Date Time Surgical quality improvement is driven by data surveillance and standardized processes and systems The second comprehensive literature review on the underlying principles for the ACS Quality Verification Program looks at processes for identification and resolution of quality improvement issues Key Takeaways The basis of the ACS Quality Verification Program rests on 12 standards; all of which are being reviewed in the medical literature to demonstrate evidence for the program. Five principles key in on the role of data surveillance, standardized process, and systems; all are interrelated. The most robust evidence has been identified around the standards for data and use of data.