
Burnout is up. Capacity is down.
For CEOs, CHROs, and ChiefWellbeing Officers, the issue isn’t the headline, it’s the operating impact:weaker decisions, slower adaptation, higher errors, and a workforce that can’tsustain peak output through disruption.
This isn’t an effort problem. It’sa design problem.
Most operating models stilloptimize for time and throughput. But in volatile, high-stakesenvironments, the binding constraint is energy: the capacity to focus,execute, recover, and repeat.
When energy isn’tmanaged, performance becomes fragile, fast. Especially in health systems, lifesciences, retail, consulting, and federal agencies where the cost of error and delay is real.
Time is fixed. Energy is variable: buildable, protectable, recoverable.
Most organizations manage time. Our systems assume people will “push through” what appear to be time-based challenges. When they don’t or can’t and throughput drops or performance dips, then leaders tend to pull efficiency levers like process refinements or technologies. When burnout rises, we add perks, or mandate time off.
But those treat symptoms, and we’re often surprised when they don’t increase capacity or improve long-term performance.
Peak performance requires capacity by design.
What’s missing: a simple system for energy awareness (spot drain early) and embedded recovery (restore capacity before depletion becomes burnout).
Energy determines:
Energy isn’t just physical stamina. It’s capacity across four dimensions:
Most organizations talk about meaning. Few operationalize it.
But when conditions get hard, it’s the force multiplier.
When people can connect daily demands to a meaningful outcome (patient care, scientific impact, customer trust, client results, mission delivery), three shifts follow:
This isn’t hype. It's a measurable movement in risk, resilience, and capacity.
In a recent 90-day intervention with Baystate Health, we focused on employees starting at elevated risk across multiple health and wellbeing domains, an early indicator of performance drag, safety/quality exposure, and turnover cost.
We tracked one thing: risk reclassification (who moved out of high risk into a low-risk, more sustainable capacity state) across multiple mental, physical, and behavioral wellbeing dimensions that impact performance.
The results weren’t subtle!

Energy (an input metric leaders can manage)
● High-risk i ndividuals dropped from 77% → 59%
● Those thriving increased from 23% → 41%
That’s a system-level capacity shift.
And this wasn’t isolated to energy.We saw parallel reductions across the system:

Importantly, these shifts weren’t just about reducing risk. They also expanded the population capable of performing at a higher level. Imagine the effect on workforce energy of doubling the number of well-slept employees.
Most organizations track engagement. Few track energy. Even fewer build a shared language and routines for energy awareness + recovery at scale.
Energy is what turns engagement into execution. You can have an engaged workforce that is still energy-depleted, cognitively overloaded, and running “hot” with insufficient recovery. Under constant change and uncertainty, that quietly degrades performance:
Three patterns show up in most organizations, even those who are paying closest attention to workforce wellbeing:
Organizations that are shifting capacity do three things differently, often co-led by Operations, Human Capital/HR, and the Chief Wellbeing Officer:
If your workforce is operating at 60% of sustainable energy capacity, execution quality is rationed. You don’t have a productivity problem. You have a capacity problem.
Organizations that solve it secure an advantage that compounds:
Energy is the starting point, not the endpoint.
Quick diagnostic for leaders:
In the next piece of this series, we’ll look at resilience, not as toughness, but as the set of skills and system conditions that allow energy to persist under pressure, uncertainty, and sustained demand.

Chief Medical Officer
Robert Carr, M.D., MPH, is Chief Medical Officer at Kumanu and former President of the American College of Preventive Medicine. A nationally recognized leader in population health and executive coaching, he brings decades of clinical, corporate, and academic experience to advancing purpose-centered wellbeing.
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