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The critical early, primary step in the HFHS’ transformation was the concerted effort to engage and harness leadership across the institution and throughout its manifold layers. This went as far as the topmost level of leadership—the System’s board of trustees—actually having regular, quarterly meetings, as well as communication, with business-unit level advisory boards. This effort was replicated by the CEO, with, instead, four committees comprising the institution’s senior leadership. Further, a normative and transformative direction chosen by the institution involved taking this new communication-centered and leadership-driven...