Book excerpt: Using construction as their metaphor, authors Joe Tye and Bob Dent make a compelling case that a healthcare organization’s invisible architecture—a foundation of core values, a superstructure of organizational culture, and the interior finish of workplace attitude—is no less important than its visible architecture. Further, they assert that culture will not change unless people change, and people will not change unless they are inspired to do so and given the right tools. The fully updated second edition of Building a Culture of Ownership in Healthcare takes readers on a journey from accountability to ownership—providing a proven model, strategies, and practical solutions to help improve organizational culture in the healthcare setting. Learn how investing in your organization and your people can enable a significant, successful change in productivity; employee engagement; nurse satisfaction, recruitment, and retention; quality of care; patient satisfaction; and financial outcomes.