There is a new CEO, and she is interested in implementing a "new way" of doing business at the organization. The organization has historically approached problems in a "top-down" way, with managers telling people what to do and how to do it. The CEO is more of a servant leader and wants a "bottom-up" approach to problem-solving that she sees as tapping into the creativity of the front-line teams and building a new culture.

You have been asked to lead a large-scale change project for your healthcare organization. The change is significant and will represent a new way of doing business for many of the organization's current employees. The change effort, yet to be defined, is projected to save your $5B healthcare organization $15M per year through reduced waste, improved productivity, and reduced supplies, services, and other overhead costs. You are a part of the leadership team, and you have all committed to taking out the cost by improving processes and non-labor costs, not by reducing force or layoffs.

Questions:

How would you approach and engage in this change effort, with specifics on how you would organize for success?

What would you be concerned about, and what would you do to minimize the risks?