Healthcare Benchmarks Qual Improv. 2008 Feb;15(2):16-7.
Discharge instructions for heart failure patients, pneumococcal screening, ACE inhibitor at discharge still areas of concern. Requiring a standard process for continual quality measurement, reporting, and improvement has contributed to improvement. Processes are not yet 'ingrained in facilities and systems and process redesign'; the right things don't happen in 'all encounters' all the time.