The provider determines key priorities for clinical improvement at its institution, which are reflected on a care scorecard. Project teams for each of these key priorities then work with the Office of Accreditation to develop an education plan. Educational initiatives have focused on ‘physician communication’ and ‘breast cancer’, for example. Another initiative is aimed at reducing the number of elective procedures. An advanced training program includes education, practice and practical application of quality improvement theory, it incorporates quality improvement project processes, and advanced training program projects are aligned with system-level clinical improvement strategies and priorities.