The course builds to this final module. Up to this point, we've learned to define value, to measure value through PROMS, to effectuate change through our bedside practices (i.e., high value prescribing), and how our systems can encourage high value medical practice. One of the ways to begin implementing such change is to determine through rigorous evaluation the practice areas (i.e., testing, diagnosing, communication practices) that yield little to no value, hypothesize solutions, act on those solutions and iterate. Again and again. Quality improvement processes help us through this process; and this module introduces various methodologies we can use.