Discover how healthcare transformation takes root from the top in this inspiring conversation with Marna Borieux, DHA, MBA, Chief of Staff, Vice President for Executive Administration, and now Vice President & Administrator for the Primary Care Service Line at Inova Health System. In this episode of the American Journal of Healthcare Strategy Podcast, we explore Inova’s multi-year transformation journey built on systemness, stewardship, and a relentless focus on culture.Marna shares how her decision to pursue a Doctor of Healthcare Administration at MUSC shaped her leadership philosophy and equipped her to lead through complex change. She details her transition from Cleveland Clinic to Inova, the organizational redesign sparked by new executive leadership, and how Inova accelerated its “Drive to Excellence” strategy during the COVID-19 pandemic.Key themes include healthcare system integration, margin improvement without sacrificing morale, employee engagement through purpose and joy, and the importance of consistent operating rhythms in sustaining culture and outcomes. Whether you're an emerging healthcare leader or a seasoned executive, Marna's perspective offers invaluable insights on leading transformation with empathy, strategy, and intention.00:00 Introduction to Leadership and Lifelong Learning00:29 Meet Marna Borieux: Career and Expanded Role (Chief of Staff, VP for Executive Administration, and now VP & Administrator, Primary Care Service Line)Note: At the time of recording, Marna was Chief of Staff and VP for Executive Administration. She has since accepted the position of Vice President & Administrator for the Primary Care Service Line at Inova Health System.01:03 Inova Health System: Mission and Impact02:22 Marna's Educational Journey and Leadership Development05:48 Transition to Inova Health System08:32 Leadership Traits and Career Decisions11:31 Inova's Transformation Journey24:18 Sustaining Organizational Excellence26:21 Final Thoughts and Advice for Emerging Leaders