The document discusses the need for health care reform in the United States due to rising costs, consumer activism, and changes in the delivery of health care. It states that nurses can play a key role in the reform movement by considering the Institute of Medicine's recommendations for strengthening nursing education and training to better prepare nurses as leaders. Specifically, this week's focus will be on evaluating the Institute of Medicine's priorities for transforming nursing leadership and the roles of public health agencies at both the federal and state levels in the delivery of health care.