Healthcare Textiles & Laundry

2026 articles:

The Man No Algorithm Would Have Hired

By Gregory Gicewicz

This article originally appeared in the March-April 2026 issue of Healthcare Hygiene magazine.

I want to tell you about Maurice.

Maurice grew up in North Lawndale, one of Chicago's most underserved neighborhoods. He had a good job once — at O'Hare. Then one legal mistake cost him that career. After that, door after door closed. He applied everywhere. Nobody would take a chance on him.

Fillmore did.

We put him in the soil sort room — the hardest job in a healthcare laundry. You're handling incoming bags of soiled hospital linen. It is hot, heavy, and most people don't last. Maurice showed up every single day. Within months, he was promoted to lead. Then to production supervisor. Today he runs the production floor before most people's alarm clocks go off.

He said something to me once that I have never forgotten: "I want to be the kind of leader I needed."

I run a healthcare laundry operation in Chicago. We process soiled linen from hospitals. It is physical, unglamorous, essential work. And I am less afraid of artificial intelligence than most people I know who work in knowledge industries. Maurice is part of the reason.

Because no algorithm would have hired him. No model trained on hiring data would have seen what we saw. And no AI, however sophisticated, is capable of sitting across from a man rebuilding his life and recognizing — in the way one human being recognizes another — that there is something worth betting on.

What the Floor Teaches

The panic around AI comes, I think, from a category mistake. We are confusing mechanism with mission. Mechanisms change. Missions endure.

We've integrated AI into planning, scheduling, compliance documentation, and operational modeling at Fillmore. The productivity gains are real. Tasks that once took days now take hours. But we are also learning what AI actually requires in practice. Every output demands human review — not as a formality, but because the technology cannot yet be trusted without it. That will improve. It will not become judgment. It will not become wisdom. And it will not become human.

Here's a concrete example. We recently built a distribution model for a major hospital curtain program — processing tens of thousands of curtains across dozens of Chicago-area hospitals. AI was instrumental. We used it to run scenarios, stress-test assumptions, calculate routing logistics, and project costs across a complex variable set. It accelerated work that would have taken weeks.

But every critical decision required human judgment. Which hospitals needed premium pricing due to distance and complexity? How do you build a startup schedule that doesn't overwhelm the plant or the client? How do you structure spare curtain inventory so hospitals aren't left exposed? AI gave us raw material. Experience, relationships, and judgment shaped it into something real.

There are things AI cannot touch at all. It does not walk the floor and sense when morale is slipping. It does not invest in a person society has written off and help them discover their own capacity for leadership. It does not comprehend the moral weight of delivering hygienically clean linen to the sickest people in our community.

And it does not bear responsibility. Responsibility means someone can be summoned. Someone who stands behind the work, absorbs the consequences, owes something to the patient at the other end of the supply chain. That is not a limitation of current AI that future versions will overcome. It is a categorical distinction. Responsibility requires a moral agent. Tools, however sophisticated, are not moral agents.

The Gown

A few months into his time at Fillmore, Maurice took a tour of one of the hospitals we serve. He had been folding gowns for months — the same blue-and-green cotton-poly blend, size large, eight hours a day. Fold. Stack. Repeat. He was good at it. But if he was being honest, the work felt invisible. He had no idea where the gowns went or who wore them.

Then the hospital manager asked if the group wanted to see the ICU. A nurse had specifically requested that the laundry team come by. She wanted them to see what they do for her patients. Maurice walked into that unit and saw, for the first time, a patient in one of his gowns. Elderly. Fragile. Connected to monitors. Wearing something that Maurice's hands had folded hours earlier.

He didn't say much on the way back. But something had changed. He understood, in a way that no orientation video or mission statement could have conveyed, that his work was not invisible. It was intimate. It was the difference between a patient lying in clean, safe linen — or not.

That is the moral weight I am talking about. That is what AI does not comprehend. And that is why the mission of our operation is not reducible to any mechanism, however powerful.

Mission Over Mechanism

What makes AI distinctive is not that it replaces certain tasks — many technologies have done that. What makes AI distinctive is that it lowers the cost of intelligence itself: design, modeling, analysis, coordination, iteration. When that cost drops, the feasibility frontier expands and ambitious projects become viable.

But the short-term pain is real. Behind every compressed role is a person — someone who built a career on a skill that took years to develop, with a mortgage, a family, and a professional identity tied to work that may not exist in five years. That deserves to be named, not to paralyze us, but so we take the human cost seriously as we navigate what comes next.

The deeper principle: if the organizing mission of a firm becomes "maximize short-term margin by replacing labor wherever possible," AI can hollow out communities. But if the mission remains broader — expanding opportunity, building resilient healthcare infrastructure, improving patient outcomes — then AI becomes an amplifier of those goals rather than a substitute for human purpose.

Maurice runs our production floor now. He mentors every new hire who walks through the door. He is, by any measure, a leader — not because an algorithm identified his potential, but because human beings did. Because someone was willing to see past the record and into the person. That is not something we are automating. That is the mission itself.

The floor at Fillmore is alive — the machines, the cultures, the music, the steam, people doing hard work that matters. AI has made us more productive. It has not made us more responsible. It has not made us more accountable to the patient in the ICU. It has not made us more human.

The defining question of this era will not be whether AI replaces certain jobs. It will be whether we remember what we are trying to build in the first place. Maurice already knows the answer. He said it best himself: he wants to be the kind of leader he needed.

