Just as a decade ago, the U.S. health care delivery system approaches a crisis. Now, and for the past few years, the costs of health insurance and health services have exceeded the rate of inflation (Levit, Smith, Cowan, Lazenby & Martin, 2002). With an economic recession and reduced state budgets for Medicaid, the number of uninsured is expected to increase at an alarming rate (Rowland, 2002). At the same time, the quality of care for all insured patients is threatened both by medical errors (America, 2001 ; Kohn, Corrigan & Donaldson, 2000) and by nursing and other health professional shortages (First Consulting Group, 2001). While these problems with the U.S. health system seem intractable, they can be mitigated and often addressed by the significant improvements offered through the study of health care management. Indeed, at the behavioral, organizational, and strategic levels, evidence-based management can make a difference (Walshe & Rundall, 2001).