Abstract
Transformations take as many forms as the organizations they change. However, the success of healthcare-based transformations requires significant cultural shifts and operational changes, many of which mirror the tenets of classic transformer W. Edward Deming. Attaining Magnet hospital status and the integration of the e-health record into nursing school curricula are 2 examples of how healthcare leaders have championed a series of changes that produced sweeping transformations. Success is likely to elude healthcare leaders who mount massive transformations, while those who focus on making seemingly small, interconnected changes are more likely to see the results they envision over time.