Dean Health Systems is a multi-specialty health care delivery system based in Madison, Wisconsin. The Sun Prairie, Wisconsin, clinic is predominantly a primary care clinic, with 11 family medicine providers. The system has provided primary care physicians with dashboard reports on Wisconsin Collaborative for Healthcare Quality (WCHQ) measurements. These reports were unblinded, so physicians and clinics were able to see areas for improvement when compared to their colleagues. Because of the need to improve hypertension control, the Sun Prairie clinic’s Family Medicine department developed a hypertension improvement project using Lean methodology.