A strong board with the right members will make or break this transformation process. Uncertainty will cause stress and require solid, timely, and well-informed decision making. Reform requires more than a quarterly update or progress report. It requires significant board buy-in and is only be possible if the board is thoroughly educated and committed to transformation. The agency may need to identify new board members with competencies that will directly benefit the organization during the transformation process, ., board members experienced in primary healthcare or managed care. .
