In the wake of today's global economic downturn, more and more companies are making organizational changes, from restructuring to right-sizing, to stay competitive. For more than two decades, the healthcare industry in Canada has been transforming its system and streamlining its operations through care integration and centralized governance. Change management has become the de rigueur catch phrase used by executives to describe everything from new taskforces and strategies to new tools and processes. Yet studies show few organizations are succeeding at it. As a healthcare consultant who coaches leaders through change, what do you think that most of these firms fail to do?