Ambulatory care service strategy Surgical services improvement Clinical program delivery strategy Alternative service delivery Elective surgical initiative  Project case studies Ambulatory Care Surgical Services Service improvement: surgical procedure quality improvement through process design orientated to optimize wait times, clinical outcomes, length of stay, patient safety and patient satisfaction. Service planning: development and implementation of service delivery plans that improve ambulatory care access and clinical processes. Alternative service delivery:  development and implementation of strategies that reduce cost and improve service delivery through procurement via alternative services providers. Outpatient facility process mapping