Ann Hendrich, PhD, RN, FAAN, Senior VP, Chief Quality/Safety/PSO and Nursing Officer, Sheila Stern, VP Clinical Professional Development, and John Pirolo, MD, Senior VP and CMIO, Ascension. Ascension Healthcare has established a system-level effort to narrow clinical variation, align platforms with evidence-based medicine and best practices, and streamline monthly tracking of performance. These efforts have been aligned with high-reliability training, clinical professional development, cost accounting, process improvement for clinicians, and system scorecard goals. Clinical education and competency alignment will ensure providers and teams have access to the tools they need to improve performance, quality, and cost to meet the quadruple aim of care and caring.