Executive summary -- pt. I: Consensus report -- A new partnership between systems engineering and medicine -- A framework for a systems approach to health care delivery -- The tools of systems engineering -- Information and communications systems: the backbone of the health care delivery system -- A strategy to accelerate change -- pt. II: workshop presentations -- Framing the health care challenge -- Equipping the patient and the care team -- Engineering tools and procedures for meeting the challenges -- Information technology for clinical applications and microsystems -- Barriers and incentives to change