One of the real challenges in medical practice around the world is that once clinical research is completed and published and the data clearly exists to support updates in treatment protocols, the changes are often not implemented! At least they are not implemented in a timely manner to benefit current patients. Why does that happen? As hospital CEO, CMO, or CNO, how would you work to assure that important documented changes in state-of-the-art treatment are well known and utilized in patient care decisions within your facility?