What are the cutting edge issues that we should be thinking about? What is distinctive about excellent programs? What human resources we need to make continuous improvement, and how do we get them? What kinds of caregivers? What support staff? What planning/marketing issues are there? How does volume relate to cost? How does volume relate to medical staff quality and efficiency? What measures should drive our continuous improvement/service excellence program? What kinds of data will we need to make investment decisions? How many and what kind of facilities should we support? What sorts of health promotion should we support? (e.g. a teen outreach center)