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The changes inherent in the Affordable Care Act have implications for all aspects of the U.S. health system: financing, service delivery, public health, coverage and access, quality, and, ultimately, well-being. During this period of health system transformation, leaders working to improve the public’s health have the opportunity to think adaptively about these challenges and begin to lay the groundwork for strategic action and innovation.

This tool has been designed for those working in public health and other sectors to use adaptive thinking as they grapple with the many questions presented by health reform and health system transformation.