Listen:
In this episode of Habitual Excellence, Ken Segel speaks with Dr. James Shamiyeh, Chief Operating Officer at University Tennessee Medical, about the organization’s Everyday Excellence journey and what it takes to build sustainable improvement in healthcare.
Dr. Shamiyeh shares how UT Medical is moving beyond traditional improvement efforts by creating a frontline-driven operating system centered on daily problem-solving, coaching, and leadership development. He reflects on the lessons learned through implementing tiered huddles, empowering teams to solve problems to root, and building a culture grounded in psychological safety and collaboration.
Together, they discuss the realities of leading transformation work in healthcare today, including the importance of reflection, vulnerability, and long-term commitment. The conversation highlights how investing in people closest to the work is helping UT Medical strengthen engagement, improve safety, and create lasting operational and cultural change across the organization.
Written by Value Capture, LLC
We are consultants who act as trusted advisors that guide health systems determined to produce perfect health with zero harm, wait, or waste — for patients, teams, and communities. We work with organizations by solving their biggest problem and doing it in a sustainable way, with “no tradeoffs” leading to exceptional change in organizations and the knowledge to continue to improve.





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