With the constantly changing environment in health care, databased decision-making has never been more important. Through their Medicare Quality Improvement Organizations (QIOs) healthcare organizations have an opportunity to access and share claims data designed to provide a focused view and an enhanced dissemination of information to support the complex processes that must exist internally to assure accurate reimbursement. Our speaker will discuss the PEPPER data tool and tips for its use in successful financial management approaches, identification of improvement opportunities, development of appropriate interventions and improved communication among hospitals and physician staff.