The NHS focused on the four hour maximum wait time for a patient, leading to employees like gaming the system and holding patients and ambulances until they'd be seen in four hours instead of documenting people as they walk in. One division director actually said, you know what, my entire division, it would make more sense if I rolled it up into my colleague's division. That one shape was like a $7 million savings. And so they found all of these other different kinds of savings just because they were thinking not of themselves anymore, but of the other person and in the context of the whole business. So that's one organizational people.

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