For anyone interested in creating and sustaining breakthrough change, you may want to read a fascinating article by Matthew Chin entitled Sustainability and the Second Law of Thermodynamics (September 2003). Matthew runs Operations Success Programs with the Primary Care Development Corporation, an organization that helps health centers and clinics form learning collaboratives to achieve and sustain transformational change in serving the poor, the uninsured, and the under-insured in New York City.

After years of implementing a highly successful organizational learning model in diverse health centers and clinics, he and his colleagues became interested in why clinics and health centers have a hard time sustaining the gains that they made. He discovered that leadership was critical to long-term success.  read more »