Mate KS, Rakover J. The Answer to Culture Change: Everyday Management Tactics. NEJM Catalyst. March 6, 2019.
This article describes the High-Performance Management System, a model developed by IHI to drive sustained value improvement via culture change. Two pilot initiatives resulted in sustained, significant improvements in quality and value in two very different contexts — outpatient care in the US and acute inpatient care in the UK — through management interventions that resulted in significant cultural change.