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I agree with Stacy except most of the time we tend to flow with our Managers since they have a proven track record.  I spent 40 years as a hospital CEO with a number of managers that had been with the company for many years.  After about a year, I began to make changes that upset some of the Managers and they left which caused our census to go up and our patient reviews to skyrocket.  I learned very fast that some change is great but you must take it slow.

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