ABSTRACT
As healthcare organizations progress in implementing industrialization, the conflicts between their 20th century heritage and the new values, structure, and practices of industrialization increase and become clearer. The conflict results from the introduction of industrialized quality and operational practices into this older system and the dramatic differences between the two. As this conflict intensifies, the ten transitions begin to appear. These transitions arise as the organizations recognize that the qualities and characteristics that are in conflict with industrialization actually come from the traditions of the 20th century values, structures, and practices that are embedded in the fabric of the organization’s daily life. It is this realization that enables the organization to recognize that the new images are 21st century healthcare emerging out of the conflict between industrialization and 20th century healthcare.
