PART ONE: CASES AND PRINCIPLES -- Success characteristics of high-performing microsystems: learning from the best -- Developing high-performing microsystems -- Leading microsystems -- Leading macrosystems and mesosystems for microsystem peak performance -- Developing professionals and improving worklife -- Planning patient-centered services -- Planning patient-centered care -- Improving patient safety -- Creating a rich information environment -- PART TWO: ACTIVATING THE ORGANIZATION AND THE DARTMOUTH MICROSYSTEM IMPROVEMENT CURRICULUM -- Overview of path forward and introduction to part two -- Introduction to microsystem thinking -- Effective meeting skills I -- Assessing your microsystem with the 5 P's -- The model for improvement: PDSA [double-headed arrow] SDSA -- Selecting themes for improvement -- Improvement global aim -- Process mapping -- Specific aim -- Cause and effect diagrams -- Effective meeting skills II: brainstorming and multi-voting -- Change concepts -- Measurement and monitoring -- Action plans and Gantt charts -- Follow through on improvement: storyboards, data walls, and playbooks -- Conclusion: continuing on the path to xxcellence -- Appendix A: Primary care workbook.