This case study focuses on United Hospital Center's (UHC) achievement in providing recommended treatment related to surgical care. UHC's rapid and significant improvement in this area can be attributed to hospital-wide strategies as well as policies and practices focused on the surgery department. Hospital-wide strategies include the creation of a subcommittee that reviews performance data and works across departments and disciplines to address performance gaps; careful data recording, assessment, and validation to gain the trust of physi-cians; engagement of the CEO, medical staff chairman, and medical staff; and communication of progress as well as challenges. Strategies specific to surgical care include: emphasizing best-practice literature to bring surgeons on board; providing consistent data feedback, including to individual surgeons; using peer pressure when needed; and standardizing operating room procedures through standing orders, practice sets, and checklists.