Most hospital executive teams today are focused on the same goals—rapidly improving quality, increasing efficiency, and reducing costs. Everyone knows how important these objectives are, but executing on them can be difficult.

One of the main challenges is leadership. Effective change management requires a top-down, bottom-up approach based on formal performance improvement tools and methodologies. In many health systems, however, it is difficult to find an executive who has the knowledge set, professional relationships, and authority to effectively lead comprehensive performance improvement while demonstrating and documenting ROI.

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Robert Green, Darryl Greene, John Orsini