The U.S. is facing a structural competitiveness problem that is leading to the weakest economy we have seen in generations.

The ability to change constantly and effectively is made easier by high-level continuity.

Strategic thinking rarely occurs spontaneously

Ultimately, health care fails the most basic test. It's not organized around the needs of the patient.

The underlying principles of strategy are enduring, regardless of technology or the pace of change.

Finally, strategy must have continuity. It can't be constantly reinvented.

The thing is, continuity of strategic direction and continuous improvement in how you do things are absolutely consistent with each other. In fact, they're mutually reinforcing.