Too Big to Fail—Urgent Care Lessons from Toyota

John Shufeldt, MD, JD, MBA, FACEP In his book, How the Mighty Fall: And Why Some Companies Never Give In, Jim Collins discusses the five markers or stages of decline and how a company can identify these stages and reverse itself even after large-scale defeats along the way. (Or, as Bluto (John Belushi) said in Animal House, “Was it over when the Germans bombed Peral Harbor?”) Applying those stages to the rough patch of road …

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