Getting the economic gains where and when you need them most.

Often, even before the vision for the restructured hospital is completed, talk begins about "which area to implement first" and "how many areas to tackle." Certainly, there are many considerations in making these decisions such as, the political mood with physicians and staff, synergy with changes already on the books, areas which are vacant and easily renovated, and more. However, these decisions may limit the alternatives for your Economic Change Strategy. They may even implicitly set it for you. And, as such, they should be taken very seriously because they directly impact the when and how much of your economic gains from restructuring. Want to get the most economic gains from restructuring? Define your Performance, Operational, Cultural and Economic Change Strategies and keep them in sync. And you won't be betting the farm that chance will do that for you.