Health care systems have undergone rapid changes over the past decade and can expect ever-increasing change in the future. As we continue to work with leaders in the field our focus is on the change efforts that relate, in particular, to: capital allocation; quality and patient safety; physician relationship within the system; community benefit and community responsiveness; and consumer-focused practices.

Dramatic changes impacting standardized public services now require that these areas seek ways to respond quickly, flexibly and effectively to the rapidly changing needs of the country.