Chapter 2Criteria for an Initiative's Success

Every change initiative begins with high hopes. “It will improve the care we offer patients. It will make for better outcomes. It will make us more efficient, lower our costs, save time.” And indeed: why should this not be the case? Projects or initiatives are a catalyst for change. They are the method for moving from the current state of affairs to a better future. They are the vehicle to carry an idea from concept to reality. They are the way health care organizations innovate and thus improve. John F. Kennedy is thought to have said that the only reason to give a speech is to change the world. Initiatives by definition are about changing the world—the world of health care. That is their justification, ...

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