“…This new knowledge and new skills go far beyond the traditional nursing curricula because they span a variety of disciplines such as organization development, Lean principles, quality improvement, inventory management, process consulting, value chain management, queuing analysis, diffusion of innovation, complexity science, and negotiation. 63,66,67 Beyond changing the actual nursing school curricula and preparing new nurses for Lean work, our profession must also embrace a proactive stance that helps us overcome the burdens of the past perceptions and biases that associated nurses with lesser, serviceoriented roles that carried out the instructions of others 62 and that predicted that nurses were unlikely to have significant impact on redesigning the health care system. 68 At RWJUH, our nurse leaders have led large, interdisciplinary project teams in 2 collective, complicated, energetic enterprises that have changed attitudes, values, structures, processes, behaviors, and our hospital's bottom line.…”