Across the globe, all health systems have an average, either acceptable or not. As a leader, I have to face rising costs and quality of service despite the hard work of well-meaning and well-trained c

Across the globe, all health systems have an average, either acceptable or not. As a leader, I have to face rising costs and quality of service despite the hard work of well-meaning and well-trained clinicians. I must ensure that the services are effective and project a positive image for both institutions and fight against fraud, reduction of errors, application of practice guidelines, improving the quality of "consumer" patients, through the implementation in place of a dynamic service and efficiency.