The quality revolution : first steps on a journey of 1,000 miles -- What purchasers and payers want : value (reliability, safety, accountability, transparency)--and why they're not getting it -- Transformative quality : its context, imperatives, and prospects -- Case studies 1 to 3 : putting patient safety and quality transformation at the core of clinical operations -- Case studies 4 to 6 : breakthroughs in evidence-driven quality and in clinical decision support for improved care -- Case studies 7 to 9 : initiating transformation on a vast scale -- Case studies 10 to 11 : creating clinical cultures of partnership -- Change facilitator : information technology and the pursuit of quality transformation -- Working conceptually : the use of performance improvement methodologies in transformational work -- Policy considerations and the future of transformative quality.