evidence: Callanan, I. (2018), "The secret of getting ahead…", International Journal of Health Care Quality Assurance, Vol. 31 No. 4, pp. 274-275. https://doi.org/10.1108/IJHCQA-01-2018-0003 [...] The secret of getting ahead… Mark Twain once said that "The secret of getting ahead is getting started. The secret of getting started is breaking your complex overwhelming tasks into small manageable tasks, and then starting on the first one." Every day, thousands of complex overwhelming tasks take place in the delivery of healthcare. Healthcare is a hugely complex and time-consuming service industry that ironically seeks to reduce its customer’s usage of its services.