Chapter 1How Organizations Can Really Change
Leon C. Megginson (inspired by Charles Darwin) said that it is not the strongest of the species that survives, nor the most intelligent, but the one most responsive to change.1
General Erik Shinseki, who was U.S. Army chief of staff from 1999 to 2003, said, “If you don't like change, you will like irrelevance even less.”2
The quality guru W. Edwards Deming put the matter even more starkly: “It is not necessary to change. Survival is not mandatory.”3
Though health care offers few guarantees, there may be one simple truth that everyone in the field can agree on. Organizations that embrace change will stand the best chance of surviving, prospering, and delivering better care. Those that shrink from ...
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