Pros
On the ground 'hands on keyboard' people do their best and care enough about one another to help each other. Despite the revolving door of management and the knee-jerk reactionary direction which changes like the weather in Denver, these people still firmly believe in the potential and promise of the organization to impact healthcare for the better, originally set forth by Jeff Margolis.
Cons
There is a complete void of accountability at the mid to upper level management in especially in consulting services. Rather than address this, the organization direction is to make ourselves busy addressing 'process' failures and shortfalls. These very same seeming 'process issues' have been discussed the entire time I've been employed. There have been various 'process studies', 'process improvement' and other initiatives and the very same issues still exist today. Process is not the issue or the 'fix'. Accountability at upper level management is.