Goodspeed S W
Parkland Medical Center, Derry, NH, USA.
Mich Health Hosp. 1999 Jan-Feb;35(1):28-9.
A profound set of changes is occurring all around us in health care. Many of our organizations are going through a merger or consolidation; some are struggling to grow their net revenue; some are prospering in the new competitive environment; others are trying to figure out just how to survive. Our task is to create health care organizations that work, especially in a world where everything constantly seems up in the air. We know that fundamental change is required. The changes that effect our health care organizations can often times have a profound effect on our communities.