The Agency for Healthcare Research and Quality, the nation’s lead federal agency for research on health care quality, costs, outcomes, and patient safety, recently issued its report on “Survival Measurement and Reporting Trial for Trauma (SMARTT) putting John Muir Medical Center – Walnut Creek Campus among the top trauma centers in the country based on risk-adjusted patient outcome. The SMARTT study was based on trauma outcome data submitted by trauma centers throughout the country to the American College of Surgeons’ National Trauma Databank and resulted in establishing a National Trauma Report Card rating trauma center performance.