The challenge and the opportunity -- History of performance improvement -- Evidence-based medicine and pay -for-performance -- Strategy and the balanced scorecard -- Project management -- Tools for problem solving and decision making -- Using data and statistical tools for operations improvement -- Quality management: focus on six sigma -- The lean enterprise -- Simulation -- Process improvement and patient flow -- Scheduling and capacity management -- Supply chain management -- Holding the gains

1. Medical care -- Quality control
2. Health services administration -- Quality control
3. Organizational effectiveness
4. Total quality management