The concept of this book is meant for Leaders in Healthcare but it can help leaders in other industries. The goal of this book is to teach healthcare leaders the necessity to focus on the big picture in order to create strategies and have extremely good outcomes. Many healthcare leaders get caught up in the noise of regulations, patients, complaints, labor issues, etc.. They they lose focus on the fundamentals to prioritize the necessary and reach organizational goals. Leaders need to focus on the Macro fundamentals in order to impact the micro processes not the other way around. Leaders fail when they lose sight of these fundamentals. Based on my 15 years of experience as a Healthcare Executive and Regional, I have developed 6 Fundamentals core focus items that is a must to win in this industry. Each Category will have what needs to be focused on with metric recommendations. I Called these 6 essential pulses, Each Leader needs to have a pulse on each of these sections and master them well to be successful.