We need to have a better definition of excellence in ISM expectations. It should be recognized that there are different types of measures depending on where you are in implementation. Self-assessment is important. Identify measures early, before beginning program implementation. It is hard to measure performance if you haven't baselined your initial performance.
Progress needs to be made in implementation.
Different facilities are at different phases of implementation, which will result in different measures. The path forward in implementation is important to help identify needed measures. Existing measures are too reactive. They are very hard to measure and quantify. We need to find a way to measure them.