This is the second and final report of the Committee on the Quality of Health Care in America, which was appointed in 1998 to identify strategies for achieving a substantial improvement in the quality of health care delivered to Americans. The committee's first report, 'To err is human: building a safer health system', was released in 1999 and focused on a specific quality concern - patient safety. This second report focuses more broadly on how the health care delivery system can be designed to innovate and improve care"--Page ix.