In 1986, Dr. James Tate, a local Neurosurgeon began to see a need for improved quality of care for his patients. Meeting with other Physicians and Health Care Providers, he found that the quality of care given the surgical patient was a common concern among them. The actual nursing staffing ratios did not provide for adequate time spent with each patient. Patients were not eating properly because the food was only adequate. The environment promoted stress, anxiety and was not conducive to qui...