Governments, payers, and other stakeholders are promoting or even demanding expanded access to care, greater coordination of care, use of health information technology--and maximization of the value, efficiency, reliability, quality, and safety of care, often without increased revenue. An all-new edition of a bestseller, this book provides detailed strategies to help leaders and their organizations address these critical challenges in a changing health care environment. Top experts, including David Bates (Brigham and Women's Hospital), Paul Convery (Baylor Health Care System), and Peter Pronovost and colleagues (Johns Hopkins University), survey current knowledge, describe case studies, and provide invaluable advice on the following urgent topics: * Balancing systems-based solutions and accountability in a safety culture * Identifying and responding to patient safety problems * Training physician and nursing leaders for performance improvement * Engaging patients in patient safety * Ensuring safe, effective, and efficient use of health information technology * Improving management of chronic disease * Implementing, sustaining, and spreading improvement Special Features: * Foreword by world-quality and safety expert Ross Wilson, M.D. * Key messages for a leaders--a global audience of chief executive officers, chief medical officers, chief operations officers, and other health care executives; quality and safety officers; and other clinical leaders--in hospitals, health systems, and other health care settings * Authoritative tutorials on current literature and experience and what's next on the horizon * Detailed case studies of best practices