"The central idea underlying all these efforts is this: to accelerate the pace of change, we must take different, reinforcing actions simultaneously in a concerted effort to turn a behemoth health care complex into a more streamlined health system that delivers greater value for the money. In other words, we must tackle the problem in its entirety and on all fronts. No matter how comprehensive the proposed solution, however, it will be of no consequence without sufficient incentive to take action, nor will it matter how well incentives are aligned with desired outcomes if core processes of care do not consistently ensure high quality. A process that works well today but does not accommodate new discoveries and superior technology is destined to become outmoded. Improvements in each area are mutually reinforcing."