Advancing Excellence (AE) is a vibrant campaign involving 7200 nursing homes, the consumers and a growing list with national Steering Committee (SC) member. Activity at nursing home level is yielding positive results, (see Q3 data below) and the AE Web site and LANEs provide a rich resource and support that continues to show results. This unique national coalition on quality improvement is finding out how to move quality indicators with consistent clinical care processes involving all team members and the residents and families. It’s no less than shifting the biggest paradigm one can imagine – how to provide quality care to nursing home residents.