Transforming US health care from volume to value requires systems that will achieve perfect care as defined by multiple quality and outcome measures. Such measures include clinical quality and safety (e.g. length of stay, readmissions), processes of care (e.g. wait times), patient-reported outcomes, and patient feedback survey scores. Standardized order sets have been successful in improving clinical and financial outcomes, but the impact on perfect care has not been studied. In 2015 we implemented the Methodist Acute Pancreatitis Protocol (MAPP), an order set created by gastroenterologists to optimize early medical management in the emergency department (ED) and during the 48 hours after the initial diagnosis of acute pancreatitis (AP).