--- title: Dr. Dan Carey, Virginia Secretary of Health and Human Resources on Leadership & HROs description: Our guest is Dr. Daniel Carey, the Secretary of Health and Human Resources for the Commonwealth of Virginia, a former healthcare senior leader. image: https://www.valuecapturellc.com/hubfs/Imported_Blog_Media/Habitual-Excellence-Episode-Cover-Image-2-2.png --- # Dr. Dan Carey, Virginia Secretary of Health and Human Resources on Leadership & HROs October 19, 2020 Written by Mark Graban ## Listen: *Scroll down for a transcript, how to subscribe, and more* --- Welcome to Episode #24 of [**Habitual Excellence**](https://valuecapturellc.com/thought-leadership/our-podcast-habitual-excellence/), presented by Value Capture. Our guest is [**Dr. Daniel Carey**](https://www.hhr.virginia.gov/about/), the Secretary of Health and Human Resources for the Commonwealth of Virginia, a former healthcare senior leader. In this episode, **[Mark Graban](https://valuecapturellc.com/podcast-trailer-habitual-excellence-presented-by-value-capture/)** asks Dr. Carey what he learned about Lean leadership and High-Reliability Organizations (HROs) as a hospital executive (chief medical officer). They talk about how he brought multiple agencies across multiple Secretaries together to implement Medicaid expansion — what were the operational and systems challenges to overcome to bring 460,000 new enrollees on board? What was the change of mindset that Secretary Carey has had regarding problems? They also discuss thoughts about Covid-19 and managing during times of uncertainty. --- ## Video: --- ## Quotes: ![](https://www.valuecapturellc.com/hs-fs/hubfs/Imported_Blog_Media/Dan-Carey-Habitual-Excellence-Quote-1-1.png?width=940&height=788&name=Dan-Carey-Habitual-Excellence-Quote-1-1.png) --- ![](https://www.valuecapturellc.com/hs-fs/hubfs/Imported_Blog_Media/Dan-Carey-Habitual-Excellence-Quote-2-1.png?width=940&height=788&name=Dan-Carey-Habitual-Excellence-Quote-2-1.png) --- ![](https://www.valuecapturellc.com/hs-fs/hubfs/Imported_Blog_Media/Dan-Carey-Habitual-Excellence-Quote-3-1.png?width=940&height=788&name=Dan-Carey-Habitual-Excellence-Quote-3-1.png) --- **[Click to visit the main Habitual Excellence podcast page](https://valuecapturellc.com/thought-leadership/our-podcast-habitual-excellence/).** ## Subscribe: To make sure you don't miss an episode, be sure to subscribe today! Please rate and review the podcast. [![Subscribe or Follow - Habitual Excellence Podcast, Presented by Value Capture](https://no-cache.hubspot.com/cta/default/5436566/8f2c6b31-ec1d-464b-a58e-665ee2313fe1.png)](https://cta-redirect.hubspot.com/cta/redirect/5436566/8f2c6b31-ec1d-464b-a58e-665ee2313fe1) --- ## Transcript   [Podcast](https://www.valuecapturellc.com/blog/tag/podcast) ![Mark Graban](https://www.valuecapturellc.com/hubfs/Mark%20Graban%20Chair%20Lean%20Head%20Square%20600.jpg) #### Written by [ Mark Graban ](https://www.valuecapturellc.com/blog/author/mark-graban) Mark Graban has served healthcare clients since 2005. Mark is internationally recognized as a leading author and speaker on Lean healthcare. His latest book is "The Mistakes That Make Us: Cultivating a Culture of Learning and Innovation." ##### Like it? Share it: [Twitter ](https://twitter.com/intent/tweet?url=https://www.valuecapturellc.com/blog/habitual-excellence-episode-24-dr-dan-carey-virginia-secretary-of-health-and-human-resources) [LinkedIn ](https://www.linkedin.com/shareArticle?mini=true&url=https://www.valuecapturellc.com/blog/habitual-excellence-episode-24-dr-dan-carey-virginia-secretary-of-health-and-human-resources) [Facebook ](https://www.facebook.com/sharer/sharer.php?u=https://www.valuecapturellc.com/blog/habitual-excellence-episode-24-dr-dan-carey-virginia-secretary-of-health-and-human-resources) ### You may also like [Dr. Steve Muething on Improving Safety in Children’s Hospitals ](https://www.valuecapturellc.com/blog/habitual-excellence-episode-22-dr-steve-muething-on-improving-safety-in-childrens-hospitals) ##### [Dr. Steve Muething on Improving Safety in Children’s Hospitals](https://www.valuecapturellc.com/blog/habitual-excellence-episode-22-dr-steve-muething-on-improving-safety-in-childrens-hospitals) 5 October, 2020 Listen: Scroll down for a transcript, how to subscribe, and more [Read this article](https://www.valuecapturellc.com/blog/habitual-excellence-episode-22-dr-steve-muething-on-improving-safety-in-childrens-hospitals) [Twitter ](https://twitter.com/intent/tweet?url=https://www.valuecapturellc.com/blog/habitual-excellence-episode-22-dr-steve-muething-on-improving-safety-in-childrens-hospitals) [LinkedIn ](https://www.linkedin.com/shareArticle?mini=true&url=https://www.valuecapturellc.com/blog/habitual-excellence-episode-22-dr-steve-muething-on-improving-safety-in-childrens-hospitals) [Facebook ](https://www.facebook.com/sharer/sharer.php?u=https://www.valuecapturellc.com/blog/habitual-excellence-episode-22-dr-steve-muething-on-improving-safety-in-childrens-hospitals) [Dr. Tom Peterson on Healthcare Safety for Employees and Patients ](https://www.valuecapturellc.com/blog/habitual-excellence-episode-23-dr-tom-peterson-on-healthcare-safety-for-employees-and-patients) ##### [Dr. Tom Peterson on Healthcare Safety for Employees and Patients](https://www.valuecapturellc.com/blog/habitual-excellence-episode-23-dr-tom-peterson-on-healthcare-safety-for-employees-and-patients) 13 October, 2020 [Read this article](https://www.valuecapturellc.com/blog/habitual-excellence-episode-23-dr-tom-peterson-on-healthcare-safety-for-employees-and-patients) [Twitter ](https://twitter.com/intent/tweet?url=https://www.valuecapturellc.com/blog/habitual-excellence-episode-23-dr-tom-peterson-on-healthcare-safety-for-employees-and-patients) [LinkedIn ](https://www.linkedin.com/shareArticle?mini=true&url=https://www.valuecapturellc.com/blog/habitual-excellence-episode-23-dr-tom-peterson-on-healthcare-safety-for-employees-and-patients) [Facebook ](https://www.facebook.com/sharer/sharer.php?u=https://www.valuecapturellc.com/blog/habitual-excellence-episode-23-dr-tom-peterson-on-healthcare-safety-for-employees-and-patients) [Timothy Pehrson, President and CEO of INTEGRIS Health on Leading the Improvement Charge ](https://www.valuecapturellc.com/blog/timothy-pehrson-president-and-ceo-of-integris-health-on-leading-the-improvement-charge) ##### [Timothy Pehrson, President and CEO of INTEGRIS Health on Leading the Improvement Charge](https://www.valuecapturellc.com/blog/timothy-pehrson-president-and-ceo-of-integris-health-on-leading-the-improvement-charge) 27 July, 2021 [Read this article](https://www.valuecapturellc.com/blog/timothy-pehrson-president-and-ceo-of-integris-health-on-leading-the-improvement-charge) [Twitter ](https://twitter.com/intent/tweet?url=https://www.valuecapturellc.com/blog/timothy-pehrson-president-and-ceo-of-integris-health-on-leading-the-improvement-charge) [LinkedIn ](https://www.linkedin.com/shareArticle?mini=true&url=https://www.valuecapturellc.com/blog/timothy-pehrson-president-and-ceo-of-integris-health-on-leading-the-improvement-charge) [Facebook 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