HEALTHCARE WORKFORCE RETENTION CONSULTING
The workforce problem hiding in plain sight.
High-performing women in their 40s and 50s are leaving healthcare organizations — not because they want to, but because no one understands the intersection of perimenopause, ADHD, and workplace performance. I do.
30 minutes. No pitch. Just a conversation.
WHAT'S AT STAKE
Your most experienced women aren't burning out.
They're hitting a
neurological wall.
Perimenopause directly disrupts working memory, cognitive flexibility, and emotional regulation — the same executive functions your clinical leaders rely on every day. For women who've been quietly managing undiagnosed ADHD their entire careers, the disruption is 2–3× more intense. They don't need a performance improvement plan. They need the right healthcare workforce support infrastructure.
50-200%
Cost of replacing one mid-level clinical leader as a percentage of annual salary — before accounting for lost institutional knowledge
$49B
Annual US productivity loss from perimenopause — and your org is absorbing its share
CMS ★★★★★
Hospitals with stable, experienced nursing teams consistently outperform on quality metrics. Your board, your payers, and your community are all watching
WHO THIS IS FOR
Built for healthcare organizations who want to keep their best people.
CHROs and HR Directors
Managing clinical staff retention, workforce engagement, and the quiet exodus of experienced women in perimenopause before it shows up in your turnover data.
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CNOs and Nursing Leadership
Watching high-performing nurses and charge nurses struggle with cognitive performance and emotional regulation — without understanding the neurological root cause.
CEOs and COOs
Connecting neurodivergent workforce performance gaps to healthcare organizational quality, patient outcomes, and the real cost of replacing your most experienced clinical leaders.
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HOW I WORK
Three ways to work together.
Every engagement starts with a conversation. No boilerplate wellness programs — just the right healthcare workforce retention strategy for where your organization is right now.
Organizational Assessment
A structured discovery process to identify where your clinical staff retention gaps are, which neurodivergent women are most at risk, and what support infrastructure your healthcare organization is missing.
Leadership Education &
Training
Manager and leadership education on perimenopause, ADHD, and the neurodivergent midlife workforce — what's happening neurologically, how to recognize it in clinical settings, and how to respond without liability risk.
Structured Support
Cohorts
Small-group coaching for affected employees, grounded in clinical executive function tools designed for women navigating perimenopause and ADHD at work. Measurable. Documented. Confidential.
ABOUT TINA GASKELL
I've spent 20 years at the intersection of clinical practice and healthcare organizations.
I'm a Licensed Clinical Professional Counselor (LCPC), Certified ADHD Clinical Services Provider, Board Certified Coach, and Certified Professional in Healthcare Quality — with over 20 years partnering with healthcare HR, nursing leadership, and C-suite executives on workforce performance and retention.
I'm not a vendor. I'm a peer who happens to have the clinical credentials to solve the perimenopause and ADHD workforce problem your organization doesn't have language for yet.