This year at the Kentucky Derby, the winner will walk away with a $1.8 million prize. The runner-up is looking at a $600,000 prize, and third place will walk away with $300,000. The difference between first, second, and third prize will likely be only milliseconds—and over a million dollars. In horse racing, first prize is only one that really matters. In health care, there's a little more breathing room—but as the market changes, there is an increasing pressure to improve performance against the competition.

At last month's OPEN MINDS Performance Management Institute . . .

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