Preface

Overview

Healthcare over the past decade has been required to undergo significant fundamental change—change that will likely continue for the foreseeable future. Most healthcare organizations have risen to the challenge, yet many are struggling to achieve the desired success. The intent of this book is not to examine the external factors driving these changes; there are many other texts dedicated to that particular task.1 Rather, the focus here is on examining the internal factors causing the struggles: the organizational capabilities of structuring and executing change through performance improvement methodologies—specifically, one of the more successful ones, Lean Sigma.

1. One such example is Escape Fire, by Donald M. Berwick. Also, ...

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