There is a lot of talk out there about continuous improvement and lean thinking. But, do we know what is really at the core of those methodologies? Dr. John Toussaint and Dr. Christina Dixon join Janet today to dig deep into the core of improvement work. It is no secret that many systems struggle to sustain improvement work beyond isolated occurrences and leaders. In this episode, experts Christina and John reveal the necessary ingredients to help organizations over these obstacles and build the right conditions to sustain performance over time.