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This item patients come second leading change by changing the way you lead by paul spiegelman hardcover 2798 only 1 left in stock order soon sold by motif cafe and ships from amazon fulfillment. Patients come second this book not only talks about creating extraordinary results in health care it explains how to do it a must read at every level leading change by changing the way you lead. This item patients come second leading change by changing the way you lead by paul spiegelman paperback 1489 available to ship in 1 2 days ships from and sold by amazoncom. Patients come second shakes up the traditional healthcare model arguing that in order to care for and retain patients leaders must first create exceptional teams and find ways to engage nurses. Leading change by changing how you lead 7 17 2019 2 leading change by changing how you lead patients come second market dynamics a sea of change volume based care length of stay managing budget impact of it episodic care acquisition volume based payment clinical results