The framework of a system helps to understand the interworking’s of the health care delivery system. Janecka (2009) describes a system as consisting of many components with boundaries that protect the internal environment from the external environment. Also, the struggles of a complex system, such as the U.S. health care system, are often directly related to failing subsystems (2009, p.3). System resources are one element of a system framework. In terms of health care, resources include health professionals, facility administrators, and financial resources. Then there are the system processes which vary across medical facilities and/or insurance companies. Finally, system outcomes are the results of the system processes. The outcomes allow facilitators to evaluate if the organization is meeting its objectives and how to improve its processes (Shi & Singh, 2017, pgs. 23-25).