For years, from a traditional quality standpoint, we have been working on peer review. What we had noticed over a period of time was that the depth of the case was being lost. When there were opportunities, those were often missed because we focused solely on the patient dying rather than what we could have learned from the death of that patient. When we first heard about this system through Dr. Huddleston, it really impressed us as an alternative model for digging deeper into the patient’s story so that we could understand more where we had specific opportunities for care.