Enterprise applications are driving change in most every hospital, and transplant programs are no exception. I’ve spoken to many nurse coordinators, and I often hear they are coping with change; many are adopting new systems in progress, or will be soon. I get to speak to a variety of healthcare personnel as part of my job and it seems that the only constant these days, is change. Changes in software, changes in workflow, changes in management, and merging of institutions are common. Sometimes change is for the better of the organization but is it always welcome for the service line or more importantly, the transplant team working with patients.