Front Matter -- Reviewers -- Preface -- Foreword -- Acknowledgments -- Contents -- Executive Summary -- 1 A New Health System for the 21st Century -- 2 Improving the 21st-Century Health Care System -- 3 Formulating New Rules to Redesign and Improve Care -- 4 Taking the First Steps -- 5 Building Organizational Supports for Change -- 6 Applying Evidence to Health Care Delivery -- 7 Using Information Technology -- 8 Aligning Payment Policies with Quality Improvement -- 9 Preparing the Workforce -- Appendix A Report of the Technical Panel on the State of Quality to the Quality of Health Care in America Committee -- Appendix B Redesigning Health Care with Insights from the Science of Complex Adaptive Systems -- Index.