This final chapter on monitoring goal achievement with redesigned workflows is an essential element in “closing the loop” to achieve safety, effectiveness, patient-centeredness, timeliness, efficiency, and equitable care-the Institute of Medicine’s (2001) six quality aims-with the support of health information technology (HIT) and electronic health records (EHR). It stresses the importance of measuring goal achievement and then celebrating success and correcting course where needed. The quote from Charles Knight was chosen to emphasize the importance of creating a positive work environment, one of six key elements of the power of process in which he fervently believed.