This morning as I awoke with the sun coming up over the mountain, I was struck with the similarity of the autumnal changes of the mountain, and the changes we are now seeing in our health care system.
If you look at the side of a mountain as a whole, the change appears to be gradual. Slowly the variegated green of summer turns into a quilt of reds, organges, yellows and browns. But have you noticed that some of the trees actually turned bright red weeks ago? And after all the leaves have turned color and eventually fallen to the forest floor, there will be some patches of green left on that mountainside, created by those trees whose colors will never change.
I like to think that the changes we are seeing in healthcare, are kind of like the changes we see this time of year on the mountainside. It is very slow at first, with a few leaders out in front, determined pretty much by their genetic makeup as well as environmental conditions. In healthcare, the leaders of change are determined by their culture, and the ability http://www8.nationalacademies.org/onpinews/newsitem.aspx?RecordID=12956