Our Leadership Model

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Health Ecosystem Leadership Model 

Dedicated to creating high-performing leaders across the health industry, TLD Group’s research team created the Health Ecosystem Leadership Model (HELM) to guide our leadership development work with executives, clinicians, teams, and organizations.  

health ecosystem leadership model


HELM™ offers a framework for how leaders can generate cross-sector solutions to the healthcare industry’s most pressing needs and is geared around the following capabilities:

Envision the Future

First and foremost, leaders must have a clear vision of the direction their organization is heading and what it hopes to achieve. Then, they can begin to generate ideas about how collaborating with organizations from other sectors can contribute to achieving that vision. Thinking with an ecosystem view allows leaders to generate solutions they may not have otherwise considered.

Align Stakeholders

As organizations bring stakeholders from other sectors into the conversation, leaders must allow these stakeholders to build on their original vision and incorporate their inputs and interests to develop a shared solution. This way, the stakeholders will feel a sense of ownership regarding the solution. Throughout the conversation, it is important to develop a relationship built on trust, respect, and open dialogue, without which there would be much tension and resistance to moving forward.

Manage Boundaries
and Obstacles

Along the way toward developing collaborative solutions, the partnership will likely be faced with some bumps along the road. To overcome these obstacles, it’s important that leaders focus on opportunity, and remind themselves as to why the partnership was developed in the first place. This may lead to difficult conversations, but in having these conversations the stakeholders can resolve points of tension, clarify roles, and re-align on ways the respective organizations can interface effectively.

Act and Learn
Of course, leaders must take steps toward advancing the shared vision that was created at the onset of the collaboration, which may require acting under uncertain conditions. It is critical to be open to giving and receiving feedback in the interest of evolving that vision to the benefit of all parties.


Why Our Health Ecosystem Leadership Model?

The complexity of leading within the health industry continues to grow. Developing strategies to enhance the customer experience, reduce the total cost of care, optimize value-based payment models, enhance coverage and access, and improve population health for all groups are widely recognized needs. These complex challenges require innovative solutions that span many sectors of the health ecosystem. Effective and unique collaborations across sectors will be the key to success. These collaborations will bring together groups that are diverse in mission, vision, values, purpose, perspectives, culture, and expertise.
  • Our model takes a strategic approach. Our health industry focus enables us to recognize what separates success from derailment for leaders in any role, function, or sector within the industry.

  • Our support goes beyond assessment. We offer individuals feedback sessions and development planning, as well as ongoing support, coaching, and development.

  • Our HELM solutions are flexible. Our clients can tailor our research‐based content to their organization’s business, its needs, and its culture.

  • Our HELM Value. Companies that use The Leadership Development Group’s HELM assessment tools during the assessment, selection, and development process reap the rewards of collaborative leadership.

Our Assessments

Assessments are a fundamental tool we use to help our clients uncover new ways to communicate, collaborate and resolve conflict. They provide an objective, common language that every member of a team can work from as a baseline when interacting and reacting with one another.

Our proven methods for measuring HELM leader performance, potential, readiness, and fit enables organizations in the health industry to make strategic assessment, development, selection, and promotion decisions with more confidence than ever before.

Self Assessment

Our HELM self assessment process combines rigorous scientific assessment and the art of experienced insight to help identify and develop health ecosystem leadership skills.

360 Assessment

Leadership success requires the right mix of talents, behaviors, interests, and experiences. Our HELM 360 Leadership Assessment helps leaders discover new ways to communicate, collaborate, and resolve conflict.

Get Inspired by Health Ecosystem Leadership

We are pleased to share our HELM resources, research insights, and thought leadership from experts across the ecosystem.

Leading with a Health Ecosystem Perspective: Key Strategies to Enhancing Public Health Outcomes

Population health and community well-being is a shared responsibility. Whether you lead in a provider, payer, pharmaceutical, or health adjacent organization, collaborating with diverse stakeholders is the only way enhance public health. Yet, many current leaders lack the formal training in ecosystem leadership. Download our guide and discover how to reframe your mindset toward thinking about health as an interconnected ecosystem.

