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Implementing large-scale change at any organization can be challenging, and health care organizations are certainly no exception to this. Following are three key lessons from Southcentral Foundation’s whole system transformation; these steps were a tremendous help to SCF in making major changes to improve the system and provide quality health care for all customer-owners.

Southcentral Foundation’s Nuka System of Care is the name given to SCF’s whole health care system created, managed and owned by Alaska Native people to achieve physical, mental, emotional and spiritual wellness. Nuka is an Alaska Native word used for strong, giant structures and living things.