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CHAPTER ONE

OPPORTUNITY AND STRATEGIC LEADERSHIP

By Louise L. Liang, MD

Chapter Summary

This chapter describes the key leadership challenges involved in Kaiser Permanente's selection and implementation of a common electronic health record (EHR) system. It discusses the importance of a clear and compelling strategic goal, strong support and understanding from the board of directors, and full participation and buy-in from all leadership groups, especially physicians. It describes a unique “Blue Sky” visioning process that helped to establish broad principles for the transformation of health care quality and service—principles that would subsequently ...

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