Building the business case for clinical quality.

Following are key findings of VHA Inc.'s Transformation of the ICU collaborative: Instead of improving patient outcomes, focusing too much on reducing costs as a performance improvement strategy only lays the groundwork for increased quality problems and higher costs. Improving quality can improve the bottom line, as long as there is patient demand. As a type, hospitals are organizations that characteristically have high fixed costs. The more customers such organizations can serve with the same investment, the greater their profits.