The words contained in this file might help you see if this file matches what you are looking for:

...Realizing change why is it so difficult to achieve radical transformative the structure of health care system can we realize in such a large and complex what ability do you as an organizational actor have make level happen relative role other players context interaction between multiple structural elements structures hierarchies mandate letters budgets agreements etc competing interests pressures dynamics assessing commitment status quo key dominant groups prevailing institutional template use indifferent with neither committed nor opposed competitive by different templates reformative which are against current prefer articulated alternative situation required for...