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.