In the outpatient setting, The Leapfrog Group has worked with the Centers for Medicare and Medicaid and the Agency for Healthcare Research and Quality to outline a ‘leap’ for physician offices. The leap requires doctors to use computers for prescriptions to avoid errors, to track laboratory results electronically and to receive electronic patient care reminders regarding nationally recognized medical guidelines when providing care to patients with particular chronic conditions. This leap is being rewarded today through another employer led initiative called Bridges to Excellence, an important partner of Leapfrog.