Ready for the storm.

Abstract

The coming decade is likely to be more turbulent than any we have faced. In fact, the basic structures and roles of health care may begin to shift and dissolve in ways that we cannot begin to predict. In turbulent times, long-term plans are vulnerable to fundamental shifts in the environment. Planning recedes in importance compared to preparing--nurturing the institutional and individual capacity for change. Rigid planning is about power and control. Preparing is about unleashing the strengths of each person on the crew. Self-development is largely a matter of recognizing what your strengths are, learning to live in those strengths, while nurturing the abilities that do not come naturally. Leadership is largely a matter of creating an environment that helps your crew work from their strengths and supports them in their weaker areas.