Cermak Health Services provides healthcare to detainees in the Cook County Jail. It has faced issues like losing accreditation and lawsuits around patient safety. Richard Blackwell leads a process improvement effort using Six Sigma methods to automate medication administration using a new electronic system. This aims to ensure the "five rights" of medication and address issues like a fragmented current process, security concerns, and the challenges of a jail healthcare environment. Change management is key to transitioning the organization through this large-scale process change.