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A successful and necessary evolution to shared leadership: a hospital's story.

The success and adaptability of healthcare organizations will depend more and more on their ability to draw on the capabilities of their people. Tillsonburg District Memorial Hospital, a rural Ontario hospital, has evolved an organization and culture based on shared leadership and decision-making responsibility. Today this extends to front-line teams. This did not come about, however, without continuous effort. Successful transition takes preparation, guidance, much thought, commitment and patience.