82 ◾ Beyond the Days of the Giants
luxury of resting on its laurels waiting for the rest of medicine to catch up, it
would be the Mayo Clinic.
The fact that they’re applying such resources to system design right now
is not accidental. The Great Recession has not just caused a temporary, if
large, dip in the business cycle; it has become a defining moment in the
move to great leaps in efficiency, with the (value) numerator in the equation
leading the way now instead of the (cost) denominator.
So entrepreneurialism-by-design is the new means by which we’ll create
the value for which our institutions will become known. It will also, not sur-
prisingly, be the growth and profitability engine that will carry us to the Days
of the New Giants. Gettin ...