Not everything that is important can be quantified and measured. But not everything can be identified based on the human instinct side either. A balance must be struck for the clearest vision and best guidance.
Yes, pay is lower in government service than in the private sector. But pay is not the be-all, end-all. As someone with management experience in the Nonprofit Sector, I was also in a similar position where I could not compete for hires on pay alone; it forces you to get creative.
Implementing something like Continuous Improvement in the US Healthcare sector not only makes sense, it's the perfect realm for healthcare IT to really shine. What remains to be seen is which of the plethora of Healthcare IT vendors, if any, will identify and take advantage of this opportunity for future gains.
Bridges need to be built at the pain points between nonprofits, for-profits and governments. Bridge Builders need to better advocate for the importance of our skills, and work harder to bridge the walls that the tribes erect between them.