Organizations can put together great plans, but without the right leadership—and culture change—those plans often don't become a reality. I've written before about the competencies organizations need: a nimble organizational culture (see The New Cultural Competency: Ability To 'Turn On A Dime'), a competitive metrics-based culture (see Creating A Culture Where Metrics-Based Management Can Succeed), and a culture that can reinvent itself to succeed with value-based reimbursement (see Building A Culture Of Performance).

Part of the challenge is that the leadership skills and organizational culture that were successful in the past are not . . .

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