The provider participates within an institutional or system framework for quality improvement.
The provider is focused on integrating and contributing to healthcare quality improvement. In C21, the provider has evidence that CME has become a part of institutional, or system, quality improvement efforts. 'System' can also include the network of other organizations in the health care 'system'. (Note: organizational self-assessment and improvement focused on improving the quality of the CME program are recognized and rewarded in C12 & C13, not in C21.)