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The passage of health care reform exemplified ongoing changes in health care delivery and financing, and massive change continues. Health care leaders and managers must understand how to improve systems of care and service delivery in a changing health care environment. This course will provoke critical thinking and address contemporary approaches to health care system change. Students will understand factors impacting quality, equity, and patient/client safety, and cost. Case studies will be provided to illustrate how health care organizations improve quality, safety, efficiency, equity, and the patient experience. Examples will mainly be drawn from the health care field; however, systems improvement is a key topic for the business, non-profit, government, and social services sectors and students from these disciplines will apply concepts taught in class to their sector interests. Students will reflect on their professional experience, internships and field placements, and consider how systems around them can be improved. Students will review literature from a variety of academic and professional disciplines relating to health care quality, health equity, system improvement, and transformation, and apply this knowledge to local, state, national and international settings. Preferred but not required: PPHA 37510 or SSAD 47512.