So do we. And that is the work.

Gregory Gicewicz is chief operating Ooficer of Fillmore Linen Service, an accredited healthcare laundry company in Chicago's North Lawndale neighborhood that combines hospital-grade textile services with second-chance employment. He is the founder and CEO of Compliance Shark, a healthcare laundry compliance consulting platform, and previously served as president of the Healthcare Laundry Accreditation Council. He is the author of Linen Saves Lives.

Early Warning Signs Your Hospital Linen Program Is About to Fail—And How to Fix Them

By Gregory Gicewicz

This article originally appeared in the Jan-Feb issue of Healthcare Hygiene magazine.

Most hospital linen programs don't collapse overnight. They erode slowly, sending quiet signals months before shortages trigger urgent complaints. By the time nursing is rationing washcloths or EVS is hoarding towels, you're already in crisis mode. The key is catching the drift before it becomes a disaster—and implementing targeted remedies before small problems become expensive crises.

Here are the earliest indicators that your linen program is headed for failure, what they reveal about deeper operational breakdowns, and practical steps to reverse course.

Loss of Visibility and Measurement

Warning Sign: No one can tell you basic metrics—clean pounds delivered per unit per day, pounds per adjusted patient day, or week-over-week trends. If linen data only surfaces during problems, you've lost operational control. Reports may exist, but if they're not reviewed or acted upon, the measurement system has become theater rather than management.

The Remedy: Establish a monthly linen dashboard reviewed by a cross-functional team (EVS, nursing leadership, supply chain, laundry). Track three core metrics: pounds per adjusted patient day, replacement cost per APD, and delivery fill rates. Set thresholds that trigger investigation—don't wait for crisis. If the data doesn't drive decisions, you're just creating paperwork.

Par Levels Divorced from Reality

Warning Sign: Par levels based on "what we've always had," wildly different levels between similar units with no documented rationale, or units self-adjusting inventory without approval. If your last formal par review was over six months ago, those levels are almost certainly wrong.

The Remedy: Conduct quarterly par reviews tied to census and acuity data. Document the logic behind every par level—census range, procedure volume, specialty needs. Require approval for any par changes and track the business case. Adjust pars seasonally if your hospital experiences predictable census fluctuations. Make par management a proactive discipline, not a reactive scramble.

Silent Hoarding and Behavioral Drift

Warning Sign: Clean carts sitting untouched for 48+ hours, visibly overfilled closets, linen stored in med rooms or hallways. When staff say "We like to keep extra just in case," they're compensating for a system they don't trust.

The Remedy: Implement daily cart rotation protocols—first in, first out. Conduct weekly "linen walks" where leadership physically inspects storage areas for overfill and non-rotation. Most importantly, address the trust issue: if units hoard because deliveries are unreliable, fix delivery consistency first. You can't audit away hoarding if the underlying system is broken.

The Accountability Vacuum

Warning Sign: Laundry thinks EVS manages it, EVS thinks nursing controls it, nursing thinks supply chain orders it. This diffusion of responsibility guarantees failure.

The Remedy: Assign a single linen program owner with authority across departments—someone who owns the entire flow from dock to patient and back. Create a RACI matrix (Responsible, Accountable, Consulted, Informed) that defines exactly who does what for ordering, delivery, quality, par management, and soil pickup. Make unit nurse managers accountable for their unit's linen utilization metrics. Clear ownership eliminates the finger-pointing.

Replacement Costs Hiding in Plain Sight

Warning Sign: Replacement expenses buried in general supply budgets with no per-APD tracking. If increases are explained away by inflation without volume correlation, no one's actually investigating.

The Remedy: Break out replacement costs as a separate line item tracked monthly per APD. Set a threshold (e.g., 10% increase over baseline) that automatically triggers root cause analysis. Correlate replacement spikes with specific units or time periods to identify patterns. Make someone own the number—if replacement costs rise, they need to explain why with data, not assumptions.

Clinical Misuse as Adaptation

Warning Sign: Linen used as wipes, padding, or disposable barriers. Gowns used for warmth rather than infection control. Specialty items appearing in general units. These signal that linen has become a substitute for missing supplies or inadequate processes.

The Remedy: Conduct a clinical use audit to understand why misuse is happening. Are towels being used as wipes because wipes aren't stocked? Are gowns for warmth because blanket pars are too low? Fix the root cause—supply the right products or adjust pars—rather than just policing behavior. Also, provide education on proper use and the cost implications of misuse. Staff often don't realize a bath blanket costs $40 to replace.

Cultural Indicators

Warning Sign: Linen only discussed during crises. "Laundry issues" treated as nuisance problems. Staff view shortages as inevitable. Leadership only engages after nursing complaints escalate.

The Remedy: Elevate linen to infrastructure status in leadership discussions. Include linen metrics in operational scorecards alongside length of stay and patient satisfaction. Celebrate wins—units that reduce waste, improve rotation, or maintain stable utilization. Make linen management visible and valued, not invisible until it breaks.

The Bottom Line

These quiet signals share a common theme: loss of intentional management. Linen programs fail when they transition from actively managed systems to passively accepted background operations. The erosion happens gradually, but the warning signs are clear—and the remedies are actionable—for those paying attention.

The question isn't whether your program will send these signals. It's whether you're watching for them and ready to act before crisis forces your hand.