Have institutions neglected a fruitful way to implement their plans for change? Subtitles: From little acorns...; Factors to remember; Multiplying the transformers. Pull quotes: "Planning theory teaches one thing, life another." "Each little problem should be seen as an opportunity to introduce new ideas and practices." "Planning may be relying too heavily on top leadership and budgeting incentives." "Implementation happens in the trenches." "We often don't allow ourselves time to think."
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