"By using theories of Six Sigma and Lean methodology, this text presents solutions to fundamental problems in healthcare. This text 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 by addressing the specific issues. The book discusses the application of IT in healthcare as a tool of improvement, and how to select the best project for improvement. The author also includes a discussion of ISO and the Malcolm Baldridge award. Case studies are included to illustrate successes"--Provided by publisher.