consumers,employers, and governments at all levels are very concerned about the rising costs of health-care. As a result, health-care systems nationwide are experiencing an ongoing demand to improve the efficiency of their operations. The health-care industry faces significant challenges due to changing patient needs, reduced reimbursement, and the fierce competitive environment. The industry is experiencing consolidations through systemwide mergers and acquisitions as a way to reduce operating costs. Patients and payors are demanding a one-stop shopping approach. While improving operations is necessary, the quality of the health-care