Health East underwent a major adaptation change in its approach to health care delivery. Medical error reporting should be both mandatory and voluntary if we are to improve quality and accountability in this industry.
            
             Health East experienced an adaptation change in its approach to health care delivery. It is essential for health systems to adapt to the constantly changing health care environment. According to Kovner and Neuhauser (2001), there are five aspects of healthcare that impact adaptation. The factors include competition, workforce, funding, community service, and technology. Competition in the health care industry affects an organization's ability to grow and survive. This competition has resulted in increased mergers; therefore, larger organizations have been formed that control a larger portion of the market in their particular area. An organization's workforce can place a variety of demands on its management. As for funding, it may be received from a variety of sources, each with its own requirements. Health systems often play a leadership role in improving their community's health status, and community demographics affect an organization's operations. Finally, technology affects organizational structure, goals and values. Additionally, the implementation of new technology can be very costly. Health East appears to have successfully tackled some of these challenges by adopting a complexity theory. According to Mycek (1999), Tom irons and a select few carved a good vision for Health East when he took over as its president. This was to improve the health of those they served, while supporting the mission of its medical school and hospital. The people that recruited irons hoped he would purchase medical practices and change the behavior of physicians. According to Irons, this is an example of standard institutional thinking, the tendency to gain control and hold on to it. Based on past experiences, ...