1. Why is managing strategic change so difficult?

2. Read up on the process improvement program, Six Sigma (http://www.6sigma.us/) and the lean concept and provide a brief description.It is possible to earn certification in these techniques.Would that be a useful career credential for your career as a Healthcare Practice Manager or Operations Director?

3. Why is benchmarking and best practices a useful tool to understand? Describe the usefulness of the tool.