DSS is a $110MM per year health information software development and systems integration company, providing services and solutions used daily by thousands of clinicians and administrative staff nationwide, in the public and private sectors. For over twenty-five years DSS has led the way for healthcare innovation, creating solutions that improve revenue cycles, regulatory compliance, interoperability, and above all, patient care. DSS is one of the nation’s leading healthcare IT vendors, recognized for the fourth consecutive year in 2018 as a Healthcare Informatics 100 company. Adopting CMMI in 2010 to help with their aggressive growth, DSS introduced a metrics program that centered around the strategic goals of company. Over time the program has evolved into a toolkit used by the CEO to address areas important to him such as time to market, defects, and rework. The process engineering group uses the CMMI measurement practices of MA and MPM to facilitate data collection, analysis, and presentation of the data, along with tracking the results. In this presentation we will review: the evolution of the metrics program over 10 years the techniques used to advance it, including CMMI’s Managing Performance and Measurement (MPM) a closer look at how a collaborative root cause analysis (CAR) of defects captured in the metrics process resulted in process improvements a closer look at how the rework metric was introduced, used in a positive manner, and resulted in a decrease of rework (coding and requirements).