The traditional functions of management--planning, organizing, leading, and controlling--continue to be the key activities used to enable the organization to accomplish its goals and objectives. Though significant changes have occurred in all organizational structures, processes, and managerial styles, these traditional functions remain a constant. What has undergone significant change, as this article examines, are the skills and competencies within each function, which managers must develop and employ if they are to be successful practitioners in today's dynamic health care organizations.