Participatory Governance: Right People Right Question

Participatory Governance: Right People Right Question

From Health Hats, the Podcast by Danny van Leeuwen, Health Hats

April 18, 2026 · 20 min · Episode 247

About this episode

This episode discusses the importance of participatory governance in healthcare and how listening as leadership can lead to better decision-making.

Participatory governance in healthcare means asking the right people the right questions. Three stories where listening as leadership changed everything. Summary This episode is about listening as leadership — the gap between where knowledge lives and where decisions get made, and what it costs when we pretend that gap doesn’t exist. Three stories from my career as a nurse manager, quality director, and VP — three moments where participatory governance in healthcare produced the same result: a no to the status quo. Not a radical no. An obvious one. Obvious, that is, once someone finally asked the people living inside the system. Topics covered: Open visiting hours in the ICU — and what happened when staff pushed back Seven therapy visits, no prior authorization required — and what happened when the company was acquired A disability services resident on a board of directors — and the simple fix that improved every patient experience metric Why participatory governance is the fastest, cheapest diagnostic tool most health system leaders never use The honest difference between patient advisory boards and actually sharing power with patients What patient-centered care looks like…

People in this episode

Host: Danny van Leeuwen

Topics covered

  • participatory governance
  • healthcare leadership
  • patient-centered care
  • shared decision making
  • listening as leadership

Keywords

  • healthcare
  • participatory governance
  • patient advisory boards
  • ICU
  • decision making

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