HELM Podcast

Join us to learn from the best and brightest health ecosystem leaders who share practical examples of how they have successfully built partnerships and collaborations with diverse stakeholders that lead to positive outcomes for their organizations, their patients, and the communities they serve.

From Competition to Collaboration: How Leaders Cultivate Partnerships to Drive Value and Transform Health

From Competition to Collaboration, written by TLD Group President and Founder Tracy Duberman, PhD and Robert Sachs TLD Group Advisory Board Chair, explains how healthcare leaders can navigate the difficult issues that arise when multiple organizations from different sectors and with different operating models, objectives, and cultures work together toward a shared purpose.

Health Ecosystem Leader Interviews

Experts on leading from across the sectors of the health ecosystem share their stories of how they built successful cross sector collaborations to impact health and wellness.

"Efforts to enhance the health of the communities we serve is a huge undertaking, and this requires leaders to demonstrate an ecosystem view by focusing resources on understanding the needs of their community."

St Barnabas


Barry Ostrowsky
President & CEO at RWJBarnabas Health

“The healthcare system is under a period of dynamic change where issues of affordability, cost, and value are rising to the forefront… The solution in many respects is innovative biopharmaceuticals. But too often we’re seen as the problem, and so we have to change the conversation… to get that done we have to become an integrated, collaborative partner in this health ecosystem.”


Josh Ofman, MD
Former SVP of Global Value, Access, and Policy at Amgen

“We need many more people with the ability to foster cross-sector collaboration. This is a skill set that can be developed. The reason these leadership skill sets are so important is because once you create an understanding and accurate perceptions, a lot of the resistance barriers dissipate quickly. I would say that we would all make progress if we had more people who had the skills and capabilities to reach across sectors and put themselves in the other side’s shoes.”

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David Carmouche, MD
Senior VP, Omnichannel Care Offerings, Walmart Health

“Gaining buy-in from stakeholders is really all about making sure their concerns are heard and addressed. Do that and you’ll alleviate a lot of tensions.”

Palomar Health-1

Bob Hemker
Previous President and CEO at Palomar Health

“In finding collaborative solutions with diverse companies, we must embrace that while our respective companies may differ on some issues, we clearly share common ground on other issues…”

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Tanisha Carino, PhD
Former VP of US Public Policy at GlaxoSmithKline

“All players in the ecosystem share the goal of providing higher quality, more accessible, more affordable care to the people we serve… Unless we begin to see partnerships with shared accountability and coordination of functions across the various players, we’re not going to advance to the next level. It’s time for a new model.”


Craig Samitt, MD, MBA
Former CEO of Blue Cross and Blue Shield of Minnesota

“The problems facing the health industry today are far too complex and wide-ranging for any one sector to solve independently… the solutions needed to change healthcare and health outcomes significantly start with the leaders who embody a clear vision and who demonstrate the skills required to work collaboratively across multiple and disparate sectors in the industry.”

Institute for InterGroup Understanding

George Halvorson, PhD
Chairman and CEO, Institute for Intergroup Understanding

“Even if the system will never have a single blueprint to guide it forward, leaders do have access to a formula that works. The healthcare ecosystem leadership model is such a formula, and the leaders who adopt it with passionate intent will be poised to address both the challenges and the opportunities of teaming across sectors to transform healthcare.”


Amy Edmondson, PhD
Novartis Professor of Leadership and Management at Harvard Business School

“Driving value is not just a tagline- it’s an actionable event. By transforming ourselves, we transform others, taking the well-being of our nation seriously.”

Central Oregon Health Council

Donna Mills
Executive Director at Central Oregon Health Council

“Learning leaders take the time to consider what worked, what didn’t work, and how they can take what they’ve learned from the experience and try something different. Developing leaders with this capacity should be on the forefront of our attention.”


Matthew Guy
Senior Project Consultant Rethink Health