ACHE is proud of how their affiliates continue to provide high-quality care and service to the public during these difficult times. As in any crisis, there are both old learnings reinforced and new lessons learned. One book the author has found especially helpful is titled Leadership in the Era of Economic Uncertainty: The New Rules for Getting the Right Things Done in Difficult Times. Here are tips by the book author Ram Charan for leading during an economic crisis: 1. Patients, staff and the community must always come first in their minds. 2. Never is there a greater need for superb customer service than during a period such as this. 3. Finally, there is inevitable career fallout during a period of economic instability.