Healthcare systems worldwide are swamped with demand, short of resources, and ill-equipped to respond to global health crises like COVID-19. This book is a guide for reforming healthcare delivery. The way we organize health care matters, and the people best positioned to drive this are the doctors, nurses, and clinicians who deliver care. The book offers a framework for transforming health care that covers operational design, change management, long-term learning, and organizational environment. It describes the work of leading local operational change and identifies key decisions to be made, actions to be taken, and factors that must be considered. The challenge of modern health care is to develop better organizations capable of delivering compassionate and individualized care on a grand scale while preserving the personal relationship between clinician and patient and the quality of care in the ward, operating room, clinic, or practice. Informed by extensive research and experience with systems all over the world, Richard Bohmer shows how organizations may transform by deploying a new workforce of clinical change leaders and how clinicians can take greater control over their own working environments.