A medical staff leader's guide to change management

Better Times Hospital is in crisis. The medical staff is deeply rooted in a departmental structure that relies heavily on committees, and few physicians want to serve on them. Joe, the medical staff president, has just ­finished reading Leading Change by John Kotter and has decided to follow the book’s suggestion of assembling a guiding coalition. The coalition must be able to create an environment in which it is safe to talk about several controversial issues, including whether the current medical staff structure is sustainable moving forward. The guiding coalition also needs to be large enough to include a variety of viewpoints, yet small enough to implement ideas efficiently.

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