This is an age old question that can drive you crazy. Every company I have worked for has suffered with change and doing it well. John Kotter wrote a book called Leading Change in which he does an excellent job of laying out the 8 steps for change. If you look at the steps and divide them into strategy/vision or execution, you will see something very telling. There is a very important process between setting the vision and driving it to when execution takes place. In my opinion, this is the most critical - to take a vision and be able to put actionable steps to make it happen. This involves strong communciation to achieve buy-in and then the ability to determine the steps - looking of the win/win - business value against effort and dollars.
This is the key to making this successful. It cannot be part of someone's every day job. That is where companies make their mistakes. This takes time and dedication and a special group of people to lead this effort. If organized well, you can accomplish the most complicated change efforts needed to tranform a company.
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