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1. Dysfunctional health care can harm everyone involved.
2. Delivering efficient, caring, accessible health care is not just an ideal, but a moral  necessity.
3. Identifying the problem is the first crucial step to solving the problem.
4. Standards must be defined, measurable and required.
5. Consequences must be expected and enforced.
6. There must be unanimous support for the change. 
7. Productive, profitable, service-driven health is a win-win-win solution for patients, providers and financial stakeholders.
8. Top down-management is essential for good leadership, clear vision, expediency and accountability. That said, every initiative should be managed at the very lowest and most local level possible.
9. Bottom-up problem-solving by those directly involved in the work is the best and most sustainable means of innovation. 
10. The 80/20 rule applies to changing clinic performance: 80% improvement can be achieved by solving 20% of the problems. 

All projects begin with a telephone consultation. Call to set up an appointment: 510-965-1438.