Vision: Hospitals and healthcare organizations can radically and rapidly improve their results by changing how they manage. Those that adopt best management practices will achieve best results, as management is the driving determinant of organization performance. The vision we have is that healthcare providers will become the best managed organizations in the country, thereby saving and prolonging life for thousands

Quest: As leaders undertake the ascent there will be an enormous amount of difficult work to do, but it is just work, it can be done. This site provides tools, methods, and procedures that have been field tested and are evidence based—they work. We invite you to join the work of many others who are actively transforming their organizations into creations of excellence.

In each age men of genius undertake the ascent. From below, the World follows them with their eyes. These men go up the mountain, enter the clouds, disappear, reappear. People watch them, mark them. They walk by the side of precipices. They daringly pursue their road. See them aloft, see them in the distance; they are but black specks. On they go. The road is uneven, its difficulties constant. At each step a wall, at each step a trap. As they rise the cold increases. They must make their ladder, cut the ice and walk on it, hewing the steps in haste. A storm is raging. Nevertheless they go forward in their madness. The air becomes difficult to breathe. The abyss yawns below them. Some fall. Others stop and retrace their steps; there is a sad weariness.

The bold ones continue. They are eyed by the eagles; the lightning plays about them; the hurricane is furious. No matter, they persevere. They stand on top of the world.

—Victor Hugo, Les Miserables

See You at the Top!