Paul Zurlo and Catherine Eikel, The Leapfrog Group, present this initiative to measure hospital performance along two dimensions – effectiveness and efficiency – and to reward hospitals that demonstrate excellence and / or show sustained improvement along both dimensions simultaneously. Health plans and Leapfrog members will implement the program as a means to fulfill their commitment to the Leapfrog Purchasing Principles. Leapfrog is currently in the process of implementing and vetting the program through early adopters and plans to make the program widely available in early 2005.