The provider has a flexible application process for departments and affiliated hospitals that asks a series of short questions: 1) what’s the problem you are trying to address; 2) how do you know it’s a problem and what do you think is contributing to the problem; 3) are you seeking to change strategies, skills, performance or patient outcomes; 4) what type of activity do you think will best achieve that goal; and 5) how will you know if you’ve been successful. Using this application, the CME department is able to assist in the planning and presentation of activities that are based on gaps/needs, designed to change, and measured for changes in competence, performance or patient outcomes.