How do you tackle challenges head on when you have very big shoes to fill? In this episode, host Douglas Nelson talks with Jim Hickman, the Chief Executive Officer of Center for Youth Wellness, about his profound responsibility of stepping in for California's first Surgeon General and continuing to build on the great work she started at the Center for Youth Wellness. Jim gets down on how their organization is changing the way care is delivered in America, and shares how he’s bringing along the management team, the people who provide the care, and the board to move with an expanded view of the organization in this direction. He also shares how you can keep your focus on the mission of your organization rather than getting lost in the process of the change.