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This B case focuses on implementing and sustaining improvements designed by a Six Sigma team working in the ER department of an academic medical hospital. The team's Black Belt has decided to use stakeholder-resistance analyses to help the team increase stakeholder acceptance of the process-improvement changes that have been tested via a pilot study. Students can conduct a stakeholders' resistance analysis, develop influence strategies and communication plans for addressing the project's acceptance challenges, and prepare elevator speeches for key stakeholders identified in the A case. The B case also provides an opportunity for the instructor to build on the Change Acceleration Process (CAP) and the CAP tools that were presented in the A case. See also the C case (UVA-OM-1079).