All cultures are the result of a system of shared values and beliefs that govern the thinking and behavior of its members. It’s this system that leaders are trying to change when they speak to the need for increased accountability and service, and it’s this system that a leader leads.
More than 5%, or 6 million of the nation's ER visits, were for non-physical issues. These visits affected emergency rooms in numerous ways. First, they filled up the facilities and deprived beds to people who had physical emergencies from getting the care that they needed. Secondly, the visits caused the hospitals to accrue multiple expenses to run essential tests and handle administrative processing.
Here is a readable and worthwhile summary for those of you who don't want to burn midnight oil to review the July 2016 764-page MU modifications document.