The NICQ 2000 project teams should be challenged to identify which patterns of cultural characteristics are associated with improvements in outcomes, not just rapid change.
The NICQ 2000 team should emphasize this aspect and document its value.
The challenge to the NICQ 2000 team is to demonstrate the value (by measurable improvements in target outcomes) of not just reviewing and writing but sharing the detailed process analysis information and implementing elements associated with improvements.
In the previously published NICQ work, some of the potentially better practices came from critical analysis of the literature.
The NICQ 2000 team could make a dramatic impact by challenging the editorial board of Pediatrics (the current editor of that journal attends each of their meetings) to mandate a critical appraisal from all authors when they submit manuscripts for publication.