title: Hay: small gains add up to big improvements.
authors.forename: W H
authors.initials: WH
authors.lastname: Hay
mesh_terms: D002391:Catchment Area, Health; D019033:Delivery of Health Care, Integrated / Q000191:economics*; D005377:Financial Management, Hospital / Q000379:methods*; D006740:Hospital Administrators; D006754:Hospital Restructuring / Q000191:economics; D013781:Texas