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The Outstanding Performance program recognizes facilities demonstrating sustained high-quality outcomes in a specific ACR® Learning Network improvement collaborative measure. The program offers a structured way to measure and validate the performance level of an organizational facility, or facilities, and receive recognition for meeting or exceeding a performance threshold. Performance levels for quality measures have been established and achieved by Learning Network organizations.

To qualify for Outstanding Performance, key facility staff must sequentially complete the following steps:
| Outstanding Performance Area | Improvement Collaborative Measure | Average Performance Level | Audit Volume |
| Mammography Positioning | Percentage of screening mammograms meeting mammography positioning criteria | 85% | 200 manual audits |
| Prostate MR Image Quality | Percentage of prostate MRI exams that pass criteria for adequate quality | 85% | 200 manual audits |
| Recommendations Follow-up | Percentage of patients who received recommended follow-up in the appropriate time interval | 70% | 200 follow-ups |