Changing organizational culture to implement organizational change.

With the advent of managed care and the restructuring of hospitals, health care is in a state of transition. In the past, healthcare executives seemed to believe that they were isolated from the changes that were occurring in corporate America. However, the need for change in both organizational culture and performance is here. To successfully navigate the "permanent white water" of health care change, examples from business are needed. These examples include work redesign, restructuring, and behavior modification to promote the changes needed for health care to move forward.