What healthcare executives can learn from Disney

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Disney World marks its 55th anniversary this week as the largest single-site employer in the country that’s privately owned, with 80,000 cast members working across a property twice the size of Manhattan and a hotel inventory that rivals major American cities.

Alison Armor, senior vice president of operations at Walt Disney World Resort, said the operation has more in common with healthcare than most people recognize, both deliver complex, high-stakes experiences through layers of human interaction, and both live or die by whether every one of those interactions deposits something positive into the whole.

“They give us the gift of their time, they trust us with milestones that are incredibly important to them, and it’s a complex delivery model, when you think about it,” Ms. Armor said during a session at the Oracle Health and Life Sciences Summit on Sept. 24 in Orlando.

The foundation Disney builds beneath that model is a set of principles called the “Five Keys: Safety, Courtesy, Inclusion, Show and Efficiency,” guiding values the company traces back to Disneyland’s opening in 1955, that filter every major decision, anchor every communication and frame how successes are celebrated across all 80,000 cast members. Ms. Armor said the framework is only as strong as the purpose it generates in each individual, and that purpose has to be specific.

She described a cast member she met early in her career while overseeing the company’s merchandise warehouses. His job was to consolidate pallets in the middle of the night after the daily distribution went out, making space before the receiving team arrived at 3 a.m. When she and her team asked him to describe his role, his answer surprised her.

“Let me tell you about my job. I make memories for children,” the warehouse worker told her.

He understood that every space he created was one more toy, one more item a child could take home. That clarity of purpose is what Disney works to build across every function.

“Our model really is: take care of the cast, they take care of the guest, and the business results will flourish,” she said.

Technology is what makes that model viable at volume. When the parks first opened in 1971, cast members shared a single phone number for questions — one they had to go home to call. Over 55 years, technology evolved from a support tool into the entire operation.

“Technology has been the enabler to get us to the volumes of where we are. We wouldn’t even be able to do payroll today without the technology that is bound in this world. So it is the backbone of our growth in so many ways,” Ms. Armor said.

The operational proof is in how Disney handles disruption. When an attraction goes down, a geofencing system identifies everyone in the queue, calculates how long they have been waiting and determines which guests have later reservations still at risk. It pushes a digital recovery directly to guests’ phones, often for that attraction and sometimes for another if the situation warrants, without requiring anyone to interact with a cast member.

“For the most part, the transactional pieces have actually elevated the experience by creating less hassle, and it’s not about the tech. It’s not about the tech. The tech isn’t even the point. The point is it’s seamless,” Ms. Armor said.

Healthcare executives have reached similar conclusions, with health system leaders across the country working to make patient-facing technology just as invisible.

Ms. Armor said artificial intelligence fits into that framework primarily as a personalization and aggregation tool. It is most valuable in the pre-visit phase, when consumers are trying to understand what a product offers, build confidence in their choice and prepare their families for the experience. On property, it enables the kind of recognition that transforms routine interactions into something a guest carries home.

She described the ideal hotel check-in moment as one built entirely on data: “It’d be really nice to say, ‘Oh, welcome, Mr. Smith. It’s wonderful to have you here, and this is your 20th time at Pop Century. We love that you love Pop Century,'” Ms. Armor said. “And being able to aggregate that so we can personalize it is important.”

Facility investment is part of the same equation. Disney operates on a seven- to 14-year refresh-and-refurbishment cycle and has renovated more than 25,000 hotel rooms since COVID, evaluating decisions down to flooring materials and ease of cleaning. The first impression a guest forms walking into a lobby shapes everything that follows, a dynamic Ms. Armor sees as directly applicable to hospital environments.

Disney’s cross-industry benchmarking illustrates how far outside the entertainment world the company looks for operational ideas. When the organization set out to build an immersive transit connection between the Riviera Resort and Epcot, internal brainstorming led to Austrian mountaineers who operate gondola systems. Disney sent a team to Austria, purchased the most sophisticated gondola line available — the first of its kind in North America — and deployed it across flat terrain with no elevation change. The Skyliner now serves 7,000 hotel rooms and two theme parks. When the Austrian engineers asked how many rope systems Disney operated, the answer was zero. Disney bought three of the complex lines anyway.

Each collaboration like this, Ms. Armor said, “gives you the inspiration from all around you. All around you.”

Her own experience as a patient is case in point. Ms. Armor said she was a reluctant adopter of her physician’s patient app until a medical concern finally pushed her to use it. Facial recognition let her in without a password. She messaged her physician of 25 years and received a care plan the same day. She slept well that night.

The physician had not changed. The relationship had not changed. The technology had simply removed every obstacle between her and the help she needed.

“Technology is at its best, I think, when it’s just invisible,” Ms. Armor said.

At Becker's 4th Annual CEO + CFO Roundtable, taking place November 2–5 in Chicago, more than 1,500 hospital and health system executives tackle decisions that determine whether organizations thrive or merely survive: protecting margins under cost pressure, choosing where to grow, renegotiating payer relationships, stabilizing the workforce and proving real ROI on technology. This is where leaders work through them together, face-to-face. Apply for complimentary registration now.

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