The “Unit of Distinction” designation is achieved through measurable, exemplary performance in the strategic areas of Advocacy and Leadership, Consistency in Nursing Practice and Operations, and Leveraging Scale to Drive Performance. During 2017, 820 HCA Nursing units participated in the program. Using 23 different criteria, units were scored to determine which would receive the 2017 Unit of Distinction honor, which earns them a spot in the Top 5% of all HCA Medical-Surgical and Critical Care hospital units. In addition to the UOD recipients, 35 additional units achieved scores ranking them within the Top 10% of all HCA Med-Surg and Critical Care units, earning each an “Honorable Mention” designation.