A Team-Based Roadmap for Healthcare Change in a Turbulent Environment: a Longitudinal Study of a Not-for-Profit Hospital Transitioning into a for-Profit Organization

This longitudinal research describes how a 50-person management staff, led by a committed chief executive officer (CEO), was able to successfully implement a team-based structure and strategy to achieve a radical change from a non-profit hospital to a for-profit organization over a 12-year period. Many of the issues addressed and practical steps taken to establish a team-based leadership model for the new organizational template are described. Organization development models, diagnosis, intervention, and specific practices to bring about a successful transition are discussed. Seven principles are presented that contain “The Lessons Learned” from the longitudinal organizational systemic change intervention.