Transforming Healthcare Organizations Through Exceptional Leadership.

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How Fletcher Consulting Can Help

The healthcare industry is under pressure. We help your leaders rise to meet it.

Healthcare organizations today are being asked to do more with less — while simultaneously developing the next generation of leaders. FHLC exists for exactly that moment. Here's where we see a few of the greatest opportunities for positive impact.

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Integrating Clinical and Financial Leadership

Understanding how clinical and financial decisions intersect is essential for effective healthcare leadership. Key areas such as staffing, productivity, Value Based Purchasing, CMS 5 Star Rating, and operational budget management all play a significant role.

For instance, staffing levels have a direct impact on both productivity (labor expenses) and patient outcomes (clinical quality). These factors influence Value Based Purchasing scores and CMS 5 Star Ratings, which ultimately affect the operational budget. Fletcher Healthcare Leadership Consulting can teach your leaders to recognize these connections and how to make informed decisions that drive organizational success.

Overcoming Barriers to Goal Achievement

Not achieving your goals? Through tailored workshops and coaching sessions, Fletcher Healthcare Leadership Consulting equips your leaders with proven strategies such as goal-setting frameworks and performance tracking tools to consistently achieve organizational targets.

Inexperienced Leadership

The tendency is to hire the best clinicians or attitudes into leadership positions. However, limitations with time and/or resources does not afford appropriate attention for training leaders to become high performers.  This perpetuates leader and staff burnout (turnover) as well as inability to meet organizational performance goals. 

Fletcher Healthcare Leadership Consulting (FHLC) believes methodologies should be kept simple to apply and easy to understand as not to overwhelm the leader and create feelings that they cannot achieve the work asked of them.

Cost of Turnover

Hospital turnover for 2025 is 18.3% and RN turnover alone represents 16.4%.  The 2025 cost of RN turnover increased 8.5% for an average cost of $61,110 per RN. (March 2025; 2025 NSI National Health Care Retention & RN Staffing Report)

A loss of 10 RNs will cost the hospital approximately $611,100 per year.  A proactive approach to prevent turnover is a valuable part of the leader’s role.

  • Josie is the consummate healthcare consulting professional as she knows how to put everyone at ease the moment she enters the room. She is diligent about collecting information and insists on developing custom reports and charts to give a very pragmatic presentation. Most importantly, Josie always indicates the practical applications and benefits her work will have for hiring organizations and their future patient centered goals as well as revenue generation. She is the main reason why companies that hire her firm have positive outcomes every contracted period.

    CEO of a multi-tier nursing home facility

  • Josie is an excellent example of a transformational and servant leader. Josie takes the time to put others at ease and always treats others with dignity and respect, a distinctive advantage during crucial conversations.

    Judie Brendle, CNO, Bassett Healthcare Network and CNO/VP Clinical Support of Bassett Medical Center

  • Josie has the extensive experience and skillset needed to mentor early careerist. She is detail-oriented and an excellent communicator. She has all of the traits you would want in a permanent or interim CNO. Josie is an outstanding nursing leader and trusted advisor.

    Parker A. Templeton, FACHE, President & CEO, Iberia Medical Center

  • Josie has very strong group communication skills, which are very useful in her healthcare consulting career. Josie’s professional and refined approach make her work much more valuable to clients and she also has a great way of keeping everyone updated on any changes she has made to her initial recommendations. Josie should be your next healthcare consultant. I couldn’t recommend anyone any more.

    CEO, Midwest Top Level Medical Facility

  • Josie was the diamond in our rough. She is honest and straightforward. She has a great sense of humor which goes a long way in this industry. Wherever Josie goes she always leaves a lasting impact of positive change.

    Amy Romans, RN, UNC Healthcare Network

  • Josie quickly integrated into our senior leadership team, taking full ownership of not only her areas of responsibility but for the overall hospitals as well. She was actively involved in creating tactics and culture to support improvement in our HCHAPS scores.

    James Kirby II, President and CEO, UNC Healthcare Pardee

  • Josie brought a new perspective to our organization, helping us look differently at several existing opportunities, providing evidence based support for her recommendations and following through with her action plans and communication tactics.

    James Kirby II, President and CEO, UNC Healthcare Pardee,

  • Josie surpassed our goals, securing Joint Commission Accreditation and meeting all Quality targets within four months. An exceptional leader, she fostered trust among the Nursing and Medical staff and excelled at mentoring. Josie skillfully built consensus across the organization, remaining positive and supportive amidst challenges. I wholeheartedly endorse her work and welcome her return anytime.

    Jennifer Montgomery, President/CEO, McLaren St. Luke's

  • Josie guided the organization through significant change, including the acquisition of a competing Hospital and opening new services, with confidence and professionalism.

    Parker A. Templeton, FACHE, President & CEO, Iberia Medical Center

At Fletcher Healthcare Leadership Consulting, we stand as more than a consulting firm; we are a catalyst for change, an architect for superior care, and a partner for healthcare excellence.

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