It is estimated that 2% of the US population has a chronic wound and a conservative estimation of the cost of caring for these wounds exceeds $50 billion dollars per year. The current reimbursement model of outpatient care has continued to reward both physicians and hospitals for performing high cost, advanced therapeutics without a feedback mechanism for quality. Although the debate regarding how to measure “quality of care” may seem recent, these ideas actually date back to the early 1900s with the work of Dr. Ernest Codman. He developed the Minimum Standard for Hospitals to help eliminate substandard care. The Health Care Financing Administration (HCFA, renamed the Centers for Medicare & Medicaid Services) first attempted to measure and publicly report hospital outcomes in 1986 but it withdrew its “mortality measures” because of widespread criticism. In 1999, The Joint Commission (TJC) began to develop a set of core measures for hospitals. The core measures were formally adopted by an act of Congress in 2003 as the basis for a reimbursement incentive for voluntary performance reporting among hospitals. In the century since Codman’s initial work, debate has continued to rage regarding exactly what represents a measure of “quality” for healthcare providers. It was for this purpose that The National Quality Forum (NQF) was created.