Hello WhoaNelly, I have been away from Allnurses for a while. thanks for the kudo on the Studer Group rant I did. but you know I have been a nurse for pull up your stockings,,,,,, 32 years and it just keeps making circles. Although one thing that I found that would be something worth implementing in health care is Kaizen, six sigma and or lean. google them and you will find a whole new way of cutting out the waste and working smarter not harder.