1. Organizational Vision and Goals
   1. Quality
   2. Environment
   3. Low Cost Provider
2. Accountability for Performance
   1. Citizenship
   2. Standards of Performance
   3. Medical Records
3. Scorecards
   1. Timely
   2. Meaningful
   3. Useful
   4. Aknowledged
4. Leadership
   1. MEC
   2. PI Council
   3. Medical Directors
5. Establish Physician Confidence and Trust
   1. Rounding
   2. Follow up
6. Training and Coaching
   1. One on One
   2. Outcomes Driven
   3. Accountability for Improvement
7. Rewards and Recognitions
   1. Top Physician
   2. Peer Recognized