title: Changing the system.
authors.forename: Tom
authors.initials: T
authors.lastname: Bissonnette
authors.forename: Ann
authors.initials: A
authors.lastname: Kettering Sincox
mesh_terms: D018166:Health Care Reform / Q000458:organization & administration*; D006801:Humans; D008824:Michigan; D020380:Needs Assessment / Q000458:organization & administration*; D024802:Nurse's Role; D009936:Organizational Innovation; D013597:Systems Analysis; D014481:United States