What do you see as the biggest challenge(s) ahead for us as we attempt to improve the quality of our healthcare delivery system in the U.S.? Are existing programs and efforts to improve the quality of care supported by the Institute of Medicine, Agency for Healthcare Research and Quality, and Joint Commission effective? Why or why not? Continuing TCO F, Before quality of care can be improved, it must be defined. The text mentions Donabedian’s and the AMA’s definition of quality. If you had to define “quality” what would you say?