The US Multisociety Task Force on Colorectal Cancer screening requires appropriate reporting of the quality of the bowel preparation to appropriately recommend interval screening or surveillance. The Boston Bowel Preparation Scale (BBPS) is a validated, standardized scoring scale to assess bowel preparation. As part of a quality improvement initiative, we developed a method to transition the Durham VA Medical Center (DVAMC) endoscopy unit from our previously used subjective bowel preparation scoring system (excellent/good/fair/poor) to the objective Boston Bowel Preparation Scale.