Organizations have to grow up.

Organizations progress through a series of growth stages as they mature. How they handle themselves in each stage will determine how well they function within a stage, how rapidly they progress to new stages, and whether they succeed to a new stage at all. Those organizations that adjust to growth most effectively become the standard setters that other organizations follow. Health care organizations, to compete effectively in a changed and changing environment, must seize opportunities to achieve excellence and reach the third stage of organizational development.