​Berwick DM, Feeley D, Loehrer S. Change from the inside out: Health care leaders taking the helm. Journal of the American Medical Association. 2015 May;313(17):1707-1708.

Drawing on the thinking and vision of the newly formed IHI Leadership Alliance, this article describes a set of emerging care design principles to usher in unprecedented performance, driven less by laws, regulations, and payment changes and more by innovations and true collaborations with patients, workforces, and communities.

The authors note that simultaneously delivering better care and better health at lower per capita costs cannot be done without the courage and commitment of leaders in health care. Leaders must ensure their organizations are able to adapt promising practices and innovations to local contexts, engage in authentic dialogue with policy makers and civic leaders, and garner greater trust from the public.

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