Health care improvement often refers to the process of making changes to the way health care is delivered by providers.  But actions to improve and reform the health care delivery system can only go so far. As Dr. Don Berwick, Administrator of the Centers for Medicare & Medicaid Services often reminds us, the delivery system doesn’t have much control over the biggest factors that influence a person’s overall health. For example, a doctor doesn’t decide what each of their patients eats,

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