The Clinical Improvement Guide takes the clinical microsystem approach, introduced in the authors best-selling book Quality by Design, and expands it into a comprehensive approach to clinical improvement, assessment, and measurement of processes, outcomes and performance for all the settings in which health services are delivered. This book is based on courses that the authors have taught for more than ten years in the Center for Health Care Improvement Leadership at The Dartmouth Institute for Health Policy and Clinical Practice, one of the leading institutions for health care and medical quality research. ? Part 1 covers foundations of quality, safety, cost improvement, assessment of system performance, measurement of quality and value, and application of the clinical microsystems approach.