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“If I had to sum up this book in one word, the word would be ‘brilliant’! This is one of the most insightful books on TOC, not just for healthcare, that I have ever read.”

—Bob Sproull, author of The Ultimate

Improvement Cycle: Maximizing Profits through the Integration of Lean, Six Sigma, and the Theory of Constraints


“As a physician practicing in a managed care environment, I do face and deal with the increasing complexity and dysfunction of the healthcare system. We, the physicians, struggle to provide best possible care for our patients; however, the institutions lack the tools to identify and eliminate the root causes preventing the system from achieving better global outcomes. Performance Improvement for Healthcare is a practical guided process to direct efforts at the point of leverage for sustained improvement.”

—Seza Gulec, MD, FACS

Professor of Surgery and Radiology/Nuclear Medicine


“Less variation, less waste, and no patient safety issues, together with better medical and financial outcomes, higher efficiency, and patient satisfaction—I think that all this is possible. This book shows the direction.”

—Metin Çakmakçi, MD, MS, FACS, FACPE

Professor of Surgery

Medical Director, ASM

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