title: What to do when trying harder is not the answer.
abstract: I talk with many health care senior managers and executives. In their most candid moments, they admit to finding it hard to sleep at night. What's keeping them awake? The overwhelming demands of managing 21st century health care.
authors.affiliation: Kenagy & Associates, Cambridge, MA, USA. jkenagy@kenagyassociates.com
authors.forename: John W
authors.initials: JW
authors.lastname: Kenagy
mesh_terms: D003405:Creativity; D006298:Health Services Administration; D006302:Health Services Research; D006801:Humans; D007407:Interviews as Topic; D007857:Leadership; D017146:Models, Organizational; D015279:Organizational Culture; D009936:Organizational Innovation; D011340:Problem Solving; D017749:Total Quality Management