This project is defined as an evaluative trial research (‘følgeforskning’) (Lindøe, Mikkelsen & Olsen, 2002) for the task planning part of the organizational development project MOT (employees, organization and technology) of Helse Vest. The project will be based on four sources of data: 1. available internal audition reports and data for the first part of the MOT project , 2. qualitative data collected by interviews and focus groups, 3.surveys, and 4. register-data from the health region. The two PhD students on the projects are dependent of these data.