We are an inner-city safety net hospital that is constantly adapting and changing to the health Care Industry changes. We are restructuring some of the services we offer to focus on optimal patient care and through put as we continue to navigate through the healthcare transformation. The restructuring of different groups within our medical center has created a lot of change for our employees. We have a significant amount of employees who have been with the organization for many years. We also are starting to hire a lot of new employees and millennials who are coming in with a lot of ideas for change. There is a natural tension between “How we always have done things” and “this can be done so much better if we changed…”. Our leaders are constantly working through these issues and we have created a few company wide programs and team performance improvement programs but its seems like we are just putting out small fires as opposed to strategically developing a plan to truly help our employees find a common ground to navigate the changes we are experiencing.