List a few common challenges in Ambulatory Care Facilities. Why is this an important area of focus for Ambulatory Care Settings? how would you verify that it is an issue? Please explain by providing background of the listed problem and how common this issue is. How can continuous quality improvement or a high reliability organization create an environment that reduces this common challenge? What are the implications if it is not addressed? What is the impact on the organizational triple aim (service, financial, quality)?