"The practice of medicine can be dramatically improved. The opportunities for consistent excellence are real, and they are within our grasp....The destruction of the old ways of medical practice may be an unavoidable source of anxiety, but it should not be a source of despair. Patients and caregivers alike should celebrate better days ahead. Destruction often precedes renewal, and it is in that renewal that the future of American medicine lies."

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"Transparency and accountability are transforming health care. The detailed clinical comparisons once held securely in locked drawers are now freely available to outsiders - and the door of that once-private exam room has swung open to admit health plan execs, employers, lawyers, consumers and journalists. The Accountability AuditSM is designed to help a hospital's leaders, staff and trustees clearly see their hospital the way others see it. "

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Michael L. Millenson, president of Health Quality Advisors LLC, is a nationally recognized expert on improving the quality of American health care with more than a decade of consulting experience. He is the author of the critically acclaimed book, Demanding Medical Excellence: Doctors and Accountability in the Information Age, and he holds an adjunct appointment as the Mervin Shalowitz, M.D. Visiting Scholar at Northwestern University's Kellogg School of Management. Earlier in his career, he was a health-care reporter for the Chicago Tribune and was nominated three times for a Pulitzer Prize.

Millenson has testified before Congress, lectured at the National Institutes of Health and the Harvard Business School, and served as a faculty member for the Institute for Healthcare Improvement. He has written for publications ranging from the British Medical Journal and Health Affairs to USA Today and World Book Encyclopedia, and he is a regular contributor to health care blogs. Millenson also serves on the board of the American Medical Group Foundation and on the editorial boards of Quality and Safety in Health Care and the American Journal of Medical Quality.

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