What is the accuracy of the study? Upon reviewing the data from the study, the following conclusions were made: 1.) Employees of SMMC were aware and knowledgeable of the quality metric goals their facility had in place. According to the study the majority, 69.23% (n=9), responded that they were aware, 7.69% (n=1) were strongly aware, 15.38% (n=2) were neither aware or unaware, and 7.69% (n=1) were completely unaware. 2.) This knowledge is not reflected in the behavior of employees based on patient case studies. Of the five Stroke patients who were transferred 20% (n=1) were transferred in under 90 minutes. The remaining 80% (n=4) 730 were transferred outside of the target time period. Of the 52 STEMI patients transferred, 9.62% (n=5) were transferred in under 90 minutes. The remaining 90.38% (n=47) occurred outside of that time frame. Finally, all 13 trauma patients were admitted or transferred. For 46.15% (n=6) of patients this occurred in less than 180 minutes. The remaining 53.85% (n=7) patients were admitted or transferred in greater than 180 minutes