Elizabeth, Good point. I think in higher education we are undergoing changes that healthcare and other industries have gone through previously and continue to adapt to. I use healthcare as an example in that I see a similar balance required between improving efficiency of services while at the same time improving effectiveness and quality of care. Currently in higher education the need for both greater efficiency and effectiveness are required. Keeping student outcomes and student satisfaction (as well as those of other constituents such as employers and society as a whole) at the center of our decision making processes helps to ensure that changes and improvements we make increase not only efficiency, but also the effectiveness and quality of education and services that we provide. Like health care, the decisions we make in higher education impact "peoples lives" and we have a responsibility to ensure we are making the right decisions to not only increase efficiency but also to increase the effectiveness of the education and services we provide in meeting the needs of our constituents. Dr. Blake Faulkner