The lack of standardization and integrated medical services has greatly impacted the overall cost of care in academic medical centers (AMCs) across the United States. Independent, ancillary and employed physicians continue to use different clinical approaches for major surgeries, some of which may not have not been fully evaluated through rigorous scientific studies.

The ability to measure, monitor, report and act upon solid data has become a critical need for providers to maneuver the path from volume to value-based. Data related to clinical outcomes, clinical variation, financial performance, operational efficiencies and market comparatives should be measured frequently (daily updates are preferable), shared transparently among the providers and acted upon expeditiously.