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As the hospitality industry continues to grow globally, the development of highly skilled and educated human capital is a major industry challenge.

The WHO/World Bank states that 15% of the world's population lives with some form of disability, yet this degree of diversity cannot be found within the management levels of the hospitality industry. In order to obtain this, diversity should also be found within the student cohorts of hospitality educational institutions.

This chapter seeks to examine how the hospitality educational sector policies and practices contribute towards the full inclusiveness of students with disabilities and by association towards the diversity found within the higher levels of management within the hospitality industry.

The findings suggest that implicitly students with disabilities are being discouraged from enrolling upon and successfully completing a degree in hospitality management, a growing necessity for a management career within the hospitality industry. Therefore, a shift of perspective is required to see disability not as a personal health condition of individuals. However, the hospitality educational sector should seek to embrace more innovation, with the adoption of technology that seeks to create access and meaningful encounters with student from all sectors of the society; in addition, the sector can help overcome the often negative societal attitudes and perceptions displayed towards people with disabilities. This can be achieved by integrating positive images of students with disabilities and clear and transparent policy statements in public facing material, which is often used as marketing and promotional material for institutions. In this way, the hospitality educational sector would be seen to be taking positive steps in preparing talent drawn from all section of society and can be regarded as an active agent in the achievement of UN Sustainable Development Goal 4 with a goal of full inclusiveness within the hospitality higher educational sector.

In this chapter, we identify three distinct transformational performance improvement (TPI) approaches commonly used to redesign work processes in health care organizations. We describe the unique components or tools that each approach uses to improve the delivery of health services. We also summarize what is empirically known about the effectiveness of each TPI approach according to systematic reviews and recent studies published in the peer-reviewed literature. Based on examination of this research, we discuss what knowledge is still needed to strengthen the evidence for whole system transformation. This involves the use of conceptual frameworks to assess and guide implementation efforts, and facilitators and barriers to change as revealed in a recent evaluation of one major initiative, the Lean Enterprise Transformation (LET) at the Veterans Health Administration. The analysis suggests ways in which TPI facilitators can be developed and barriers reduced to improve the effectiveness and sustainability of quality initiatives. Finally, we discuss appropriate study designs to evaluate TPI interventions that may strengthen the evidence for their effectiveness in real world practice settings.