Our Continuous Quality Improvement (CQI) is grounded in the Model for Improvement and Quality as an Organizational Strategy (QOS). This approach encompasses broad expertise in user-centered design methods, human factors engineering, Lean methodologies, advanced statistical process control, and complex system analytic and multi-factor experimentation. These capabilities and staff enable us to understand and measure systems processes and performance, design interventions and innovations to overcome roadblocks, and rigorously test and refine approaches for optimizing performance. Specifically, our initiatives include developing a dashboard  assess key processes, metrics, and outcomes identified by Elements and their activities to decrease barriers to translational science and research.