1. Explain the historical evolution of healthcare quality improvement programs. Provide a timeline Give examples 2. Examine the performance challenges, healthcare reform efforts, and the need for cost containment contributed to this development. What has worked and what has not? What has required legislative and regulatory support? What have been the impacts on cost and access? 3. Select the areas most important to improve quality and create performance targets and explain why.What area(s) still need the most improvement? Why? How do you measure/monitor these items?