Eating a whale is no easy task. Above and beyond the buy-in and change management necessary to create the right environment for change, actually implementing the change is like trying to eat a whale while avoiding being swallowed by another one.

How do you eat a whale? The old idiom says one bite at time, but the truth is, even if you try your best, work your hardest, and focus on the task at hand, it's just too much. In my work, I've seen this struggle play out in clinics, public health departments, and hospital units alike.