One of the difficulties of improving the overall healthcare system is there are very few ways of making systematic improvements. This article talks about a single hospital. They demonstrated a method which works, but this only improves one hospital. For a real change to occur this would need to be repeated at a large number of hospitals on a hospital by hospital basis. The US healthcare system is incredibly fractured with large regional variances. The question is how to improve the system as a whole not on a piece by piece basis.