To improve current practices, organizations must first measure performance through a system that provides continuous feedback. A more flexible IT infrastructure is needed to create such a system. Comparison between groups can help drive improvement, but must be implemented carefully to ensure successful use and avoid unintended consequences.

1.  In order to improve upon our current practices we
Question 2 need to start by measuring our performance.
Creating a system that measures performance and
Even when best practices provides continuous feedback in a salient manner
are identified and
will require a more flexible IT infrastructure.
adopted locally or
regionally, they are not  Comparison between groups and individuals can
always used routinely help to create a sense of competition towards
across the health care improvement, however it must be designed and
system. What can we do implemented carefully to ensure the success of its
to capture best practices use
improvements each year
and make them available
– and widely adopted – in
order to benefit many
more providers and
patients?