A trans-organizational mindset is one where the top management has built in a holistic understanding from across the sector and other industries as well. This eventually seeps down to the rest of the firm. This form has particularly worked in the health industry and has led to increase in cross-organization collaboration. Management training programmes these days are integrating this sort of learning in action by involving different stakeholders. Thought leaders such as Samuel Culbert, David Boje, Thomas Cummings and Kurt Motamedi have been at the forefront of this paradigm shift.