This article from Journal of Implementation Science helps to frame the infrastructure of implementing practice change, via a snapshot of the players and mezzo system in actual practice. 

I found it helps me as a front line worker think about my own efforts at practice change can be understood--- my place in the dynamic and how I could be more strategic in seeking and giving advice.

From District Health Councils to the LHIN's our decades struggles on how to manage health governance continues.  The 10 minute discussion on CBC is worth a listen.

Ottawa Morning with Robyn Bresnahan