1. Explain the historical evolution of healthcare quality improvement programs.      - Provide a timeline     - Give examples 2. Examine the performance challenges, healthcare reform efforts, and the need for cost containment contributed to this development.     - What has worked and what has not?     - What has required legislative and regulatory support?     - What have been the impacts on cost and access?  3. Select the areas most important to improve quality and create performance targets and explain why.    - What area(s) still need the most improvement? Why?    - How do you measure/monitor these items?