Change is an opportunity to make course corrections, update, and modify. It can invigorate and inspire. But what about changes so all-encompassing that the external industry landscape has shifted to the extent that nothing less than a fundamental revision of business strategy is necessary? If you’re in healthcare, federal mandates may be behind a transition of this magnitude, affecting delivery of clinical care as well as operational systems. Commodity driven price structures are challenging margins in manufacturing. Technology firms are struggling to differentiate in a crowded market.