Background: This article provides health care organizations with a ben
chmarking methodology to use in comparing practices and processes to i
dentify opportunities for improvement. The 15-step model can be used t
o guide internal and external benchmarking activities in a variety of
health care settings. Examples: Two internal benchmarking case studies
are illustrated: (1) one hospital used the Baxter model to evaluate i
ts laparoscopic cholecystectomy services, and (2) another prepared for
expansion of cardiac catheterization services. Conclusions: Two key f
actors of a successful benchmarking initiative are highlighted: manage
ment commitment and involvement, and the need to understand internal p
ractices and processes before benchmarking.