Performance Improvement and Resource Stewardship: Tracks and reports operational and quality indicators such as first-case on-time starts, turnover time, delay reasons, staffing productivity, overtime, surgical site infection prevention measures, count discrepancies, sterilization quality, missing instruments, tray accuracy, and customer service concerns. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and cancer treatment centers and outpatient facilities in the Atlanta, Chicago and Phoenix areas.