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Gretchen Berlin

Senior PartnerWashington DC

Leads public and private healthcare organizations to develop innovative healthcare strategies and drive sustainable change through frontline-workforce and clinical transformations

Gretchen is a leader in McKinsey’s Public Sector and Healthcare Practices, as well as our organization work within the Life Sciences Practice, drawing on her in-depth experience in the healthcare industry to serve clients. 

A registered nurse by background, Gretchen has led numerous projects with leading public and private healthcare organizations to develop innovative healthcare strategies and drive sustainable change through frontline-workforce and clinical transformations.  She coleads McKinsey’s provider performance-improvement and federal healthcare work.

Most recently, Gretchen designed and implemented a large transformation for a national public-sector health system to optimize effectiveness and efficiency. She has also led the development of market-level partnerships and large-scale transformations in the private sector to improve quality, access, and efficiency. Gretchen has created workforce strategies for large private-sector hospital systems, focused on improving nursing retention and achieving 5 to 10 percent labor-cost efficiencies through total-reward strategies and changes to core staffing and skill mix.

Published work

How to bridge the experience gap by supporting nurses of all tenures,” McKinsey & Company, March 2024

Government productivity: Practical methods to deliver more with less,” McKinsey & Company, January 2024

Understanding and prioritizing nurses’ mental health and well-being,” McKinsey & Company, November 2023

Reimagining the nursing workload: Finding time to close the workforce gap,” McKinsey & Company, May 2023

Nursing in 2023: How hospitals are confronting shortages,” McKinsey & Company, May 2023

Should I stay, or should I go? Australia’s nurse retention dilemma,” McKinsey & Company, September 2022

Around the world, nurses say meaningful work keeps them going,” McKinsey & Company, May 2022

Assessing the lingering impact of COVID-19 on the nursing workforce,” McKinsey & Company, May 2022

Women in healthcare and life sciences: The ongoing stress of COVID-19,” McKinsey & Company, April 2022

Surveyed nurses consider leaving direct patient care at elevated rates,” McKinsey & Company, February 2022

Nurses and the great attrition,” McKinsey & Company, January 2022

Increased workforce turnover and pressures straining provider operations,” McKinsey & Company, August 2021

Survey: US hospital patient volumes move back towards 2019 levels,” McKinsey & Company, August 2021

What’s next in nursing? Meet the McKinsey RNs working to find out,” McKinsey & Company, May 2021

Nursing in 2021: Retaining the healthcare workforce when we need it most,” McKinsey & Company, May 2021

Challenges emerge for the US healthcare system as COVID-19 cases rise,” McKinsey & Company, November 2020

Cutting through the COVID-19 surgical backlog,” McKinsey & Company, October 2020

Women in healthcare: Moving from the front lines to the top rung,” McKinsey & Company, August 2020

Future of nursing: Supporting nurses across settings,” McKinsey & Company, June 2020

To succeed in a healthcare transformation, focus on organizational health,” McKinsey & Company, July 2019

Women in the healthcare industry,” McKinsey & Company, June 2019

Why agility is imperative for healthcare organizations,” McKinsey & Company, May 2017

Beating the odds: Hiring and retaining an RN workforce to optimize patient outcomes and minimize unnecessary expense,” McKinsey & Company, December 2016

Optimizing the nursing skill mix: A win for nurses, patients, and hospitals,” McKinsey & Company, May 2014

Health-focused redesign: Creating a payor organization for the future,” McKinsey & Company, February 2014

Past experience

Guy's and St Thomas' NHS Foundation Trust
Hospital administrator in commercial strategy


The Wharton School, University of Pennsylvania
BS, healthcare management

University of Pennsylvania
BS, nursing