The Compounding Value of Collaboration
- Jay Jacobson

- Aug 26
- 2 min read
Collaboration vs. Going It Alone: A Leadership Lesson from Medicine

The difference between collaboration and control became very real to me as I watched my wife, Shelly, navigate a long series of medical challenges.
At one hospital, care was managed in silos. Every complication was handled in isolation. Information wasn’t shared, consultation was rare, and problems compounded. The culture was one of control, one voice, one perspective, one path forward. The results were fragile, and they failed her.
Later, at a world-class center, the approach was entirely different. Teams of specialists gathered. Orthopedics, infectious disease, pulmonology, cardiology, internal medicine. Each brought their expertise, but more importantly, they shared it. Plans were debated, adapted, explained, and agreed upon. Collaboration wasn’t a buzzword, it was the method. That team approach didn’t just improve care; it restored trust.
At a third facility, we saw the pendulum swing back again. The work was done, but the collaborative spirit was absent. Decisions were made narrowly. Outcomes were met, but confidence was not.
Three facilities. Three leadership models. One truth: collaboration multiplies wisdom; control isolates it.
What Leaders Can Learn
Silos create blind spots. When departments or managers hold on too tightly, they miss what others see.
Teams catch what individuals miss. Employees on the front lines often notice what executives overlook.
Collaboration builds trust. Customers and staff alike put their confidence in leaders who listen and share decision-making.
Control creates fragility. A single person’s judgment, no matter how skilled, is never enough for long-term success.
The Takeaway
The lesson isn’t just for hospitals. It’s for every business, every leader, every team. If you want stronger outcomes, deeper trust, and long-term growth, you must choose collaboration.



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