The present study focuses on the quality of care and how the health executives can bring it to a central place in their management. A training-action has been set-up at the Health Executive training institute (University Hospital Grenoble) to improve care quality. Reports prepared by students (tutored projects) related to operational diagnosis and action plans about care quality improvement are given to health executives. The objective is to evaluate how the health executive will use the tutored project to improve care quality and set-up actions.The hypothesis is that the health executive will use the tutored project to improve project management.

Every year, 9 voluntary health executives will be included and followed during 1 year. The experience will be done 3 times (3 years).

It is a qualitative study using 3 forms to recover data: group focus, individual interviews, project monographs. Speeches coding will enable to test the hypothesis from 2 analysis points: place of health executive and place of tutored project.

The study will be resulting in recommendations to health executives for their management methods and taken into account to define training.

Inclusion Criteria:

• The volunteers are health executives with diploma

Exclusion Criteria:

Health Executive volunteers