Modifying a system of care is a process of such exquisite complexity that, often, when it occurs, we do not seem to understand what made it happen. We typically experience great difficulty both in identifying the precise variables that led to the change and in explaining the ways in which those variables interacted.
This document was created by a committee of participants [Names are included at the end of the document] representing both the government administration [County and State] and the provider organizations over seven meetings [149.5 person/hours] from July to October of 1998. The result was compiled by Mr. Gardner and proposed to County Officials. Many of the recommendations, but not all were implemented.