Strategic thinking rarely occurs spontaneously
The ability to change constantly and effectively is made easier by high-level continuity.
Sound strategy starts with having the right goal
The chief strategist of an organization has to be the leader - the CEO.
Health care historically has been a very siloed field that's organized around medical specialties - urology, cardiac surgery, and so forth - and around the supply of these specialty services. The patient is the ping-pong ball that moves from service to service.
If your goal is anything but profitability - if it's to be big, or to grow fast, or to become a technology leader - you'll hit problems.