FOREWORD
I am not sure what makes a “classic,” but I am sure this book is one. It is, overall, the most useful text I know for the student of the modern approach to system improvement—accessible, sensible, systematic, and remarkably complete.
My journey into the world of quality improvement began in the mid-1980s. I was responsible for reporting on the quality of health care in the largest health maintenance organization in New England, the Harvard Community Health Plan. I was classically trained as a physician and as a health services researcher and was teaching both pediatrics and health care evaluation (statistics, decision theory, cost-effectiveness analysis, and such) at Harvard Medical School and the Harvard School of Public Health. ...

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