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Improving Quality Measures, Increasing Patient Satisfaction, and Reducing Opioid Reliance. It all started in Albuquerque, fresh out of my residency. I was trying to build a career and a life, which meant I was juggling two very different worlds. By day, I was the medical director at a state-of-the-art inpatient rehab facility. In the afternoons and evenings, I was making rounds in local nursing homes. And a thought kept nagging at me, getting louder every day...