When David Levine, MD, took over full time in January as chief medical officer of Fisher-Titus Health in Norwalk, Ohio, he decided it was time to "stop doing things the way they've always been done."

That was not a small feat, he told Becker's. In his previous position as regional director of a healthcare system with 16 hospitals, he saw the writing on the wall almost from day one, when he was taken aside by a senior leader after a meeting.

"I was so frustrated. I offered some suggestions about ways to make some improvements, just thinking I would share successful initiatives I'd seen at other hospitals," Dr. Levine said. "After the meeting, a colleague pulled me aside and said, 'Hey, you know what … first, welcome, we are glad to have you here. But also, by the way, we are not looking for your input in what you think we should do. These are leadership decisions to make. We manage it the way we want. You're here as a guest in our house."

(To read more, click View Resource.)