Quantitative management:

We have the tools for Rules; Risk management principles; Qualitative performance process; we have clinical pathway management of successful approach; we do the utilizations, and more and more, but we should not forget, all of above are based on the three premises:

They are the community at large must establish the level of the economy; the community decision cannot be intelligent made without extensive input and advice from healthcare professionals; and the last the control of cost and quality depends on the entire institutional infrastructure.