Many SPDs are still expected to justify staffing, capital investment, and process improvement without standardized benchmarks or enterprise level data to back up those justifications. Edna Gilliam, DNP, MBA, RN, CNOR, NEA-BC, assistant vice president, perioperative services and SPD, DV, at Nemours Children's Health, calls for the development of sterile processing metrics and dashboards that are operationally meaningful, not simply informational. "The organizations that succeed will be those that treat sterile processing as the infrastructure it is and measure it accordingly," she writes. More