When Lauren Burke encountered any one of RWJBarnabas Health’s interventional cardiologists in the hospital corridor, she would tap her wrist and ask a question: Are you choosing radial over femoral access for diagnosing and treating coronary artery disease? At first, they would admit they had not performed any radials, and the Vice President of Cardiac Quality and Performance Improvement at RWJBH always responded with: “Well, do you think you could?” Slowly but surely, the reactions she got to tapping her wrist turned into, “I did two radials today” or “I did three radials yesterday,” Burke said. “And we would laugh about it. But really it put a lot of pressure on them.” It was just one part of the New Jersey-based RWJBH initiative to increase radial access percentages across the

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