This book is based on reports produced by the Blue Ridge Academic Health Group, which has developed a "value-driven" framework for addressing the challenges of health care, education and research in the 21st century. The book tackles key leadership and performance issues, not just for academic health centers, but for the entire health system. The book includes invited commentaries and case studies from thought-leaders in and beyond the United States. It is an essential resource for leaders and managers of health systems and for all those looking for insight into the future of health care.