1. Improving access to and quality of palliative & hospice care via provider and patient education -- 2.Operating Room rapid response Innovation team impacting measurable efficiencies -- 3.Improved transplantation operational performance through a transplant specific database integration with the hospital electronic medical record -- 4. Globalization of the new science of medicine and management -- 5. Low tech visual systems to impact ED efficiency metrics -- 6. Hypertrophic Pyloric Stenosis Feeding Protocol: a Prototype to Decrease the Variance in Postoperative Care Delivery -- 7."Physician of the day" structure for pediatric surgery service to improve quality through enhanced teamwork -- 8. Low Dose CT scanning (LDCT) screening program for an at risk cancer population -- 9. Impacting a focused set of NSQIP outcomes elements that are actionable and achievable to improve all NSQIP results and overall outcomes and quality of care.-10. Maximizing OperatingRoom efficiency using revenue cycle and operations management tools -- 11.Vascular Diagnostic Laboratory Improvements through effective data management -- 12. Management of late surgical case cancellations to improve efficiency -- 13. Structured data collection Insurance industry pilot using an evidence based approach -- 14. The Sholdice Clinic as an example of synergizing operations management, medical care, and creative finance -- 15. Establish new leadership and business structures in a rural ED to improve key indices -- 16. Primary Care Practice Redesign -- 17. Maximizing the first hundred days of medical executive positions-lessons from a CMO -- 18. Successful use of marketing, branding, and alignment to tackle tobacco use -- 19. Development and implementation of a standardized procedural antibiotic protocol in a multi office urology practice -- 20. Benefits and challenges in diminishing operating room waste stream -- 21. Routine post-reduction radiographs in children-challenging the paradigm -- 22. Transparency and communication in the consent process regarding procedural sedation.