A professional with forty years in healthcare delivery and hands-on management, my views have evolved over time, been tested through trial-by-fire, seen mediocre ideas become highly successful programs and promising ideas dissolve into disastrous failures. In short, I've learned that you can't succeed unless you know how to fail. Failure is merely an undesirable outcome. Avoiding it requires continuous introspection; reflection; and real-time review of protocols, processes, plans and perceptions of expectations. A totally honest and brutal assessment of performance to discern what worked and why, and perhaps, more importantly, what didn't work and why not. The answer(s) will be found...