MedAxiom recently completed a survey of more than 150 physician groups across the nation, representing more than 2,420 physicians. When asked what was working in the service line organization, respondents to the survey cited mostly the development of infrastructural elements and culture, often responding that the relationship between the hospital and the physicians had improved. Access to and more purposeful coordination of resources have enhanced the ability to implement projects related to technology, clinical program development and market development, such as outreach — in both the hospital and practice environments. Many respondents stated having had the experience of uncovering, correcting and now improving quality, registry reporting and data and have successfully participated in efforts to perform in a value-based purchasing environment or in response to third-party accreditations and rating programs.