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Clinical pathways within the organization were traditionally developed by the physcians. With the advent of the Center for Pediatric Outcomes and Quality, the clinical advancement program, and the Dudley L. Moore Nursing and Allied Health Fund, the organization placed an emphasis on a multi-disciplinary approach to pathway building. Work on a pathway is supported by the clincial advancement program and encouraged during the introduction to evidence-based practice classes. Nurses are now, not only required, but expected to be an intregral part of a pathway development. The intimacy of nursing involvement has created greater buy-in through knowledge of the bedside nurse.