Delivering systemic change to a large institution requires more than sound organizational reengineering or optimizing the operating process. Change must be identified, energized, and directed. Potentially sympathetic but undecided hearts and minds must be won, and opposition, whether open or covert, must be understood, met, and overcome. Ultimately, most stakeholders must see change as not just possible, but preferable to the status quo. To paraphrase a slogan from President Obama’s campaign, large coalitions must be given change they can believe in. In that respect, regardless of what you think of his governing agenda—and thoughtful detractors are legion—it’s hard to argue with Obama’s success in campaigning for change he believes in.

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