title: Change by design.
authors.forename: M
authors.initials: M
authors.lastname: Johns
mesh_terms: D002568:Certification; D004496:Education, Continuing; D006075:Governing Board; D019451:Information Management / Q000639:trends*; D008497:Medical Record Administrators / Q000193:education / Q000592:standards; D009936:Organizational Innovation; D010934:Planning Techniques; D011361:Professional Competence; D014481:United States