By using theories of Six Sigma and Lean methodology, this text presents solutions to fundamental problems in healthcare. It breaks the system down into three fundamental areas: primary care, hospitals, and managed care. The author identifies the four critical issues that affect healthcare as it relates to efficiency and cost, discusses the application of IT in healthcare as a tool of improvement, and explains how to select the best project for improvement. Complete with case studies that illustrate successes, the book includes a discussions of ISO and the Malcolm Baldridge award.