“…In order to promote more systemsbased delivery of care, promoting more collaborative, unified, and cohesive agency-to-agency initiatives, current research proposes that service agencies look outward to advance care inwardly (Bates et al, 2001;Brilliant & Young, 2004;Hyde, 2004;Jackson et al, 2002;Peled, 2000;Skinner & Whyte, 2004). Successful organizations focus on continuous improvement and are more tolerant of changing regulations and ambiguities, while possessing initiatives such as flexibility, accountability, and shared responsibilities (Lawson, 2003;Martin-Castilla, 2002;Panzer et al, 2000;Warshaw, Gugenheim, Moroney, & Barnes, 2003).…”