1. Examine the origins and the evolution of the US healthcare quality movement. - Provide a timeline - Give examples of key developments 2. Explain some of the elements involved in successful healthcare quality improvement efforts. - What has been most successful? - What has required legislative and regulatory support? - What have been the impacts on cost and access? 3. Examine the elements needed in a good strategic plan for a facility. Show how any quality improvement programs will be included and align with that plan.  - What are some of the key parts of an organization's strategic plan? -Which parts should include measurable quality improvement elements?