Give critics on SULLIVAN hospital case study visioning process Solution CEO has initiated changes due to concerns of market share loss and decreasing patient satisfaction. CEO and president of the other associated hospital have difference personalities and leadership styles but appear to work well together. The work in the hospitals appear highly compartmentalized. Hospital managers lacks access to operational data. Does not appear that there are common definitions of critical objectives. TQM was selected as the cure without much analysis or diagnosis. Hospital\'s mission is not clear. Drivers for change include competition, encouragement by government agencies to adopt TQM, customer dissatisfaction. Unclear when or who engaged the large consulting firm on the work redesign project. Will this work conflict with Donald Fulton\'s effor. Hospital policies seem restrictive and overly limiting. Prevent taking appropriate actions by the best person to assess the need..