The document outlines the six aims of quality in healthcare: safe, effective, patient-centered, timely, efficient, and equitable care. It states that achieving these aims requires new models of care delivery, effective use of information technology, management of clinical workforce skills, effective team coordination, and improved quality measurement. The document also distinguishes between research utilization, which is applying research findings without relating to the original study, and evidence-based practice, which bases clinical decisions on the best available research evidence. It provides the five step process of research utilization as determining research ready for use, persuading professionals, deciding to use it, implementing the change, and determining outcomes.