Leonard L Berry1,2, Stephen R Connor3, Brad Stuart4. 1. 1 University Distinguished Professor, Regents Professor, Mays Business School, Texas A&M University , College Station, Texas. 2. 2 Institute for Healthcare Improvement , Cambridge, Massachusetts. 3. 3 Worldwide Hospice Palliative Care Alliance , Fairfax Station, Virginia. 4. 4 Advanced Care Innovation Strategies , Forestville, California.