On the surface, a request for proposal (RFP), seems like a methodical and rational method to find a vendor to work on your project. You create criteria, assemble a pool of possible solutions, and choose the best one.

But there are three serious problems that occur when you apply this approach that make its effectiveness mediocre at best.

“We totally appreciate you being our voice,” a member and laboratory leader told Michelle Hoad as she stood in the lobby of their hospital. 

Three years into her tenure as CEO of MLPAO she had built a network of leaders like that one, increased membership by 35%, and delivered on her promise to “change everything.”  It wasn’t easy though...