title: Viewpoint: managerial imperatives.
abstract: The development of an institutional culture cannot be left to chance. One must articulate the desirable managerial variables that will establish the mores of and for the institution. When these are known and become the basis for the actions and activities of those who are part of the institution, the operational results will be satisfactory and desirable.
authors.affiliation: Toomey Consulting Services, Inc., Greenville, SC.
authors.forename: R E
authors.initials: RE
authors.lastname: Toomey
mesh_terms: D016542:Chief Executive Officers, Hospital; D004991:Ethics, Institutional; D006739:Hospital Administration; D015279:Organizational Culture; D009937:Organizational Objectives; D010684:Philosophy; D012380:Role; D012945:Social Values