A Call to Action

Dr Levenson's 5-article treatise on improving and reforming health care is a call to action for all health care professionals committed to nursing home (NH) practice. Dr Levenson has laid bare many of our current administrative, regulatory, and clinical practices and processes, calling for approaches that are truly evidence based and person centered. Dr Levenson admonishes us to eschew fragmentated care and to reward those holistic approaches that are evidenced by “flexibility, comprehensiveness, and sensitivity.”^1p600 In addition, we are encouraged to critically evaluate extant quality metrics upon which we are currently judged. Overemphasizing outcomes at the expense of processes of care may not be the optimum approach to improving quality of care.