Stewarding Health System Leadership and Performance
For hospitals, health authorities, and health agencies
Healthcare leadership is changing. Decision-making structures are under strain. Traditional hierarchies are shifting. Leaders at every level are being asked to carry more responsibility, often without the time, space, or system-level support required to do that work well.
Stewarding Health System Leadership and Performance is a dedicated AOco practice focused on strengthening leadership, culture, and operational effectiveness within hospitals and health agencies. This is not about quick fixes or packaged solutions. It is about thoughtful leadership, practical action, and long-term system stewardship.
Led by Amy Hu, this work supports organizations managing complexity, workforce pressure, and system transformation while continuing to deliver safe, high-quality care.
Our approach
We work with healthcare organizations that value clarity, judgment, and sustainability.
Our approach is grounded in:
Real operational context, not theory
Care for people alongside performance
Practical strategy that can actually be implemented
Long-term leadership capability, not short-term optics
We partner closely with leaders to help them make sense of what is happening in their system, strengthen how decisions are made, and support the people responsible for carrying the work forward.
What we focus on
This portfolio is shaped by a set of core focus areas that guide how we work:
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Understanding how healthcare organizations function day to day, and how improvement efforts are designed, implemented, and sustained within public and non-profit systems.
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Supporting emerging and senior leaders to navigate complexity, steward systems responsibly, and lead with confidence as expectations evolve.
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Strengthening trust, learning, and accountability by addressing the informal norms and dynamics that shape everyday work.
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Helping organizations move from intention to practice, sustaining momentum through resistance, fatigue, and competing priorities.
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Supporting leadership practices and system design that account for access, voice, and impact across diverse teams and populations.
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Strengthening decision-making around resources, priorities, and system trade-offs in constrained environments.
Who this work is for
Hospitals and health authorities
Community and non-profit health agencies
Senior leaders, emerging leaders, and clinician-leaders
Teams responsible for operations, quality, and system change
It is especially well suited to organizations navigating complexity, leadership transition, and sustained pressure.
Why AOco
We brings deep experience supporting healthcare leaders across practice, organizational, and system contexts. Amy Hu’s background as a pharmacist, health executive, and system leader allows this work to bridge leadership development with the realities of how hospital systems function.
This portfolio reflects AOco’s commitment to thoughtful leadership, practical support, and long-term sustainability within healthcare systems.