The first phase of the Leading by Design research began as a pilot study, from 2000 to 2004, during the UK government funded investigation that led to Dr. Ruga being awarded a PhD.  The second phase of this research overlapped the first phase by one year, and is ongoing as the field testing, operationalization, case study documentation, and dissemination of this research.  This phase will include a maximum of 15 active case studies and will be ongoing into the foreseeable future.

The third phase of the Leading by Design research commenced in 2007 with a peer review and dissemination initiative.  During 2007, twelve presentations were made to professional and academic audiences in 4 countries, and three of these presentations included case studies presented by participants. One of these presentations was a Keynote Address at the Health Facilities Scotland annual conference, attended by almost 300 facilities executives. 

As the Leading by Design participants continue to document the improvements that their application of the learning process produces through their case study accounts, the number of journal articles and conference participants increase. Future plans involve additional articles, conference presentations, and providing additional learning resources.

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