She received a Ph.D. in Sociology from the University of Wisconsin-Madison. Dr. Dunton has been the director of the National Database of Nursing Quality Indicators since it was established in 1998. She has made numerous presentations on NDNQI to nursing groups across the United States and internationally. Dr. Dunton has more than 25 years of experience in helping organizations use outcome indicators in decision making. She has been the principal investigator on more than 20 health and social services research projects. Byron Gajewski, PhD E-mail: bgajewski@kumc.edu