Without the use of data, we cannot participate in good practice patterns that yield positive patient-centered outcomes. All healthcare should be practiced from a team approach and not driven by one discipline – the patient and family do not benefit from a medical perspective only. The data that is now collected on patient specific outcomes under the MACRA 2015 legislation and use of MIPS (Merit Incentive-based Payment System) allows NPs, CNS, CRNA and Physician Assistants the ability to show-case patient outcomes – this is the data that can be used to level the playing field. Centers for Medicare and Medicaid recently updated the MIPS criteria with the expectation that all providers seeking Medicare reimbursement participate in transparent quality measures – meeting these metrics provides financial incentives to providers and practices. This is an opportunity for both the AMA and the ANA to promote the use of quality metrics generated from prudent practice. Why isn’t anyone discussing the fact that the 3rd leading cause of adult death in the U.S. come from Medical Mistakes and the U.S. is the most expensive health care system in the world and our outcomes are comparable to Pakistan and Costa Rica? The U.S. healthcare system, has tremendous room for improvement and that includes working together as a professional team that supports the patient and family.