health care facility that aims to maximize shareholder value by introducing lean health care. While change management performance can be measured in financial terms, what happens when a mishandled change initiative start to endanger the live of patients?

Write a case report based on the following criteria:
1. INTRODUCTION
> What is the case about? Provide facts about the case.
> Discuss main factors/forces driving the need of change.
> When identifying these issues, use relevant information provided by the case.
2. DIAGNOSIS OF PROBLEMS AND CASE ANALYSIS
> Identify and analyze problems, challenges and issues specific to change management as found in the case.
> Identify the enablers and block of change.
> Apply relevant theoretical frameworks and scholarly literature to analyze the case.
3. RECOMMENDATION
> How to manage changes as a manager.
> How the change process could have been managed better. What kinds of organizational intervention?
> Recommendations must be based on key issues as identified in your analysis and supported by key themes in change literature. 

You can apply Kotter’s 8 steps change process as well as Toyota’s lean manufacturing methods for this case. Mention problems, causes, symptoms and provide alternative solutions for each.