Donald M. Berwick is president and CEO of the Institute for Healthcare Improvement and clinical professor of pediatrics and health care policy, Harvard Medical School. He is also an associate in pediatrics at Boston's Children's Hospital and a consultant in pediatrics at Massachusetts General Hospital. A. Blanton Godfrey is dean and Joseph D. Moore Professor, College of Textiles, North Carolina State University. He is the former chairman and CEO of the Juran Institute and the coeditor (with Joseph M. Juran) of "Juran's Quality Handbook," Fifth Edition and the coauthor o"f Modern Methods for Quality Control and Improvemen"t, Second Edition. Jane Roessner is a writer for the Institute for Healthcare Improvement