Argues that the best patient care is predicated on hospital managers assembling and engaging high-performance employees and providing them with the tools and guidelines that allow them to take personal responsibility for their results.

What's up with the title? -- What does come first? -- Changing how we lead -- Fun matters -- Do we really care? -- Outside the four walls -- No whiners, losers, or jerks -- Why measure? -- It ain't about the money -- Committing to a lifetime of learning -- The higher power that drives us -- Get your CIQ score.