Nurse Toni Soto cares for the newborn child of Doris and John Hebert  in the Neonatal Intensive Care Unit (NICU) at  Summerlin Hospital  Medical Center , where UHS implemented High Reliability Unit procedures to eliminate medication errors. UHS has implemented HRUs in a number of facilities and units, including obstetrics, emergency  departments and surgery. One HRU was developed in  the Neonatal Intensive Care Unit (NICU) at Summerlin  Hospital Medical Center in Las Vegas. By improving  communication between the pharmacy and NICU  management, orienting new registered nurses in  pharmacy operations and having pharmacists spend  time at the patient’s bedside, the HRU is leading the hospital toward its goal of the total elimination of medication errors. UHS hospitals work to ensure that the service lines they offer meet or exceed established quality  standards. By the end of 2011, 26 service lines had received Center of Excellence designation or accreditation in radiology, oncology, bariatric  surgery, stroke, chest pain and asthma care. For example, the acute care hospitals once used a total of 47 different central line kits from several manufacturers for intravenous therapy. After completing  the Value Analysis program, critical care clinicians were  able to reduce that number to seven different size kits from a single manufacturer, ensuring that all UHS  hospitals use the best products available to provide  high quality care.  UHS Supply Chain has a growing number of initiatives  to help increase quality of care, improve efficiency and reduce overall costs. In its Value Analysis program,  teams of corporate and hospital clinicians work  together to review available products and standardize  those that work best to help provide the highest  quality patient care and best outcomes. After the  clinical teams have determined what products should  be corporate standards, Supply Chain negotiates  directly with the supplier for favorable pricing, or  works with the company’s hospital purchasing group  to get the best terms. VALUE ANALYSIS IMPROVES QUALITY, REDUCES COSTS PREPARING FOR CHANGE 8 UNIVERSAL HEALTH SERVICES, INC. 