Overview: This paper gives you an opportunity to refine your understanding of quality initiatives and multi-voting tools used to decide on a quality improvement initiative. Prompt: In this paper, address the following two components: 1. Select two of the quality initiatives below and determine how these lead to performance improvement for healthcare organizations: • Pay-for-performance incentives on quality, i.e., MACRA [* Healthcare Quality Improvement Act]….use this one [• Institute for Healthcare Improvement Quality]…..use this one 2. How are multi-voting tools utilized when deciding on a quality improvement initiative?