when you say “strategic communication,” and what does that look like at the leadership level?
Giles: When I say “strategic communication,” I’m not talking about being polished or persuasive. I’m talking about communication that is intentional, outcome-driven, and aligned with impact. Most people communicate to express. Leaders must communicate to achieve.
Strategic communication means you don’t speak accidentally. You speak with awareness of consequence. Before a strategic leader walks into a room, they are clear on three things: (1) What outcome am I responsible for? (2) What narrative is already operating here? and (3) How will my words influence performance, productivity, and trust?
Accelerator: You often speak about leading with trust and resilience. In an environment strained by workforce shortages, burnout, and rapid industry change, where should leaders begin when trying to rebuild trust and morale?
Giles: When environments are strained, most leaders think the solution is motivation. It’s not. It’s alignment and psychological safety. In seasons of workforce shortages, burnout, and constant change, people are not asking for inspiration. They are asking, “Am I safe here? Am I valued here? Does what I do matter?”
So, the first place leaders should begin is not with a new initiative. They should begin with honesty. Trust is rebuilt through three things: transparency about reality, consistency in behavior, and listening with the possibility of being changed.
Resilience is not asking people to push through exhaustion. Resilience is building systems that allow people to recover.
Trust is not rebuilt through speeches. It is rebuilt through repeated, aligned behavior.
Accelerator: Your framework emphasizes intentional leadership. How can healthcare executives ensure that their communication and decisions remain intentional rather than purely reactive during moments of crisis?
Giles: Ooh, this is an excellent question. Healthcare is transforming at a pace that feels relentless. Digitization. AI adoption. Workforce shifts. Regulatory pressure. Patient expectations rising. The mistake leaders make is trying to move at the speed of change. Your team cannot metabolize change at the same speed the industry produces it.
So, the question becomes: How do you modernize without destabilizing?
First, separate urgency from chaos. Not everything new deserves immediate implementation. Strategic leaders filter change through one lens: Does this improve patient outcomes, staff efficiency, or long-term sustainability? If it doesn’t clearly tie to one of those, it’s noise.
Second, translate change into meaning. For example (now, my specialty is not healthcare—it is change management—so I hope this example communicates my point clearly and it is one I got from my mother, an Occupational Therapist who is at retirement age), frontline healthcare professionals are not motivated by “AI adoption.” They are motivated by patient care. Leaders must connect innovation to what caregivers value.
Instead of saying, “We’re implementing AI for efficiency,” say, “This tool reduces documentation time so you can spend more time with patients.”
Change without meaning feels like burden. Change with meaning feels like progress.
Third, pace the transformation. Burnout in healthcare isn’t just about workload—it’s about cognitive overload. Too many systems, too many logins and passwords that we forget as soon as we create them, and too many initiatives stacked on top of emotional labor. Strategic leaders prioritize sequencing. What are we doing now? What are we stabilizing before we add something else?
And finally, protect the human core. AI can augment care. It cannot replace empathy. It cannot replace judgment. It cannot replace relational trust. Leaders must repeatedly reinforce that technology is here to support clinicians, not compete with them. In environments like healthcare, change must be anchored in purpose. If patient care remains the North Star, innovation becomes a tool, not a threat.
Adaptation isn’t about chasing every advancement. It’s about integrating the right ones without fracturing the people who deliver the care.
And that requires strategic communication, disciplined prioritization, and leaders who regulate their own urgency before transferring it to their teams.
Accelerator: Building and maintaining cohesion across large, complex health systems is a constant challenge. What are some practical steps leaders can take to unify diverse teams that may be geographically or culturally dispersed?
Giles: Large health systems don’t struggle with a lack of talent. They struggle with fragmentation. Different campuses. Different specialties. Different leadership styles. Different cultural norms. And often, different interpretations of “how we do things here.”
Cohesion is not created by proximity; it’s created by clarity and consistency. So here are practical steps leaders can take:
First, unify around a shared nonnegotiable. Second, standardize communication norms across the system. Third, create structured cross-functional conversations. Fourth, address microcultures intentionally.
If senior leaders demonstrate unity, respectful disagreement, and clarity under pressure, that cascades. Cohesion in complex systems doesn’t happen because people are nice; it happens because leaders are disciplined.
In large health systems, culture doesn’t drift by accident. It’s either architected or it fractures.
Accelerator: How important is networking and sharing issues and strategies with other leaders outside their systems to improving their leadership skills?
Giles: Networking is not optional for leaders operating in complex systems. It protects you from what I call “intellectual inbreeding.” When leaders only talk to people inside their own organization, or worse, inside their own echo chamber, ideas start recycling. Assumptions go unchallenged. Blind spots become normalized. And what feels like strategy is often just decorated repetition.
Intellectual inbreeding produces fragility. The thinking becomes narrow. Innovation slows. Dysfunction becomes culture.
External dialogue interrupts that. It exposes you to alternative frameworks, different leadership models, and strategies that have already been pressure-tested elsewhere.
It does three critical things.
First, it disrupts isolation. Second, it accelerates learning. Third, it sharpens perspective.
But networking only works if it goes deeper than surface exchange. Collecting business cards doesn’t change culture. Exchanging honest lessons does.
The most effective leaders I see are not the ones with the most answers. They are the ones who refuse intellectual isolation.
Dethra Giles, executive leadership & HR strategist and chief human resources officer at ExecuPrep, will share her perspectives at AC26 in a keynote presentation, entitled Leading
Through Change: A Roadmap for Energized and Resilient Leadership. Register today. We hope to see you there.



