title: Optimizing performance is no longer an option.
authors.affiliation: Hunter Group, St. Petersburg, FL, USA. dcoatsthg@compuserve.com
authors.forename: D B
authors.initials: DB
authors.lastname: Coats
mesh_terms: D003695:Delivery of Health Care / Q000458:organization & administration* / Q000639:trends; D017598:Efficiency, Organizational; D005431:Florida; D006801:Humans; D009936:Organizational Innovation; D012941:Social Responsibility; D017749:Total Quality Management; D014481:United States