“If you understand the system you can design appropriate action.”

“If you have a dream, keep it. But write it down and take appropriate actions to see it manifest.”

“Systems awareness and systems design are important for health professionals, but they are not enough. They are enabling mechanisms only. It is the ethical dimensions of individuals that are essential to a system’s success. Ultimately, the secret of quality is love. You have to love your patient, you have to love your profession, you have to love your God. If you have love, you can then work backward to monitor and improve the system.”

“If you can design one thing, you can design everything.”

“You cannot work science around a predetermined belief system; you can only work (or rework) a belief system around science, current knowledge, and new evidence. If you are not willing to do that, you believe in the fanciful instead of understanding the factual – and that is delusional.”

“The ability to recognize that the winds have shifted and to take appropriate action before you wreck your boat in crucial to the future of an enterprise”