ABSTRACT
Making the changes required to become a 21st century healthcare organization requires metaphors that provide the images or vision of what this looks like to motivate and guide the changes (Morgan 1993, 2006; Goodwin 2013). For most organizations, the current environment in healthcare is changing so fast that they rarely have time to consider something as seemingly remote as a distant concept of 21st century healthcare. In reality, however, the industrialization of healthcare occurring now portends the arrival of 21st century healthcare, and many organizations may not be ready for it. Choosing not to be ready when the future arrives can be an organization-ending decision.
