Front matter -- Reviewers -- Contents -- Introduction -- 1 Persistent Problems with Quality -- 2 Spread in Health Care -- 3 State of the Science of Quality Improvement Research -- 4 Priorities for Change -- 5 Spread and Implementation of Research Findings -- 6 Breakout Groups -- 7 Strategic Opportunities -- 8 Opportunities for Change -- 9 General Reactions -- References -- Appendix A Workshop Agenda -- Appendix B Workshop Participants -- Appendix C Submitted Responses.