Hawaii completed the rollout of unit-based teams at the Moanalua Medical Center in 2011: 40 UBTs now represent 576 nurses—69 percent of the membership of the Hawaii Nurses Association, OPEIU Local 50. The region, which joined the LMP in 2009, committed resources to provide just-in-time training in advanced performance improvement, facilitative skills, business literacy and meeting management—and UBTs are improving performance on a variety of measures, ranging from service excellence and pain management to throughput and workplace safety. In 2012, the Oahu-based clinics will be joined by several teams on neighboring islands, and the region will implement the Performance Sharing Program, aligning it with the Value Compass.