Leadership Alignment That Delivers Measurable Results

Let’s Lead partners with executive and clinical leadership teams to move organizations from high-performing to high-value outcomes. Our case work demonstrates what happens when leaders stop operating in silos and begin co-creating and co-owning the future together.

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Creating the High Value Experience: Team Co-Coaching in Action

Organization Type: Acute care hospital
Participants: Executive leaders, physician/provider leaders, nurse/clinical leaders
Engagement Length: 8 months


Approach: Individual executive coaching combined with systemic  team co-coaching

The Challenge

Despite strong individual leaders, the organization was experiencing:

  • Fragmented communication across executive, clinical, and nursing leadership

  • Competing priorities that diluted focus and reinforced siloed work

  • Growing fatigue from constant change without shared ownership

  • Limited space for leaders to step back, innovate, and lead with purpose and intention 

The CEO recognized that traditional consulting would not create the realignment or trust required for meaningful transformation.

The Intervention

Let’s Lead designed a co-coaching engagement, based on an in-person team and stakeholder readiness assessment, rather than a prescriptive solution.

Key elements included:

  • Individual executive coaching for each team member, including Emotional Intelligence assessment and  exploring what is standing in their wayTwice-monthly team coaching sessions to address real-time challenges and existing conflict

  • A two-day off-site workshop to establish shared purpose, rules of engagement, and a Big Audacious Goal—with formal stretch and key performance indicators, achievable only if all team members work together. 

  • Live observation of standing leadership meetings with in-the-moment coaching to shift thinking, presence, and behavior

  • Structured dyad and triad work to accelerate trust, accountability, and cross-departmental problem solving

The result wasn’t “buy-in”—it was ownership.

“It is ours. We created it and we own it together.”
 — Team participant

The Results

Within six months, the leadership team achieved:

  • A unified strategic focus centered on the team-created purpose and stretch goal: Connecting Through Communication

  • Improved executive presence through intentional rounding and active listening across departments, as well as engaging staff in action planning

  • Stronger cross-department collaboration, reducing silos and barriers, and improving patient flow, resulting in measurable improvement in satisfaction and efficiency.

  • Peer-to-peer coaching adopted as a leadership norm

  • Replicable leadership practices designed to cascade across the organization and create momentum for lasting sustainability

Measured Impact

Using an evidence-based High Value Creating Team Assessment:

  • Baseline performance: 47% of optimal team effectiveness

  • Six-month post-coaching score: 85% of optimal effectiveness

This shift signaled a leadership team positioned to sustain alignment, mobilize action, and lead future initiatives with confidence; when the team is aligned in owning the plan, transformational results happen.  

Why This Worked

This engagement succeeded because it addressed how leaders show up, not just what they do.

Leaders developed:

  • Greater self-awareness and emotional intelligence

  • The confidence to have difficult conversations directly and constructively

  • Trust and psychological safety as the foundation for execution

  • A shared sense of purpose tied directly to patient care outcomes and community impact

When individuals grow, the team grows—and performance follows.

What This Means for Your Organization

Healthcare transformation doesn’t fail for lack of intelligence or effort.
It fails when leadership teams are misaligned, overextended, and disconnected from one another.

Our case work demonstrates that:

  • Team alignment beats siloed work 

  • Team co-creation and co-ownership outperforms top-down mandates

  • Team trust is the strategic foundation for transformational results

Considering a Similar Engagement?

To move beyond reactive mode and start leading with clarity, presence, and shared accountability, we invite a conversation.

Let’s explore how team co-coaching can be the right next step for your organization.


 👉 Contact us to schedule your confidential discussion today

  • "Team coaching with Let’s Lead enabled me to learn a lot more about other leaders, to appreciate them, and how to best communicate and partner with them. It propelled us as leaders to focus in a new way on a team-developed single goal/vision. We held each other accountable to walk the walk and do our parts for the greater good.”

    ~Dr. Keith S, M.D., Hospital CMO

  • "As a director of nursing, Team Coaching with Let’s Lead focused our work on a big audacious goal and months later we continue the work to sustain this focus. Trust in our relationships continues to grow throughout the system."

    ~Tammy B., RN, Hospital Director of Nursing

  • "The method of pairing team coaching with individual coaching simultaneously was an innovative and progressive approach. We were able to refine our individual skills and then apply our newly learned skills to benefit the entire team."

    ~Michael P., Hospital CEO