For Quint Studer, his concept of hardwiring is a central part of his prescription for institutionalizing and routinizing. With sufficient practice, it will make teams, departments, organizations, or individuals integrate actions or behaviors to ensure it becomes a habit if done consistently. The healthcare flywheel or principals, passion, and pillar sustain by building the essential practices of performance. The 3 P’s reflect, the concepts of purpose, making a difference, and worthwhile work among individuals. There are nine principles which are designed to help organizations set desired results and reach them. Management at all levels must collectively represent a broad range of relationships at all levels by fostering them (Spaulding, Gamm
