Hospitals Hospeal cinical cace teacs requite acces to patients' vital sigre in real time at the peint of care ts support ewidence-based medical good as the qualty of the eaptured data. A lack of full system adcptioe leads to a hypridization of clinical workfows that result in poos: quality care and process ineficiencies. These types of bamiers to continuous quality impoyoumerit ICOQ, in turn, lead to inconsistent quality outcomes and unrealized process synerges. Health case eminagens muat undedstand and elminate these barriers that prevent geod clinical decision making and adeption of CQl best peactices. Case Report tehabitiation in firockilyn as part of the Now York City Health and Heapitals Comporation, the moat extersive municipal health tyathm in the nation Health care erganuations auch in Kings County Hospinat inplament COl progams to impreve the ouccemes of a health intervention or teeatment. Incresuing patent actess to medical prefesticnals or redating expowure to bospitif based infections can promote early or temely dicharget from the hotpial (Vaidya, 20180. For exartple, Kings County Hospial bagght to reduce patient wait bimes for ah appeintment from 2 di days to 4 digst farnan, 2016. Care team membes are essential for care continuify and quaify outoomes in hospitals, phystioan champions mutt ipostar and lead CQI initiatives to umpower the implementation procass (Crentan, 2013 . At Kings County Hospital ut deehelders began implementing the CGI initiative by streamlining the EHR computerised physitian orden: entyy teepplades for charting clinical documentation as well as for Ghing appointreent or intde time slots for standard heikh secvices deliery Closing the gap between inpatient and outpatient heuth outcomes became the foundarion for al system.wide improvenent projecte itimami, 2051 is Conclusion The adoption ef CHR vystems can facilitate the delvery of CQI. However, the data colestad by wuch systams must be reilable and walid and support how the orgacitation uses in to enhance CQl pogamis, A notable stiength of the CCi tooks is that the system is buit upon the feundaticn of exising standards and protocol, such as insereperablity and Health Level 7 language that hospital it atatf memben heve been using for mary years. A limation of the COI tool is ther falure to address specific barriens to mplementation, tuch in fraveial constrains of how the tod can unify or suppert the kealth care organiraton based on the dymamics of the local ensipenenent. Kings County Hospats wecesiful CQl inicabve created a bresithrough that led to inpropements in qualty care delvery and induction comergente of eaterval events wich as changing cave models based on CQt outcomes and EhR techrology adoption wall continue to presusure hospitals to evolve irto leareing health tystement. Questions 1. Why are CCI initiatives important for hospials and heath irstems? preveneable advene incidenat. 3. What rele do hospitals heve in advaneng CQi heolth outeomes and mode.