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A medical staff leader's guide to change management

The guiding coalition at Better Times Hospital has revisited its original proposition, called 3-6-9. The original vision included three medical staff committees (the medical executive committee [MEC], credentials committee, and a single multispecialty peer review committee); six clinical service lines to replace the 15 medical staff departments; and nine members of the MEC instead of the current 30. Did it still make sense?

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