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Is collaboration in the process of healthcare quality improvement in the Improves Healthcare Quality Criterion limited to a single institution where care is provided?

No, collaboration is not limited to a single institution. Collaboration can occur within, or in connection with, a healthcare institution such as a hospital or health system, but it can also occur more broadly across systems of care. The ACCME interprets "system performance" broadly and the CME provider can choose how, and with whom, it collaborates in the processes of healthcare quality improvement.