Hospitals and health systems must be clear on goals of their opioid stewardship program and intentional about a process for measuring and monitoring progress. Over time, these metrics will help demonstrate organizational success and can be used to support broader initiatives to fight the opioid epidemic, such as advocacy efforts for legislative action. In this final episode of AHA’s five-part series on opioid stewardship, Marie Cleary-Fishman, vice president of clinical quality at the American Hospital Association, is joined once again by Dr. Holly Geyer, hospital internal medicine practitioner sub-specialized in addiction medicine at Mayo Clinic. The discussion: setting and surveilling opioid prescribing metrics, and managing outliers while keeping satisfaction scores high.