Transformation often begins by building on what’s already working. The most effective changes I’ve seen layer in new perspectives and create space for others to engage. One of the most valuable lessons I’ve learned is that people need a story they can see themselves in. When you paint a clear and compelling picture of the future, people begin to act in ways that bring it to life.
At Melinta, we’ve used this approach to shape our strategic planning. We created priorities everyone could rally around and invited our team to take ownership. Over time, those efforts built momentum. This year, we stepped back and showed our team what they had accomplished. Over four years, we grew revenue by 85% and achieved sustainable profitability. That didn’t happen by chance. It happened through alignment, focus, and belief.
We’ve also worked hard to build a culture where people feel like they belong. At a recent meeting, a colleague told me they had never felt this way about a company before. They shared how energized they felt by the people around them and how proud they were of the work we were doing. That moment reminded me that transformation is not only about business outcomes. It’s also about how people feel showing up to work each day.
We are paying close attention to how transformation is evolving across healthcare. Advances in artificial intelligence (AI), automation, and digital platforms are changing how we work and how we deliver care. McKinsey estimates AI could create up to $360 billion in annual savings for the US healthcare system. These tools present new ways to approach efficiency and care delivery. We have to ask ourselves how to embed innovation into our culture and our work in a way that creates efficiencies, creativity, and most importantly, patient impact.
Transformation also requires a global lens. Every region has its own systems and challenges. I often return to the idea of “think global, act local.” That mindset helps ensure strategies are built for scale while remaining relevant to local needs. When we expanded Watson internationally, we had to learn how to lead teams across time zones, regulations, and cultures. That experience shaped how I think about leading in complex environments.
This kind of thinking is essential in the life sciences. Product development takes time. Strategic planning needs to account for long-term outcomes. I believe in five-year planning because it gives organizations room to grow with intention. Once you build the strategy, it’s not static. It’s something that needs to be revisited each year to make sure it reflects where we are and where we want to go.
For transformation to take hold, leaders must create space for growth. That starts with mindset. Fixed thinking limits progress. A growth mindset opens possibilities. I’ve seen that when you make the future tangible and break it into achievable steps, people start to believe in it. They move with clarity and confidence.
Leadership plays a central role in that process. At a recent event, Alan Mulally, the former CEO of Ford, shared his experience leading through a $17 billion loss. He said, “The right culture drives the best results.” That line stuck with me. Culture sets the tone for how people work, how they collaborate, and how they lead.
So when someone asks if transformation is just a buzzword, I think about the work we’ve done at Melinta and the work the industry has done for the benefit of patients. I think about the leaders who’ve shaped me. I think about the people who show up every day to build something better. Transformation is not a trend. It’s the work. It’s what leadership looks like when it’s grounded in purpose and built to last.
Christine Miller is CEO of Melinta Therapeutics