Spotlight on ED Monica Sullivan & CD Dannell Miller
When Leaders Work Together, They Become a Superpower
“It’s simple” according to Crossroads in Philadelphia Executive Director Monica Sullivan. “What’s best for the patient” drives everything we do. Clinical Director Dannell Miller, NP agrees.
Monica and Dannell have forged a steady and unified bond that is driving success at the site. While “census could be higher” as with other Crossroads’ sites, operationally the Philadelphia site is meeting the needs of its patients with the highest level of end-of-life care that is Crossroads’ hallmark.
But that hasn’t always been the case recently. While Dannell came to the Philadelphia site four years ago after completing her training as a family medicine Nurse Practitioner, Monica, a social worker by training, arrived just two years ago after spending 20 years as a leader at a continuing care retirement community.
While their chemistry was strong from the start, Monica and Dannell’s bond wasn’t instant. They had to work at it with hours invested in conversation, debate and planning. Now their leadership and unflappable unity is setting a positive and productive tone for the Philadelphia site while embracing Crossroads’ culture.
A “mass exodus” of nurses about a year into Monica’s tenure is one of the things that put Monica, Dannell and the entire site to the test. Severe understaffing had the site “at its wits’ end,” according to Monica. “We were in “fight-or-flight” mode.” Many of the exits were for good reasons, Monica explained. There was only one firing for cause.
Approval from C4 to contract with a temporary nursing staffing agency while rebuilding Crossroads’ nursing team was a lifesaver, according to Dannell. It was also a vote of confidence in Monica and Dannell’s leadership. The contract with the temps is over and now, with an almost entirely rebuilt team, they are recruiting motivated professionals “who don’t need to be perfect, just open-minded and eager to learn,” according to Dannell.
“Each person we hire is given time to grow and learn,” Dannell explained. The focus is on information retention. With structured training, strong communication and a shared “do-right-by-the-patient and you’ll-do-right,” philosophy, the Philadelphia team is thriving.

Investing in their Leadership Partnership
Monica and Dannell quickly recognized each other’s strengths when they began working together. Both were strong communicators with an appreciation for the challenges of end-of-life care. Their comfort and camaraderie with each other create an environment where humor and laughter are welcome. That is what personally keeps them moving forward each day, no matter the challenge. Monica sums it up best, “Patience is key. We can control what we can control.”
Monica and Dannell’s leadership styles are rooted in collaboration. They drive into each other’s lanes freely. Monica asks clinical questions while Dannell weighs in on administrative decisions. Differences in opinion are met with openness and conversation, never anger. This approach keeps their relationship steady while presenting a unified front to the Philadelphia team.
Monica and Dannell both emphasize growth, not complacency, while still prioritizing work-life balance. They both have children and families they spend time with and they both take vacations.
Pathways’ Danny Gutknecht and our founder Perry Farmer met again this month with Monica and Dannell at the Philadelphia site. “When I met with the Executive and Clinical Directors earlier this year, it was clear Monica and Dannell were in the middle of a storm. A sudden wave of nurse departures created an extremely difficult situation. Stress exposes cracks, but it can also forge stronger teams -- and Monica and Dannell chose a common vision over division,” Danny said.
He continued, “The fact that they welcome different perspectives and can steer in the same direction is one of the things that can steady a team. I've visited Philadelphia twice since meeting with Monica and Dannell this summer. I can tell they’ve moved the needle - there was a much healthier vibe and a strong foundation for tapping into their potential. I’m excited to see what they can continue to accomplish!”
The Philadelphia team is proof: When leaders work together, teamwork becomes a superpower. We congratulate Monica and Dannell with best wishes for much continued success in Philadelphia.
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