from MMWR by R. Franki.  In 2007 28.7% US  hospitals had implemented  about 1/2 of the 10 Steps, in 2013 54% had implemented more than 1/2 of the 10 Steps!   Since 2007 the number of states with more than 60% of the hospitals implementing the majority of the 10 steps increased from 4 to 21.  The number of the states with less than 20% of hospitals implementing a majority of the 10 steps dropped from 15 to zero!!  Progress my dear friends and colleagues, progress!  Pat in SNJ

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