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Good is not good enough: the culture of low expectations and the leader's challenge.

When people believe that what they do is "good enough," excellence will never occur. As the demand for better health care escalates every year, achieving a ranking of very good doesn't count because it leaves many disenfranchised staff, errors, and dissatisfied patients. A leader can not be successful unless the culture of low expectations is eliminated. If there isn't a sense of caring, serving, and being an exemplar of the change, the leader won't succeed in moving the culture. When there is a sense of ownership and commitment to the mission and to patients, the culture of low expectations cannot exist.