This course will be an intensive introduction to the assessment and improvement of health outcomes and the quality of medical care. We will address two central questions: 1) How do you measure health outcomes and the quality of care? 2) How do you effect and evaluate change? Topics will include the outcomes movement and concepts of quality; scaling and scoring health status and quality of life measures and assessing validity and reliability of these measures; explicit and implicit quality measures; preventable morbidity; patient satisfaction; physician behavior; practice guidelines; physician profiling; and total quality management. Prerequisites: (Required) Descriptive and bivariate statistics, (Recommended) Multivariate statistics, Epidemiology, PP46100.