Millenson, a Pulitzer-nominated former health care writer, discusses the health care quality movement and the increasingly important role of information technology in both measuring and promoting quality. He covers a broad range of topics in a somewhat journalistic tone, from quality assessment to evidence-based medicine, from accountability to pay-for-performance. Although the book is nearly a decade old, it remains important for having laid out a vision for the use of information and computerization in assessing and promoting quality. Although the book includes sections on patient safety, its strengths are those on quality assessment and improvement.