Today, healthcare chief executive officers (CEOs) face many pressing issues. To survive the 1990s, CEOs must master "transformational practices" such as continuous quality improvement. CEOs can adopt the following 10 practices to help them become transformational leaders: Establish and act on key commitments. Form teams. Establish a job shadow program. Brainstorm more. Befriend the opposition. Communicate more. Wipe out gossip. Look for breakdowns. Revise the appraisal system.