As a person who has dealt with many health care managers, I would give you two strategies. First of all, build internal relationships with your staff and patients by being visible and listening to what they actually say, and then implementing new ideas which have been brought to your attention and discussed with staff. Too many assume they already know what you want and don't listen which wastes valuable input. Set aside even twenty minutes a day to simply be visible and available without letting distractions make your visibility a mirage. Conduct staff meetings to find out skills not being utilized or to find a better way to do what is already being done such as using music to calm Alzheimer's patients instead of allowing them to simply sit. External relationships means working with other managers to find out what works for them, to find other organizations which have the same goals and how they meet them, and seeking out mentors who have been through the process and offer helpful ideas and support for seeking better ways of doing what needs to be done. I deal with the manager of an assisted living facility for an elderly relative I have responsibility for, and what impresses me the most is how much this manager cares about and knows the residents in the facility. The door is always open for questions or comments whether positive or negative with the resolution to find a solution which works for both of us. I've also dealt with many medical professionals from doctors to psychologists to social workers to counselors to clinic or hospital managers. The ones who impressed me were open and straight forward whether I liked the information or not.