A strategist + operator with 30 years of experience tackling intractable challenges and delivering results in one of the most regulated and impactful industries globally — healthcare.

David Grandy writes and speaks about how organizations perform under pressure, how strategy moves from aspiration into operating systems and why most transformation efforts fail before outcomes ever appear.

He is a former senior executive at Kaiser Permanente where his work spanned enterprise strategy, innovation, product development, value-based care and organizational transformation inside one of the country’s most complex healthcare systems.

Today, he advises leaders, boards and emerging companies on how to design the conditions for better decisions, stronger execution and uncommon results.

Operating Principles

David is currently writing The Performance Stack, a book for leaders who want to build and develop teams that consistently produce uncommon results.

01
Leaders without self-clarity create unpredictable environments

02
Organizations produce the outcomes they’re designed to achieve

03
Adaptive capability beats pedigree in complex environments

04
Rituals are the architecture that makes culture real

05
Leadership alone cannot compensate for structural limitations

06
Leaders must actively work to reduce distortion from hierarchy

Let’s Talk.