The document provides 20 ideas for making change happen organized by idea number. The ideas include focusing on high impact changes, making initiatives important and urgent, being a role model, sponsoring initiatives, communicating continuously using social media, telling people what's in it for them, giving and getting feedback, getting outside input, keeping ideas low cost, asking forgiveness over permission, keeping things simple, ending meetings with actions, signaling change through symbols, and celebrating successes. The overarching message is that successful change requires focusing efforts, clear communication, role modeling the change, and testing ideas through a process of continuous improvement.