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Health care providers are faced with a large and growing list of standards with which they must comply. Some are good and some are bad, but noncompliance is not an option. The author's solution is to view the list of imposed standards and regulations as a floor, not a ceiling. The essence of Dr. Thompson's arguments in this book is that health care executives, by nurturing an "on-beyond-compliance" mindset, can return the emphasis in health care delivery to quality and still restrain costs.