Criterion 21

The provider participates within an institutional or system framework for quality improvement.

ACCME Note: 

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.)