About Kenagy & Associates

john1hiresDr. John Kenagy knows healthcare as a physician, executive, academic researcher and advisor.  In addition to his clinical experience as a vascular surgeon, he has been Chief of Surgery, Chief of Staff and Regional Vice President for Business Development in a not-for-profit healthcare system.  But, his most meaningful experience was becoming a patient.

His frustration with current methods was fueled by an injury – he suffered a broken neck in a fall from a tree.  Critically injured, he discovered that his recovery depended on the efforts of dedicated individuals working in an unpredictable and often unresponsive system.

Searching for new answers, he became a Visiting Scholar at Harvard Business School.  His research included developing disruptive innovation healthcare strategy with Harvard Professor Clayton Christensen and translating to healthcare the drivers of success in resilient, highly adaptive companies like Toyota, Intel and Apple.

The result is Adaptive Design®, a clinically intelligent, self-sustaining system for rapidly developing, doing and improving patient-centered care within and across disciplines.

His contributions have been widely recognized:
– Visiting Scholar, Harvard Business School
– Clinical Professor of Surgery, University of Washington
– Adjunct Professor of Pharmacy and Therapeutics, University of Pittsburgh
– His best-selling book Designed to Adapt: Leading Healthcare in Challenging Times was named Healthcare Management Book of the Year by the – American College of Healthcare Executives
– Forbes Magazine featured Kenagy as “the man who would save healthcare.”


Screen Shot 2017-02-28 at 4.40.37 PMRobert Casanova, MHS, SSBB responsibilities, over the past twenty plus years, have included executive coaching on operational efficiency, and labor productivity as well as leading performance improvement teams. He’s a proven clinician, leader, and facilitator.

He has been a trainer for Lean, Six Sigma and other improvement methodologies, as well as Change Management. His most recent experiences are as Principal Healthcare Consultant and Lead Management Engineer. His combined experiences as a clinician, hospital industrial engineer, and executive leader provide a unique background and skill set.