I think the first thing that is needed is that the organization realizes that it has to change. When I look at some examples in other industries (the American auto industry -or rather the American manufacturers- or Nokia for example) it becomes pretty obvious in hindsight that they didn't want to change and have not understood that the customer demand went away from their products.
This is a tough "sale" internally and when you have the pressure to produce quarterly numbers it becomes even harder to take a step back and have a look at your strategic direction. It is funny to see how "the market" and its analysts, who don't contribute/produce anything for a company's customers or the value creation, pushes companies even further into this treadmill.
But this seem to be our times now ...