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Improvement Plan A multidisciplinary team was formed to improve care Each step of the care process was reviewed for cost, appropriateness, etc Changes were proposed, unnecessary variation was reduced

From M.O. Koch and J.A. Smith Jr. Br J. of Urology 1995

From M.O. Koch and J.A. Smith Jr. Br J. of Urology 1995

From M.O. Koch and J.A. Smith Jr. Br J. of Urology 1995

From M.O. Koch and J.A Smith Jr.Br J of Urol, 1995 showing a 44% decrease in cost per case. (study done at VUMC)