Fragmented healthcare has created the need for healthcare reform. This requires changing how healthcare is delivered and managed by changing the structure and culture of healthcare organizations across the U.S. However, as you explored in previous courses or may know from experience, successful transformation of the current system of fragmented, high-cost, ineffective care to one that is built on coordinated, efficient, and effective care cannot be accomplished quickly. While decisions must be made to determine strategic directions and obstacles have to be resolved, the process is a steady, thoughtful, and reflective journey. And, the key to success is an adaptive leadership able to advance vision and innovation through collaboration. Collaborative relationships between team members and leadership are critical to the transformation. This is not the time to direct teams, but instead to gain buy-in, agreement, and understanding about the organization’s strategy for and vision of value-based care. Listen, understand, and engage team members in developing solutions to challenges, workflows, etc. that directly impact them. Empowering, inspiring, respecting, and valuing team members will lead to the best decisions, care, and outcomes for patients. Believing in team member abilities leads to everyone reaping the benefits—from staff to patients, family members, other customers, and vendors. As the organization transforms, a new culture emerges with the common goal of supporting and advancing how value-based healthcare is delivered. Remember, as you read or hear terms or concepts that are new to you, have your digital (Word doc) or analog (paper) notepad handy to write them down. At any time, you can use your favorite search engine to learn more. Be a self-directed learner!