The document discusses the concepts of empowerment and continuous quality improvement (CQI). It defines empowerment as "focusing energy in one’s Circle of Influence" and acting with integrity, with the outcome being "a community worthy of the best we humans have to offer." Elements of empowerment include vision, balancing autonomy with dependence, and courage. The essence is enacting the vision through taking responsibility, congruent action, and agreeing to change. CQI involves continuous improvement through applying the concepts of empowerment.