ESCALATES (Evaluating System Change to Advance Learning and Take Evidence to Scale) is the National Evaluation grantee for the EvidenceNOW initiative funded by the federal Agency for Healthcare Research and Quality (AHRQ). My colleagues on this team and I are honored to be responsible for conducting the national evaluation across seven regional projects. During this work, we work collaboratively with them in this very large and important initiative to help 1,800 small practices across the country improve the heart health of their patient.