There's a fundamental distinction between strategy and operational effectiveness.
Sound strategy starts with having the right goal
Strategy is about making choices, trade-offs; it's about deliberately choosing to be different.
I teach in the medical school, the School of Public Health, the Kennedy School of Government, and the Business School. And it's the best perch... because most of my work crosses boundaries.
The essence of strategy is choosing what not to do.
Ultimately, health care fails the most basic test. It's not organized around the needs of the patient.