I was thinking that the current financial management situation for most provider organizations is a bit like rafting. Not the kind of rafting that I did when I was a girl—drifting down a lazy Minnesota river on an inner tube. I was thinking more of whitewater rafting—floating on a raft along a river where the current is fast and rough with many rapids along the way. To be a successful whitewater rafter, you need focus, teamwork, and nimble strategic thinking.

Managing in the health and human service field has been a lot like whitewater rafting for the past . . .

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